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From Theory to Practice: A Transformative Nursing Philosophy for Holistic Care in Action

As an aspiring doctor of nursing practice (DNP) student, my nursing philosophy is underpinned by my personal values and ethical frameworks, which collectively serve as the guiding approaches to holistic patient care, professional identity, advocacy, and leadership. The most critical value I have learned is the ability to find diversity in the patients and teams that every nurse works with. Thus, I duly understand the need to align my philosophy with the existing codes that are the foundational pillars for ethical behavior, decision-making for the benefit of all, and improved relationships with all stakeholders that provide and ensure a better work environment, improved patient health outcomes, and decreased costs to care organization (McEwen and Wills). In this literary work, I will go into depth to expound on my nursing philosophy, delving into personal values and beliefs, self-awareness vs. reflections, advocacy for social change, and theoretical foundations. Join me on the path to the very heart of nursing, exploring the core principles that shape my approach to advocacy, holistic patient care, collaboration, and lifelong learning.

Personal Reflections and Support for Social Change 

DNP was deeply inspired by an inherent desire to effect transformative change, especially in contributing individually towards bridging the gaps in nursing staffing shortages. A variety of experiences combined to spark this journey, beginning with seeing patients deal with systemic barriers to healthcare and other compounding factors such as socioeconomic status, limited access to nursing care, disparities, bias and discrimination, limited coverage, and stigmatization. I continue to deliberate over these concerns in an effort to establish an ongoing reflective practice that will enable me to arrive at informed decisions to align my journey towards achieving positive outcomes. As a student and, ultimately, as a nurse, I firmly believe the crucial initial step in promoting policy change, addressing disparities, supporting professional advocacy, and conducting research and evidence-based practice involves recognizing and utilizing my distinctive position within the healthcare scene. It is a lifetime endeavor that comprises utilizing one’s abilities to establish a more just and equal society.

Adaptability to Expanded Awareness of Practice Issues

I reckon that an all-encompassing nursing facility offers services far and beyond bedside care. Through this, it urges for increased knowledge of the pervasive nature of the impact of healthcare systems, policies, and population health on the outcome of patients’ health. Being pragmatic and far-sighted in outlook is the essence of my nursing philosophy, as I believe that advocacy, leadership, and teamwork are the key levers that can significantly impact health systems and communities (Al et al. et al.). I am certain that nursing methods will be concurrent with advances in health care. That approach, with a focus on adaptability and openness, allows me to understand the situation as it is, define the areas that need to be altered, and propose corresponding evidence-based solutions. Be it from addressing the inequalities as regards healthcare access or achieving health equity, I am engaged in exploiting my knowledge and capability to become a change agent within the healthcare system.

Integration of Middle-Range Theories to My Nursing Practice 

As I progressed in my DNP course, I had two middle-range notions that are close to my nursing philosophy and practice. The first one is the Health Promotion Model (HPM) developed by Nola Pender (Khoshnood et al., 2018). Health, in this case, is not merely the absence of diseases but the constant presence of a positive and good condition that represents one’s way of life. On the other hand, it proves the importance of individual traits and real-life experiences in distinguishing and defining the right health conduct and behavior. My mind is in line with my philosophy that health comprises not only the body but also the mind, and it requires a treatment that is centered on the patient. For instance, nurses must apply the HPM theories as they educate and develop an individual care plan that considers the patient’s personal input and interpretations in regard to health.

Dorothea Orem’s theory, SCDNT or the Self-Care Deficit Nursing Theory, is another concept in nursing development that was important to me. This notion pinpoints the core rearrangement and aids that nurses shall render to the patients who are physically and mentally frail hence, unable to perform tasks on their own. It further highlights my belief that nurses should create a space where patients own their care and are taught how to as they progress in their treatment. I will put into practice a nursing approach to the self-care deficit model while caring for patients with chronic diseases to self-care and their health.

Integration of Interdisciplinary Theories 

Apart from the theories in the middle range, there are other concepts that determine my approach to nursing. On the other hand, SEM (Socio-Ecological Model) surprisingly strikes me as the best one as it depicts how certain spheres of society, like each individual, personal relationship, organization, community, and society as a whole, impact health outcome (Trias Mahmudiono et al., 2019). Through this multiple-step process, SEM helps me to appreciate and tackle health inequalities, such as taking into account patients’ own decisions about their health as well as socio-economic factors such as deprivation, prejudice, and access to healthcare while delivering care to patients from poor communities.

My basic nursing philosophy consists of holistic care that addresses the patient’s overall well-being and not just his or her illness. One of my most prized qualities is being adaptive and realigning with the changing circumstances. In my journey towards earning a DNP, I advocate for life-long learning, teaching patients, and applying a lot of approaches to nursing. As a candidate, I seek to advocate for equity; I want to run a campaign for social justice and utilize my research skills to improve healthcare outcomes. My mission is to make these principles my guiding star on the way towards healthier lives and communities and as a social contribution.

References

Al Anwer Ashour, Heba Mohamed, et al. “Clinical Leadership Behaviors among Critical Care Nurses in Private and Governmental Hospital: A Cross-Sectional Survey.” International Journal of Nursing Sciences, vol. 9, no. 3, June 2022, https://doi.org/10.1016/j.ijnss.2022.06.017.

Khoshnood, Z., Rayyani, M., & Tirgari, B. (2018). Theory analysis for Pender’s health promotion model (HPM) by Barnum’s criteria: a critical perspective. International Journal of Adolescent Medicine and Health, 0(0). https://doi.org/10.1515/ijamh-2017-0160.

McEwen, Melanie, and Evelyn M. Wills. Theoretical Basis for Nursing. 6th ed., Wolters Kluwer, 2023.

Trias Mahmudiono, Segalita, C., & Rosenkranz, R. R. (2019). Socio-Ecological Model of Correlates of Double Burden of Malnutrition in Developing Countries: A Narrative Review. International Journal of Environmental Research and Public Health16(19), 3730–3730. https://doi.org/10.3390/ijerph16193730

 

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