NURS 8114 Modules 1–2  Written Philosophy of Nursing Practice

NURS 8114 Modules 1–2  Written Philosophy of Nursing Practice

Module 2 Assignment: Written Philosophy of Nursing Practice

A philosophy of nursing practice provides a nurse with tools that guide one’s nursing practice by enhancing awareness. A philosophy statement enables the nurse to think critically and reflect how one’s values influence their nursing practice and existence (McEwen & Wills, 2017). The statement defines a nurse’s values, ethics, beliefs, and motivation for being in the nursing profession. It outlines a nurse’s perspective about their education, practice, and patient care ethics. This paper seeks to describe my philosophy of nursing practice and discuss how middle-range nursing theories support my philosophy.

Philosophy of Nursing Practice

Nursing is a humanistic science dedicated to maintaining and promoting health, preventing diseases, and caring for and rehabilitating the sick and disabled. Nursing is a profession that offers complex services that help individuals perform those activities that promote health (Percy & Richardson, 2018). My philosophy of nursing practice emphasizes providing quality, compassionate, empathetic, patient-centered care that is guided by best practice. I believe that nurses should endeavor to provide the highest quality of nursing care to patients and should implement this guided by integrity, respect, and fairness. Besides, I believe that for the nursing profession to be accorded the respect it deserves, nurses should demonstrate professionalism in their practice and adhere to the nursing code of conduct rooted in ethical principles.

Nursing is a dynamic profession that will continue to evolve with the increasing demand for health care. Nurses are being triggered to change their practice by factors such as expanding research, changing health care populations’ needs, the increasing reliance on complex health and communication technologies, and nursing shortage.  I believe that nurses should strive to increase their knowledge and skills to align themselves with the ever-changing healthcare and population health needs.  Nurses need to be active in research and innovation activities to develop practical ideas to help address issues faced in patient care delivery (McEwen & Wills, 2017). They should also update themselves with the current healthcare guidelines to facilitate the delivery of high-quality care and provide care based on best evidence-based practice. I believe that nurses can assume their role as patient advocates better when they are well-versed with the best practices of patient care.

A nurse’s value system should guide nursing practice. My philosophy of nursing practice is rooted in core values of compassion, integrity, respect, and caring. Throughout my nursing career, I have strived to display a caring attitude in every patient care situation. I believe that nurses should always display a caring attitude to patients and their families by displaying qualities and behaviors, such as gentleness, responsiveness, attentive listening, empathy, respect, patience, positive body language, and a non-judgmental attitude (Percy & Richardson, 2018). Furthermore, nursing practice should be rooted in ethical principles of autonomy, nonmaleficence, beneficence, and justice, which guide nurses in decision-making. In my nursing career, I have learned to put the patient’s needs and welfare first when making decisions that will impact them. In this regard, I assess an intervention before implementing it to ensure it will impact the patient positively and that the benefits outweigh potential risks.

NURS 8114 Modules 1–2  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

To go to the next module:

Module 2

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?

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

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Learning Resources

Required Readings (click to expand/reduce)

McEwen, M., & Wills, E. M. (2019). Theoretical basis for nursing (5th ed.). Wolters Kluwer.  

• Chapter 1, “Philosophy, Science, and Nursing” (pp. 2–22) [PDF]
  Theoretical Basis for Nursing, 5th Edition by McEwen, M.; Wills, E. Copyright 2019 by Wolters Kluwer. Reprinted by permission of Wolters Kluwer via the Copyright Clearance Center. Licensed in 2020.

McEwen, M., & Wills, E. M. (2019). Theoretical basis for nursing (5th ed.). Wolters Kluwer.  

• Chapter 2, “Overview of Theory in Nursing” (pp. 23–48) [PDF]
  Theoretical Basis for Nursing, 5th Edition by McEwen, M.; Wills, E. Copyright 2019 by Wolters Kluwer. Reprinted by permission of Wolters Kluwer via the Copyright Clearance Center. Licensed in 2020.

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.

