...The Journey into Cultural Care and Diversity in Nursing: A Personal Framework I have had the opportunity to work in many different areas of nursing, and have learned a great deal regarding cultural care and diversity among patients and their families. I have used my past experiences in each different unit and healthcare facility to improve my communication and rapport with my patients and their families to improve the continuity of care. I have been exposed to patients from different countries, cultures, and religions on a daily basis. I believe that it is crucial for the nurse to build a trusting non-judgmental relationship with the patient and their families to show compassion. When caring for patients I listen to their concerns, decrease the stress levels and improve communication and recovery. As a nurse I must take in consideration the culture and religion in which they come from, and care for them appropriately to avoid upset and miscommunication. My goal and focus is to use holistic care to provide the patient with a successful recovery. My personal framework paper will be expressing my own personal journey as a bedside nurse and using my own personal beliefs, values, and philosophies related to caring for culturally diverse patients. Madeleine Leininger’s Cultural Care Diversity and Universality Theory, and the nursing metaparadigm will be discussed, and shown how it is incorporated into my daily nursing practice. Philosophy In McEwen and Wills (2011), Empiricism...
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...between a regulatory agency and a professional nursing organization as it pertains to your professional nursing practice. A regulatory agency would best be described using the example of the State Board of Nursing, which regulates the standards of nursing practice by providing policies or laws to ensure safe practice within a scope. The State Board of Nursing provides and enforces these policies to protect society from unsafe practice and unqualified practitioners. It is this agency that qualifies a nurse to sit for the state board examination which entitles a nurse to practice in his or her state. This regulatory agency also has the authority to discipline nurses who violate the standard of practice and even revoke the license. A professional nursing organization such as the ANA or American Nurses Association is a voluntary joined organization that provides nurses with information regarding current nursing policies and continuing education opportunities. This organization promotes unity in nursing and strives to keep nurses informed of changing standards of practice in the field. As a member of the ANA, I feel that I am more educated and prepared for the future of nursing. The state board of nursing issued my license over twenty years ago and is the regulatory agency that qualifies me to practice. I am monitored and expected to abide by the laws of the state board of nursing in order to practice as a registered nurse. I am also required to provide continuing education...
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...Difference Professional nursing organizations such as the Wisconsin Nurses Association (WNA) function as an advocate for registered nurses at the state level. The Wisconsin Nurses Assocation “works to protect, promote, and enhance the practice of professional nursing.” (“WISCONSINNURSES.ORG,” n.d.) The WNA encourages members to follow the American Nurses Association Code of Ethics for Nurses, provides assistance with professional development, and represents nurses at the state and national level. As a member of the WNA I know my voice is heard in Madison and Washington D.C. due to the actions of political action committees. I have the Code of Ethics to guide my practice. And I have access to numerous resources such as workshops, webinars and conferences to assist in developing my professional career as an RN in the state of Wisconsin. The Wisconsin Board of Nursing is a regulatory agency that is part of the Wisconsin Department of Safety and Professional Services. “The Board of Nursing is involved in education, Legislation, licensing, and discipline of Licensed Practical Nurses (LPNs), Registered Nurses (RNs), Nurse Midwives and Advanced Practice Nurse Prescribers (APNP).” (“dsps.wi.gov/Boards –Councils/Board-Pages/Board-of-Nursing-Main-Page/,”n.d.) Chapter 441 of the Wisconsin State Statues provides an overview of the regulatory responsibilities of the Wisconsin Board of Nursing. The Nurse Licensure Compact...
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...Philosophy of Professional Nursing Kim Lopez American Sentinel University Philosophy of Professional Nursing The profession of nursing is sculpted by philosophies, theories and science. Theses components connect on another through the nursing process. The professional nurse’s philosophies shape practices, beliefs and nursing. Butts and Rich (2015) describe philosophy as a search for meaning and a set of beliefs. Nurses encounter many situations where their philosophies and beliefs guide their nursing judgment and decisions. As the nursing profession has evolved from a profession of skills to one of knowledge it is important to understand the overall discipline and the knowledge that motivates the thought and actions of the nurse (Butts & Rich, 2015). The development of theoretical formulations by nurse scholars has guided efforts to identifying what the core beliefs of nursing are. Theory development can be traced back to the writings of Florence Nightingale’s notes on nursing which altered the status of nursing from that of a domestic service to that of a profession (Selanders & Crane, 2012). When reflecting on my personal and profession philosophy, I found that looking at the traditional metaparadigm of nursing that includes person, environment, nursing and health (Butts & Rich, 2015) aided me in connecting my personal reflections, values, and beliefs with my professional outlook on my nursing practices. Personal Philosophy Nursing, for me, is more than a profession...
