Running Head: PERSONAL NURSING PHILOSOPHY

Concept Synthesis Paper on Persona Nursing Phiosophy

Na!e:
Institutiona a""iiation:
PERSONAL NURSING PHILOSOPHY #
Paper outine
I$ Introduction
II$ Nursing !eta%paradig!s
A$ En&iron!ent
'$ Heath
C$ Peope
($ Nursing
III$ Phiosophies and theoretica )ac*ground
I+$ Persona phiosophy
+$ Integration o" theory
+I$ Concusion
Running Head: PERSONAL NURSING PHILOSOPHY
Concept Synthesis Paper on Persona Nursing Phiosophy
Nursing in&o&es !ore than )oo* guideines in ta*ing care o" the sic*$ A persona
nursing phiosophy is necessary to act as a guide to indi&idua actions during practice$
Nursing practice in&o&es co!passionate care, *no-edge%)ased practice, o&e,
respect, co!!it!ent and ac* o" pre.udice$ As a !atter o" "act, nursing practice shoud
e!)race di""erent cutures and accept di&ersity "actors -ithin -or* en&iron!ent$ /hese
are -e co&ered in the "our !eta%paradig!s o" nursing theory0 en&iron!ent, heath,
peope, and nursing$
En&iron!ent in"or!s a ot o" nursing decisions$ En&iron!ent can either )e
interna and e1terna$ Con&entionay, e1terna and interna &aria)es constitute a nursing
en&iron!ent$ Nonetheess, nursing en&iron!ent is dyna!ic and its !aintenance
re2uires a sy!)iotic reationship )et-een the genera en&iron!ent and indi&iduas
-ithin the en&iron!ent$ /here is a-ays a choice to rede"ine the en&iron!ent or
!aintain$ It is i!portant to note that the pri!e o).ecti&e o" nursing e1tends )eyond
curati&e purpose$ As a !atter o" "act, the pri!ary o).ecti&e is to restore the )ody3s
ho!eostatic state through e1terna "actors ad.ust!ent and "urther !aintain the desired
state$
A heathy state is de"ined as a state o" hoistic physica, !enta, as -e as socia
-e%)eing and e1tends )eyond !ere ac* o" disease$ /his de"inition "uy co&ers the
concept o" heath and heps nurses to appropriatey respond to e!erging heath issues
-ithin the society$ Ho-e&er, it shoud )e noted that each o" the heath co!ponents )ear
&aried -eights and are su).ect to indi&idua interpretations$ It is ho-e&er i!portant to
PERSONAL NURSING PHILOSOPHY 4
e!phasi5e that !enta co!ponent o" heath )ears a ot o" -eight and is the *ey dri&er to
hoistic -e%)eing$ Ho-e&er, physica heath and socia -e%)eing are as -e i!portant$
/he "our nursing !eta%paradig! ee!ents do not e1ist independent o" each
other$ Inappropriate se"%perception6stress is a )arrier to reco&ery and hence a patient
-i need a ca! and serene en&iron!ent, in addition to hoistic nursing care$ As a
!atter o" "act, in a nursing care scenario it is i!portant to consider a ee!ents$ It is
i!portant to e&auate a patient3s needs )ased on heath, en&iron!ent, person and
nursing care -hich constitute the "our nursing !eta%paradig!s$ In essence, I "ind it
incu!)ent to assess a patient )ased in his6her indi&idua settings$ /his entais pro&ision
o" care -hie !aintaining respect "or each person3s uni2ueness and indi&iduaity as -e
as their reactions to i"e and en&iron!ent 7George et a$, 899:;$ Iness either a""ects a
part or the -hoe o" a person$ /he resuting e&e o" incapacitation depends on heath
co!ponent a""ected )y the ai!ent$
<y persona phiosophy is pre!ised on the "our paradig!s$ It is !y )eie" that the
"our !eta%paradig!s -or* hand in hand to pro!ote nursing care$ /his is -e
