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Nursing philosophy paper
Management and leadership chapter7
Nursing philosophy paper
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Introduction
I am interested in pursuing the DNP program because I believe it will give me autonomy in my practice and professional fulfillment that comes from achieving one’s set goals academically. I also currently believe an unprecedented need for professional psychiatry/mental health nurse practitioners exists in our society today. This essay will touch on three different experiences drawing from previous nursing coursework, experience as a practicing nurse and experiences that demonstrate my greatest strengths.
Experience from previous nursing coursework
Completing the capstone for my master’s degree program in leadership and management was an eye opener. Interning with a nurse manager at a local hospital and presenting my research in
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It is evidence in personal survival stories where I had to turn foes into friends by just staying the course and not giving up. To be specific, one example came to mind about a 64-year-old patient who had been in a catatonic state for months before arrival in the unit. The patient required total assistance with daily living activities (bathing, eating, personal hygiene measures, mouth care etc.). She was a total care patient suffering from severe depression. To make matters worse, she was non-verbal during this time. She was deemed “difficult” and “heavy” by nursing staff. No one was eager to accept the responsibilities of being her nurse including myself initially, but for some reason I always ended up with same assignment that included this patient. Knowing that I could not reject my assignment, I decided to persevere over this difficult patient by doing my best each time I worked with her. Her refusal to get out of bed, take a shower or brush her teeth did not faze me. I was determined to carry out my duties regardless of how daunting they were. After long hospitalization and an enormous amount of Electroconvulsive therapy (ECT), her depression started lifting and she became verbal and engaging again. What memorialized this patient and this experience in my psyche is how the patient reacted to what I did while performing my duties as a nurse. The first time I took care of …show more content…
432). There are known risks (memory loss, confusion) associated with ECT. Studies have shown that there are no structural changes in the brain after a series of ECT. Criado and colleagues in their study on Logical Memory test concluded that ECT in combination with drug treatment “produces much greater improvement of the depressive symptoms than purely drug treatment” (Criado, Fernandez, & Ortiz, 2007, p. 48). Petrides and colleagues noted in their study a case of a 74-year old patient who went through over 400 procedures without any sign of cognitive deterioration (Petrides, Tobias, Kellner, & Rudorfer, 2011, p. 136). I propose studying this issue by looking at current research studies on effectiveness of ECT in comparison to other treatment modalities like pharmacotherapy and
Unlike Naomi, Eric does not respond to drug therapy. Therefore, instead of a drug therapy, Eric receives the electroconvulsive therapy (ECT) or brain stimulation often an effective treatment for patients like Eric with severe depression who does not respond to a drug therapy. By shocking the brain, the ECT manipulates the brain’s chemical imbalance produced by the social-cultural stress experience. But after eleven ECTs in a month, Eric cannot function because of the temporary side effects of memory loss and confusion affecting his concentration to play the viola and his well-being. Then after four months of receiving ECT treatment, Eric returns to normal social functioning as a musician. Six months later, Eric is still playing the viola and has had no recurrence of his
Transitioning from academic nursing student to Registered Nurse/New Graduate Nurse (NGN) within the healthcare environment is a challenging task for many NGNs. They may encounter a number of challenges, such as the following: transition shock, professional isolation, lack of clinical experience, stress, lack of a support network and cultural incompetence. At the end, this essay will discuss the rationale for developing my two most important goals for the next twelve months.
I am delighted in my career as a professional nurse and seeking the Doctor of Nursing Practice (DNP) gives me the opportunity to expand my knowledge base in order to practice at a higher level, and obtain the terminal degree in my profession. My goal is to become an adult nurse practitioner, with primary focus to improve the practice of nursing. The Doctor of Nursing Practice will equip me with knowledge and skills needed to understand and appreciate research and facilitate the process of putting evidence into practice, with the overall goal of achieving improve patient safety, satisfaction and outcomes. The Doctor of Nursing Practice will enable me to assume more leadership role, in practice and in research. I should be able to participate in research and formulate nursing models guided by evidence based practice models of care. Having practiced as a professional nurse for five years, obtaining the Doctor of Nursing Practice gives me the opportunity to foster my professional growth and development.
Vothknecht, S., Kho, K. H., van Schaick, H. W., et al. (September 2004). Effects of maintenance electroconvulsive therapy on cognitive functions. Journal of ECT, 19(3), 151-157.
The decision to enroll in graduate school came after considerable time and soul searching. While contemplating the decision to return to school I thought about life, school and work. I realized that my experience in these areas have prepared me for the challenge and I am going to succeed.
