My Nursing Theory
While working as a C.N.A serving lunch to the residents of an assisted living facility, I experienced a significant life event that challenged me. I was in the smaller dining room, which was 1 C.N.A to 15 residents. As I was refilling coffee cups, one resident began coughing hard. At first I allowed them to cough up whatever had been stuck, but soon realized they were choking. This on resident was very confused, so I asked if they could talk and all he did was shake his head, continuing to cough the food out. I had been CPR certified, but never came across a situation where I was required to perform it. My heart was racing and my nerves had taken over my ability to think. I was the only C.N.A in that dining room, the other residents were staring at me, I had to take back control, and put my skills to the test.
Therefore, I told the resident that I was going to help him, and I began performing the Heimlich maneuver. After a few pumps, the piece of food that was stuck expelled from his mouth. As I was performing this skill, my nerves intensified and the thought of being unsuccessful were running through my mind. I couldn’t let this affect my performance, and once the skill was a succeeded, I was relieved. I was extremely proud that I was able to help him and that my performance was effective. Although my nerves had kicked in, I didn’t allow them to interfere with my performance. At that time, I felt more confident with my skills and ability to regain control of myself to help this resident. I submitted an incident report to the nurses and they were very pleased with my performance, which was very reassuring. I will never forget this experience because it reassured me to have confidence in my knowledge/skills, a...
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...don’t second guess your ability. Secondly, I learned that as a nurse I will always be put in new situations/environments that I need to adapt to. Adapting to the new environment allows me to grow as a nurse, and help others grow by teaching them how to adapt as well. The last technique I learned is to always appreciate other staff’s accomplishments. Showing others appreciation of their job well done not only boosts their confidence, but also gives me, as a nurse, a sense of gratification.
References
Hannon-Engel, S. (2008). Knowledge development: the Roy adaptation model and bulimia nervosa. Nursing Science Quarterly, 21(2), 126-132. Retrieved from EBSCOhost. doi: 10.1177/0894318408315015
Moreno, M., Duran, M., & Hernandez, A. (2009). Nursing care for adaptation. Nursing Science Quarterly, 22(1), 67-73. Retrieved from EBSCOhost. doi: 10.1177/0894318408327296
I interacted with a man who explained to me that he had never had a good experience at the dental office. He told me that he always had pain when dealing with the dentist and that they never stopped the procedure when he was in pain. He explained how they never gave enough anesthetic, so he felt everything. Immediately he went into comforting himself by putting some earphones on and just talking to me. We held a good conversation. When the dentist came in to see him she immediately noted that the patient had very thick skin. He was a deeper toned person with dense bone. She knew that she was going to have to use a special technique to anesthetize the patient enough to where he wouldn't feel it. She was nice enough to have explained to me the procedure she was going to use and that it was better for patients like him. I was a little confused as to what she meant and some of the terms she used were little tricky to understand but as the procedure went on it became very evident of what she was trying to say. The patient was in tears, not out of pain, but out of sheer joy because he had never experienced a procedure that was as painless as he experienced today. I've never seen a grown man cry like a baby so hard, it was just the most rewarding experience. This experience solidified even more that I am definitely going into the right field. I've never felt so sure of anything before. His tears almost brought me to
In 2005 Fawcett stated “the metaparadigm of professional nursing incorporates four concepts: human beings, environment, health, and nursing” (as sited in Kearney, 2012, p. 4). This paper discusses my philosophy of nursing by stating my own personal definitions, values, and assumptions regarding each of the above mentioned concepts. My paper concludes with an exemplar from my own nursing practice and how I integrated my nursing philosophy into that particular clinical situation.
I notice that newer nurses feel a great amount of pressure to do things perfectly, which anyone who has been in nursing for a while can tell you that nursing is an imperfect profession. We are humans, caring for other humans and we are all just doing the best that we can and what is in the best interest of our patients. Maintaining a positive attitude is important, and challenging at times. Even though the environment that many of us work in is controlled, good or bad, many of the things that occur are beyond our control. Learning to go with the flow and ask for help when needed can make nursing a little bit less overwhelming.
I followed the RN nurse who was to assist and prep the operating room (OR). She first went into the clean utility room, where she picked up essentials for the surgery. When everything was gathered and prepared, we had to sit and wait for the patient who had arrived late. The RN would check the computer constantly to see if the patient was on file. After the clock hit 9, which was the time for the surgery, the RN nurse decided to go help put the patient on file quicker. When we arrived at the patients room, there was a nurse making the patient fill out papers. The RN nurse took over the papers while the other nurse completed the documents on the computer. While watching all the questions being asked, and the time it took to fill out the paper work, I realized that the paper work process is not easy.
