As novice nursing students who strive to get our skills polished and tunnel vision our understanding to if a patient has A, then it means they are B, we block our ability to fully be present with the patient; hence, we create a dialogue barrier which hinders our ability to create meaning in a patient’s life. As we excel in our skills and reflect on our own pattern, we will begin to gain insight to how we can better perform our practices and increase our general well-being; this became the window to health as expanding consciousness. (Newman, 2010) Newman’s idea of health as expanded consciousness illustrates that nurses are there to assist people to recognize the power within them that can move them to a higher level of consciousness. It is within this …show more content…
Being nurse also involves us to understand what is most important to the patient, be with the patient, and form caring, loving and connected relationships with the patient in order to expand ours and their consciousness of the self. Thus health as expanding consciousness, in the concept of human science nursing praxis is not making judgement, goals or interventions, but to really listen to what is important to the patient and be with them to find meaning in the transformative stage of their consciousness. All in all, Newman repeatedly stresses that we come into the patients lives, taking along with us all we have learned in school and practice, but we need to focus on what is most meaningful to the patient. From there, we work with the patient to transpire pattern recognition to what is important to the patient and how their current health situation fits into the patient’s life as a whole. Health as expanding consciousness is more than fixing the patient’s disease. It is about accompanying the patient to discover meaning and wholeness in their lives. (Newman,
She goes beyond the past tendencies of just looking at the differences of nursing theories to ideas that unite them to evoke new creative ideas. She tries to explain how the theoretical framework of caring evolved into philosophical, conceptual and epistemological undertaking and differs from just caring. Concurrently, nursing’s focus on the relationship of caring for health and healing differentiated it from other disciplines. However, I felt, the difference between “just caring” and caring in nursing can explain through exploring the concepts of healing and consciousness. Even though, nurses possess an ethical obligation for caring, the ultimate aim is to restore health through healing. These two concepts were not explicitly defined in the conceptual framework of caring. The other main elements missing in the Metaparadigm of the caring theory are environment and culture that seek to inform and embrace
“We can’t turn away from a patient’s pain just because it’s difficult” (chapman, 2015, p. 88). I know the path of least resistance is taking a path of ignorance. Easy, is to ignore or neglect the true pain patients experience in times of crisis. As caregivers I believe we all want to heal others or we wouldn’t be in the field of nursing, but there are only handfuls willing to be present during the healing process because sharing one’s pain hurts. As a surgical nurse, I find being genuinely present takes hard work on my behalf, not only mentally but emotionally. On a unit where patient’s needs and conditions are changing at astonishing rates, being present requires mental strength in order slow down enough to recognize the value presence
...n every step because one mistake can cause someone to lose their life and there are no second chances or third attempts once someone is gone. Sufficient knowledge, skills and critical thinking capabilities are developed through experience and practice. Registered nurses become leaders through professional development. Nurses holding Bachelor Degrees will eventually become placed in leadership roles. We must evaluate the program outcomes now in order to be successful when it is time for us to fulfill these roles. I often refer to the quote that Doctor Tanner provided that states, “Nurses have the power to make decisions to determine how patients are born, live, suffer and die”. Some components of holistic nursing are knowledge of growth and adaptation (Murphy, 1990, p.1). Nursing is holistic in nature and nurses may not realize how much power they truly possess.
I have been a registered nurse for the past six years. I started my nursing career in a long-term care facility where I worked for a year and half . I always wanted to challenge myself so l left long-term care and went to work in the intensive care unit for four years where I saw how people with diabetes are suffering when the disease in not managed well. I am currently working in post anesthesia care unit(PACU) where I recover many patients with diabetes complications post-surgery. I am committed in the innovation in order to provide an effective care for the people suffering from diabetes. For many years the disease has been killing people and introduction of the control tools will help in making the condition manageable. The innovation
The discipline of nursing is generally recognized to integrate health, nursing, environment, and person as vital components of its foundation. Though health is the commonly accepted goal of the nursing discipline, its definition of health has shifted in meaning to one that is multidimensional. Health was once universally accepted to be defined as the absence of disease among many health professionals. Presently, this concept is now considered one of many due to increasing diversity in cultural and societal norms. The rise of health promotion as a universal plan of action to improve health of mankind has since transitioned from its traditional meaning to a new concept that includes biopsychosocial, spiritual, cultural, and environmental elements.
Watson proposed that caring and love are universal and mysterious “cosmic forces” that comprise the original and psychic energy. Watson believes that health professionals make social, moral, and scientific contributions to humankind and that nurses’ caring model can affect human development (McEwen & Wills, 2011. Pp. 183). Developing a transpersonal caring relationship with the client is the core of Watson’s human care theory in which both the client and the nurse have high reciprocal value for the person and their being in the world. This relationship is a spiritual unification between two individuals whereby they surpass self, time, space and the life history of each other. This completeness empowers both the client and nurse to enter the remarkable field of the other (McEwen & Wills, 2011. Pp.
The concept of person needs to be explored to go into further depth with the remaining concepts of the metaparadigm of nursing. Person refers to the person undergoing nursing care which includes individuals, families, groups, and communities (MacIntyre & McDonald, 2014, p.63). It is evident that each person may be unique with different biological, psychological, social, and spiritual depth (Thorne, 2010, p.66). Therefore, it is necessary for nurses to realize that each person at the centre of any nursing care will experience different feelings in regards to their body as a whole. The theorist, Parse, defines the concept of person as being “linked to an unfolding process, the relating of value priorities, meaning, and quality of life” (Wu, 2008, p.6). Also those human beings are free and choose in situations that arise from personal experience and becoming with the universe (Thorne, 2010, p.71). The nurses’ role in regards to this theory is to act encourage individuals in their human becoming process. Wu (2008) looks at the p...
