ANSWER:

Philosophy of nursing is a conceptual framework that defines a nurse’s intrinsic beliefs, value system, ethics, and motivation for taking up the practice. According to Meehan, Timmins, & Burke (2018), defining one’s particular philosophy provides them with a connection to their beliefs and preliminary principles. Likewise, philosophy recognition underscores the perspective of nurses based on their education, practice, and ethics. However, one's philosophy is subject to change since it evolves within the dynamics of the profession. As a result, insightful experiences faced by nurses might inform their philosophy evolution (Murphy et al., 2018). Therefore, value-based philosophy and professionalism in nursing practices inspire comprehensive, pragmatic, and engaging substructural frameworks that strengthen care providers' control over their practice and the ability to provide evidence-based primary care. The focus of this paper is to define my worldview of nursing practice, values informing my philosophy, and my rationale on ethical principles that define the scope of nursing within healthcare environments.

Definition of Nursing

Definition of concepts form the precedents on which values, principles, and personal ethics can be measured within nursing practice. Moreover, it provides a clear understanding of a concept's ethical and legal obligations and responsibilities (Frisch, & Rabinowitsch, 2019). The American Nurses Association (ANA) defines nursing as the ability to protect, promote, and optimize health outcomes while maximizing patient autonomy in collaboration with families, individuals, and communities. However, my nursing philosophy is based on respect for persons, empathy, and providing culturally sensitive care to patients. Part of this is informed by religious upstanding. Religion shapes my understanding of the concept of nursing as a divine calling for service for humanity and protection for the value of life. I understand nursing from the scopes of compassion, sympathy, and empathy that inform my ability to offer clear clinical judgments and provide holistic care.

Purpose of Nursing

The fundamental goal of nursing is to deliver safe, compassionate, and quality care to patients, families, and groups seeking healthcare intervention. Nurses primarily focus on delivering care while maximizing patient assessments, diagnoses, outcome intervention, implementation, and evaluation (Fukada, 2018). In order to achieve objectives of nursing defined either at individualized level, organizational, or within the codes of ethics of nursing practice, developing a trustworthy relationship between the healthcare providers and patients is eminent for maximizing on safe delivery of care. According to, therapeutic relationships have promoted safe care delivery to minimize ethical dilemmas that may arise from patient-doctor decision sharing strategies. This explains why I strive to gain closure with my patients to enhance our interactions on and off professionalism. This has optimized patient adherence to my medical advice and recommended treatment interventions.

Nursing Relationships

Incorporating culturally sensitive care through theory developments, research, and cultural context into the nursing curricula contributes significantly to care provision within diverse care contexts. Predominantly, nurses view the provision of culturally sensitive care as challenging and complex due to conflicts that may rise from personal and contextual factors (Fiscella, & McDaniel, 2018). Despite the complex provision of care in diversity, nurses can offer critical solutions by creating an effective relationship as a precedent of trust. The nurse may go the extra mile to learn the patients and provide solutions that do not conflict with the patient's system of beliefs. Moreover, to strengthen the relationship, the nurse may show humility to the patient through active listening and respecting their opinions. After gaining closure, the nurse may educate the patient on safe medical practices.

Community health is one of the major concerns of healthcare delivery plans for any healthcare facility. The social theory defines different risk exposures to disease that a group of people may be predisposed to. Therefore, social theory within nursing optics influences health promotion and disease prevention through mitigating health disparities associated with social status (Roy, 2018). By understanding the social determinants of health-related to a community, nurses can address social and environmental health issues in a community. Besides, the nurses can engage in health-related community development programs that may leverage on quality care delivery. According to Roy (2018), community nurses are obligated to promote a healthy lifestyle under health promotion, civic education, and community-based care. Additionally, with proper comprehension of the community's cultural beliefs and values, instituting health and wellness programs and evaluating the community's delivery of patient care should be significant concerns to the nurse.

