Nursing Theory and Personal Philosophy Research Paper
The nursing career requires robust ethical values and private beliefs. The improvement of a worldview has had a significant impact on a nurse’s ethical methods of seeing, believing, and performing. The more pluralistic the world has turn out to be, the more worth systems there have been available to nurses and the extra complex their concepts about what constitutes the moral life and how greatest to realize it.
There is growing recognition that our ethical requirements are not absolute, but are “ever-changing social creations” (Sullivan & Decker 2005, p. 4). Such abilities embody the power: to learn the world, which implies not the only question but to call into question things as they are; to anticipate ethical problems and take the required action to prevent them from occurring within the first place, otherwise known as preventive ethics.
The task of a nurse is to develop and observe ethical philosophy that is concerned with establishing a regular of correctness by the prescription of certain guidelines and rules. Ethics inquiry just isn’t so much involved with how the world is, but with the method it must be. In other words, it’s not involved with merely describing the world (although, in fact, a description of the world is necessary as a place to begin for an evaluative inquiry.
The worldview is defined as the finest way an individual or group understands the world about them and their perspective about life and the world (Tomey & Alligood, 2002). The worldview helps each individual (and nurse) to think critically and reflectively about emergent and emerging ethical points; to discern a range of possible options to moral issues recognized; to speak effectively with others; to respect, listen to, perceive, and be compassionate towards others; to be tolerant, flexible, inventive and imaginative when dealing with and trying to resolve moral issues; to behave as an ethical negotiator and mediator when confronted by competing moral viewpoints (Daniels, 2004).
My worldview relies on ideas of morality, ethics, and humaneness. The agreed end of the career and apply of nursing is the promotion of health, healing, and wellbeing, along with the alleviation of suffering, in individuals, teams, and communities for whom nurses care.
This finish is moral, and one which carries with it a powerful ethical action-guiding drive for nurses insofar because it requires nurses to interact within the behaviors needed to advertise well being, therapeutic, and wellbeing in people, and, when manifest, to alleviate their suffering (Potter & Perry, 2005). The agreed ethical requirements of nursing require nurses to promote the genuine welfare and wellbeing of people in want of assist by way of nursing care and to do so in a fashion that’s safe, competent, therapeutically effective, culturally related, and simply. My philosophy is to deal with the patient, to one of the best of my ability. Take care of the particular person as a complete. For me, it means taking patients and their surroundings as a single complete (Daniels, 2004).
Another important concept which helps to define my values is the metaparadigm. It may be defined as a phenomenon of central curiosity to the self-discipline (Fawcett 2000, p. 4). Metaparadigm ideas of Nursing involve health, individual, surroundings, nursing, and caring. I suppose that ethical range helps these points and helps to guarantee that nobody ethical perspective dominates; in short, it helps to stop what would possibly otherwise be termed “moral fascism” (Potter & Perry 2005, p. 76).
Meanwhile, its emphasis on understanding distinction quite than striving for uniformity will help to make sure the ethical system nurses end up in (Potter & Perry, 2005). Metaparadigm is the sub-domain of a worldview that is involved with the character, logical kind, and language of the world structure and features. Today, adopting a transcultural method to nursing can be helpful in a spread of how. Among other things, at a worldwide degree, it could allow cross-cultural interactions that ‘construct bridges of understanding between persons and cultures that make cooperation possible and conquest unnecessary’ (Potter & Perry 2005, p. 6).
It also can help to avoid the perils of ‘moral suprematism’ corresponding to those which have been amply exemplified during wartime. The goal of a nurse is ‘to reach a typical set of ethical beliefs which everyone can follow’ or, quite, to ”seek ideas of conduct which everybody can reside by “ (Leininger & McFarland 2002, p. 34). Moral ideas are needed to control our ethical choices and to assist settle competing alternatives. Moral principles remind us of our overriding duties to others and the merits of morally principled motion. Principles of morality also lend folks ‘tools’ which can be utilized to deal appropriately and successfully with moral crises and dilemmas in each everyday and particular (e.g. professional) worlds) (Leininger & McFarland, 2002).
Metaparadigm Concepts of Nursing
I understand health as a dying course of on the slowest attainable price. The task of a nurse is to assist the affected person find ways and strategies to prologue his well-being. Other essential sensible issues concern the moral imperatives of the skilled, consumer relationship (including mutuality, therapeutic alliance, safety, security, belief, compassion, and empathy); the ethical dimensions and unacceptable penalties of stigma and discrimination; and the moral imperatives of transcultural psychological well being nursing, to call some (Potter & Perry, 2005).
Health involves a holistic idea of wellbeing; that is in contrast with conventional medicocentric notions of health being merely the absence of illness or as something that can only be measured physiologically. Health care, in turn, could be offered by a variety of people, not simply members of the medical occupation. Many folks don’t search skilled medical care; often they search and obtain help for their well being problems from other people (Potter & Perry, 2005).
The idea of ‘person’ means the one receiving care. In phrases of meta paradigm, it could be one or a million. The nursing occupation is fundamentally concerned with the promotion and safety of people’s real wellbeing and welfare, and in reaching these ends, responding justly to the real needs and significant pursuits of various folks (Daniels, 2004). The nursing occupation is, subsequently, fundamentally concerned with ‘moral problems’ as well as different kinds of problems (for example, technical, scientific, legal, and so forth).
