NURS 8114 Discussion Philosophy of Nursing Practice

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NURS 8114 Discussion Philosophy of Nursing Practice

NURS 8114 Discussion Philosophy of Nursing Practice

week one discussion post

Philosophy of Nursing Practice

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Reflect on your Nursing Experience, Expertise you have Developed, and Beliefs about Nursing and the Nursing Practice you have formed as a Result

As a family Nurse practitioner working in a clinical setting, I have gained a lot of experience taking care of sick patients and providing stabilities to their families. You must be a good listener to your patients to develop an appropriate diagnosis and provide them with the best treatment plan. Going to the Doctor of Nursing Practice (DNP) has allowed me to look at how the nursing profession needs to be developed and versatile. It applies in different work environments that the nurses find themselves in. I have learned that nurses are a critical link between the doctors providing services and the patients’ families. Nurses have been attributed to be patient advocates in various cases and improve the quality of care delivered to patients (Bender, 2018). Nurses are also crucial in developing the right patient interventions because they spend most of their time with the patients. Nursing, more so DNP, is a vital profession that needs to be accorded relevant support and collaboration from other healthcare providers.

Consider How These Elements Shape your Philosophy of Nursing Practice

As an essential profession in healthcare facilities, my nursing philosophy is shaped by various elements, including the need for nurses to be the utmost caregivers’ inpatient service delivery (Dang & Dearholt, 2018). Nursing philosophy indicates essential values that nurses have possessed over time, and these values have led to the growth of the nursing profession. Over time, there is a lot of collaboration between doctors, who once used to see nurses as minors in service and care delivery. Therefore, nurses have a niche to fulfill. It is shaped by essential values such as empathy, professionalism, and getting relevant support from others in dealing with patients.

Consider Goals for Expanding your Professional Awareness through the DNP program and the Requirement as a Walden Student to Advocate for Social Change (e.g., embrace diversity, global health issues, collaboration)

The DNP program focuses on how nurses need to be great managers in healthcare institutions and the facilities they are put in charge of; the DNP trains nurses to embrace diversity and improve work efficiency by ensuring coordination and collaboration between various teams. The goals herein would include developing specific client-centric approaches when it comes to patient treatment. Other than this, dealing with other nurses in the work environment must be a free and fair process. No patient will be discriminated against in the process of care delivery, and that every nurse under a DNP will be treated well. Focusing on nurses’ welfare needs to be paramount such that there will be no chances of discrimination but giving equal opportunities for professional development (White et al., 2019). As a Walden student, I will provide all these positive changes and spread literacy to the community. Thus, providing a positive impact to your patients and society that help me to enrich my knowledge and work as a team player with other health care professionals.

How can your Philosophy of Nursing Practice Support you in These Areas?

The philosophy is that nursing is a critical profession in the healthcare sector, and the success of institutions in care delivery is achieved through collaboration between nurses and the other disciplines. DNP nursing offers an opportunity to look at some of the essential elements of fostering teamwork, strategies, interprofessional collaboration, and above all, focusing on the welfare of nurses. These management strategies taught through DNP will facilitate the much-desired cooperation between nurses and doctors or other health practitioners (Bender, 2018).

Explain the DNP’s Role as a Social Change Agent and Recommend at least one way to Advocate for Positive Social Change as a Walden DNP

As McEwen and Wills (2014) indicate, most professionals are deemed to have a massive contribution to society. Nurses do not fall short of this because they are also professionals. Through DNP, managing people from different backgrounds offers insight into embracing diversity and inclusivity. I will use this concept to advocate for positive social change in the workplace. As a Walden DNP, it will be my role to ensure that nurses’ welfare is well attended to and treated equally despite their race or background (White et al., 2019). Such will be an opportunity to increase job satisfaction and hence lead to positive social influences.

References

Bender, M. (2018). Models versus theories as a primary carrier of nursing knowledge: A philosophical argument. Nursing Philosophy19(1), e12198. https://escholarship.org/content/qt40z0f0cw/qt40z0f0cw.pdf?t=pc082o

Dang, D., & Dearholt, S. L. (Eds.). (2018). Johns Hopkins nursing evidence-based practice: Model and guidelines (3rd ed.). Sigma Theta Tau International.

