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NURS 8114 Modules 1–2 Assignment: Written Philosophy of Nursing Practice

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NURS 8114 Modules 1–2 Assignment Written Philosophy of Nursing Practice

Middle Range Nursing Theories

Middle-range theories have justifiably come out as the focal point of knowledge development in nursing. They have influenced a wide acceptance of the need to establish middle-range theories to support nursing practice. Middle-range theories are increasingly being developed and examined through practice-oriented nursing research. They have a narrow scope and concentrate on a specific phenomenon that reflects on nursing practice.  Middle-range theories that support my philosophy of nursing practice include Pender’s Health Promotion Model and Kolcaba’s Comfort Theory.

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The health promotion model was developed to guide nurses in assisting clients in attaining better health, enhanced functional ability, and improved quality of life. The model identifies behavior-specific cognitions and affects as the primary motivational mechanisms for health promotion behavior (Aqtam & Darawwad, 2018). They include

NURS 8114 Modules 1–2 Assignment Written Philosophy of Nursing Practice

NURS 8114 Modules 1–2 Assignment Written Philosophy of Nursing Practice

perceived benefits of action, self-efficacy, barriers to action, activity-related affect, and interpersonal and situational influences. Besides, the model is justified by the need for behavioral and environmental changes to improve a society where lifestyle factors influence numerous health problems.  It is rooted in established theories of human behavior, such as the expectancy-value theory and social-cognitive theory (Aqtam & Darawwad, 2018). The model assumes that various patient characteristics and cognitive-affective factors combine with competing needs and preferences and a commitment to a plan of action to elucidate the possibility of health-promoting behavior.

Modules 1–2 Assignment Written Philosophy of Nursing Practice

The Comfort theory explains a philosophy of care through which the holistic comfort needs of patients, families, and nurses are acknowledged and addressed. The theory justifies that the desired outcome of this type of care is improved comfort, which is a compassionate and patient-centered goal (Peterson & Bredow, 2019). Enhanced comfort is connected to successive desirable outcomes such as increased patient or nurse function, reduced hospital stays, reduced readmissions, increased patient satisfaction with care, the longevity of employment, and improved cost-benefit ratios for the organization (Peterson & Bredow, 2019).  The patient needs are modified by dominant variables, which are factors that the nurse cannot alter. The nurse creates a comfort care plan based on the patient’s needs, which seeks to improve comfort. When the patients’ comfort is enhanced, they can participate more in health-seeking behaviors.

Week 1: Philosophy of Nursing Practice

Imagine the illustrated “cloud” in this image could represent your thoughts as you consider your nursing practice, your nursing experiences, and the influences that shape your attitudes and beliefs about nursing and health care. Then imagine other clouds within view that represent perspectives on nursing practice held by others—and that if this image were enlarged, the clouds would multiply, to signify the full complement of professionals with whom you interact in a health care setting. How would it benefit you, the success of those health care teams—and, most importantly, patient care—to have clarity on the foundational beliefs that guide your practice, and that of others?

Modules 1–2 Assignment Written Philosophy of Nursing Practice For this first week, you will work toward achieving that clarity as you frame—or review, revise, expand on—your philosophy of nursing practice and engage with peers who have joined you in pursuing their Doctor of Nursing Practice degree. Through the Discussion this week, and the Assignment you will begin, you will articulate your philosophy of nursing practice as you look for insight into what shapes your philosophy and contrasting philosophies of others. That understanding can be invaluable in your future work as a DNP leader advocating for change—often difficult for individuals and organizations—that promotes positive outcomes for patients and the larger society.

Learning Objectives

Students will:

  • Explain philosophy of nursing practice
  • Analyze factors that influence philosophy of nursing practice
  • Recommend strategies for social change advocacy for the role of the DNP
  • Contrast philosophies of nursing practice
  • Analyze middle range nursing theories in relation to philosophies of nursing practice
  • Analyze interdisciplinary theories in relation to philosophies of nursing practice

Learning Resources

Required Readings (click to expand/reduce)

Document: Handout: Writing a Philosophy of Nursing Practice (Word document)

Required Media (click to expand/reduce)

Walden University. (2021). DNP glossary [Interactive media]. Walden University Blackboard. https://class.waldenu.edu

Optional Resources (click to expand/reduce)

Note: Access the following Walden resources to support locating resources in the Walden Library and completing course Discussions and Assignments.

Note: Walden University Writing Center resources before May 2020 use examples in APA 6. Check APA 7 guides to ensure accuracy.