de!onstrated in !y phiosophy that other than "irst aid, !enta -e%)eing o" the cient
shoud )e gi&en priority$ <enta -e%)eing shoud )e accorded !a1i!u! -eight$ In this
case, I treat !enta and e!otiona -e%)eing as ha&ing the sa!e !eaning$ Ho-e&er,
achie&ing e!otiona sta)iity is pegged on -e%)eing o" the en&iron!ent$ It is there"ore
!y )eie" that the en&iron!ent pro!otes ca!ness, and aso )e "riendy and conduci&e$
/he en&iron!ent in"uences a other !eta%paradig!s$ As a !atter o" "act, !anipuating
the en&iron!ent resuts into an e""ect on other !eta%paradig!s$
NURSING PHILOSOPHY 5
In !y nursing practice, I "ound it pi&ota to a-ays see* cient opinions on
appropriateness o" en&iron!ent$ Ho-e&er, this -as ony to a s!a e1tent -hich
in&o&ed as*ing the cient i" there -as anything he6she needed$ /his 2uestion -as
!eant to see -hat the cient "et -as &ita )ut !issing in the en&iron!ent$ Additionay, I
sa- increased need to )e e1tre!ey attenti&e to patient needs and reguary see* to
*no- -hat they "et o" the en&iron!ent$ Additionay, I "ound it i!perati&e to o""er !yse"
-hene&er needed, increasing "ocus on patient care and paying specia attention to
s!a things )earing in !ind that itte things are the )uiding )oc*s o" the )igger ones$
Nightingae proposed a )asic en&iron!enta theory -hich e!phasi5es the roe o"
the en&iron!ent in an indi&idua3s heath6-e%)eing 7Cri))in, #=88;$ According to
Nightingae, the !a.or o" ee!ents constituting a nursing care en&iron!ent incude "resh
air, cean -ater, su""icient &entiation, e1ceent hygienic conditions, and ade2uate ight
7Cri))in, #=88;$ Nightingae hed the )eie" that peope hod contro o" their heath )ased
on ho- they !anipuate the en&iron!enta "actors$ A nurses3 roe, "ro! Nightingae3s
point o" &ie- is to a&ai a conduci&e and heathy en&iron!ent to the patient$ /his
incudes pro&ision o" "resh air, cean -ater, -e%it roo!, e1ceent hygiene, -ar!th, and
an en&iron!ent "ree "ro! noise$ As a !atter o" "act, his position hods that a nurse
shoud pro!ote a heathy en&iron!ent )y !anipuating en&iron!enta "actors 7Creasia
> ?ri)erg, #=88;$
?urther, Nightingae )eie&ed that nursing ai!ed to heped patients regain their
heath )y ad.usting their e1terna and interna en&iron!ents$ /he e1terna en&iron!enta
co!ponents !anipuated incude roo! &entiation, roo! -ar!th, ight, patient3s diet,
hygiene, and noise e1posure, a!ong others$ It is !y )eie" that in order to hep patients
PERSONAL NURSING PHILOSOPHY :
restore and !aintain good heath, nurses shoud continuay !anipuate the patient3s
en&iron!ent$ Continuous !anipuation o" the en&iron!ent e&entuay heps in regaining
the patient3s ho!eostatic state$
It is !y )eie" that the intention a nurse de&eops acts as a guide to nursing
practice$ Intention "urther "or!s the )asis "or "or!uating *no-edge%)ased practica
approaching to !anage!ent o" nursing care scenarios$ As a !atter o" "act (raper,
La(ou, > (an 7#=88; points out that intention "or!s )asis "or "or!uation o" uni2ue and
un%"oding nursing scenarios ree&ant to uni2ue and non%uni2ue cases$ Nursing care
produces a uni2ue need to respond to nature3s ca on the need to !aintain good heath$
Nursing care cannot )e prescri)ed$ It is responsi)iity o" the nurse to co!e up
