As a prospective nursing professional, it is my responsibility to identify, develop and adopt a strong nursing philosophy that will help guide my overall practice. As I came into the course, I had established a personal philosophy which I was sure would be sufficient for effective learning in the course and my eventual career. Nonetheless, the philosophy is currently enriched through the knowledge and practice I have acquired from the course. Herein, is a detailed description of how I believe my personal philosophy has evolved throughout the course and what that means for my prospective nursing career.
My personal philosophy has changed over the course and all credit is to the knowledge and practice I have gained so far. Throughout the experience, my philosophy has changed from one that was looking to improve the patient’s physical wellness to one that looks to achieve holistic wellness. It includes physical, spiritual, emotional, social and psychological wellness. Further, my philosophy is now grounded on nursing theories, continued research and learning, and the desire to achieve professionalism. The acquired knowledge and practical experience have helped build on the patient and family centered approach I had while joining the course. Even so, I believe that various ideas have changed my personal values and assumptions.
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My main assumption prior was that once my care is focused on the patient then everything else works out. Nonetheless, I have realized through knowledge and continued research that other critical aspects make this type of care better for the patient. One is that the type of care I provide needs to be guided by ethics and morality. Further, it needs to be grounded in a theory or theories of choice that feel most appropriate for me and fit well with my values and the needs of the patient. I however believe that my personal values of care for the patient have been strengthened by the concepts of various theories we have interacted with in the course. They include the Principle and Practice of Nursing that promotes the care of patients until they regain the ability to care for themselves and the Patient Centered Theory of Nursing that promotes a care strategy that is guided by the wants and needs of the client ( Chinn & Kramer, (2014); George, 2014) . Further, I realized that clients may not be as corporative as I expect. When joining the course, I was convinced that clients will always work with me as their care provider and adhere to given instruction. Nonetheless, I have discovered that it is far from the truth and that I need to be ready for difficult and non-corporative clients.
I am a hands-on individual and believe that the more I practice, the better I become at anything I am working towards achieving. The principle remains constant as I focus on my nursing career. Therefore, I engage in numerous activities that help illustrate and build on my personal philosophy. As a prospective nurse who appreciates the voice of patients, I engage with numerous patients on such a level under the guidance of a nursing mentor. Under their apprenticeship, I can gain skillful knowledge and access a suitable platform on which I can put the knowledge and skills acquired so far to proper use. I am also engaged in a mentorship program with an individual I believe matches well with my personal nursing philosophy. Further, I engage in training and research opportunities that focus on building my personal philosophy. Additionally, my personal philosophy remains grounded in the four metaparadigms of nursing.
The personal metaparadigm describes that patient as an individual with the power to make healthcare decisions they believe are appropriate for their wellness. The environment metaparadigm describes the healthcare surroundings in which I provide services for the patient. The health metaparadigm describes the quality of life and wellbeing of the patient and the nursing metaparadigm encompasses of the profession nursing individuals identify with as they engage with patients ( McEwen & Wills, 2019) . Knowledge of these metaparadigms, nursing theories and information from the course has helped shape the personal philosophy I held when I joined the course. My personal philosophy has evolved for the better where I understand how to incorporate ethics and morality in my service provision. Further, I understand how critical it is for the client to feel comfortable and understood and I believe the patient centered and the Principle and Practice of Nursing approaches better describe this philosophy ( Delkitus, Korukcu, Aydin and Kabukcuoglu, 2019) . I therefore intend to continually use these theories and other as a guide in advancing my personal philosophy.
I believe that the course has been critical in defining and enriching my personal nursing philosophy. I have gained an understanding of other aspects of this philosophy which include its adherence to ethics and morality and the focus on the patient’s needs. Further, I believe that my philosophy merges better with the person centered and the Principle and Practice of Nursing approaches and thus will continually adopt these theories in my practice. I believe that practice, mentorship and research make significant contributions to my personal philosophy and these are activities I will maintain even as I commence my nursing career in the near future.
References
Chinn, P., & Kramer, M. (2014). Knowledge Development in Nursing: Theory and Process (9th ed., p. 560). St. Louis, Missouri: Elsevier Mosby.
Delkitus, A., Korukcu, O., Aydin, R., & Kabukcuoglu, K. (2019). Nursing Studentsʼ Perceptions of Nursing Metaparadigms. Journal Of Nursing Research , 1. doi: 10.1097/jnr.0000000000000311
George, J. (2014). Nursing theories . Harlow: Pearson Education.
McEwen, M., & Wills, E. (2019). Theoretical basis for nursing (5th ed.). Philadelphia: Wolters Kluwer Health.
