Elsevier

Journal of Neonatal Nursing

Volume 20, Issue 6, December 2014, Pages 266-273
Journal of Neonatal Nursing

A personal nursing philosophy in practice

https://doi.org/10.1016/j.jnn.2014.06.004Get rights and content

Abstract

The use of a nursing philosophy as the basis for nursing practice promotes the proper application of nursing knowledge as well as the development of further nursing theory and knowledge. My personal philosophy of nursing seeks to encompass the art of conveying nursing science holistically with compassion and dignity. To illustrate this nursing philosophy, the four nursing metaparadigm concepts are described in relation to nursing as both a science and an art. Nursing science and art are also discussed in relation to nursing as a profession. The concepts of family-centered care and developmental care highlight the practice of nursing as an art. The use of nursing knowledge in practice is discussed through the use of nursing's five ways of knowing, nursing theories, borrowed theories, and nursing's paradigms. The concept of the nurse scholar and the further development of nursing knowledge is identified as a priority. Supportive examples from my nursing experience working in a Neonatal Intensive Care Unit (NICU) are utilized to highlight the importance of nursing knowledge development and the provision of optimal patient care.

Section snippets

A personal philosophy of nursing in practice

Nursing philosophy, as described by Reed (2012), is a “statement of foundational and universal assumptions, beliefs, and principles about the nature of knowledge and truth (epistemology) and about the nature of the entities represented in the metaparadigm” (p. 41). My personal philosophy of nursing, which describes precisely what nursing means to me, is based on the nursing metaparadigm concepts of patient, nurse, health, and environment (Kenney, 2013). My philosophy of nursing incorporates

Personal philosophy: what nursing means to me

Many nursing philosophies and theories stress the importance of providing patient care as a means of achieving an improvement in health status (Green, 2009). Working in a NICU, I am cognizant of the fact that the best outcome may not be an improvement in health status, but rather, a dignified death. My nursing philosophy incorporates this position and encompasses the art of conveying nursing science holistically with compassion and dignity. Nursing's four metaparadigm concepts provide the base

Use of nursing's five ways of knowing

The use of nursing knowledge in practice is essential for the delivery of appropriate patient-centered nursing care. Nursing utilizes five ways of knowing identified as empirical, esthetic, personal, ethical, and sociopolitical (Carper, 2012, White, 2012) that aid in the application and development of nursing knowledge. Empirical knowing “encompasses publicly verifiable, factual description, explanations, and predictions based on subjective or objective group data” (Fawcett et al., 2012, p. 23)

Development of nursing knowledge

The development of knowledge “from a unique nursing perspective defines the boundaries of nursing and delineates the nature and application of nursing knowledge that explicates the nurses' unique contribution to the health care team” (Arslanian-Engore et al., 2013, p. 363). A nurse scholar is a professional, educated nurse who must properly comprehend and utilize nursing theories “in guiding practice, research, education, and regulation” (Bunkers, 2013, p. 370). It is the responsibility of

Conclusions

My personal nursing philosophy highlights the art of conveying nursing science holistically with compassion and dignity to patients and their families in times of health, illness, and death. This philosophy is based on nursing's metaparadigm concepts and highlights the importance of providing holistic nursing care to patients and their families. This paper described the application of my personal philosophy of nursing utilizing nursing's ways of knowing, nursing theories, and borrowed theories.

References (52)

  • Alberta Health Services

    Neonatal Intensive Care Policy and Procedure: Central Vascular Access

    (2013)
  • C. Arslanian-Engoren et al.

    An ontological view of advanced practice nursing

  • D. Ballweg et al.

    Individualized care: actions for individual staff members

  • M. Boykova et al.

    Partnerships in care: mothers and fathers

  • S. Bunkers

    The nurse scholar of the 21st century

  • P. Butterfield

    Thinking upstream: nurturing a conceptual understanding of the societal context of health behavior

  • B. Carper

    Fundamental patterns of knowing in nursing

  • S. Celik et al.

    Is nursing a profession in Turkey?

    Hosp. Top.

    (2011)
  • W.K. Cody

    Nursing theory-guided practice: what it is and what it is not

  • G. Doane

    Through pragmatic eyes: philosophy and the re-sourcing of family nursing

    Nurs. Philos.

    (2003)
  • G. Doane et al.

    Toward compassionate action: pragmatism and the inseparability of theory/practice

  • M. Dowling

    The sociology of intimacy in the nurse–patient relationship

    Nurs. Stand.

    (2006)
  • R. Ellis

    The practitioner as theorist

  • J. Fawcett

    The metaparadigm of nursing: present status and future refinements

    Image: J. Nurs. Sch.

    (1984)
  • J. Fawcett

    Theory: basis for the study and practice of nursing education

    J. Nurs. Educ.

    (1985)
  • J. Fawcett

    The state of nursing science: hallmarks of the 20th and the 21st centuries

  • J. Fawcett et al.

    On nursing theories and evidence

  • C. Green

    A comprehensive theory of the human person from philosophy and nursing

    Nurs. Philos.

    (2009)
  • S. Halimaa

    Pain management in nursing procedures on premature babies

    J. Adv. Nurs.

    (2003)
  • P. Higgins et al.

    Levels of theoretical thinking in nursing

  • E. Im

    Development of situation-specific theories: an integrative approach

  • J. Jenks

    The pattern of personal knowing in nurse clinical decision making

    J. Nurs. Educ.

    (1993)
  • B. Jennings

    Nursing science: more promise than threat

    J. Adv. Nurs.

    (1986)
  • J. Johnson

    What constitutes nursing science?

  • J. Kenney

    Theory-based advanced nursing practice

  • K. Kolcaba

    A theory of holistic comfort for nursing

    J. Adv. Nurs.

    (1993)
  • View full text