Mataparadigm includes multifaceted and sophisticated human beings who’ve very real feelings and moral pursuits, and who are as a rule faced with very actual and important threats to those moral interests and, finally, their wellbeing. Dealing successfully with ethical problems in nursing care domains is thus not a straightforward task and, amongst different issues, requires a deep and knowledgeable understanding of the complexities and ‘messiness’ of human life. Nurses usually are not immune from the various and complex ethical problems that plague well being care domains (Potter & Perry, 2005). As in the case of other skilled (client relationships, no nurse) patient relationship occurs in an ethical vacuum or is free of moral risk.
Nurses have the capacity (whether by act or omission) to hurt in addition to profit their patients. Nurses, therefore, must be particularly vigilant relating to both their capacity to hurt the significant ethical pursuits and wellbeing of patients, and to take applicable action to stop such harms from occurring, even those which could be deemed ‘inadvertent’ and ‘accidental’. To be efficient in preventing hurt occurring in nursing care domains, nurses must have an knowledgeable data and understanding of the character of issues and the various types in which they will manifest (Sullivan & Decker, 2005).
The idea of environment evolves the patients’ surroundings: exterior and inside. It is sort of possible that a nurse’s responsibilities do not simply start and finish with an individual patient (Sullivan & Decker, 2005). If the entire notion of moral obligation is taken seriously from a professional point of view, then there might be considerable room to counsel that the ethical obligations of nurses extend far past their instant one-to-one professional, shopper relationships to incorporate other issues similar to skilled and political activism aimed toward enhancing the plight of those that undergo from mental health issues (Fawcett, 2002).
The activism of this type could be aimed at securing things like the demystification and destigmatization of psychological health issues, psychological sickness and different psychological well being problems, higher psychological health care providers (to be distinguished here from psychiatric services) for the group, and other basic mechanisms which is able to help these with mental health problems to be spared the devastating consequences of stigma and discrimination which many proceed to suffer (Daniels, 2004; Sullivan & Decker, 2005).
Nursing means caring and medical help, assist, and psychological assist. When coping with moral issues nurses need to recollect, meanwhile, that typically it might be troublesome to take the ‘morally correct’ motion due to varied institutional and legal constraints (Sullivan & Decker, 2005). As has already been mentioned and demonstrated in this text, nurses can undergo enormously if they take a agency ethical position a couple of scientific nursing or controversial medical matter. Life could be made torture for nurses if they do not conform to the established order, and in lots of situations, they don’t have any choice but to ‘voluntarily’ resign (Fawcett, 2002).
Nursing data doesn’t exist independently of medical data; similarly, neither ought to overlap in medical and nursing care be taken as implying that nursing ethics is at finest solely vicarious to or a subcategory of medical ethics. Nursing ethics may be defined broadly because the examination of every kind of ethical and bioethical points from the perspective of nursing principle and practice which, in flip, relaxation on the agreed core concepts of nursing, specifically: person, culture, care, health, healing, surroundings, and nursing itself all of which have been comprehensively articulated within the nursing literature (Fawcett, 2002).
Caring could be defined as an inside feeling or described as a sense. My definition of caring is taking pride in meeting the patient’s needs, and aiding the affected person and his/her body on the street to therapeutic (Fawcett, 2002). Following Daniels (2004), my worldview is predicated on the idea of virtuous caring which is integral to ‘good’ (moral) nursing follow (and, by implication, nursing ethics) in a minimal of two essential methods.
First, virtuous caring or proper attitudes (which include the behavioral orientations of compassion, empathy, concern, genuineness, heat, belief, kindness, gentleness, nurturance, enablement, respect, mutuality, giving presence (being there), attentive responsiveness, providing comfort, offering a sense of safety and security, and others) have all been thoroughly implicated as efficient nursing therapeutic behaviors in the alleviation of human suffering (Sullivan & Decker, 2005).
Caring for sufferers and caring for people is not just a task; it’s itself a virtuous ethical ideal of nursing. If nurses are to uphold this ideal and uphold it nicely they must embrace a sound and experientially based moral perspective of their scientific nursing apply. As properly as this, they want to be in a position to operate as competent ethical problem-solvers and decision-makers, and actually make a distinction in terms of selling and defending the welfare and genuine ethical interests of all these for whom they care (Leininger & McFarland, 2002).
Nurses, like other health professionals, encounter many moral issues in the center of their everyday professional practice. These problems range from the relatively ‘simple’ to the extraordinarily complicated and might trigger varying degrees of perplexity and misery in those that encounter them.
For instance, some moral issues are comparatively easy to resolve and will cause little if any misery to these involved; different issues, nevertheless, may be extraordinarily tough and even impossible to resolve, and may trigger quite lots of ethical stress and distress for these encountering them. Nurses, like different well being care professionals, have a fundamental and unavoidable moral responsibility to have the ability to identify and reply successfully to the moral issues they encounter, and, the place in a position, to make use of methods to prevent them from occurring in the first place.
- Daniels, R. (2004). Nursing Fundamentals: Caring and Clinical Decision Making, Thomas Learning, Oregon.
- Fawcett, J. (2002). The Nurse Theorists: 21st-Century Updates—Madeleine M. Leininger. Nursing Science Quarterly, 15 (2): 131-136.
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- Potter, P. & Perry, A. (2005). Fundamentals of Nursing. Elsevier PTE LTD, Singapore.
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