DNP 8114 Discussion Philosophy of Nursing Practice

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DNP 8114 Discussion Philosophy of Nursing Practice

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To contribute to the physical and mental well being of every human that is entrusted to my care with and respect has been the fundamental philosophy of my nursing practice. My journey as a professional nurse began over twenty years ago in the Emergency Room. “Professions are valued by society because the services professionals provide are beneficial for members of the society” (McEwen & Wills p.2). Caring for citizens of my community during one of their most vulnerable moments in life is my passion. This unique and rewarding profession allows me to engage with people of every socio-economic background. Having a moral compass that influences my decisions and guides my practice with equality and the highest ethical standard helps to address the concepts of nursing.

Practicing the art of nursing while incorporating the continued scientific findings is one sure way of advocating for fair and just treatment for all. A condition to be on is the inconsistent care that is given to our homeless and mental health population within our emergency health care system. As a DNP, advocating for positive social change within the nursing practice for these two populations it would require legislative involvement. Reviewing the current local and federal laws that are in place would be a helpful start. Collaborating with community leaders and partnering with organization that are helping the homeless and mental health population.  “The DNP is in the best position to effect and assess change within the clinical setting” (Zaccagnini & Pechacek,  p. 73).

McEwen, M. &Wills, E. M.(2019). Theoretical basis for nursing (5th ed.). Wolters Kluwer.

Jones and Bartlett LearningThe Doctor of Nursing Practice Essentials: A New Model for Advanced Practice Nursing: A New Model for Advanced Practice Nursing (3rd edition). Zaccagnin, M ., & Pechacek  J, (year).

For this first course Discussion, you will present a philosophy of nursing practice that draws on your experience, area(s) of expertise, and beliefs. Looking ahead to your role as a DNP, also consider how to expand your awareness of issues beyond your own current practice—such as regarding diversity, global health, collaboration—and how to fulfill the Walden requirement to advocate for social change.

Photo Credit: steheap / Adobe Stock

In short, begin now to commit to a higher level of contribution and practice as a DNP and to reflect that commitment in your philosophy of nursing practice for today and the future. As you continue through the course, note this image will appear with each Discussion and indicates an opportunity to connect your thinking with that of colleagues, for learning with and from one another.

DNP 8114 Discussion Philosophy of Nursing Practice

To prepare:
Review the Week 1 Learning Resources. Pay particular attention to the Chapter 1 reading from McEwen and Wills, “Philosophy, Science, and Nursing.”
Reflect on your nursing experience, expertise you have developed, and beliefs about nursing and nursing practice you have formed as a result.
Consider how your philosophy of nursing practice is shaped by these elements.
Consider goals for expanding your professional awareness through the DNP program and the requirement as a Walden student to be an advocate for social change. How can your philosophy of nursing practice support you in these areas? How can these goals and Walden social change requirement enrich your philosophy of nursing practice?

With these thoughts in mind …

By Day 3 of Week 1

Post an explanation of your philosophy of nursing practice that briefly describes your nursing experience and area(s) of expertise. Be sure to explain your beliefs that inform your philosophy of nursing practice and your goals for expanding your experience and practice as a DNP (e.g., embrace of diversity, global health issues, collaboration). Then, explain the DNP role as a social change agent and recommend at least one way you will advocate for positive social change as a Walden DNP. Be specific and provide examples, with all citations in APA 7 style.

Read a selection of your colleagues’ posts.

By Day 6 of Week 1

Respond to at least two colleagues on 2 different days. Choose colleagues with different life experiences and beliefs from your own, and contrast how these factors have shaped their philosophies compared with yours. Also comment on their goals for expanding their experience, practice, and social change advocacy with suggestions or guidance based on your experience. Be specific and provide examples.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit!

Name: NURS_8114_Week1_Discussion_Rubric
Grid View
List View

 

Excellent

90%–100%

 

Good

80%–89%

 

Fair

70%–79%

 

Poor

0%–69%

 

Main Posting:

Response to the Discussion question is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources.

 

Points Range: 40 (40%) – 44 (44%)

Thoroughly responds to the Discussion question(s).

Is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources.

No less than 75% of post has exceptional depth and breadth.

Supported by at least three current credible sources.

 

Points Range: 35 (35%) – 39 (39%)

Responds to most of the Discussion question(s).

Is somewhat reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module.

50% of the post has exceptional depth and breadth.

Supported by at least three credible references.

 

Points Range: 31 (31%) – 34 (34%)

Responds to some of the Discussion question(s).

One to two criteria are not addressed or are superficially addressed.

Is somewhat lacking reflection and critical analysis and synthesis.