Discussion: Philosophy of Nursing Practice

For this first course Discussion, you will present a philosophy of nursing practice that draws on your experience, area(s) of expertise, and beliefs. Looking ahead to your role as a DNP, also consider how to expand your awareness of issues beyond your own current practice—such as regarding diversity, global health, collaboration—and how to fulfill the Walden requirement to advocate for social change.

Photo Credit: steheap / Adobe Stock

In short, begin now to commit to a higher level of contribution and practice as a DNP and to reflect that commitment in your philosophy of nursing practice for today and the future. As you continue through the course, note this image will appear with each Discussion and indicates an opportunity to connect your thinking with that of colleagues, for learning with and from one another.

To prepare:

  • Review the Week 1 Learning Resources. Pay particular attention to the Chapter 1 reading from McEwen and Wills, “Philosophy, Science, and Nursing.”
  • Reflect on your nursing experience, expertise you have developed, and beliefs about nursing and nursing practice you have formed as a result.
  • Consider how your philosophy of nursing practice is shaped by these elements.
  • Consider goals for expanding your professional awareness through the DNP program and the requirement as a Walden student to be an advocate for social change. How can your philosophy of nursing practice support you in these areas? How can these goals and Walden social change requirement enrich your philosophy of nursing practice?

With these thoughts in mind …

By Day 3 of Week 1

Post an explanation of your philosophy of nursing practice that briefly describes your nursing experience and area(s) of expertise. Be sure to explain your beliefs that inform your philosophy of nursing practice and your goals for expanding your experience and practice as a DNP (e.g., embrace of diversity, global health issues, collaboration). Then, explain the DNP role as a social change agent and recommend at least one way you will advocate for positive social change as a Walden DNP. Be specific and provide examples, with all citations in APA 7 style.

Read a selection of your colleagues’ posts.

By Day 6 of Week 1

Respond to at least two colleagues on 2 different days. Choose colleagues with different life experiences and beliefs from your own, and contrast how these factors have shaped their philosophies compared with yours. Also comment on their goals for expanding their experience, practice, and social change advocacy with suggestions or guidance based on your experience. Be specific and provide examples.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit!

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 1 Discussion Rubric

Post by Day 3 of Week 1 and Respond by Day 6 of Week 1

To Participate in this Discussion:

Week 1 Discussion


Modules 1–2 Assignment: Written Philosophy of Nursing Practice

As you begin your first Assignment in this course, a word about this image. Be aware that this team of smiling health care professionals will greet you with each Assignment and signal that the week involves beginning, developing, or completing a project that spans one or two modules. With each Assignment, aim to maximize your learning experience, to best prepare to lead your own confident and ready team.

Photo Credit: [Steve Hix/Fuse]/[None]/Getty Images

This first Assignment will span Modules 1 and 2. Based on the Discussion in Week 1, you will prepare a written philosophy of nursing practice. You will start this week and continue developing your philosophy as you explore the Module 2 focus on theory applications to nursing. Learning Resources in Weeks 2 and 3, which comprise Module 2, will also support elements to include in your philosophy of nursing practice. Your Assignment is due by Day 7 of Week 3, so plan accordingly.

To prepare:

  • Review the Week 1 Learning Resources, and particularly the handout on writing a philosophy of nursing practice and specific considerations in developing a philosophy statement.
  • Search the Walden Library and other sources for additional scholarly resources to support your philosophy of nursing practice.
  • Reflect on your Week 1 Discussion post and comments from colleagues that help to clarify your philosophy of nursing practice.
  • Consider how to be proactive in articulating a philosophy of nursing practice that can guide and support your development as a DNP.
  • Consider how to express the Walden University requirement to be a social change agent within your philosophy.

The Assignment (3–5 pages)

Develop your written philosophy of nursing practice in a paper of 3–5 pages, plus cover page and references page, to include the following:

  • Apply recommended elements of a philosophy statement.
  • Explain how your philosophy can accommodate your expanded awareness of practice issues as a DNP.
  • Explain how your philosophy reflects or supports advocacy of social change as a DNP.
  • Identify at least two middle range nursing theories and explain how they support your philosophy of nursing practice. Be specific and provide examples.
  • Explain how one or more interdisciplinary theories inform your philosophy of nursing practice. Be specific and provide examples.

Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at https://academicguides.waldenu.edu/writingcenter/templates/general#s-lg-box-20293632). All papers submitted must use this formatting.

No Assignment submission required for this week.

Submit your Assignment by Day 7 of Week 3.


What’s Coming Up in Module 2!