Throughout this philosophy paper, I have explored what nursing is based on my personal values and beliefs as it relates to the body of work in nursing. I value the importance of holistic nursing and the care of patients being individualized for them and their family. Also, effectively collaborating among health care professionals to ensure quality care for patients. Additionally, the importance of health promotion as one of the main roles of nurses is being a teacher, since promoting health prevents illness and increases the level of health in clients. These principles will serve as a guide for my personal standards of nursing practice.
Every person’s needs must be recognized, respected, and filled if he or she must attain wholeness. The environment must attuned to that wholeness for healing to occur. Healing must be total or holistic if health must be restored or maintained. And a nurse-patient relationship is the very foundation of nursing (Conway et al 2011; Johnson, 2011). The Theory recognizes a person’s needs above all. It sets up the conducive environment to healing. It addresses and works on the restoration and maintenance of total health rather than only specific parts or aspect of the patient’s body or personality. And these are possible only through a positive healing relationship between the patient and the nurse (Conway et al, Johnson).
I still believe that this profession revolves around the nursing metaparadigm, which involves the aspects of nursing, health, the person, and the environment (Bender & Feldman, 2015), but I now see that it is also grounded in critical thinking. This critical thinking allows for nurses to gain a deeper understanding into each aspect of the metaparadigm and without this aspect or lack thereof, Arli, Bakan, Ozturk, Erisik, and Yildirim (2017) believes that the care being provided could be negatively affected. Moreover, while reflecting on what my philosophy entails, I first inquired into what I believe nursing to be. For me, nursing is a profession unlike any other and contrary to what I used to believe in first year, only those who are registered under the College of Nurses can be a part of this profession. It is important to remember that although anyone can help bandage a cut, this does not mean that they are a nurse or part of the profession. The difference between how nurses bandage a cut and everyone else is that nurses do so in a way that is more therapeutic and patient-centred. Next, while exploring my beliefs on the concept of health, I noticed that they parallel the beliefs I had during my first year. To me, health is a holistic concept that will always convey a different meaning for each person. As a result of these differences, nurses must engage in conversation with patients about their perception(s) of their current state of health and what health means to them so that care can be guided accordingly. From here, I thought about the concept of the person and how I originally believed that a patient could only be a single, holistic individual who has specific needs that must be cared for. Despite still agreeing with this, my definition of who the person is has expanded to also encompass the patient’s family and even their community if either/or are said to be within the
Virginia Henderson developed the nursing need theory, which focuses on increasing the patient’s independence to speed up the recovery process (Alligood and Tomey, 2009). This is where my theory begins to connect with hers. Our main duty as nurses is to provide care for the patient while they are unable to care for themselves and facilitate them to be the best individual they can be. For this reason nursing is both a science and an art. It is a science in that nurses must understand the disease processes that are affecting the patient’s health, they must also practice based on evidence that is defended by science, and know how to operate equipment and machines. However, it is an art because it requires unique care for each patient, and each nurse is going to provide care in a slightly different way. The nurse is responsible for following the health care providers plan of care, but the nurse provides the creativity that provides the individualized care. The ultimate goal of nursing is to provide care to facilitate the patient in retaining or maintaining their maximal level of
The human becoming theory posits quality of life from each person's own perspective as the goal of nursing practice. It is a human science theory that views individuals as an open, unitary and free-willed beings that co-creates their health and interact with their environments. The human becoming theory views nursing as a basic science with a unique knowledge base. Parse defined unitary as the indivisible, unpredictable and ever-changing part of human that makes choices while living a paradoxical pattern of becoming in mutual process with the universe (Parse, 2004). Health is living one’s own chosen values; it is the quality of life experienced and described by the person and it cannot be given, guarded, manipulated, judged or diagnosed. It is a process of becoming that is unfolding and cannot be prescribed or described by societal norms but by the individual living t...
As a new nursing student with limited clinical experience, my philosophy of nursing is an area that I am quickly expanding upon each day. It is exhilarating to observe the core aspects that comprise my theory of nursing in practice, such as caring for the individual’s needs or the effects of the environment on a patient. Looking forward into the future, I am eager to add to my nursing philosophy as I continue to gain clinical
Knowledge can be seen as the main focus of nursing qualities as it is a lifelong skill that is learned throughout a nurse’s career. In nursing, knowledge can be classified as theoretical or practice-based. Practice-based knowledge is attained through the nurse-patient encounter. According to Mantzoukas and Jasper (2008), a nurse’s nonverbal and verbal communication exhibits the nurse’s practice- based knowledge. When nurses demonstrate appropriate communication patients feel understood and comfortable within the relationship. It is difficult for a nurse to obtain this knowledge without taking an autonomous and individual approach for each patient (Mantzoukas & Jasper, 2008). Taking an autonomous approach allows for the nurse’s critical thinking to improve as well. Good critical thinking skills increases the chances of achieving desired patient outcomes as the nurse is able to analyze the situation effectively. Theoretical knowledge is acquired through education. This type of knowledge is expressed through what nurses know and the logical information the nurse possess in relation to their practice. Theoretical knowledge is also important as it makes the nurse competent and capable of carrying out simple tasks. From the coat of arms, it is evident that knowledge is a unifying quality that is the foundation for acquiring other qualities necessary for
Separating the nursing theory from other healthcare professions seems to be a daunting task. One of the main goals in nursing is to promote the healing of patients and the ultimate goals of any healthcare profession would be to ensure that the patients are receiving adequate and substantial healthcare.