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Jaclynn

Windsor

Leadership Nursing Philosophy


The nursing profession is built upon nursing theories, ideas that guide nurses
every day in practice and otherwise. Nursing theories are founded on four metaparadigms that form the conceptual framework that will later guide nursing
practice. Those four concepts are health, environment, person and nursing.

Starting with health, it is hard to put an exact definition on what is and isnt
healthy. Some try to quantify health with different parameters, such a BMI, serum
blood values, etc. To me, health is more than the physical state of the body. Health is
a state in which an individual is free of complications from a disease process, both
mental and physical. Personally, I dont think the disease itself is an indicator of
poor health I have met quite a few patients that have diabetes mellitus and have
managed their disease very well, resulting in few complications and an ability to
lead a normal life. Having a diagnosis of major depression is very different from
being depressed. There are treatment modalities available to treat disease and
illness, and as long as the patient is able to function in society, I would consider that
person to be healthy. Another aspect of health to me is performing actions that have
been shown be beneficial to our general health, and avoiding those that have been
proven to be detrimental. This would include being active, avoiding tobacco
productions, drinking enough water daily. A healthy person, to me, is one who
employs actions that will improve the general state of their body processes. To
summarize, my idea of health is intrinsically tied to whether or not a person is
experiencing complications, either physical or mental, from a disease or illness. A
diagnosis does not make one unhealthy.

When you speak about the environment, the first thing that comes to mind is
where the patient lives. And there is definitely a geologic environment that can
impact the health and care for a patient. Knowing that a patient comes from the
northern United States and is visiting south Florida during the summer for the first
times alerts the nurse to a potential risk for heat stroke that otherwise isnt present
in the general population of the area. But theres more to the environment than just

Jaclynn Windsor

Leadership Nursing Philosophy

where in the world that person lives. The environment includes the home situation
and family structure. Environment includes any religious place of worship a person
may frequent. It includes the cultural practices that a patient has brought over from
other parts of the world. As a nurse, you have to be aware of the different
environments that exist and influence the decisions and care for a particular patient.
While under the care of nurses in a healthcare setting, it is important that we strive
to create an environment that is both therapeutic, healing, and comfortable to the
patient.

The next paradigm is the person. Obviously, this first refers to the patient
under the care of the nurse. But as most nurses have learned, when you receive a
patient, you receive their family as well. It is important when caring for a person
that their family is included in the care plan, as we often rely on them to help carry
out nursing actions once they leave our care. Moving more abstractly, person can
refer to a specific community or group of people that a nurse looks to care for. With
personhood comes a set of rights as defined by state law, including but not limited
to dignity, respect, and confidentiality. Ensuring that all patients receive the same
level of care, regardless of race, religion, language, diagnosis, or other factor is key to
providing excellent care in the nursing field.

And finally, we arrive at the concept of nursing. The word nursing is loaded
with context and implications, and it is extremely difficult to say in a few words
what nursing is. But to be brief, my personal definition of nursing is the practice of
skills that: (1) aim to reduce the effects of illness and disease, (2) aid in collecting
information for diagnosis, and (3) promote health and wellness physically, mentally,
and socially. We accomplish these goals with a caring and compassionate demeanor
that enables us to form a strong nurse-patient relationship, which further facilitates
respectable nursing practice.