Somewhat represents knowledge gained from the course readings for the module.

Cited with fewer than two credible references.

 

Points Range: 0 (0%) – 30 (30%)

Does not respond to the Discussion question(s). Lacks depth or superficially addresses criteria.

Lacks reflection and critical analysis and synthesis.

Does not represent knowledge gained from the course readings for the module.

Contains only one or no credible references.

 

Main Posting:

Writing

 

Points Range: 6 (6%) – 6 (6%)

Written clearly and concisely.

Contains no grammatical or spelling errors.

Adheres to current APA manual writing rules and style.

 

Points Range: 5 (5%) – 5 (5%)

Written concisely.

May contain one to two grammatical or spelling errors.

Adheres to current APA manual writing rules and style.

 

Points Range: 4 (4%) – 4 (4%)

Written somewhat concisely.

May contain more than two spelling or grammatical errors.

Contains some APA formatting errors.

 

Points Range: 0 (0%) – 3 (3%)

Not written clearly or concisely.

Contains more than two spelling or grammatical errors.

Does not adhere to current APA manual writing rules and style.

 

Main Posting:

Timely and full participation

 

Points Range: 9 (9%) – 10 (10%)

Meets requirements for timely, full, and active participation.

Posts main Discussion by due date.

 

Points Range: 8 (8%) – 8 (8%)

Meets requirements for full participation.

Posts main Discussion by due date.

 

Points Range: 7 (7%) – 7 (7%)
Posts main Discussion by due date.

Points Range: 0 (0%) – 6 (6%)

Does not meet requirements for full participation.

Does not post main Discussion by due date.

 

First Response:

Post to colleague’s main post that is reflective and justified with credible sources.

 

Points Range: 9 (9%) – 9 (9%)

Response exhibits critical thinking and application to practice settings.

Responds to questions posed by faculty.

The use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives.

 

Points Range: 8 (8%) – 8 (8%)
Response has some depth and may exhibit critical thinking or application to practice setting.

Points Range: 7 (7%) – 7 (7%)
Response is on topic and may have some depth.

Points Range: 0 (0%) – 6 (6%)
Response may not be on topic and lacks depth.

First Response:
Writing

Points Range: 6 (6%) – 6 (6%)

Communication is professional and respectful to colleagues.

Response to faculty questions are fully answered, if posed.

Provides clear, concise opinions and ideas that are supported by two or more credible sources.

Response is effectively written in standard, edited English.

 

Points Range: 5 (5%) – 5 (5%)

Communication is mostly professional and respectful to colleagues.

Response to faculty questions are mostly answered, if posed.

Provides opinions and ideas that are supported by few credible sources.

Response is written in standard, edited English.

 

Points Range: 4 (4%) – 4 (4%)

Response posed in the Discussion may lack effective professional communication.

Response to faculty questions are somewhat answered, if posed.

Few or no credible sources are cited.

 

Points Range: 0 (0%) – 3 (3%)

Responses posted in the Discussion lack effective communication.

Response to faculty questions are missing.

No credible sources are cited.

First Response:
Timely and full participation

Points Range: 5 (5%) – 5 (5%)

Meets requirements for timely, full, and active participation.

Posts by due date.

 

Points Range: 4 (4%) – 4 (4%)

Meets requirements for full participation.

Posts by due date.

 

Points Range: 3 (3%) – 3 (3%)
Posts by due date.

Points Range: 0 (0%) – 2 (2%)

Does not meet requirements for full participation.

Does not post by due date.

Second Response:
Post to colleague’s main post that is reflective and justified with credible sources.

Points Range: 9 (9%) – 9 (9%)

Response exhibits critical thinking and application to practice settings.

Responds to questions posed by faculty.

The use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives.

 

Points Range: 8 (8%) – 8 (8%)
Response has some depth and may exhibit critical thinking or application to practice setting.

Points Range: 7 (7%) – 7 (7%)
Response is on topic and may have some depth.

Points Range: 0 (0%) – 6 (6%)
Response may not be on topic and lacks depth.

Second Response:
Writing

Points Range: 6 (6%) – 6 (6%)

Communication is professional and respectful to colleagues.

Response to faculty questions are fully answered, if posed.

Provides clear, concise opinions and ideas that are supported by two or more credible sources.

Response is effectively written in standard, edited English.

 

Points Range: 5 (5%) – 5 (5%)

Communication is mostly professional and respectful to colleagues.

Response to faculty questions are mostly answered, if posed.

Provides opinions and ideas that are supported by few credible sources.

Response is written in standard, edited English.

 

Points Range: 4 (4%) – 4 (4%)

Response posed in the Discussion may lack effective professional communication.