McEwen, M., & Wills, E. M. (2014). Philosophy, science, and nursing. Theoretical Basis for Nursing. 4th ed. Philadelphia (PA): Lippincott Williams & Wilkins, 2-22.

White, K. M., Dudley-Brown, S., & Terhaar, M. F. (Eds.). (2019). Translation of evidence into nursing and healthcare. (3rd ed.). Springer.

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 , 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.

To prepare:

  • Review the Week 1 Learning Resources. Pay particular attention to the Chapter 1 reading from McEwen and Wills, “Philosophy,
    NURS 8114 Discussion Philosophy of Nursing Practice

    NURS 8114 Discussion Philosophy of Nursing Practice

    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!

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 1 Discussion Rubric

 

Post by Day 3 of Week 1 and Respond by Day 6 of Week 1

To Participate in this Discussion:

Week 1 Discussion

week 1; Philosophy of Nursing Practice

My first degree was in biochemistry, and nursing is my second degree.  A career in healthcare has always been a goal. My decision to be a nurse was based on the flexibility and dynamic aspect of the nursing profession, and it also fulfilled my altruistic side. I completed an accelerated RN program and, while working as a registered nurse on a medical and surgical telemetry unit, completed my master’s degree in nursing as an Adult Nurse Practitioner in 2011. In 2017 I completed the Adult Gerontological Acute Care NP post-graduate certificate program. For the past nine years, I have worked as a hospitalist in diverse roles as part of a health care team. My education and experience in nursing and personal background have led to the development of expertise in emergency care, geriatrics, harmony, intuition, and the ability to recognize and respond to changing situations. I play an active role in novice nurses’ mentoring and professional development, which sometimes result in long-term, lasting professional or personal relationships.

A successful nurse is knowledgeable, has empathy, is compassionate and respectful, is a good communicator, and can problem-solve. Nursing philosophy has been described as “a statement of foundational and universal assumptions, beliefs and principles about the nature of knowledge and thought (epistemology) and the nature of the entities represented in the metaparadigm (i.e., nursing practice and human health processes [ontology]” (Reed, 1995, p. 76). My nursing philosophy is to provide competent, empathetic, and patient-centered care to the best of my ability. This philosophy is partly due to core values and beliefs instilled in me as a young child, including kindness, respect, integrity, perseverance, commitment, and education. My nursing philosophy has evolved over the years due to new knowledge, personal and professional experiences leading to changes in desires, and sometimes new goals.

Continued professional development is an essential component of a successful nurse. The rapid advancement in healthcare and broadening of the nursing roles has led to additional formal and informal learning. Active engagement in committee memberships like the Schwartz Center for compassionate healthcare, attending conferences, hospital grand rounds, to name a few, have all enhanced my ability to provide competent, high-quality care.

A personal goal as a nurse practitioner with a doctoral degree is to champion the nursing profession by helping to develop and implement healthcare policies and form a professional development tool that will promote recognition and advancement of nurse practitioners in clinical settings. Most healthcare institutions have a clinical ladder system showcasing career advancement for registered nurses but not for advanced practice nurses. Even though advanced practice providers continue to take on more complex roles, reimbursement inequalities and career progression remain an issue. Forming a structured professional development system that supports the contributions of advanced practitioners may lead to increased understanding and awareness of the advanced practice provider role, career progression, job satisfaction, and appropriate compensation.

A change agent is an individual who has formal or informal legitimate power and whose purpose is to direct and guide change (Sullivan, 2012).  Making a positive social change in the nursing profession requires a multifactorial approach. Joining well-established associations like the American Nurses Associations (ANA) and the American Association of Nurse Practitioners (AANP) actively involved in policy initiatives and advocacy on the local, state, and national levels keeps one up to date on health care legislation. They provide the knowledge, tools, and support required for social change. Involvement in health policy committees within an organization allows one to actively engage in policy building, intervention, and evaluation. Engagement and building rapport with other disciplines, collaborative teamwork, communication, and promoting the nursing profession’s advancement by education will help facilitate positive social change in the nursing profession.