Photo Credit: [BrianAJackson]/[iStock / Getty Images Plus]/Getty Images

In the next module, you will begin a 2-week exploration of nursing theory. You will expand your familiarity with different types of theories and how they apply to nursing practice. You will also identify a practice issue of particular interest or concern to you that you will address throughout the module. Start now to reflect on practice issues of consequence that you might select.

Module 2 Assignment: Developing Your Philosophy of Nursing Practice

Your Module 2 Assignment is a continuation of the philosophy of nursing practice that you began in Module 1 (Week 1). You will also consider how nursing theory applies to and influences your philosophy of nursing practice.

Next Module

Module 2

Rubric Detail

 

A rubric lists grading criteria that instructors use to evaluate student work. Your instructor linked a rubric to this item and made it available to you. Select Grid View or List View to change the rubric’s layout.

Content

Top of Form

Name: NURS_8114_Module1-2_Assignment_Rubric

  Excellent

90%–100%

Good

80%–89%

Fair

70%–79%

Poor

0%–69%

The Assignment: In 3–5 pages, plus cover page and references page, include the following:

• Apply recommended elements of a philosophy statement.

Points Range:14 (14.00%) – 15 (15.00%)

The response provides a clear, accurate, and detailed application of recommended elements of a philosophy statement of nursing practice.

Points Range:12 (12.00%) – 13 (13.00%)

The response provides a clear and accurate application of recommended elements of a philosophy statement of nursing practice.

Points Range:11 (11.00%) – 11 (11.00%)

The response provides a vague and/or inaccurate application of recommended elements of a philosophy statement of nursing practice.

Points Range:0 (0.00%) – 10 (10.00%)

The response provides a vague and inaccurate application of recommended elements, and may include missing elements, of a philosophy statement of nursing practice.

• Explain how your philosophy can accommodate your expanded awareness of practice issues
as a DNP.
Points Range:18 (18.00%) – 20 (20.00%)

The response provides a clear, accurate, and detailed explanation of how the philosophy of nursing practice can accommodate expanded awareness of practice issues as a DNP.

Points Range:16 (16.00%) – 17 (17.00%)

The response provides a clear and accurate explanation of how the philosophy of nursing practice can accommodate expanded awareness of practice issues as a DNP.

Points Range:14 (14.00%) – 15 (15.00%)

The response provides a vague and/or inaccurate explanation of how the philosophy of nursing practice can accommodate expanded awareness of practice issues as a DNP.

Points Range:0 (0.00%) – 13 (13.00%)

The response provides a vague, inaccurate, or missing explanation of how the philosophy of nursing practice can accommodate expanded awareness of practice issues as a DNP.

• Explain how your philosophy reflects or supports advocacy of social change as a DNP. Points Range:18 (18.00%) – 20 (20.00%)

The response provides a clear, accurate, and detailed explanation of how the philosophy of nursing practice reflects or supports advocacy of social change as a DNP.

Points Range:16 (16.00%) – 17 (17.00%)

The response provides a clear and accurate explanation of how the philosophy of nursing practice reflects or supports advocacy of social change as a DNP.

Points Range:14 (14.00%) – 15 (15.00%)

The response provides a vague and/or inaccurate explanation of how the philosophy of nursing practice reflects or supports advocacy of social change as a DNP.

Points Range:0 (0.00%) – 13 (13.00%)

The response provides a vague and inaccurate or missing explanation of how the philosophy of nursing practice reflects or supports advocacy of social change as a DNP.

• Identify at least two middle range nursing theories and explain how they support your philosophy of nursing practice.
Be specific and provide examples.
Points Range:14 (14.00%) – 15 (15.00%)

The response provides a clear, accurate, and detailed explanation of how at least two middle range nursing theories support your philosophy of nursing practice.

The response fully synthesizes and  integrates at least two scholarly resources that fully support the response provided.

Points Range:12 (12.00%) – 13 (13.00%)

The response provides a clear and accurate explanation of how two middle range nursing theories support your philosophy of nursing practice.

The response synthesizes and  integrates two scholarly resources that support the response provided.

Points Range:11 (11.00%) – 11 (11.00%)

The response provides a vague and/or inaccurate explanation of two middle range nursing theories and how they support your philosophy of nursing practice.

The response minimally synthesizes and  integrates one or two scholarly resources that may support the response provided.

Points Range:0 (0.00%) – 10 (10.00%)

The response provides a vague, inaccurate, or missing explanation of two middle range nursing theories and how they support your philosophy of nursing practice.

The response minimally and/or inaccurately synthesizes or integrates one resource that may not support the response and/or is not scholarly, or resource is missing.

