Assignment: Worldview and Nursing Process Personal Statement HW
Assignment: Worldview and Nursing Process Personal Statement HW
Nurses have a critical role to play in the provision of care that promotes safety, quality, and efficiency. In doing this, they practice in accordance with their worldview. According to Garrett (2018), worldview refers to the sets of assumptions and beliefs that influence the practice of nurses. It represents the manner in which nurses interpret as well as explain their experience. Culture has a significant influence on the worldview of nurses. It provides them with ontological and epistemic foundation that determines their belief system. Therefore, this essay examines my personal worldview, nursing theory that aligns with my philosophy, and an example in which the theory could help me in addressing a healthcare issue. It also examines the manner in which the worldview will assist me in developing my future practice as a nurse.
I believe that nursing practice is holistic in nature. It takes into consideration the multiple aspects that interplay to influence one’s response to nursing care. The aspects include religious, spiritual, and cultural elements that influence the uptake of nursing care. Patients have religious practices that must be respected during the provision of nursing care. It is important that nurses incorporate the diverse religious practices of their patients into their plan of care. This is critical because religious beliefs and practices can influence the uptake of a given approach to healthcare. For instance, it would be appropriate for the nurses to incorporate the services of clergies in situations where a patient believes that the health problem could be solved with a combination of medical and religious interventions (Mauk & Hobus, 2019).
Moreover, I also believe that culture has a significant impact on the provision of quality, safe, and efficient . Thus, the practice of nursing should take into consideration the cultural values, beliefs, and practices that influence care. Nurses should demonstrate cultural competence when working with patients from diverse cultural backgrounds. The competence is developed by being aware of the values and beliefs of the patients and respecting them. Nurses need to work in collaboration with their patients in identifying the cultural aspects that need to be considered in the provision of healthcare and their roles in promoting them (O’Brien, 2018). Through it, nurses will provide holistic care that is not only focused on the patient’s health problem but also the factors influencing the recovery process.
Nursing Theory
Theories have a significant influence on the care that nurses offer to their patients. They inform the decisions of care that the nurses embrace. Theories also form the basis of research in nursing. As a result, they also inform evidence-based practice in nursing. One of the nursing theories that inform my practice as a nurse is Virginia Henderson’s theory of need. The theory asserts that the focus of nursing care should be to enable patients to have the independence to undertake activities that will meet their health needs. Henderson observed that optimum health could only be achieved with the provision of care that meets the fundamental needs of the patients. The assumptions of Henderson’s theory resonate significantly with my assumptions on nursing practice. According to her, nurses have the professional responsibility of providing patients with care until a period when they are able to take care of themselves. Nurses should also be devoted to their professional practice. They should explore the ways in which optimum nursing care is provided to match the healthcare needs of the patients. Henderson also asserts in her theory that nurses should be educated for them to provide appropriate care to their patients (Peate, 2019). They should undergo a long period of training to inform their safe, efficient, and quality practice in their settings.
My philosophy is centered on providing care that addresses the basic concepts of nursing care. The concepts include nursing, health, individual or patient, and the environment. These concepts are also evident in the theory of Virginia Henderson. According to her, nursing entails assisting patients in doing things they could have done if they were not sick or ill (Raingruber, 2017). Individuals are perceived to have fundamental needs that must be met. They may need assistance in situations where they lack the independence in meeting them. Henderson asserts that the environment entails both the internal and external factors that influence health. As a result, nurses provide patients with environments that promote optimum health and recovery from a disease. The last aspect in Henderson’s theory that influences my practice is the components of needs that nurses must promote in their patient care. They include ensuring that patients’ breath normally, eliminates wastes, sleeps and rests, moves to their desire postures, and maintain hygiene among other elements (Raingruber, 2017). Therefore, this theory reinforces my practice of nursing by acting as a guide on the manner in which prioritized care is given to those in need. It informs the basis of the decisions that I make in relation to patient care.