As Doctor of Nursing Practice (DNP) prepared nurses, we have been equipped with leadership skills, ability to translate research into evidence-based practice, knowledge in clinical practice, and health systems to effect change in healthcare and influence positive outcomes in patient care and the nursing profession. We need to be committed and have the will and zeal to push change through to make a positive impact.

References

McEwen, M., & Wills, E. M. (2018). Theoretical basis for nursing (5th ed.). Lippincott Williams and Wilkins.

Reed, P. G. (1995).  A treatise on nursing knowledge development for the 21st century; Beyond postmodernism. ANS. Advances in Nursing Science: Volume 17 – Issue 3 – p 70-84.

Sullivan, E. J. (2012). Effective leadership and management in nursing (8th ed.). Upper Saddle River, NJ: Pearson

Walden University. (2021). DNP glossary [interactive media]. Walden University Blackboard. https://class.waldenu.edu

Rubric Detail

A rubric lists grading criteria that instructors use to evaluate student work. Your instructor linked a rubric to this item and made it available to you. Select Grid View or List View to change the rubric’s layout.

Content

Top of Form

Name: NURS_8114_Module1-2_Assignment_Rubric

  Excellent

90%–100%

Good

80%–89%

Fair

70%–79%

Poor

0%–69%

The Assignment: In 3–5 pages, plus cover page and references page, include the following:

• Apply recommended elements of a philosophy statement.

Points Range:14 (14.00%) – 15 (15.00%)

The response provides a clear, accurate, and detailed application of recommended elements of a philosophy statement of nursing practice.

Points Range:12 (12.00%) – 13 (13.00%)

The response provides a clear and accurate application of recommended elements of a philosophy statement of nursing practice.

Points Range:11 (11.00%) – 11 (11.00%)

The response provides a vague and/or inaccurate application of recommended elements of a philosophy statement of nursing practice.

Points Range:0 (0.00%) – 10 (10.00%)

The response provides a vague and inaccurate application of recommended elements, and may include missing elements, of a philosophy statement of nursing practice.

• Explain how your philosophy can accommodate your expanded awareness of practice issues
as a DNP.
Points Range:18 (18.00%) – 20 (20.00%)

The response provides a clear, accurate, and detailed explanation of how the philosophy of nursing practice can accommodate expanded awareness of practice issues as a DNP.

Points Range:16 (16.00%) – 17 (17.00%)

The response provides a clear and accurate explanation of how the philosophy of nursing practice can accommodate expanded awareness of practice issues as a DNP.

Points Range:14 (14.00%) – 15 (15.00%)

The response provides a vague and/or inaccurate explanation of how the philosophy of nursing practice can accommodate expanded awareness of practice issues as a DNP.

Points Range:0 (0.00%) – 13 (13.00%)

The response provides a vague, inaccurate, or missing explanation of how the philosophy of nursing practice can accommodate expanded awareness of practice issues as a DNP.

• Explain how your philosophy reflects or supports advocacy of social change as a DNP. Points Range:18 (18.00%) – 20 (20.00%)

The response provides a clear, accurate, and detailed explanation of how the philosophy of nursing practice reflects or supports advocacy of social change as a DNP.

Points Range:16 (16.00%) – 17 (17.00%)

The response provides a clear and accurate explanation of how the philosophy of nursing practice reflects or supports advocacy of social change as a DNP.

Points Range:14 (14.00%) – 15 (15.00%)

The response provides a vague and/or inaccurate explanation of how the philosophy of nursing practice reflects or supports advocacy of social change as a DNP.

Points Range:0 (0.00%) – 13 (13.00%)

The response provides a vague and inaccurate or missing explanation of how the philosophy of nursing practice reflects or supports advocacy of social change as a DNP.

• Identify at least two middle range nursing theories and explain how they support your philosophy of nursing practice.
Be specific and provide examples.
Points Range:14 (14.00%) – 15 (15.00%)

The response provides a clear, accurate, and detailed explanation of how at least two middle range nursing theories support your philosophy of nursing practice.

