According to the Merriam-Webster Dictionary(2018), philosophy is “the most basic beliefs, concepts, and attitudes of an individual.” A nursing philosophy is created by each nurse and is unique to each individual nurse. A nurses philosophy is a personal perspective and attitude that reflects their beliefs about what they feel nursing is, the role nursing plays in the healthcare field, and how he or she interacts with patients(“Nursing Theories and a Philosophy of Nursing,” 2016). Each nurse’s own personal philosophy can change over time since it is directly influenced by your nursing practice, clinical knowledge, and interaction with each entity represented in the nursing metaparadigm. It is important for each nurse to take the time to think about their own personal philosophy and what beliefs and values are important to them, since this will help guide their nursing care throughout their career.
As mentioned above, nursing philosophy is greatly influenced by each nurses interaction with the nursing metaparadigm. The nursing metaparadigm is the conceptual framework of the nursing profession and consists of four concepts(Blais ; Hayes, 2016). The four concepts of the metaparadigm are person, environment, health, and nursing. The concept of person refers to the individual or patient, a family, or group of individuals or patients that the nurse is providing care. The next concept of the metaparadigm is environment which refers to both internal and external surroundings that affect a patient’s health(Blais & Hayes, 2016, p. 101). The environment can include things such as a patients mental state, geographic location, culture, and personal relationships with family, friends and significant others. The concept of health is defined by each patient or person and what they believe is their optimum level of functioning or wellness. The health concept also includes a patients access to health care. The last concept of the metaparadigm is nursing; it is defined as “the attributes, characteristics, and actions of the nurse providing care on behalf of or in conjunction with the patient”(Blais & Hayes, 2016, p. 101). In other words, it is all the medical knowledge, technical skills, and any physical care that a nurse provides or applies to a patient. These four concepts are the key focus areas of a nurses basic care, and all must be addressed to provide the best holistic care for a patient.
Personal Nursing Philosophy: How it Relates to Metaparadigm
Nursing is more than treating an illness, instead, it is focused on healing the whole person and providing holistic and compassionate care that is individualized to each patients need. My personal nursing philosophy is based on providing compassionate, empathetic, holistic care that respects the dignity of each of my patients and their families. I strive to be caring, kind, patient, comforting, nurturing and trustworthy as I provide competent, safe and professional nursing care to the best of my ability. I believe that my nursing philosophy and the four nursing metaparadigm concepts are all interrelated and interact with each other. As a nurse, I am focused on each individual I am caring for and the internal and external surroundings that are affecting or could impact their recovery or overall health. I try to always pay attention to their physical, emotional, and psychological needs so that I can provide holistic nursing care that is guided by my nursing philosophy. Throughout my years of working in the hospital setting at the bedside, I believe it is essential to maintain a safe patient care environment by educating and utilizing equipment such as the call light and bed alarms. It is also important to continually assess a patient’s mental status checking for signs of depression or suicidal ideations, along with assessing for possible signs of abuse from family members or others in their surrounding environment. I believe it is important to be patient, respectful and actively listen to a patient’s concerns about their health and what they perceive their current health issues or wellness to be. I take value in stating up to date on my education and nursing skills so that I can try and incorporate competent and safe interventions to help them maintain or regain what they believe is healthy. These actions demonstrate how my philosophy relates and to all four concepts of the nursing metaparadigm, and give examples of how I incorporate my belief and philosophy that patients deserve safe, competent, kind, compassionate, holistic care.
Development, Impact, and Changes in Personal Philosophy
Throughout my life, I have always found joy and fulfillment in helping others. I was always taught to treat others with respect and how I would like to be treated. As a child, if anyone ever needed a helping hand, I was always the first to offer, especially with my elders. I honestly at first did not have a goal of becoming a nurse, I really didn’t think I was smart enough to become one. While still in high school I took a job at a doctors office filing charts and answering phones, this was my first glimpse of the medical world, and I was intrigued. I went on to take a sixteen-week course in medical assisting and took a full-time job working for Dr. Georges Feghali in the medical office building next to Good Samaritan Hospital. This job made me realize how much I truly loved helping others, and Dr. Feghali gave me the courage and confidence to enter into nursing school at Good Sam. I feel very blessed to have had the opportunity to work beside him and to attend Good Samaritan Nursing School; I believe this the time and place I started to develop my nursing philosophy. The care and compassion that I saw in the Good Samaritan Hospital atmosphere, initially in nursing school and then as a nurse at the bedside on 14AB made me envious; I wanted to be part of it. These values and beliefs of being respectful, compassionate, comforting, trustworthy and providing excellent, competent, safe care were all things I experienced at this time spent at Good Samaritan Hospital and were things I wanted to provide for my patients and thus became part of my nursing philosophy. To this day My nursing philosophy has not changed, I still greatly value all these things and make every attempt to provide them with my nursing care. I believe they are what drive me to continue wanting to be at the bedside and now working in critical care. My philosophy has encouraged me to continue my education throughout the years and move into critical care. I feel I can make the most impact there, at a time when patients and their families are most vulnerable and need the most attention and care we can offer. I believe my nursing philosophy will remain unchanged because I love what I do as a critical care nurse in the intensive care unit at Bethesda Butler Hospital, Trihealth.