• Explain how
one or more interdisciplinary theories inform your philosophy of nursing practice.
Be specific and provide examples.
Points Range:14 (14.00%) – 15 (15.00%)

The response provides a clear, accurate, and detailed explanation of at least two interdisciplinary theories and how they inform your philosophy of nursing practice.

The response fully synthesizes and  integrates at least two scholarly resources that fully support the response provided.

Points Range:12 (12.00%) – 13 (13.00%)

The response provides a clear and accurate explanation of least one interdisciplinary theory and how it informs your philosophy of nursing practice.

The response synthesizes and  integrates at least one scholarly resource that supports the response provided.

Points Range:11 (11.00%) – 11 (11.00%)

The response provides a vague and/or inaccurate explanation of one interdisciplinary theory and how it informs your philosophy of nursing practice.

The response minimally synthesizes and  integrates one scholarly resource that may support the response provided.

Points Range:0 (0.00%) – 10 (10.00%)

The response provides a vague, inaccurate, or missing explanation of one interdisciplinary theory and how it informs your philosophy of nursing practice.

The response minimally and/or inaccurately synthesizes or integrates one resource that may not support the response and/or is not scholarly, or resource is missing.

Written Expression and Formatting: Paragraph/
Sentence Structure
Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are clearly structured and carefully focused—neither long and rambling nor short and lacking substance.
Points Range:5 (5.00%) – 5 (5.00%)

Paragraphs and sentences follow writing standards for structure, flow, continuity, and clarity.

Points Range:4 (4.00%) – 4 (4.00%)

Paragraphs and sentences follow writing standards for structure, flow, continuity, and clarity 80% of the time.

Points Range:3 (3.00%) – 3 (3.00%)

Paragraphs and sentences follow writing standards for structure, flow, continuity, and clarity 60%–79% of the time.

Points Range:0 (0.00%) – 2 (2.00%)

Paragraphs and sentences follow writing standards for structure, flow, continuity, and clarity < 60% of the time.

Written Expression and Formatting: English writing standards: Correct grammar, mechanics, and proper punctuation. Points Range:5 (5.00%) – 5 (5.00%)

Uses correct grammar, spelling, and punctuation with no errors.

Points Range:4 (4.00%) – 4 (4.00%)

Contains a few (1–2) grammar, spelling, and punctuation errors.

Points Range:3.5 (3.50%) – 3.5 (3.50%)

Contains several (3–4) grammar, spelling, and punctuation errors.

Points Range:0 (0.00%) – 3 (3.00%)

Contains many (≥ 5) grammar, spelling, and punctuation errors.

Written Expression and Formatting: The assignment contains parenthetical/in-text citations, and at least three evidence-based references are listed. Points Range:5 (5.00%) – 5 (5.00%)

Contains parenthetical/in-text citations and at least three evidence-based references are listed.

Points Range:4 (4.00%) – 4 (4.00%)

Contains parenthetical/in-text citations and at least two evidence-based references are listed.

Points Range:3.5 (3.50%) – 3.5 (3.50%)

Contains parenthetical/in-text citations and at least one evidence-based references are listed.

Points Range:0 (0.00%) – 3 (3.00%)

Contains one or no parenthetical/in-text citations and no evidence-based references are listed.

The rubric total value of 0.00 has been overridden with a value of 100.00 out of 100.

Name:NURS_8114_Module1-2_Assignment_Rubric

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Week 1 Discussion

An event in my career as a nurse that I will never forget was my experience as a hospice nurse, which was a very challenging job at times. One patient I will never forget was a young woman with terminal pancreatic cancer. I went to work and got my report from the other nurse that we had a new admission. When she stated the name of the patient and gave the report on her, I could not believe what I was hearing. Soon after the report I went to visit the patient in her room to see for myself if it was the person, I thought it was. As I walked in and recognized the patient, my heart sank seeing my son’s fourth grade teacher in bed. I froze for a second, we hugged and cried together. She looked at me and said, “I am thankful I am in good hands but please promise me not to tell your son that I am dying,” I nodded my head.

Nursing is a Profession concerned with the provision of services essential to the maintenance and restoration of health by attending to the needs of sick persons (Patterson et al., 2021). Nursing is a science that requires in-depth knowledge, skills and understanding. However, for me nursing goes beyond that; it is caring for an individual, irrespective of age, whole heartedly, both physically and mentally. Nursing is also about helping others in a compassionate, safe and accountable way while being non-judgmental to the patient’s needs regardless of race, spiritual beliefs, lifestyle choices, financial status, or disability (Patterson et al., 2021). Furthermore, nursing is about empowering patients, guiding them toward recovery and supporting them in times of need. Finally, nursing is educating people about prevention of illness and the importance of staying healthy through making smart choices.