The response fully synthesizes and  integrates at least two scholarly resources that fully support the response provided.

Points Range:12 (12.00%) – 13 (13.00%)

The response provides a clear and accurate explanation of how two middle range nursing theories support your philosophy of nursing practice.

The response synthesizes and  integrates two scholarly resources that support the response provided.

Points Range:11 (11.00%) – 11 (11.00%)

The response provides a vague and/or inaccurate explanation of two middle range nursing theories and how they support your philosophy of nursing practice.

The response minimally synthesizes and  integrates one or two scholarly resources that may support the response provided.

Points Range:0 (0.00%) – 10 (10.00%)

The response provides a vague, inaccurate, or missing explanation of two middle range nursing theories and how they support your philosophy of nursing practice.

The response minimally and/or inaccurately synthesizes or integrates one resource that may not support the response and/or is not scholarly, or resource is missing.

• Explain how
one or more interdisciplinary theories inform your philosophy of nursing practice.
Be specific and provide examples.
Points Range:14 (14.00%) – 15 (15.00%)

The response provides a clear, accurate, and detailed explanation of at least two interdisciplinary theories and how they inform your philosophy of nursing practice.

The response fully synthesizes and  integrates at least two scholarly resources that fully support the response provided.

Points Range:12 (12.00%) – 13 (13.00%)

The response provides a clear and accurate explanation of least one interdisciplinary theory and how it informs your philosophy of nursing practice.

The response synthesizes and  integrates at least one scholarly resource that supports the response provided.

Points Range:11 (11.00%) – 11 (11.00%)

The response provides a vague and/or inaccurate explanation of one interdisciplinary theory and how it informs your philosophy of nursing practice.

The response minimally synthesizes and  integrates one scholarly resource that may support the response provided.

Points Range:0 (0.00%) – 10 (10.00%)

The response provides a vague, inaccurate, or missing explanation of one interdisciplinary theory and how it informs your philosophy of nursing practice.

The response minimally and/or inaccurately synthesizes or integrates one resource that may not support the response and/or is not scholarly, or resource is missing.

Written Expression and Formatting: Paragraph/
Sentence Structure
Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are clearly structured and carefully focused—neither long and rambling nor short and lacking substance.
Points Range:5 (5.00%) – 5 (5.00%)

Paragraphs and sentences follow writing standards for structure, flow, continuity, and clarity.

Points Range:4 (4.00%) – 4 (4.00%)

Paragraphs and sentences follow writing standards for structure, flow, continuity, and clarity 80% of the time.

Points Range:3 (3.00%) – 3 (3.00%)

Paragraphs and sentences follow writing standards for structure, flow, continuity, and clarity 60%–79% of the time.

Points Range:0 (0.00%) – 2 (2.00%)

Paragraphs and sentences follow writing standards for structure, flow, continuity, and clarity < 60% of the time.

Written Expression and Formatting: English writing standards: Correct grammar, mechanics, and proper punctuation. Points Range:5 (5.00%) – 5 (5.00%)

Uses correct grammar, spelling, and punctuation with no errors.

Points Range:4 (4.00%) – 4 (4.00%)

Contains a few (1–2) grammar, spelling, and punctuation errors.

Points Range:3.5 (3.50%) – 3.5 (3.50%)

Contains several (3–4) grammar, spelling, and punctuation errors.

Points Range:0 (0.00%) – 3 (3.00%)

Contains many (≥ 5) grammar, spelling, and punctuation errors.

Written Expression and Formatting: The assignment contains parenthetical/in-text citations, and at least three evidence-based references are listed. Points Range:5 (5.00%) – 5 (5.00%)

Contains parenthetical/in-text citations and at least three evidence-based references are listed.

Points Range:4 (4.00%) – 4 (4.00%)

Contains parenthetical/in-text citations and at least two evidence-based references are listed.

Points Range:3.5 (3.50%) – 3.5 (3.50%)

Contains parenthetical/in-text citations and at least one evidence-based references are listed.

Points Range:0 (0.00%) – 3 (3.00%)

Contains one or no parenthetical/in-text citations and no evidence-based references are listed.

 

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