Currently, there is a lack of studies in regards to whether or not this therapy causes significant damage to the brain. Correspondingly, there is little research done in regards to how great relapse rates are and how long the treatment can truly last. Consequently, many people have abstained from receiving treatment to avoid any possibility of impairment or reversion. However, it has not been denied nor confirmed that ECT directly causes the aforementioned results. Moreover, many theories created to downplay electroconvulsive therapy’s effectiveness are being brought back into the spotlight, including one that attributes ECT’s success to brain damage. Breggin states, “More recently [Harold] Sackeim and Sackeim with a team of colleagues have covertly revived the principle that a therapeutic response depends upon the degree of brain damage and dysfunction” (par. 17). Although this theory was made to discredit ECT, there has been no research done to disprove its accuracy. Furthermore, because of a lack of research, when a new study such as this comes out, many people believe it right away no matter how erroneous it may actually be. More research on ECT is desperately needed to see if these theories are factual or not. As a result of these truths or fallacies, the therapy can be improved upon
Nursing, as a crucial part of the health care system, keeps evolving while dealing with an increasingly complex clinical situation that involves quality of patient care. Therefore, to successfully handle these scenarios, nursing needs to become more advanced, clinically and academically. A DNP degree is needed in this situation because according to Dunbar- Jacob, Navito & Khalil (2013), a DNP degree is considered to have more impact on nursing than a Master’s or Bachelor’s degree due to the advanced clinical education a DNP provides (p. 425). Hence, the DNP degree has an enormous impact in nursing practice especially in terms of improving clinical care, promoting leadership roles, and improving educational status.
As a result of state regulations, public awareness of the role and market forces, graduate psychiatric nursing programs began modifying training programs to meet the requirements for NP credentialing (ANA, 2014). The first PMHNP certification exams were created in the early 2000’s and the role of the PMHNP was clearly described and delineated by the creation of the Psychiatric-Mental Health Nurse Practitioner Competencies in 2003 by the NONPF (ANA, 2014; APNA 2010). Throughout the early 2000’s there were four advanced practice psychiatric mental health nursing credentials, the Adult Psychiatric-Mental Health CNS, the Child/Adolescent Psychiatric-Mental Health CNS, the Adult Psychiatric-Mental Health NP, and the Family Psychiatric-Mental Health NP. The availability of four credentials for PMH-APNs led to confusion amongst nurses, other health disciplines, employers and the
The white paper entitled, The Doctor of Nursing Practice: Current Issues and Clarifying Recommendations was written and published by the American Association of Colleges of Nursing (AACN). The AACN Board of Directors formed a task force to review and clarify the evolution of the practice doctorate in nursing as outlined in the Essentials of Doctoral Education for Advanced Nursing Practice (DNP Essentials). This paper highlights the recommendations to describe and clarify the characteristics of the Doctor of Nursing Practice (DNP) graduate scholarship, the DNP project, efficient use of resources, program length, curriculum considerations, practice experiences, and guidelines for collaborative partnership.
This article was written by several well educated professionals in the nursing field. The article appears in a peer reviewed nursing journal that covers topics in psychiatric and mental health nursing that has a 37-year history. The sources history, along with the use of various references from other professional sources establish the journal entries
What led me to nursing in the beginning was having a passion for people. I love the holistic approach and level of care that nurses bring to the literal bedside table. I knew throughout nursing school that I wanted to advance my education further than bedside nursing. I debated on whether to pursue a master’s degree in nursing and just become a nurse practitioner, but ultimately, I knew I wanted to advance my education even further to help make and promote changes in healthcare. By choosing to become a doctorally prepared nurse practitioner, I hope to change the stigma that is attached with being “just a nurse” and show that nurses play a vital role in redesigning
Psychiatric nursing has always been my passion and I am ready to put my experience and leadership skills to use and further my career as a Mental Health Nurse Practitioner. The psychiatric population is underserved and one of my goals is to continue working in fields others will not. I have always longed for the increased autonomy and decision making Nurse Practitioners use. Broken systems and burnt out mental health workers are a problem. For example, calling an on call physician in a patient crisis only to be given an order for something that is completely useless by a physician who does not care, has always bothered me. I look up to the Nurse Practitioners at work and have always noticed their kind, caring and responsive nature. I want
Stuart, G. W. (2009). Principles and Practice of Psychiatric Nursing (9th ed. pp 561). St. Louis, MO: Elsevier Mosby.
Randeni, G. (2013). Core concepts of the BPN curriculum. Bachelor of Psychiatric Nursing Program: Learner resources manual (pp. 17). Langley, Canada: Kwantlen Polytechnic University.
Nursing theories are a framework of ideas that aim to describe, predict, and explain the nursing profession (current nursing.com, 2013). Theory not only provides a foundation to nursing practice but it also accumulates knowledge and helps direct the future of nursing (current nursing.com, 2013). Theory improves nursing practice by providing better patient outcomes, guidance for research and education, and promotes healthy communication between nurses and other healthcare professionals. Theory also enhances the professional status of nursing and is a driving force behind the increased education standards for nurses and the push for nurses to peruse an advanced degree in nursing such as a DNP (Doctorate of Nursing Practice). Obtaining a DNP (Doctorate of Nursing Practice) is the newest educational standards for advanced practice nurses. Advanced practice nurses are...