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...I have a little more than two years working experience as a nurse on the medical surgical floor that focuses on orthopedic and bariatric patients. I also have another job as a medication assistant at Austin Community College (ACC). This job allows me to collaborate with a nursing instructor by educating level one nursing students in a hospital setting in medication administration safety, basic nursing skills, critical thinking skills, evidence-based practice, core measures, and providing effective and holistic nursing care. My goals as a nurse is to build a trusting relationship with my patients and promote the patient’s sense of control in order to attain quality, holistic health. These goals are very similar with my ACC students. As I assist in teaching them how to reach their potential as a future nurse, I want us to trust each other, and I want them to be autonomous in researching answers themselves to provide quality care. My nursing care before this class was more focused on evidence-based practice since I did not consciously incorporate theory into my bedside practice. This personal framework paper will review my personal values, beliefs, and nursing philosophy in relation to my bedside nursing practice and medication assistant position. I will describe Erickson, Tomlin, and Swain’s Modeling and Role Modeling Theory (MRMT) and how it applies to the nursing metaparadigm and my nursing practice. I will further compare and contrast the theory of Modeling and Role Modeling...
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...Nursing Philosophy, Model, and Theory Discussion Carolyn Castanier, Victoria Navarro, Carrie Teng NUR/403 April 15, 2013 Joy Brock RN, MSN, FNP University of Phoenix Nursing Philosophy, Model, and Theory Discussion Introduction Our assignment for week four is a discussion of the nurse theorist that we have identified with and have noted as an influence in our practice as nurses. The three of us work in different departments and all have taken something from the theorist we have read and researched. This paper will show the different approaches we all take in our careers. We all have the same goals. But as individuals we take the theorist influence and mold it to our everyday tasks. Victoria Navarro, Martha Rogers Martha Rogers’s theory outlines the interaction between human and environment (Rogers 1970). With that knowledge both medical professional and patients can identify the influences that are detrimental and beneficial to the health and wellbeing of the patient. Armed with this knowledge corrections can be made. During the assessment stage of the nursing process the information obtained must be complete. The information regarding the patient’s life such as diet, home life, life style, employment and relationships are very important to assess needs of improvement. Making the patient a part of their own health process gives the patient a sense of empowerment and will bring better health outcomes. In my practice I have become more inattentive to what...
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...Importance of Theory Paper Robert Costello Chamberlain College of Nursing NR501: Foundational Concepts and Applications March 2016 Importance of Theory Paper The nursing philosophy is a group of concepts that help provide a method for treating and caring for patients. Nursing theory also can be an instrument of effort that emphasizes scientific facts, it will also show the trends of views of the wellbeing -disease course of action and the practice of healing care. The different nursing theories that have been planned contain ways in which patients should be treated. Principles of nursing theories require the nurse to assess the patient and understanding how the patient will respond to the cost of his or her illness. Theory is defined as "a belief, policy, or procedure proposed or followed as the basis of action". Nursing theory is "an organized framework of concepts and purposes designed to guide the practice of nursing (Nursing Theory, 2015)". Nursing philosophy helps guide nurses in their everyday nursing routine to help give their patients the best quality care. The three types of nursing theories in nursing are, nursing practice, grand theory, and middle range theory. Research and Studies results show, that nurses who incorporate nursing theory in their practice, give the best care to their patients. I will explain how Orem’s nursing theory on self-care helps patients achieve the goal of taking care of themselves with the help and guidance of the nurse....
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...University Nursing has evolved over the years to entail more than just caring for another person. The nursing profession encompasses regulatory agencies, professional organizations, theories, values, traits and a code. The following outlines some of what it means to be a nurse. A. Functional Differences The Board of Registered Nurses is an entity set up to protect the public from nurses and to regulate the practice of registered nurses. It protects the public by: setting educational standards for RN’s, approving nursing programs, evaluating license applications, issuing and renewing licenses, issuing certificates, taking disciplinary action when needed and managing intervention programs. The BRN assists me by keeping me accountable to the pledge I made as an RN to adhere to my scope of practice and maintaining my continuing education units (BRN, 2016). Professional Nursing Organizations, like the American Nursing Association, act as a voice of a nurse to the public and government. The ANA promotes the rights of nurse’s in the workplace, projects a positive view of nursing and lobbies the congress and other health care industries on behalf of nurses. My membership with the ANA personally is a resource to me for workplace issues that come up and ethical concerns I may have. The ANA offers continuing education units in the form of conferences, seminars and articles. I benefit from the ANA by having comradery with other nurses in the profession (ANA, 2015). B. Nursing Code Examples ...
