Personal Theoretical Framework for Advanced Practice Nursing
Personal Theoretical Framework for Advanced Practice Nursing
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Personal Theoretical Framework for Advanced Practice Nursing
Nurses are dedicated to assisting individuals, families, and communities in maintaining and improving their health and general well-being. My desire to help people and my zeal for doing so have inspired me to pursue a career as a nurse. Almost from the beginning of my life, I've had a strong desire to work in the health-care industry. As the "responsible" member of the family, I had to learn to care for others who were not as fortunate as I was. The promotion and teaching of health in the community is a major responsibility of nurses in as well as provide direct patient care. To treat patients without discrimination based on their religion or skin color; their socioeconomic status; their physical or mental impairment; or their lifestyle choices; and to give holistic care to everyone who is in need is my personal mission.
Personal Philosophy
It is my objective to provide safe, patient-centered care in a holistic manner, as well as to educate others who are able to help. Patients in hospitals are more than just numbers or beds; they are distinct individuals who need and deserve customized attention and care. A nurse's ability to think critically and exercise solid clinical judgment is required in order to offer care that is customized to the individual needs of each patient. By educating, supporting, and encouraging our patients to become actively engaged in their own treatment and actively participate in their healthcare team, advocates may help them to feel more empowered. A healthy lifestyle and making intelligent judgments, as well as refraining from overindulging, are all essential components of receiving effective health care. By teaching patients and their families about healthy behaviors, treatments, and illnesses, we can improve the results of their medical care and their lives. We will be able to better assist our patients if we first take care of ourselves. Whenever possible, nurses should attempt to provide a positive example for their patients by leading a healthy lifestyle themselves.
It has been taught to us that in order to be a nurse, we must study and apply large-scale theories, frameworks, and models to our own practice. It is important for us to gain inspiration from people who have gone before us in the fields of nursing and scientific investigation. As a consequence, we must stay up to date on the most current advancements in the domains in which we are employed or consult. We've been able to make significant strides in our professional lives as a result of these and other evidence-based techniques. I'm certain that my interactions with patients, their families, and my colleagues will always provide me with something new to learn. Nursing is an area in which I can put to use the information I've received from my studies on a daily basis to improve my performance.
According to Magnuson (2018), Simone Roach defined the six C's of caring: commitment, conscience, competence, compassion, confidence, and comportment. I aim to live by these principles. Respect for the patient and his or her loved ones, being at their side through difficult times, and being there to help out. Conscience, confidence in my own judgment, and always be an advocate for the patient are some of the most important qualities of a doctor. Competence is being able to diagnose and treat patients' physical and emotional ailments, as well as being able to effectively communicate with and guide patients and their families. Care for the patient and family members and attempt to understand what they are going through. As a nurse, I need to have faith in my abilities and the trust of my patients and their families. Maintaining a professional demeanor at all times by dressing, speaking, and behaving in a manner befitting a leader (Magnuson, 2018). Nurses should be concerned about the health and well-being of their patients, while ensuring their own safety and well-being. Good nurses, in my opinion, should possess these attributes.
According to Virginia Henderson, patients should be allowed to return to their regular life as quickly as possible after being discharged from the hospital (Grainger, 2021). Nursing, as defined by Henderson, is an occupation in which the nurse's primary responsibility is to assist patients, whether they are afflicted with disease or not, in carrying out those tasks that they could complete independently if only they had the requisite amount of physical or mental capacity. As soon as possible, so that he may be as self-sufficient as feasible. This validates my personal conviction that education and prevention are critical components of holistic health care delivery. The patient's heightened self-esteem and feeling of empowerment leads to a greater commitment to their treatment plan, which increases the likelihood that they will adhere to their dietary, physical treatment, as well as pharmacological regiments.
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Self-Care Deficit Theory by Orem and My Personal Philosophy
According to Dorothy Orem, nursing may be defined as "the inability of individuals to care for themselves at times when they require help because of the status of their health" (Ali, 2018). According to the nursing theory on self-care deficit, "all patients desire to care for themselves, and they may heal faster and comprehensively by conducting their own self-care" are the guiding principles (Gonzalo, 2019). These two concepts in nursing fit in well as Orem's idea emphasizes patient participation, and the nurse self-care agent contributes to health care decision-making. As stated by Ali (2018), It is possible to apply Orem's theory to a wide range of contexts because of its essential notions and principles. Nursing care may be improved by working closely with patients to develop their self-care skills as much as feasible. Empowered patients have stronger self-esteem, better compliance with specified diets and constraints, and a general rapid recovery and improved health when they are given the chance to assume some responsibility for their care.
The Instances in which this does not work are many.
Orem's self-care attitude benefits patients and their families the most. Basic health-promoting and health-maintaining practices are included in the concept of self-care. When a patient is unable to care for himself, they suffer from deficiencies. This is what Orem refers to as a self-care need. Food, oxygen, relaxation, and social engagement are just a few examples of basic human needs (Barboza et al., 2020). Due to the lack of family or other caregivers, patients in hospice or healthcare facilities are unable to care for themselves. Orem's theory cannot be used if these self-care requirements are not satisfied. The patient's care requirements must be met in every manner possible by the nurse and the rest of the medical team. In order to apply a nursing theory to palliative care, researchers analyzed fifteen papers from six nations that used ten different nursing theories, including Orem's. According to the research, "there is no unanimity around the use of one distinct theory in Palliative Nursing" (Pereira et al., 2018). While still adhering to Henderson's notion and definition of nursing, she highlighted the patient's ability to become more self-sufficient (Henderson, 1996). Also, in a palliative or hospice setting, the emphasis of nursing must shift from teaching and encouragement of self-care to providing a safe and pleasant atmosphere.
Conclusion
As a physician, my personal philosophy is to put a strong emphasis on prevention and education in order to aid patients in healing more quickly and avoiding the need for external therapy in the first instance. According to Orem's Self-Care Deficit theory, patients who are educated on how to care for their own health would be able to recover more quickly. The six Cs of caring developed by Sister Simone Roach embody the basic characteristics to which I aim in my philosophy. As defined by Virginia Henderson, a nurse's responsibility is to assist a patient in taking activities that support their own health, including educating and preventative measures to improve their own health. If an individual is unable to care for himself or herself, the idea may be supplemented with holistic values such as spiritual and emotional assistance as well as consolation, all of which may aid in the alleviation of the individual's suffering.
References
Ali, B. H. I. (2018). Application of Orem self care deficit theory on psychiatric patient. Annals of Nursing and Practice, 5(1), 1-3.
Barboza, N. S. R., Fassarella, C. S., & Souza, P. A. D. (2020). Self-care by discalced carmelite nuns in the light of Orem’s Theory. Revista da Escola de Enfermagem da USP, 54.
Gonzalo, A. (2019). Dorothea Orem: Self-care deficit theory. Nurseslabs. https://nurselabs. com/dorothea-orems-self-care-theory.
Grainger, A. (2021). Meeting patients' personal hygiene needs. British Journal of Healthcare Assistants, 15(5), 238-244.
Magnuson, E. (2018). Caring Matters: Creating a Holistic BSN Program and Evaluating Caring in Nursing.
Pereira, A., Ferreira, A., & Martins, J. (2018). Nursing theories in palliative care investigation: a review. Hos Pal Med Int Jnl, 2(4), 231-4.