Dr. Jean Watson is a nursing theorist who influences my practice. Dr. Watson developed the theory of human caring between 1975 and 1979 (Wei et al., 2020). Her theory looks deeper into the meaning of nursing and goes beyond the physical worldview of nursing. Her theory defines caring as a science and seeks to understand the connection between art, humanities, philosophy, spirituality, science and technology (Wei et al., 2020). As a nurse, I use the above assumptions every day and they have molded me into a more accepting person and to see the best in a person. I have a strong belief that it is a must for a nurse to be caring, and that caring is key to improving effective and positive nursing outcomes. Finally, having traits such as caring, loving, forgiving and compassion for patients ultimately leads to a better care experience for patients.

DNPs translate research evidence into practice, whereas the PhD discovers the evidence (Ahmed, 2018). We need both types of doctorates. I view what a DNP does as implementation science. According to the American Association of Critical-Care Nurses (AACN), APRNs prepared at the doctoral level possess a blend of clinical, organizational, economic, and leadership skills that allow them to critique nursing practice and design programs of care delivery that can have a significant positive impact on healthcare outcomes (Ahmed, 2018). The DNP does not alter the actual scope of practice for nurse practitioners and other advanced practice registered nurses. Instead, DNPs work alongside their master’s-prepared colleagues in an expanded role in which they serve as leaders, change agents, and evaluators of care. This is especially true in the current environment we live in where diversity and inclusion are key factors when evaluating quality and outcomes of care.

I have accepted a job offer at a position where I will work with individuals from an underserved community. I consider this to be a huge privilege and opportunity to leave a positive mark on the community in which I will serve. I truly want to be an agent of change as well as a beacon of light for those who dare to dream. Given how unique my own story is, sharing it with this community will help improve the quality of care and outcomes of the individuals I look forward to working with.

References

Ahmed, S. W. (2018). DNP education, practice, and policy: mastering the DNP essentials for advanced nursing practice (Second edition.). Springer Publishing Company.

Patterson, J. A., Chrisman, M., Skarbek, A., Martin-Stricklin, S., & Patel, S. E. (2021). Challenges of Preparing Nursing Students for Practice: The Faculty Perspective. Journal of Nursing Education60(4), 225–228. https://doi-org.ezp.waldenulibrary.org/10.3928/01484834-20210322-08

Wei, H., Hardin, S. R., & Watson, J. (2020). A unitary caring science resilience-building model: Unifying the human caring theory and research-informed psychology and neuroscience evidence. International Journal of Nursing Sciences8(1), 130–135. https://doi-org.ezp.waldenulibrary.org/10.1016/j.ijnss.2020.11.003

Week 2 assignment

One of the things that I like to focus on when I am treating my patients in my clinic is treating the whole individual: I don’t just give medications and scripts, but I also try to incorporate a lot of teaching into my practice. I try to give enough time to my patients in the interest of addressing issues that will affect the outcome of their health. Sometimes things that will also affect their diabetes status may not just be medication compliance but also counseling on proper nutrition and how to avoid bouts of hunger that will contribute to them deviating from their diet. That may also involve their support system from their loved ones or lack thereof. I try to incorporate a more holistic approach to their care, and that encompasses “biological, psychological, sociocultural, and spiritual dimensions (Engebretson and Littleton 2001). I feel it is important to not only use polypharmacy but other aspects to improve health as well.

It is important to be empathetic with our patients as we treat them. We as providers do have a reasonability to them (Andershed and Olsson 2009) We need to value them as people and incorporate caring into our plans. I feel if we treat the person as a whole and live a loved one we can greatly improve the health as a result.

References

Joan Engebretson DrPH, RN & Littleton, Y., Lynna, PhD, RNC, (2001), Cultural negotiation: A

constructivist-based model for nursing practice, https://www-sciencedirect-com.ezp.waldenulibrary.org/science/article/pii/S0029655401107657?via%3Dihub

Birgitta Andershed RNT, PhD and and Kristina Olsson RNT (2009), Review of research related to           

Kristen Swanson’s middle-range theory of caring, https://eds-b-ebscohost-com.ezp.waldenulibrary.org/eds/pdfviewer/pdfviewer?vid=4&sid=4a79ded6-1a75-4bdc-b3b0-0872e669929f%40pdc-v-sessmgr02.

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