-ith appropriate responses to suit their desired outco!es$ Responses can )e highy
&aried and so are outco!es$ Nursing care is uni2uey "or!uated in response to a
uni2ue ca "or care$ Nursing care di""ers "ro! reguar care in that they can )e descri)ed
and &aued$ As a !atter o" "act, nursing care can )e ter!ed as atruistic, or rather an
e1pression o" o&e and care$ Additionay, nursing is intentiona and an e!)odied
recognition o" the need as -e as -iingness to respond to that need 7(raper, La(ou, >
(an, #=88;$ (espite the "act that care is not a uni2ue aspect o" nursing, it is uni2uey
e1pressed in nursing$ In !y opinion, understanding nursing as a discipine6pro"ession
uni2uey "ocuses on care as the core &aue$ /his is the pri!ary interest and path o"
"ocus in nursing practice$
E&identy, the en&iron!enta !eta%paradig! phiosophy proposed )y Nightingae
rese!)es Neu!ann3s syste!s !ode in !any -ays$ According to Neu!ann, an
en&iron!ent has e1terna and interna co!ponents, )oth o" -hich an indi&idua
NURSING PHILOSOPHY 7
!aintains )y creating a certain e&e o" har!ony 7Creasia > ?ri)erg, #=88;$ /he !ode
proposed )y Neu!ann "ocuses on a hoistic approach to nursing$ /his is a position I
agree -ith0 )oth e1terna and interna aspects o" the en&iron!ent are i!portant in
ensuring heath is achie&ed$ In reaity, nursing care is pre!ised on the )asic
assu!ption that hu!ans need care to )e -e and that nursing acti&ities coaesce in
getting to *no- peope and caring6nurturing the! in order to )etter their heath$ /here is
strong e&idence to suggest that nursing care approach directy in"uences the outco!e
o" heathcare initiati&es 7(raper, La(ou, > (an, #=88;$ ?urther, it is i!portant that
nursing practice )e )ased on practica approach to conceptua6theoretica !ode$
In concusion, it is i!portant to e!phasi5e that nursing practice e1tends )eyond
care "or the sic*$ Nursing care can )e e1tended to other peope incuding the od$ It
pri!ariy "ocuses on ensuring that good heath is attained and !aintained$ <aintenance
o" good heath is not a)out the sic*$ Nonetheess, in !any instances peope -ho are
heathy "ind it -aste"u to hire nursing ser&ices$ /he aged ho-e&er need nursing
ser&ices due to their "ragie heath as -e as increased &unera)iity to disease$
Additionay, it is i!portant to e!phasi5e that the en&iron!ent pays a !a.or roe in
reguation o" other !eta%paradig!s$ Any !anipuation on the en&iron!ent creates a
di""erence on the patient -ith respect to a other !eta%paradig!s$ Nursing is there"ore a
piar o" heathcare not .ust to the sic* )ut aso to those -hose heath are &unera)e and
re2uired speciai5ed care to !aintain$ In !any instances though, the aged, the sic* and
chidren are the pri!ary )ene"iciaries o" nursing care$
Running Head: PERSONAL NURSING PHILOSOPHY
Re"erences
Creasia, @, > ?ri)erg, E$ 7#=88;$ Conceptual foundations: the bridge to professional
nursing practices. St$ Louis: Ese&ier <os)y$
Cri))in, N$ 7#=88;$ Phiosophy o" nursing: I!pro&ing the en&iron!ent, i!pro&ing !yse"$
Nevada RNformation, 20(2), pp$8A$
(raper, E$, La(ou, @$, > (an, @$ 7#=88;$ Occupationa Heath Nursing and the Buest "or
Pro"essiona Authority$ New olutions, 2!(!), pp$ACDEE
George, @$'$ 7899:;$ Nursing "heories: "he base of professional nursing practice$
Connecticut: Appeton and Lange$