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...My Personal Nursing Philosophy Hope G. Slate Fresno Pacific University NURS/310 August 27, 2012 Brenda Laing, R.N., M.S.N., F.N.P. Abstract “Nursing theories are the creative products of nurses who seek (or sought) to thoughtfully describe the many aspects of nursing in ways that could be studied, evaluated, and used by other nurses. Theories provide structure and order for guiding and improving professional practice, teaching and learning activities, and research.” (Sitzman, 2011) In this paper I will explore nursing theories. I will examine my own personal nursing philosophy based on reading of theorists, personal values and my own personal experiences. Everyone has values, ideas, and beliefs that are unique and different from others. I am challenged to seek and understand how I incorporate my own values into the professional practice. The professional values that guide nurses as listed in (American Association of Colleges of Nursing, 2008), are as follows: Altruism, Autonomy, Human Dignity, Integrity, and Social Justice. My Personal Nursing Philosophy As I attempt to present my own personal nursing philosophy, I contemplate. I close my eyes; dig deeply into my soul as I search for an answer. My heart feels warm and my mind is overwhelmed. Having had many years of working in the nursing profession I have many of experiences. I am challenged to narrow and express my philosophy. I believe that first one must decide what philosophy means to them...
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...After graduating nursing school I immediately obtained a position in the Emergency Room at East Houston Regional Medical Center. During my time in the Emergency Center I became an Advance Cardiac Life Support (ACLS) instructor and CardioPulmonary Resusciation ( CPR) instructor for American Heart Association. I stayed in that position until I became pregnant, which was a year and a half after becoming and registered nurse. Then I transferred to Labor & Delivery (L&D) as a staff nurse. I spent all of maybe four weeks in orientation, because of my previous experience prior to becoming a nurse was ten years as a scrub tech in labor & delivery. Shortly after learning the ropes in L&D maybe a month or so I became a charge nurse on that unit. I stayed at East Houston Regional Medical Center as a nurse for seven years until I transferred to Ben Taub General Hospital within the Harris County Hospital District. Once I arrived to this facility it was long before I became a charge nurse as well in the labor & delivery unit. This facility happened to be different, educational and more of a challenge than where I had come from. Ben Taub is one of the two county facilities in Houston. This particular facility has a Level 1 trauma facility therefore our unit was able to see some pretty ill, near death patients in the L&D unit. For example, one night a patient was admitted for a postmortem cesarean section after a very traumatic and fatal car accident. Well while the obstetrical physicians were...
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...Gilliland Northern Kentucky University Nursing Theory NRP 434 Cindy Foster February 07, 2013 Erickson, Tomlin, and Swain The Modeling and Role Modeling Theory of nursing was created by Helen C. Erickson, along with Evelyn M. Tomlin and Mary Ann P. Swain. It was first published in their book, Modeling and Role Modeling: A Theory and Paradigm for Nursing, which was published in 1983. (Nursing Theory, 2011). Helen Lorraine (Cook) Erickson was born in 1936. On her marriage to Lance Erickson in 1957, the psychiatrist Milton Erickson became her father-in-law; he was a major influence on her nursing career and pivotal to the development of her ideas, especially the concept of MRM. In addition to her father-in-law’s instrumentality, Erickson drew on the ideas and works of a number of esteemed psychologists, namely: Piaget, Maslow, Selye and Lazarus (Valle, 2011). Educational Background * 1957 - Graduated Saginaw General Hospital * 1974 - BSN; University of Michigan * 1976 - MSN Psychiatric Nursing; University of Michigan * 1984 - Doctorate in Educational Psychology; University of Michigan Clinical Background * ER and Medical - Surgical Nursing * Director of Health Services; San German, Puerto Rico * Independent Psychiatric Nurse Consultant In the intervening years she has published numerous articles and research papers but is best known for the influential book, Modeling and Role Modeling: A Theory and Paradigm, which was co-written with...