Response to faculty questions are somewhat answered, if posed.

Few or no credible sources are cited.

 

Points Range: 0 (0%) – 3 (3%)

Responses posted in the Discussion lack effective communication.

Response to faculty questions are missing.

No credible sources are cited.

Second Response:
Timely and full participation

Points Range: 5 (5%) – 5 (5%)

Meets requirements for timely, full, and active participation.

Posts by due date.

 

Points Range: 4 (4%) – 4 (4%)

Meets requirements for full participation.

Posts by due date.

 

Points Range: 3 (3%) – 3 (3%)
Posts by due date.

Points Range: 0 (0%) – 2 (2%)

Does not meet requirements for full participation.

Does not post by due date.

Total Points: 100
Name: NURS_8114_Week1_Discussion_Rubric

Week 1 Discussion

Week 1 Discussion

Post an explanation of your philosophy of nursing practice that briefly describes your nursing experience and area(s) of expertise. Be sure to explain your beliefs that inform your philosophy of nursing practice and your goals for expanding your experience and practice as a DNP (e.g., embrace of diversity, global health issues, collaboration). Then, explain the DNP role as a social change agent and recommend at least one way you will advocate for positive social change as a Walden DNP.

Personal Nursing Philosophy

The philosophy of nursing practice entails the nurse’s ethics, values, and belief, along with their motivation and dedication for being part of the profession. As illustrated by Glasdam et al. (2020), the philosophy of nursing is based on the perspective of a nurse regarding their practice, education and patient care ethics. My philosophy of nursing can be summed up by the basic principles that I strive to live by in my daily practice, i.e., to provide empathetic, holistic, and culturally sensitive, and quality care to all of my patients. As stated by Farokhzadian, Nayeri, and Borhani (2018), nurses are required to remain committed to keep updating their knowledge and skills with the aim of providing high quality and effective care to their patients. With that principle in mind, my philosophy of nursing also includes a firm belief never to stop learning and improving all the essential skills that are required for my practice, such as honesty, kindness, persistence, integrity, caring, and evidence-based knowledge.  In addition to this, Nunnery (2019) stated that the nursing profession is all about caring. Drawn from Jean Watson’s caring theory, I believe that my nursing practice should be all about caring about people and showing genuine empathy to them. Moreover, it is stated that health reflects the quality of life. Belief in this philosophy has thus helped my personal and professional self-actualization in my nursing practice.

Role of DNP as a social change agent

While working in a hospital setting, where I was engaged in providing care to the patients with acute trauma, I came to realize how important it is for nurses to be committed to enhancing the long-term quality of life of patients that have experienced trauma or experiencing multiple acute and chronic diseases long after they have left the hospital. Similarly, while working as a nurse in critical care, PACU, and day surgery, I came to understand that health is a dynamic state that can easily be changed from wellness to illness as a result of external influences and as a response to the environmental factors. Thus, my professional goal is to continuously get exposure to different critical care and problem solving situations that can expand my skills, knowledge, practice, and experience as a DNP. I also intend to get involved in addressing global health issues that could allow me to enhance my practice as a DNP.  As Zaccagnini and Pechacek (2019) asserts, the DNP nurse has a significant role as a social change agent as they can facilitate learning with the standard practices and values of the nursing profession and advocate positive social change through leading quality improvement initiatives and evidence-based practice innovations. In order to become a Walden DNP, it is essential for me not to be overwhelmed regarding compassion and caring for patients and their families and to help them develop trustful and meaningful relationships with nurses. This will allow me to advocate for positive social changes in my daily practice as a Walden DNP.

 

References

Farokhzadian, J., Nayeri, N. D., & Borhani, F. (2018). The long way ahead to achieve an effective patient safety culture: challenges perceived by nurses. BMC health services research, 18(1), 1-13. https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-018-3467-1

Glasdam, S., Ekstrand, F., Rosberg, M., & van der Schaaf, A. M. (2020). A gap between the philosophy and the practice of palliative healthcare: sociological perspectives on the practice of nurses in specialised palliative homecare. Medicine, Health Care and Philosophy, 23(1), 141-152. https://link.springer.com/article/10.1007/s11019-019-09918-2

Nunnery, R. K. (2019). Advancing your career: Concepts of professional nursing. FA Davis.

Zaccagnini, M., & Pechacek, J. M. (2019). The doctor of nursing practice essentials: A new model for advanced practice nursing. Jones & Bartlett Learning. https://www.alrayane-healthcare.com/sites/default/files/webform/pdf-the-doctor-of-nursing-practice-essentials-mary-zaccagnini-kathryn-white-pdf-download-free-book-e7c9ee0.pdf

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