Dec 13, 2017 in Medicine

Philosophy of Nursing


Every nurse has a different concept of nursing based on the kind of patient he handles. According to Kearney-Nunnery (2008), the philosophy of nursing is quite mostly based on care, and support. The proposition is that every nurse should develop a personal concept of nursing. Every nurse needs to know their personal philosophy in regard to nursing. Nursing is one of the most lucrative professions in the modern day. The need for nursing services in the developed countries is going up by day. This means that there are more job opportunities in caring for patients. Nursing is a profession the nurse has the training of giving care to individuals and the community. The main responsibility is to ensure individuals and the community being attended recovers from the problem they are facing and goes back to the normal healthy life (Watson, 2008). Nursing falls under various categories for instance, one can get training to take care of any of these people; children, adults, the mental ill or even those with learning disabilities without discrimination.

Being a professional nurse means to be a registered nurse with equitable skills, experience, and expertise. Professional nurses represent specifics institutions and are required to act in good faith to own up to their reputation and perform duties that represent ethics (Kikuchi & Simmons, 1994). In addition to ethics and morals, it is not the duty of the public that is served by these professionals to take up liabilities caused by their negligence. In this case, it is the duty of the professionals to act according to health care policies of the institution and the best common practice. However, professional nurses are humans like the patients they are supposed to care and are prone to make mistakes, especially in challenging situations. Honest mistakes are some of the unavoidable challenges that professionals clash with, and which result to uncertainties. In this case, a nurse’s duty is to preserve life and make the life of any patient as comfortable as it is possible. The nurses have to go through the ethical obligation that.

Majority of the people who have taken nursing as a professional finds the work difficult. One takes time before accepting the difficulty in the job which in the end turns out to be interesting. It is a service one does to others and, in fact, it is like an act of giving back to the society. Being a nurse can be a tough experience, this becomes a reality when one lands into a hospital and starts offering services to the patient. In most cases than not, the nurse will be in sorrowful moments. This needs a lot of composure strength to help the patient be in a condition of assurance that all is well, and they are in safe hands.

Professionalism has numerous features which include authority, community permit, code of ethics, and systemic theory. Professionalism in nursing has many features. Nurses must adhere to a level of professionalism where they should have a sound educational setting, devotion to the code of ethics, contribution in a professional business, training and competency, independence and self regulation, community service, development, and assessment of theory (Kearney-Nunnery, 2008).

Research statistics indicate that patients in hospitals die due insufficient and unreliable resources. Information technology has not been fully adopted in hospitals. There is lack of proper facilitation in terms of efficient technology services. Skills of taking care of patients and being in charge in case of the absence of a doctor are an important role played by a Nurse (Shi & Singh 2010). This calls for the nurse to be keen to cope with the increased responsibility and be well versed with Technology. Communication skills are fundamental in nursing and are aided through the use of machines in the hospital. Most hospitals use machines that have a technological base and require users to be well compliant with the use of computers. The safety of the patient heavily depends on the level of communication between the nurses the doctor and the patient.  The communication between the nurse and the doctor ensures that the patient receives the best of care from both parties. Communication between nurses and the patients assures patients that all is well by giving the hope and consolation needed during the recuperation period.

Another critical issue in the healthcare sector is lack of accessibility of registered nurses to recent information to support the findings for new awareness. For example in 2003, a study at Ontario hospitals was conducted, and 126 certified nurses were found to have only 52% of the organizations nursing research (Provikoff, et al 2005). A more recent study by Pravikoff et al. (2005) explored that information resource in regard to care in hospitals in New York and Louisiana. It was found that 35% of hospitals supply right of entry to internet references in health care settings.

It will take a lot of effort to achieve success and provide support to nurses if there is no support of administrators and organizations. There are conceptual and theoretical models that provide relevant knowledge. The knowledge assists in improving the nursing practice inform on research and education, as well as an aid in identification of the goals of nursing practice. Conceptual nursing models include health promotion, human-to-human relationship model, nursing model based on model living among others. According to Smith and Liehr (2008), nursing as any other discipline has unique emphasis for the development of knowledge that distinguishes it from any other discipline and directs further inquiry into the field. Notably, most of the nursing models arose around twenty years ago.

According to the model of nursing conception, every nurse holds a mental image (conception) for every patient. The model provides a broad perspective for what the studies that the nurses undertake in a patient. The findings that they get from the patients require accurate interpretation. Hence, the model offers an orientation for the necessary diagnosis and/or treatment.

All the conception models define inventions that come up in the mind of a nurse. The model indicates that these inventions created in the mind draws ideas from reality, yet the inventions do not constitute reality. The model helps to create thinking that provides guidelines and directions about the applicable nursing requirements for research, education, and practice in nursing.

An example of the conceptual nursing models is Dorothy Johnson’s Behavioural system model. This model holds that adjustments and adaptations to forces that retard growth and development should guide individuals in maintaining balance. Alligood and Tomey (2007) quip that in this model; there are 7subsystems that form an individual. This individual takes the acts as a single behavioural system. These subsystems include attachment, dependency and achievement, sexual, aggressive, and eliminative subsystems. The model suggests that nursing problems arise in case there is any disturbance in these subsystems.

Nursing practice encompasses the society and the individual, given the ultimate need of effective provision of nursing and health care, it is paramount for a nurse to understand the attachment with the patient, achievement of the goals of nursing practice and further research that will improve the field. In the wake of advancements in technology and growing debate on dual relationships, the model offers guidelines on the position and direction nurses should take in order to remain relevant in effective in nursing practice. Curriculum changes are often rampant in any field as these accommodate the innovations and improvements in the field; the behavioral model provides an opening for accommodation of new ideas into nursing stresses the need for an aggressive approach to nursing and health. In essence, the individual is a system that requires critical examination and a fast reaction whenever a state of imbalance comes up. Given this nature of the individual, it is imperative to note the role of the nurse to ensure that this state of balance is achievable so as to avert nursing problems.

Problems in nursing vary and occur in different sections of nursing practice and education. In nursing education, notable problems occur in communication skills and the barriers to social communication in nursing practice have dominated nursing forum. Nursing models as earlier stated should guide on the concepts and developments in education just like the other nursing paradigms. Communication between the patient and the nurse is of importance for the solution of an individual’s problem. According to Johnson’s model, the seven subsystems of an individual dictate their stability and guide their relationship with the nurse. Notably, nurses should understand the impact of attachments, and the need to adapt to fit the patient’s world. They should also consider the achievement that is necessary for both the nurse and the patient. In particular, behavioural model provides a valuable framework for a nurse to put in place an effective communication channel that eventually leads to understanding the patient’s problems.

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