Personal Philosophy of Nursing

Personal Philosophy of Nursing

Several models and conceptual frameworks adopt a rounded approach to patient-centered care, which is my perspective of nursing. The ADPIE process, on the other hand, appeals to my understanding of the nursing process. This conceptual framework steers nursing professionals away from intuition and standard practice and toward a more structured approach to meeting the needs of patients. The acronym ADPIE stands for assessment, diagnosis, planning, implementation, and evaluation. The five stages help practitioners remember the order of steps they need to take to provide an individual with proper care. Thus, the ADPIE process characterizes a useful and thorough framework for assessing needs and planning person-centered care (Fawcett & Desanto-Madeya, 2017). Nursing professionals adopting the ADPIE process develop problem-solving skills and critical thinking, significantly improving their work efficiency and promptly making accurate decisions. Furthermore, whenever the ADPIE process fails to improve a patient’s condition, the model is reevaluated, adjusted, and corrected (Fawcett & Desanto-Madeya, 2017).

The first step of the ADPIE process features the assessment phase, whereby nursing professionals aim to identify and define the service users’ problems. During this phase, the nurse evaluates the user's mental, physical, social, cultural, and personal needs. Therefore, the nurse conducts a person-centered assessment that gathers subjective and objective data (Smith, 2019). The assessment stage is a multi-stage process that focuses heavily on collecting, recording, validating, and cataloging any inconsistencies in a patient’s data. Additionally, some considerations must be addressed, including the patient's physical state, stress, and hormone levels, to conclude the patient’s condition. The diagnosis phase features the medical professional developing a hypothesis regarding the patient based on data gathered in the previous stage. While registered nurses cannot develop a professional diagnosis, their insight is vital as they can aid in critical thinking and communicating their medical judgments to the medical team. In contrast, certified nursing practitioners can diagnose medical conditions, write a need statement, and document baseline to reflect their diagnosis. Nurses must regularly diagnose to ensure that new priorities are addressed (Fawcett & Desanto-Madeya, 2017).

The ADPIE process characterizes a useful and thorough framework for nursing professionals to adopt and develop problem-solving skills and critical thinking, significantly improving their work efficiency and promptly making accurate decisions. Thus, the planning, enactment, and evaluation phases of the ADPIE framework enable practitioners to organize their thoughts for critical thought and decision making. The planning phase features the practitioner developing a plan and establishing smart goals to attain the wanted outcomes. Critical thinking contains developing SMART goals, which must be specific, measurable, attainable, realistic, and time-sensitive. The nursing practitioner identifies smart goals, which they further classify into short-term and long-term, designed to improve the patient’s condition. Part of their critical thinking involves developing a care plan that comprises strategies required to attain the desired healthcare outcomes (Fawcett & Desanto-Madeya, 2017).  

The implementation phase is performed using a combination of direct and indirect interventions, and it involves actionable procedures for the care plan, smart goals, and interventions (Delves-Yates, 2018). The evaluation phase is the last phase of the process, necessitating the utilization of both critical thinking and decision-making competencies to evaluate the success of the interventions. Therefore, nursing professionals critically evaluate the effectiveness of the process and ensure that they bring the patient closer to their healthcare goals. Evaluation is carried out throughout the ADPIE process to assess the plan and adjust it according to the patient’s healthcare demands (Fawcett & Desanto-Madeya, 2017).

The nurse’s decision-making process should be guided by the patient's preferences and needs. Shared decision-making is an intervention model that offers patient-centered care, enabling patients to make a vital choice in determining their healthcare outcomes. Nursing practitioners encourage patients to participate in decision-making by making insightful inquiries, highlighting their personal opinions, and expressing their values regarding their condition and treatment options (Delves-Yates, 2018). The nursing practitioners also respect the patient’s preferences and goals and utilize them as guides when coming up with recommendations and treatment options.           