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...Nursing Management Philosophy Paper Laura Lindsey NURS_435 Lake Superior State University My Philosophy When developing a nursing leadership philosophy I must first look at why I want to become a nurse leader and reflect my philosophy upon my decisions to become a nurse leader. There are many reasons I want to be a nurse leader, but I am going only look at a few of those reasons. I always think there is room for improvement in nursing. When I say nursing, I am talking about all four of constructs of nursing (person, environment, health, and nursing) of the meta-paradigm. I want to be a leader in nursing because as a nurse leader I have the ability to help others get better, physically, emotionally, and mentally. Before I get into talking about my theory there are some terms that I use that others may have different definitions for. The first term is staff member. The staff member is anyone who is taking care of others in a hospital setting, home setting, or care facility. The staff member can be many different individuals ranging from dietary to physicians. The second term is nurse. The nurse is anyone who helps another individual gain good health status. The nurse is the person who assesses, educates, and creates a plan with the patient and implement that plan to gain good health status as the end result. The third term is leader. The leader is someone who looks over all members of the nursing team and makes everything functional. A leader is someone who others...
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...Running Head: ADVANCED PRACTICE ROLE INDEPENDENT STUDY NU 499: Nursing Capstone Carmen Ragusa February 4, 2010 The Nurse as Educator Abstract This paper explores the nurse educator as a profession. It delineates the responsibilities of the educator as a gatekeeper for the nursing profession and emphasizes its paramount role in the academic world of nursing education and health care delivery. There is an exciting perspective to the educator’s role in nursing and the opportunity to mentor the next generation of nurses. Teaching the novice clinician about the profession and the dedication to serving people is self fulfilling and vital to the preparation of future nurses. This paper examines the diversified roles of the educator as well as the challenges and ethical dilemmas that are congruent to the profession. The articles and nursing journals depict how the role of the educator substantially affects the health care delivery system and how the philosophy of nursing practice is implemented to promote holistic client centered care. The Clinical Nurse Educator The history of nursing education is tied to nursing's quest for a professional identity. Nursing is serious about education, placing major emphasis on lifelong learning as well as initial preparation. Nurse educators are critical players in assuring quality educational experiences that prepare novice nursing students for a diverse health care environment. They are responsible for designing, implementing...
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...Jean Watson: A Review of the Theory of Caring Denise Lakin NUR 403 January 23, 2012 Dr. Candace Cane Jean Watson: A Review of the Theory of Caring Caring is heart of nursing, it is what nursing is about, the motivation behind interventions. Past, present, and future nurses use caring interventions and Watson’s theory of caring to provide a holistic approach complimenting medical care and aiding in patient healing often without realizing it. Patients are admitted to facilities for nursing care. Analysis of the major components of the theory of caring give some background on the theory, as well as practical applications of the theory to professional experience. Ever since the days of Florence Nightingale nurses have used their ability to possess a holistic approach to improve the care of those served; Jean Watson was no different. According to Erci, Sayan, Tortumluoglu, Kilic, Sahin, & Gungorumus (2003), Watson’s theory is considered the framework that combines the art and science of caring and is the foundation of nursing practice that is composed of ten carative factors that can provide a guide to effective interventions. Watson’s theory is the essence of nursing. In today’s healthcare environment where minimization of resources are occurring it is more imperative than ever that we do not lose that healing and caring touch. Theories such as Watson’s can help guide us as we determine the interventions that are appropriate for our patients and help us maintain a...
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...Peplau’s Theory of Interpersonal Relations Jennifer Holzer Chamberlain College of Nursing Nursing 501 Theoretical Basis for Advanced Nursing Practice Spring 2014 Nursing theory is important because it is the foundation and structure for the profession of nursing. There are many different types of theories and they all serve a specific purpose. Theories are important and valuable because they allow the nurse to understand and comprehend their role as a nursing professional. Theories also play a part in helping the nurse deal with patients and other disciplines in nursing and most important the role of a nurse in this profession. Theories explain and help to grasp the understanding of the distinctive relationship between the nurse and other individuals such as the patient and other health care professionals. Nursing is definitely an art and the various nursing theories assist with the practice of nursing. Hildegard Peplau had an excellent insight into how humans interact. She was able to observe and identify how dynamic and unique the nurse patient relationship is. Peplau knew that nursing was more than a task oriented profession. She was able to describe and define how practicing nursing is an art of healing. She acknowledged the human aspect of nursing rather than the concentration of the clinical components such as lab results or diagnoses. Peplau’s theory defines and explains the different phases of the interpersonal...
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