Example of Current Practice
An example of current practice that can be resolved using my worldview and nursing theory is the need for 24-hour nursing care for patients in hospital settings. Generally, the provision of nursing care is a continuous process. Nurses engage in the provision of continuous care as a way of ensuring that actual and potential needs of patients are addressed in a timely manner. The need for this practice is informed by my worldview as well as Henderson’s theory. As shown earlier, nursing practice should be holistic in nature. It should address current and emerging health needs of the patients. The needs can only be identified with the provision of continuous care that aims at responding to immediate needs of the patient for optimum health and wellbeing. Henderson’s theory also informs the need for continuity of nursing care. According to her, patients have multiple healthcare needs that must be addressed by the nurses (Raingruber, 2017). Consequently, it make it relevant for nurses to engage in continuous care for them to provide care that meet the actual and potential needs of the patients.
How my Worldview and Nursing Theory will help in Developing my Future Practice
My worldview and nursing theory will help in developing my future practice in many ways. Firstly, it will help me engage in research that will contribute to the practice of safe and efficient care. It will also help me engage in care that protects the rights and needs of the patients. The principles of my worldview and the theory will also help me explore the ways in which care in our setting can be improved. This includes exploring the need for a change in institutional practices and policies to influence the quality of care offered to those in need (Raingruber, 2017). Therefore, I believe that my worldview and nursing theory will influence significantly the development of my future practice as a nurse.
Conclusion
In summary, my worldview about nursing has a significant influence on the care that I provide to the patients in need. It influences the need for a consideration of aspects such as cultural, spiritual, and religious beliefs in the provision of care. Virginia Henderson’s theory has a significant influence on my professional practice. It informs the values and beliefs that I use in providing my nursing care. Therefore, I believe that the use of nursing theories and my philosophy will influence my future practice as a nurse.
References
Garrett, B. (2018). Empirical nursing: The art of evidence-based care. Bingley, UK: Emerald Publishing Limited.
Mauk, K. L., & Hobus, M. E. (2021). Nursing as ministry. Burlington, MA: Jones & Bartlett Learning.
O’Brien, M. E. (2018). Spirituality in nursing: Standing on holy ground. Burlington, MA: Jones & Bartlett Learning.
Peate, .(2019). Fundamentals of assessment and care planning for nurses. New York, NY: JOHN WILEY.
Raingruber, B. (2017). Contemporary health promotion in nursing practice. Burlington, MA: Jones & Bartlett Learning.
Re: Topic 5 DQ 1
Preventing workplace violence (WPV) is an issue my organization is very actively involved in and is working to create a healthy work environment. The World Health Organization (WHO) defines WPV, “Incidents where staff is abused, threatened, or assaulted in circumstances related to their work, including commuting to and from work, involving an explicit or implicit challenge to their safety, well-being, or health” (Stephens, 2019). Both physical and psychological harm, including verbal abuse, attacks, bullying, and racial or sexual harassment is considered WPV.
According to a study in the New England Journal of Medicine, four types of violence occur in the workplace, with the second type of violence, that in which the assailant is a customer, patient, or employee of the workplace, is the most prevalent against healthcare workers (Stephens, 2019). A hospital can be a stressful environment and violence is not always criminal. Sick patients may become emotionally volatile. Family members can be stressed and lash out. Psychiatric and behavioral issues are prevalent in our settings, especially the emergency departments. Unfortunately, I have seen confused dementia patients become more aggressive towards staff with interventions that have successfully deescalated other situations.
Neuman Systems Model (NSM) focuses on interactions between patients and their environments and the prevention of negative stressors. Prevention counteracts negative stressors, which reduces a defensive response from the stressor (Casavant, 2020). Betty Neuman’s model can be adapted to many different situations and was based on the patient relationship to stress and reaction to it, making it the best theory to use. Each patient is unique, and a holistic approach and stress prevention is the primary intervention.
The nurse will need to assess for actual or potential patient stressors, lines of defense, and resistance, along with coping factors. Establishing a good interpersonal relationship between the nurse and patient will allow for discussion and goal setting, aligning prevention interventions surrounding patient-perceived stressors. Caregiver self-care is essential and must be accepted and promoted by the healthcare organization. Caregivers that can recognize and identify their stressors are best aligned at prevention for their patients. We should all feel safe at work but more work is needed.