I consider nursing to be a practice that involves offering medical care to sick individuals. Within the healthcare context, I consider a person a complex biological entity with different systems all working together to sustain life. Health is a state whereby the human being is free from illness, while the environment mentions to the living and non-living elements that directly influence a person's life. Within the nursing framework, features characterizing a person, their health, and environment enable nurses to develop and test hypotheses regarding their healthcare outcomes (Delves-Yates, 2018).

There are several values about nursing that guide my professional practice. Foremost, I aspire to create an effective professional relationship with the patient under my care. Effective professional relationships in healthcare facilitate the effective sharing of information and ideas. A professional relationship between the nurse-patient and family working in partnership with good communication can empower a patient's rapid recuperation. I also utilize the code of conduct to create positive and healing relationships with patients to deliver effective individual-focused medical care without delay (Feo et al., 2017). I have adopted some values under the code of conduct, such as thoughtfulness, respect, dignity, and compassion, which enable me to create a therapeutic relationship with patients that aids the healing and recovery process (Feo et al., 2017). Some of the other principles that guide my practice include care, empathy, competence, communication, courage, and dedication. These principles categorically place the requirements and unique attributes of the patient at the center of care. There is overwhelming evidence showing a correlation between nurses' inability to exhibit empathy and their ineffective communication skills that can negatively impact the advancement of successful therapeutic partnerships (Moore et al, 2020). By being empathetic, I can develop compassionate goals and interventions tailored to the patient's healthcare requirements

Communication can be characterized as a means of sharing and transferring information through spoken and non-spoken conversation in a caring relationship (Moore et al, 2020). Nursing practitioners require to demonstrate communication and interpersonal expertise to meet the needs of the patient and family. For effective patient-centered communication, I  adopt assertive communication to enhance my professional nursing practice and improve patient outcomes. Assertive communication entails stating clearly my opinions and feelings firmly without violating any of my patient’s rights. When communicating with a patient, I am in control of the situation when I urge them to give information and express concerns as it impacts my ability to design patient-centered care (Delves-Yates, 2018).

As a practitioner, I use eye contact to reinforce assertive communication. Eye contact can facilitate effective communication between peers and patients in various ways. First, it informs nurses as they observe the patient's clinical symptoms (Delves-Yates, 2018). Patients are usually more interested and excited when the nurses make eye contact as they communicate with them. On the other hand, they may feel intimidated or disrespected when the nurse does not maintain eye contact when communicating with them (Moore et al, 2020). Patients will be interested and excited by nurses' eye connection as a means of assertive communication.

Assertive communication skills are vital to my ability to collaborate as part of an interdisciplinary team. By being assertive, I can state what I require from my peers clearly and respectfully. Teamwork is a reflection of the behavior and interactions between members working to execute a task. For a team to be effective, they need to communicate clearly and precisely. When I speak assertively, I feel competent and in control, enabling my colleagues to trust my professional opinions and decisions. The absence of trust within an interdisciplinary team creates vulnerabilities and hinders their capability to offer effective care (Feo et al., 2017). Assertive communication involves choosing words deliberately and precisely, ensuring that grammar is used properly. By communicating concisely, I can get straight to the point in a manner that my colleagues can easily comprehend. Assertive communication is more effective in medical practice. It is critical to choose the best words to express your ideas if you want the team to understand exactly what you are trying to say. By removing unnecessary adverbs, modifiers, and other words, my colleagues will better understand what I am saying since the choice of the word fits the medical context (Delves-Yates, 2018).

References

Fawcett, J., & Desanto-Madeya, S. (2017). Contemporary nursing knowledge: Analysis and evaluation of nursing models and theories. FA Davis.

Delves-Yates, C. (2018) Essential of nursing practice, 2nd eds. SAGE Publications Ltd, London

Feo, R., Rasmussen, P, Wiechula, R., Concoy, T., Kitson, A (2017). Developing effective and caring nurse-patient relationship, Nursing standard,31(28), pp. 54-63. https://doi.org/10.7748/ns.2017.e10735

Moore, J., Prentice, D., Crawford, J, Lankshear, S., and Limoges, J. (2020). Collaboration among registered nurses in acute care hospitals; A scoping Review of practice Guidelines. Nursing Research and practice.