Nadeau, N., & Kallman Arneson, B. (Hosts). (2014, July 16). WriteCast episode 11: “Doesn’t meet requirements”—Strategies for following assignment instructions [Audio podcast episode]. In WriteCast. Walden University Writing Center. https://waldenwritingcenter.blogspot.com/2014/07/writecast-episode-11-doesnt-meet.html

Philbrook, J. (2017, June 12). Prompted to write: A guide for using Walden assignment prompts to your advantage. Walden University Writing Center. https://waldenwritingcenter.blogspot.com/2017/06/prompted-to-write-guide-for-using.html

Walden University Library. (2020, March 16). Mysteries of the library: Revealed! Finding specific articles [Webinar]. https://academicguides.waldenu.edu/library/transcripts/MysteriesFindSpecificArticles-Mar162020

Walden University Library. (n.d.). Databases A-Z: Nursing.  https://academicguides.waldenu.edu/az.php?s=19981

Walden University Library. (n.d.). Evaluating resources: Primary & secondary sources. https://academicguides.waldenu.edu/library/evaluating/sources

Walden University Writing Center. (n.d.). Common assignments: Writing in nursing. https://academicguides.waldenu.edu/writingcenter/assignments/nursing

Walden University Writing Center. (n.d.). Introduction to plagiarism & intellectual property. https://academicguides.waldenu.edu/c.php?g=540300&p=3699977

Walden University Writing Center. (n.d.). Strategies for demystifying Walden assignment prompts [Webinar]. https://academicguides.waldenu.edu/writingcenter/webinars/strategies

Walden University Writing Center. (n.d.). Webinars: Scholarly writing. https://academicguides.waldenu.edu/writingcenter/webinars/scholarlywriting#s-lg-box-9094031

Walden University Writing Center. (n.d.). Writing as a process. https://academicguides.waldenu.edu/writingcenter/doctoral/capstone/preproposal/writingasaprocess

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.

I appreciate your statement that your nursing philosophy has developed and changed over your many years of nursing experience. I believe that it is essential as DNP-prepared students, that we are open to change and the development of new thoughts and ideas concerning healthcare delivery and nursing practice. The practice of nursing is based on concrete principles and ethics, which guide and direct the care that is delivered to clients. Haddad and Geiger (2023) stated, “Nurses are advocates for patients and must find a balance while delivering patient care. There are four main principles of ethics: autonomy, beneficence, justice, and non-maleficence.” From this statement, I derived that nurses must have these principles as a foundation of their nursing practice, but they also must use judgment and collaboration to aid the client in achieving their individualized health goals. The world we live in is a never-ending state of change, development, and expansion of knowledge. There are numerous social, societal, and cultural beliefs and traditions that we as nurses must assess, respect, and then using our education, knowledge, and collaboration with the client and peers, provide the highest quality of care of patient-centered care.

In your discussion, you mentioned change within our own nursing profession, especially when it comes to “eating” our young. This is not something I have personally experienced. In my career, I have been primarily surrounded by respectful and kind peers. However, I agree with you when it comes to the fact that this must stop. Upon researching, I have learned that many consider this hazing practice as a “right of passage”, and that ultimately this form of workplace violence is one of the major reasons that nurses are leaving the bedside (Aebersold & Schoville, 2020). How is the younger nursing generation supposed to develop their own personal philosophies of nursing, when they are degraded and unable to connect with those with experience? Our values align with your thoughts about compassion and caring for our peers. I also believe that communication and collaboration can ensure that our younger generations are treated with respect and compassion and are enabled to have access to the knowledge and experiences of their more seasoned peers. I will ensure this practice stops with me and I will encourage and educate fellow nurses to do the same.

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

I believe nursing is a full holistic profession encompassing components of all of the sciences, making nursing both a science and a discipline.  My philosophy of nursing practice involves sixteen years of nursing experience with hospital and community involvement. I have an MSN in nursing education, with passion for educating and creating and teaching processes to streamline portions of task work so that more focus can be applied to patient care. I have a desire to see total health. I believe nursing care should involve caring for the whole person, not just treating an illness. Nursing is about care for the body (physical health), mind (including mental and emotional health), and spirit (shalom wellbeing) as well as addressing personal, social, and environmental factors.

It has been said that the whole is more than sum of its parts. Thus, it is impossible for one nurse to determine and address the entire nursing philosophy, however each of us together can combine efforts in collaboration with each other and with other professions. My part in this whole of nursing, my philosophy, is nursing as ministry. I like that the assigned text gives examples of clergy as another profession and religion as a social science (McEwen and Wills, 2019). Thus, incorporating the ministry part of nursing does not take away from its role as a profession.

My goal with a DNP is to have autonomy to invoke social change by implementing evidence based best practices in care and to include the benefit of prayer and spirituality in healing. In practical aspects this will involve opening a clinic in my local area. I will partner with communities to shift focus to disease prevention and health maintenance. This can be accomplished by collaborations with local churches and clergy to organize programs and events to do such events as checking BPs and HTN education, glucose management, and addressing specific health concerns while incorporating mental health care and enrichment and spiritual values of prayer and relationship.

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.

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Name: NURS_8114_Module1-2_Assignment_Rubric

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	Excellent90%–100%	Good80%–89%	Fair70%–79%	Poor0%–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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