You have spent six weeks exploring theories of nursing. These represent the “how” of what we do as nurses. This week we enter a higher level of thought and explore the “why” of what we do
You have spent six weeks exploring theories of nursing. These represent the “how” of what we do as nurses. This week we enter a higher level of thought and explore the “why” of what we do. Present a personal nursing philosophy. Apply what you have read throughout the course and explore the literature on nursing philosophy.
While Fawcett was not a nursing theorist, she is a nursing philosopher and her Metaparadigm of Nursing approaches philosophy over theory. Once you have discussed your philosophy, identify a theoretical framework (not the middle-range theories but the underlying assumptions in that framework) that fits your philosophy.
Compare and contrast your philosophy and the chosen framework. Describe a possible situation in which the framework may conflict or not fit your philosophy. While it is an important skill to be able to match a theory with a situation, it is also critical to understand when a theory or framework does not fit a situation.
Expert Answer and Explanation
Personal Theoretical Framework for Advanced Practice Nursing
The healthcare sector is a critical service to any community. Healthcare professionals are required to make efforts that address the different issues affecting the delivery of care. The role of a care provider is based on the scope provided by their facility and the personal philosophy that guides their intrinsic motivation (Abou Malham et al., 2020). Personal nursing philosophies are essential as they provide care providers with the ability to have a sense of purpose. This paper will focus on my nursing philosophy and how it correlates with the theoretical framework.
Personal Philosophy
My personal philosophy statement as a nurse is that I have the mandate to provide quality medical care that is safer and patient-centered on the patient while safeguarding the patient’s autonomy, beliefs, and values. The philosophy is based on the role of a nurse as a care provider and the need to ensure that there is quality care and efficient patient outcome. Patient satisfaction is one of the factors that provide a nurse with a sense of purpose to which a personal philosophy can be attributed.
My personal philosophy is centered on the needs of the patient and also includes the different ways in which I can impact the life of the patient in general. To begin with, the provision of quality medical care is a key point since it ensures that I achieve my role as a nurse and increase my experiences.
Through the provision of quality medical care, I would be meeting the needs of the patient and those of the healthcare facility as a whole. Additionally, the personal philosophy also focuses on the need to safeguard the needs of the patient and increase overall efficiency. The strategy makes it possible for a care provider to include specific measures that would ensure the patient is well protected and all the key measures addressed.
A healthcare professional can help safeguard the different needs of the patient, ensure their beliefs are taken into account and uphold their values (Abou Malham et al., 2020). These strategies increase the efficiency of my personal philosophy as a nurse and the strength to work with others to ensure efficient care delivery.
Theoretical Framework
Jean Watson is renowned for the theory of human caring which focuses on the role of the nurse as a care provider (Alharbi & Baker, 2020). Nurses are key players in the healthcare sector and as such have to provide essential services at all times. The theory denotes that human caring is the basis of the healthcare sector and can be used to ensure that different patients are provided equal care regardless of their different socioeconomic status. The theoretical framework that can be derived from the theory is that there is a need for constant and efficient human caring to ensure accurate, and patient-centered care (Alharbi & Baker, 2020).
The theoretical framework can be correlated with my personal philosophy in different ways. The theoretical framework and my personal philosophy portray the need for care providers to offer care that is based on the patient’s needs. Human caring forms the cornerstone of nursing and can be used to increase the efficiency of care. Through human caring, nurses have the ability to ensure that the individual needs of every patient are addressed.
The theoretical framework fits with my philosophy as they both address the role of a care provider in patient care and how they are supposed to ensure efficient care. For instance, my philosophy addresses the need to provide care that is centered on the patient and aligns with the standards of practice (Alharbi & Baker, 2020). To begin with, the theoretical principle of human caring is based on the Caritas Processes that guide the implementation of the process.
The first of the Caritas Processes focuses on the need to practice loving kindness to others and to self. The strategy focuses on the need for care providers to constantly show value ad respect to others within their care and also ensure they are self-sufficient. The process compares with my philosophy in terms of safeguarding the interests of the patient. Through living kindness, I would be able to ensure that the patient feels the care of the nurse.
