Personal
Philosophy of Nursing

Aria Higgins

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Lewis-Clark State
College

 

 

 

 

 

 

 

 

 

 

 

 

 

Personal
Philosophy of Nursing

            Working
as a nurse is not just merely giving IV’s and sitting in the nurse’s station
charting all day.  A nurse does not only
provide physical care but he/she can make a large impact on patients and
families through giving emotional support during some of their worst times.  A nurse focuses on the patient as an entire
being; as they provide care for physical needs, they also provide an
environment to comfort that patient in the best way possible, even if it is
simply just holding a hand.  As a student
nurse I am slowly learning that the job description of a nurse is never-ending.  Focusing on the wellness of the patient
rather than the disease involves extensive assessment, planning alongside the
patient, family, and other healthcare workers, and constant adaptation to
anything that may arise unexpectedly.  I believe
the nursing field is very complex in that it demands not only intelligence to
understand disease processes and treatments, but adaptability and communication
to work alongside others, critical thinking, and most importantly selflessness.

            Focusing
on an individual’s holistic self is important in the field of nursing.  I believe this is one of the most important
aspects of this profession.  Betty Neuman’s Systems Model is a theory I will use as the part
of the framework for my nursing profession. 
This is because it emphasizes a patient as a complete system that
focuses on the physiologic, psychologic, sociocultural, developmental, and
spiritual aspects of the person.  As
stated in Fundamentals of
Nursing: Active Learning for Collaborative Practice, Betty
Neuman’s theory focuses on a person’s “normal response to stress, known as normal lines of defense” (Yoost &
Crawford, 2016, p.8). Stressors may be internal, relational, or beyond the
control of the individual which are described in the model as intrapersonal,
interpersonal, and extrapersonal.  The
theory’s goal for nursing care is to “assist with attaining and maintaining
maximum wellness, focusing on patient’s responses to stressors, and
strengthening their lines of defense” (Yoost & Crawford, 2016, p.8).  An article written by Ahmadi and Sadeghi of Multiple Sclerosis Journal discusses
Neuman’s theory.  The article states that
another goal of the theory is achieving “stability
of the client system” through the reduction of stressors (Ahmadi & Sadeghi,
2017, p.2). We are taught
about the importance of considering the patient’s differences to give
individualized care rather than focusing on just the treatment of the
disease.  Giving individualized care to
strengthen their response to stressors will improve patient outcomes through
physical, mental, emotional, and spiritual health.  I believe incorporating this theory into my
nursing practice will allow me to give patients better-quality care.

Working in hospitals,
clinics, doctor’s offices, and home health, nurses are constantly working with
the public and coordinating with an extensive amount of healthcare workers.
Every patient a nurse works with is very individualized in not only their
health status, but their lifestyle and beliefs; therefore, it is important that
the care provided is designed to fit each patient and their needs. Imogene King’s General System’s framework focuses on “the
importance of interaction, perception, communication, transaction, self, role,
stress, growth and development, time, and personal space” between the nurse and
the patient (Yoost & Crawford, 2016, p.8). 
The theory places an emphasis on the interaction between the two working
together to find common ground to attain goals of the patient and make
adjustments to stressors if needed.  I believe
a good relationship built between the nurse and the patient is critical in
meeting the patient’s health goals; for this reason, I will integrate this
theory into my work as a nurse.  The
theory approaches three levels of systems known as “individual or personal,
group or interpersonal, and society or social” (Yoost & Crawford, 2016,
p.8).  A nurse using King’s theory will
communicate with his/her patient to allow both the nurse and the patient to
contribute their values, thoughts, and perceptions to foster a relationship
that is built on mutual understanding and trust.  I believe using the General Systems framework
creates a therapeutic relationship between the nurse and patient to facilitate
better outcomes of care.

            Regardless
of age or physical abilities, there may be a time in an individual’s life where
the assistance of another is required. 
Dorothea Orem’s Self-Care Deficit Theory focuses on the care provided by
nurses that meets the needs of clients who are unable to carry out some form of
self-care.  Orem’s theory consists of
“three interrelated theories of self-care, self-care deficit, and nursing
systems” which give attention to the degree of assistance a patient requires
and focus on the upward growth of their independence (Yoost & Crawford, 2016,
p.7).  One of the many reasons I chose to
go into the field of nursing is because I find satisfaction in caring for
others.  I want to incorporate this
concept into my career simply for the purpose of bettering my patients’ lives.  The general concept of Orem’s theory is that
“self-care maintains wholeness” of the individual, and that the goal of care
provided is to regain their independence back (Yoost & Crawford, 2016, p.9-10).  Putting the theory into practice involves
focusing on providing care to the person in need, as well as providing support
and giving patient teachings which allows them to regain independence and
maintain their dignity.  Although it is a
simple theory, I believe it is one of the most important in the field of
nursing for these reasons.

            Theorists
such as King, Neuman, and Orem continue to shape the field of nursing and allow
nurses to understand their purpose in their roles as caretakers.  I believe it is important to work at being a
better nurse each day, whether that be practicing skills, critical thinking, or
giving individualized care.  Working in a
field that has a never-ending job description may get complicated at times, but
the theories that have been developed and provided to us have influenced the
basics of nursing today, as well as advanced the level of care patients receive.  As a student learning a profession that is so
complex, reading about these theorists is helpful because it provides me with an
understanding of the kind of quality care I want to provide to my patients.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

References

Ahmadi,
Z., & Sadeghi, T. (2017). Application of the Betty Neuman systems model in
the nursing care of patients/clients with multiple sclerosis. Multiple Sclerosis
Journal – Experimental, Translational and Clinical, 3(3), 1-8. doi:10.1177/2055217317726798

Yoost,
B. L., & Crawford, L. R. (2016). Fundamentals of nursing: Active learning
for collaborative practice. St. Louis, MO: Elsevier.