Personal Philosophy of Nursing In an attempt to further understand the practice of nursing, I have developed a personal philosophy. The foundation of this philosophy is based on multiple pre-established nursing models and theories, with my own perceptions of the metaparadigm concepts. This philosophy will explain what nursing is to me and its overall importance as a practice.
Considering the changes that continue to arise in the healthcare environment, the nursing profession can make a profound contribution if it embraces nursing leadership. Especially to limit failure in care provision, strengthening nursing leadership continues to be fronted as the basis of care provision. Consequently, I view that nursing leadership ought to be central to the nursing professional goals. In this paper, I will reflect on my values and beliefs in nursing leadership and my future expectations from a perspective of a nurse leader in a manner that is consistent to what I would desire in nursing leadership. I believe that progress has been made, but some areas still need to be given more weight.
APN Role and Leadership Competencies Julliet A. Thomas Grantham University Abstract There are many different aspects of Advance Practice Nursing (APN) make that make the nursing profession unique and valuable. The competencies that comprise each advanced practice nursing discipline are vital in creating a solid foundation for clinical nursing. They prepare you to conquer challenges in the clinical setting and cultivate innovation to establish processes for clinical practice. Advance Practice Nursing is recognized as 4 nursing roles: Certified Nurse Midwife (CNM), the Certified Nurse Anesthetist (CRNA) the Clinical Nurse Specialist (CNS) and the Nurse Practitioner (NP).
The second specific practice theory in nursing is the professionalism concepts. The professionalism concepts are based on the delivery of professional nursing aspects, quality health care and health policy (Polit & Beck, 2013). By taking into account these concepts, it is a serious concern that the nursing fraternity will have been a better profession and industry catering for the well-being of humanity race. Therefore, being a nurse, I have to take into consideration all the aspects that would enable an efficient delivery of quality services (Dossey, 2010).
According to the Grand Canyon University College of Nursing Philosophy “the nursing education is built upon theories and research. Baccalaureate nursing practice incorporates the roles of assessing, critical thinking, communicating, providing care, teaching, and leading” ("Nursing Philosophy," 2011). In the event of a nursing care or patient situation, the ADN uses the procedures and steps learned to correctly evaluate the patient condition as exactly a BSN would do in the same situation. The difference starts with the BSN utilizing the critical thinking, management, leadership and decision making skill set to think beyond the clinical condition of the patient. This may not be limited to legal, management, social, human caring and the client relationship.
To fully understand the importance of EBP in nursing, it is paramount to comprehend the desired outcomes from it. The Royal College of Nursing (RCN), (2014) characterises nursing as the use of clinical judgment in the supplying of care which enables individuals to improve, maintain or recover health and wellbeing, to cope with health
They assess, diagnose and treat acute and chronic illnesses as well as preventative healthcare for individuals and families. As their care is family-centered, they must also be able to understand the relevance of the family’s identified community. In addition to the nine essentials as outlined by the AACN, the FNP must meet competencies in advanced health assessment skills in order to differentiate between normal and abnormal findings. They should able to use screening and diagnostic strategies to develop diagnosis and they must be able to prescribe medications to enable them to work as independent practitioners (Competencies for Nurse Practitioners, 2012). In order to meet these competencies, the Consensus Model for APRN Regulation (2008) requires three separate graduate-level courses in advanced physiology and pathophysiology, health assessment and pharmacology as well as appropriate clinical experiences across the age
Nursing sensitive measures are processes and outcomes. They aim to identify and measure the contribution that nursing care has on patient outcomes. Nursing sensitive outcomes are those that are relevant, based on nurses’ scope of practice and for which there is evidence linking nursing inputs and interventions to the outcomes. (Doran, 2003, p. viii) Quality healthcare has been an ever evolving process. Beginning with Florence Nightingale, who evaluated the quality of nursing care based on patient outcomes.
Nursing assessment has a significant role in providing effective, accurate and safe nursing care in clinical practice. Nursing assessment is the first stage of the Nursing Process. It is used to explore the physical, psychological, spiritual and social aspect of the patient’s life. It is therefore a holistic and systematic guide for nurses to obtain a greater understanding of their patient’s wants and needs. It is the underlying foundation of the process, on which other phases of the process are based upon (Foster & Hawkins, 2005).
based care. This tailored care fits well with my current work as a midwife and my studies in Child and Family Health where partnership models of care
1. The metaparadigm of nursing illustrates the collective worldview of the shared concepts of the discipline, which are: the person, environment, health and nursing (1). The nursing metaparadigm is the framework for many nursing theories, values, and theoretical models, which help guide an advanced practice nurse in selecting appropriate interventions established by their chosen conceptual model. A conceptual model or advanced practice nursing theory provides an advanced practice nurse a logical structural model to follow, which is aligned with the discipline’s expectations. Advanced education prepares advanced practice nurses to employ a superior degree of clinical, research based and theoretical knowledge (2).
According to The Journal of Nursing Administration Informatics incorporates 1) data gathering, 2) data representation, 3) information management. Informaticians work closely with IT practitioners to integrate the workflow into the system design. Their contextual knowledge of the practice workflow, exploring of the advantages and disadvantages help the informaticians to create systems that are clear and help physicians make a decision. Informaticians can help rule out implications that might potentially create problems and they can recognize some tools, as being important to the clinical setting that the ITs might not
Ethics in Nursing Practice provides the background necessary to understand ethical decision making and its implications for patient care. The Code of Ethics and Professional Conduct describes the expectations we place on ourselves and in our professional colleagues of the global community of project management. Clearly stated ideals to which we aspire as well as the behaviors that are mandatory in our performance as professionals and volunteers. The purpose of this Code is to instill confidence in the field of project management and help people to become better professionals. To do this, we set the framework for understanding the appropriate behavior in the profession.
The Effects of Regulations on Managed Care and IDS Managed Care is a health care delivery system organized to manage cost. The legal and business imperatives of managed care pervade our national healthcare system, the regulation of managed care depends on who contributes to the plan and who bears the risk for paying for the insured services. More than 170 million Americans receive health care coverage or benefits through some type of "managed care" setting.1 By 2007 about 20 percent of these services are directly provided by a health maintenance organization (HMO), while the majority are served through other managed arrangements, 60 percent in Preferred Provider Organizations (PPO) and 13 percent in Point of Service (POS) plans. Beginning
In a clinical environment, person centred care is an essential approach in order to achieve the best outcomes for the patients individual needs. Person centred care involves taking a holistic approach to healthcare in which multiple factors such as age, beliefs, spirituality, values and preferences are taken into consideration when assessing, treating and caring for a patient (Epstein & Street 2011). It enables the patient to have a more interactive and collaborative approach in their healthcare, share responsibility and maintain their dignity and values. It involves a bio-psychosocial perspective to healthcare as opposed to a biomedical attitude. In order to provide patient centred care, the clinician needs to consider the individual’s needs