The second component of the Caritas Processes is the ability of a care provider to be authentically present (Costello, 2018). Authentic presence focuses on the need to ensure that there is proper nurse-to-patient interaction and that the patient is provided with the resources on time and assisted with other additional needs.
The third Caritas Process is to cultivate one’s own spiritual practice and increase self-awareness. The strategy is important since it enables a care provider to understand their position, skills, and other qualities in relation to the delivery of care (Rossillo et al., 2020). The Caritas Processes also provides an overview of developing an authentic and trusting caring relationship. These processes compare with my philosophy in line with the need to safeguard patient values and preferences through respect for autonomy.
The Caritas Processes provides other strategies that are based on the creation of a healing environment, attending to patients’ spiritual needs, assistance with basic needs, and the provision of teaching or learning experiences (Rossillo et al., 2020). The theoretical framework compares efficiency with my personal theory and can be used to improve my role as a nurse and increase the efficiency of my nursing practice.
However, a theoretical framework is more detailed and provides more analysis of the aspect of human caring. The framework is tied to the theory by Jean Watson and they ensure that there are efficient strategies that can be used by care providers to ensure better outcomes and improved overall satisfaction.
An Instance of Conflict Between the Framework and the Philosophy
The correlation between a framework and a personal philosophy can easily fit with each other but can also demonstrate instances of conflict. Different theories have a different frameworks of practice and might interfere at some point. It is important that care providers provide an understanding of the differences that might exist between general theoretical frameworks and personal philosophies.
In this case, the theoretical frameworks based on human caring have a close correlation with my personal theories by conflicts in the area that focus on self-care. My philosophy is purely based on patient-centered care and the needs of the patient. The framework on the other hand combines patient needs and the need for nurses to also focus on their wellbeing.
The focus on two components can have a challenge when the needs of the nurse and that of the patent collide. One might have difficulties determining the strategy to use (Rossillo et al., 2020). As a consequence, a dilemma might arise prompting different ways to address the issue and create an efficient outcome.
The conflicts between the two categories increase the differences between the two elements making it critical to make the necessary intervention as a nurse. Despite having a personal philosophy, a nurse needs to understand that there are different strategies that can be to align the differences that might exist with other theoretical frameworks (Costello, 2018). It is important that the strategies that nurses use to guide their personal theories be more flexible to increase patient outcomes and efficiency.
The strategies are key and can be used to avoid the occurrence of an impasse or dilemma. While it is an important skill to be able to match a specific theory with a situation, it is also significant to understand when a theory or framework does not fit a situation (Costello, 2018). The comprehension makes it possible for a care provider to identify alternative intentions that can be used or seek assistance from other multidisciplinary teams.
The strategy is key and can ensure that the overall intervention leads to the desired outcomes and that the patient experiences the best available care. The strategies are essential as they create a means by which the care provider can facilitate continuity of care and overall attainment of patient satisfaction.
Conclusion
This paper focused on my nursing philosophy and how it correlates with the theoretical framework. My personal philosophy statement is to provide quality medical care that is safer and patient-centered on the patient while safeguarding the patient’s autonomy, beliefs, and values. The theory is correlated with the theoretical framework of human caring based on the Caritas Processes.
The correlation creates a significant perspective on the role of a nurse in ensuring quality and improving the health of the nurse the analysis of how the framework and the philosophy do not fit also creates an additional means to identify alternative ways to address the issues when they arise.
References
Abou Malham, S., Breton, M., Touati, N., Maillet, L., Duhoux, A., & Gaboury, I. (2020). Changing nursing practice within primary health care innovations: The case of advanced access model. BMC Nursing, 19(1), 115. https://doi.org/10.1186/s12912-020-00504-z
Alharbi, K., & Baker, O. G. (2020). Jean Watson’s middle range theory of human caring: A critique. Int. J. Advanced Multidiscip. Sci. Res, 3, 1-14.
Costello, M. (2018). Watson’s Caritas Processes® as a Framework for Spiritual End-of-Life Care for Oncology Patients. International Journal of Caring Sciences, 11(2), 639-644.
Rossillo, K., Norman, V., Wickman, M., & Winokur, E. (2020). Caritas education: Theory to practice. International Journal for Human Caring, 24(2), 106-120.
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