Foundations Week 6 - Personal Philosophy of Nursing PDF

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Foundations Week Six – Developing a Personal Philosophy of Nursing • What does it mean to belong to a professional discipline? o o o

There are standards of practice, codes of ethics A professional discipline has a regulatory body and specialized knowledge specific to the profession Professional disciplines are responsible for their own knowledge and represent their knowledge to the public

• As described by Fawcett, what influence on the discipline of nursing came from the metaparadigm of nursing? o o

o

Person, nursing, environment, health, and social justice are the concepts in the metaparadigm of nursing In the first development, Fawcett include person, health, environment, and nursing; in further years, social justice was included and became the center of the metaparadigm (social justice effecting the other four) Fawcett recognized the concepts of nursing, using knowledge, critical thinking, intellect and problem solving

• What relevance do the concepts of the metaparadigm have on nursing? o o

Defines our scope of practice, sets boundaries We must continue our scope of knowledge

Person (Human Being) • Refers to a person in the full sense of the word • Includes families, social groups, and communities • Person is unique and autonomous, and should be treated as such • Person is not a mere object of professional care and surveillance: • The definition of person “must transcend the individual to address diverse persons within aggregates, communities, institutions, and nations” • Internal factors: values & beliefs • External factors: physical things – housing, support systems, occupation; physical aspects that impede with success

Health   

Immensely general and subjective (what the person says/thinks it is), only way you know is to ask the questions Includes all aspects of person Does not deal with health in a strictly clinical manner

   

Health is not an absolute concept, but exists in the context of the health problems of the individual Expectations changes over time “Health must be expanded to include the dynamic agency of a person within a dynamic institutional and societal environment” Impacted by society – where you live, job, social networks

Environment • “Explains the full context of health care and of nursing specifically” • “The totality of all things that impact the person (internally and externally)” • “Includes social and cultural dimensions such as religious belief and general attitudes toward death and suffering” • Nurses need to consider “upstream” approaches for individuals as well as communities and society • Not just the patient’s environment, but your personal environment in which you are providing care • Should consider upstream thinking – what can we do to prevent further issues occurring (health promotion)

Nursing • “Includes attributes, characteristics, and action of the nurse in relationship with the patient and the nature of care provided” • A therapeutic partnership with client, family, community • Guided by code of ethics and practice standards • “Requires a population consciousness…see the community and global aspects of health beyond the immediate situation” • “an intellectual enterprise that encompasses clinical rationale • Empathy, advocacy, therapeutic relationships, trustworthy, genuine, listening

Social Justice • Social justice and equity are the foundations of nursing • Nurses work with and on behalf of individuals, groups, and communities to reduce inequalities and support health for all • Nurses know that caring is a principle of social justice as well as an essential and global human need which is expressed in different ways across cultures and practice domains

Philosophy of Nursing – getting ready for Assignment #3 • “A philosophy is a collective statement of shared beliefs and values that are congruent with the practice setting that gives both meaning and direction to everyday practice: a light to show the way.” • “A philosophy is fluid, flexible, constantly tested, and probably changes over time and circumstances” • A “nursing philosophy provides the nurse with a direction for his or her practice, as it is from a working nursing philosophy that nursing theory and knowledge are developed and integrated into practice. • Requires critical thinking • Meant to guide actions and decisions • Deepens understanding, explores values & beliefs, synthesize knowledge

Philosophy = Beliefs • Why is it important to have a personal philosophy of nursing? o

Running into unfamiliar situations becomes easier; your personal philosophy guides you

• If your personal values and beliefs mesh with professional standards and expectations, describe in paper

Articulating your Philosophy of Nursing 1. 2. 3. 4.

Identify general values Through the lens of the metaparadigm, identify values that relate to the profession of nursing Identify roles nurses perform The philosophy statement should end with a few sentences of how personal values articulates with values about nursing 5. Final statement relates to how you hope to make a differenceee...