References
Casavant, S. G. (2020, June 12). At the intersection of science and theory: How the Nurse Role Integration Model reconciles the conflict. International Journal of Nursing Sciences. https://www.sciencedirect.com/science/article/pii/S2352013220300867.
Stephens, W. (2019, May 12). Violence Against Healthcare Workers: A Rising Epidemic. AJMC. https://www.ajmc.com/view/violence-against-healthcare-workers-a-rising-epidemic.
RESPOND HERE (150 WORDS, 2 REFERENCES)
I concur with you Barbara that WPV is incidents that threaten, abuse, and assault people at their workplace. The violence may be physical, verbal, and psychological. However, any form of harm at the workplace interferes with individual performance (Mento et al., 2020). Sexual or racial harassment is a common incident in most workplaces. Therefore, preventing WPV protect vulnerable workers from any form of harm. Hospitals attend to different patients with multiple health complications. Unfortunately, some patients due to their conditions become abusive and assaultive. Nurses are supposed to handle these chaotic patients a task that may be frustrating. The WHO does not consider abusive patients as orchestrators of WPV since they are mentally unstable (Xu et al., 2019). Healthcare facilities observe patients’ situations to avoid putting nurses at risk. Thus, chaotic patients are restrained when receiving medical attention. Despite handling abusive patients, some nurses interact with rude nurse-leaders who exert pressure on workers. As a result, employees become unproductive due to working under duress.
References
Mento, C., Silvestri, M. C., Bruno, A., Muscatello, M. R. A., Cedro, C., Pandolfo, G., & Zoccali, R. A. (2020). Workplace violence against healthcare professionals: a systematic review. Aggression and violent behavior, 51, 101381.
Xu, T., Magnusson Hanson, L. L., Lange, T., Starkopf, L., Westerlund, H., Madsen, I. E., … & Rod, N. H. (2019). Workplace bullying and workplace violence as risk factors for cardiovascular disease: a multi-cohort study. European heart journal, 40(14), 1124-1134.
Question Description
Need help with my Nursing question – I’m studying for my class.
Being able to articulate your personal worldview can help you formulate a personal philosophy of practice and enhance your influence on patients and the industry. In this assignment, you will have an opportunity to reflect on your current and future practice, and the ways worldview and nursing theory influence that practice.
Draft a 1,000-1,250 word paper in which you:
Describe your personal worldview, including the religious, spiritual, and cultural elements that you think most influence your personal philosophy of practice and attitude towards patient care.
Choose a specific nursing theory that is most in line with your personal philosophy of practice and approach to patient care and discuss the similarities. Explain how the nursing theory reinforces your approach to care.
Include in your explanation a specific example of a past or current practice and how your worldview and the nursing theory could assist you in resolving this issue.
Finally, explain how your worldview and the nursing theory will assist you in further developing your future practice.
You are required to cite five to 10 sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
Ineffective leadership traits are incredibly detrimental to the team mentality of any unit. Approximately one year ago, my director of the Emergency Room exhibited many toxic and ineffective leadership traits. The most disconcerting was her style to rule by fear and dictatorship. She was constantly making changes to nurses’ schedules and approving or denying vacation time based on how well they supported her changes. If you went along with her beliefs and ideas, you were rewarded with daytime shifts and did not have to work weekends. However, if you questioned her changes, she would force you to work at night shifts and deny vacation requests. She would also only publish the schedule two weeks in advance and made work-life balance miserable. As a staff, we were always in fear of her retaliation. She even received a union violation for retaliating against one of our nurses. She would also make us fear our coworkers by pitting us against each other and rewarding nurses for tattling on their peers. The department became very divided and lacked teamwork because everyone was suspicious of each other and became very toxic and undesirable to work in. Nurses were calling in sick more often, crying at work, and many staff members quit. We went from a department that united while fighting against COVID, to a divided and hostile area. This change could be pinpointed to her poor leadership traits. When she was fired without notice by the hospital administration, the whole mentality of the unit changed. It felt like we could all breathe again, and we worked to rebuild the chemistry that she had destroyed.
Word Count 269