In the history of nursing we have come a long way and this is because of the nurses before us. They wanted to learn, lead, teach and make a difference in the care of patients. There are 4 main nurse theorists in the second part of our text book. I am going show how they are alike and different from one another. What makes each one of them unique and the differences they played in the development of each nursing philosophy.
This paper is a first attempt at forming and articulating my own philosophy of nursing.
Nursing is a profession that prides itself in integrity, honesty and trustworthiness. True nursing revolves around service and commitment to the wellbeing of others, prevention of illness, and promotion of good health. I believe this is the hallmark of nursing.
Thorne, S. (2010). Theoretical Foundation of Nursing Practice. In P.A, Potter, A.G. Perry, J.C, Ross-Kerr, & M.J. Wood (Eds.). Canadian fundamentals of nursing (Revised 4th ed.). (pp.63-73). Toronto, ON: Elsevier.
The greatest aspect about nursing is that it is never going to be just a job and is even more than a merely profession. Instead, it is a belief system or way of life and not a discipline that can simply be practiced then abandoned to the dictates of a time clock. To simply say that “I love people” or want to “help people get better” does not demonstrate the drive behind this feeling. Articulating my philosophy is not an easy task, to better explain my philosophy of nursing, I am going to use some values that I have learned. These tools truly explain how I feel and what has motivated me to pursue nursing as a career.
Many years from now, I will take this experience with me to better myself as a nurse. I know for the future that it is in my patient’s best interest, if I collaborate with other health care professionals. In order to maintain patient safety, I must always remember to work together with my fellow collogues to obtain a positive working environment. In order to be a good nurse, I need to always understand that I am part of a team to help those in need. I want to incorporate providing efficient care to each and every patient the best way I possibly
Certainly, I began with the goal getting of his vital sign and giving him a bed bath. Fortunately I had practice how to take a vital sign and giving a bed bath before my first clinical at the university skill lab and I had developed this confidence before my clinical tour. That day will be mastering the skill which I had just learned in manikins, and applying in real human with huge safety precaution. In between morning my instructor was giving me a brief before I getting to the patients room. From her experience she knew what kind of challenges and a patient behavior can be I face. As I proceeded to my own patient, I hit a roadblock that would give me a flat tire for the rest of the shift.
Roy’s model was conceived when nursing theorist Dorothy Johnson challenged her students during a seminar to develop conceptual models of nursing. Johnson’s nursing model was the impetus for the development of Roy’s Adaptation Model.
I chose nursing as my profession because nursing is my ideal profession. In nursing, I can provide others with the care and the knowledge they need to maintain a healthy lifestyle. I can also give others the love and attention they need to be proud of the life they live. I think that society is very vulnerable and I want to make great contributions to the world of nursing. I don’t just want to be a nurse. I want to be a great nurse who is looked up to because of my experience, knowledge, and competence as a healthcare professional.
This time, I decided to be more talkative and ask more questions about the patients. My senior nurse showed me a patient who fell down a couple flight of stairs and due to his accident, he injured his brain severely to the point where he couldn’t speak anymore. She explained to me all the medications that he had to take and how she had to look up the patient’s lab report because the medications he takes might affect him in different ways. After she was done with looking up his lab reports, I watched her feed the patient for an hour and thirty minutes. During this time, I really felt bad for the patient because he was half-awake and half-asleep while eating. It saddened me how we had to disrupt his resting time to feed him before he could take his medication. After the patient was done eating, I watched the nurse give the patient Lovenox, which I learned was given to patients who are immobile in order to stop blood clotting. After giving him his medication, we had to transfer him off the bed and into a chair, which was my favorite part about this clinical observation. I got to physically help move him off his bed and into a chair. This took 3 nurses, including myself to move him and it made me realize how nursing really requires teamwork. I then got to help clean him up and after changing him, it was time to leave the hospital. This clinical observation made me really excited to be a nurse because I
To make good nursing decisions, nurses require an internal roadmap with knowledge of nursing theories. Nursing theories, models, and frameworks play a significant role in nursing, and they are created to focus on meeting the client’s needs for nursing care. According to McEwen and Wills (2014), conceptual models and theories could create mechanisms, guide nurses to communicate better, and provide a “systematic means of collecting data to describe, explain, and predict” about nursing and its practice (p. 25). Most of the theories have some common concepts; others may differ from one theory to other. This paper will evaluate two nursing theorists’ main theories include Sister Callista Roy’s