Interprofessional collaboration is an essential component of disseminating safe care (Reeves, 2017). This lays a productive environment for the interdisciplinary association between stakeholders, healthcare providers, and the patient population. Leadership theory refers to collaboration as a significant phenomenon for promoting unity within the healthcare environment. Moreover, the positive correlation amongst healthcare professionals promotes teamwork across different disciplines to collectively define the scope of practice and necessary interventions to improve collective responsibility in care provision. Additionally, optimal inter-relation amongst organizational members reduces work-related conflicts, which cripples efficient delivery of care. However, in case of occurrence, conflict resolution is more effective in a cohesive environment. Therefore, maintaining a collaborative relationship in the work environment translates into organizational objectivism.

Ethical Principles in Nursing Practice

Ethical principles set standards for clinical practice. These principles are defined within the nurses’ codes of conduct to promote ethical standards and professionalism within healthcare environments by optimizing patient safety. The principle of beneficence obligates the physician to act in the best interest of the patient and safeguard moral rules to protect the rights of others, prevent harm, and rescue endangered persons. According to Bifarin & Stonehouse (2022), beneficence is defined within the scopes of mercy, kindness, generosity. It should be sensitive to love, altruism, humanity, and acting in the interest of others. This is aligned with my defining attributes of the nursing concepts. I believe in providing care while promoting mutual interactivity in the concepts of love, mercy, and kindness.

Additionally, the principle of nonmaleficence obligates the physician to cause no harm to the patient. This principle upholds moral values to improve healthcare delivery. These moral values include; do not kill, do not cause pain or suffering, do not compromise the stature of life, and do not incapacitate. This principle is vital in understanding my ethical obligation as a nurse. Moreover, Christianity informs my value system. Do not kill is one of the commandments in the bible. Therefore, Christians are obligated to preserve life, love one another as themselves, which corresponds to the principle of nonmaleficence.

Conclusion

Nursing philosophy is a vital phenomenon in the dissemination of care. Developing an individualized view on nursing concepts defines the scope of nursing practice and is important in maximizing clinical outcomes. Predominantly, clinical actions are always inspired by an individual’s belief system. Hence, determining one’s view of the nursing concept promotes care delivery.

References

Meehan, T. C., Timmins, F., & Burke, J. (2018). Fundamental Care Guided by the Careful Nursing Philosophy and Professional Practice Model©. Journal of Clinical Nursing, 27(11–12), 2260–2273. https://doi.org/10.1111/jocn.14303

Murphy, S., Mc Mullin, R., Brennan, S., & Meehan, T. C. (2018). Exploring Implementation of the Careful Nursing Philosophy and Professional Practice Model© in Hospital-Based Practice. Journal of Nursing Management, 26(3), 263-273.https://doi.org/10.1111/jonm.12542

Frisch, N. C., & Rabinowitsch, D. (2019). What’s in a Definition? Holistic Nursing, Integrative Health Care, and Integrative Nursing: Report of an Integrated Literature Review. Journal of Holistic Nursing, 37(3), 260-272.https://doi.org/10.1177/0898010119860685

 Fukada, M. (2018). Nursing competency: Definition, Structure and Development. Yonago acta medica, 61(1), 001-007.https://doi.org/10.33160/yam.2018.03.001

Sunjaya, A. P., Chris, A., & Novianti, D. (2020). Efficacy, Patient-Doctor Relationship, Costs and Benefits of Utilizing Telepsychiatry for the Management of Post-Traumatic Stress Disorder (PTSD): A Systematic Review. Trends in Psychiatry and Psychot https://doi.org/10.1590/2237-6089-2019-0024

Fiscella, K., & McDaniel, S. H. (2018). The Complexity, Diversity, and Science of Primary Care Teams. American Psychologist, 73(4), 451. https://doi.org/10.1037/amp0000244

Roy, C. (2018). Key Issues in Nursing Theory: Developments, Challenges, and Future Directions. Nursing Research, 67(2), 81–92.https://doi.org/10.1097/NNR.0000000000000266  

Reeves, S., Pelone, F., Harrison, R., Goldman, J., & Zwarenstein, M. (2017). Interprofessional collaboration to improve professional practice and healthcare