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Essay on self reflection in nursing
Nursing and self-reflection
Importance of reflection throughout my nurse training
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Health as Expanded Consciousness
In this final paper, I propose to meticulously evaluate Newman’s theory of Health as Expanding Consciousness (HEC). This process will be completed by utilizing the literature available on Newman’s theory, and the guide expressed in Parker and Smith’s (2015) chapter A guide for the study of nursing theories of practice. I will demonstrate how this theory has influenced my personal life, my life as a student, and my nursing practice, and I will also include examples from my life to further validate this. It is my conviction that using HEC enhances the nursing role from merely being a person who completes tasks in a timely manner, to one with a more self-regulating practice.
Understanding the HEC Theory
Dr. Newman
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As a nurse we must recognize that we “cannot isolate, manipulate, and control variables to understand the whole of a phenomenon” (Newman, 2015, p. 283). In my role as a nurse, it is imperative that I realize that all of the patient’s experiences, and patterns will determine how they respond to an illness. For example, if a patient who has relatively no medical history, is diagnosed with bowel cancer, his response will be quite different than someone who has a past history of cancer. The latter person will be equipped with insight into what to expect through his past involvements during the course of his illness or disease. The first patient will require further information, and time to understand the diagnosis. He will have many questions, and will require more support to fully comprehend what is happening in his environment and to himself. The focus of HEC theory in nursing practice is to develop the ability to identify patterns, and to become authentically connected to the patients. The nurse through, “pattern recognition, finds meaning, and accelerates the evolution of her consciousness” (Newman, 1997, p. 23). If your intent is to follow the HEC theory in your nursing practice, you need to reflect, and become purposely present for your patient. This process will increase your ability to enhance your consciousness and awareness, and the adeptness to focus on …show more content…
After learning Newman’s HEC theory I realized that I had been taught to focus on the disease and treatment during my earlier education and training. Although subconsciously I was already practicing the awareness that “simply having a disease does not make a person unhealthy” (Newman, 2015, p. 280). As previously mentioned, my son has Cerebral Palsy, Lennox Gastaut Seizure Disorder, Asthma, and is Deafblind but I would not identify him as unhealthy. Barring an acute flare up or episode of his diseases, his health is excellent. This realization has proven to me and to our family that he is obtaining quality of life through our extensive planning of his days and providing good care for him. Researching and learning about HEC theory has enlightened me as a mother, student and nurse. As a mother, I am more aware and concentrate on expanding my consciousness. I am learning to visualize the person-environment interaction with my son. As a nurse I am expanding my knowledge in this theory, and opening myself up to the process. Throughout each assessment, I prepare myself through self-reflection to ensure that I am present for my patient. My awareness and enhancement of consciousness allows me to recognize the patterns of a patient’s life. It has enriched my nursing practice and given my work and home life a sharper, more distinct focus. I am more aware of the patterns, and can now sense when my patient
Nursing is the core of care. The essential is not communication via words or language, but care that is imparted by sincere interest is interdenominational and transcends culture, language, and treatments. Relational consciousness is a significant component of a compassionate nursing practice. Doane, & Varcoe, (2015) state that relational awareness encompasses recognition that individuals are situated and constituted through cultural, interpersonal, social, political and emotional processes. Operating from the center of which we are, with insight and awareness is essential to phenomenological nursing practice. I will be exploring my personal values and beliefs
During my career as a registered nurse I have had the privilege of caring for my patients at the bedside and meeting their needs holistically. Additionally, the safety of my patients is one of the most important aspects of my current role. The experience of advocating for my patients during my nursing career has taught me to place my patient’s health and wellbeing first. The second most important aspect of nursing that I have learned during my career is how to meet my patient’s needs as a whole, not just physically but also emotionally and psychologically applying the holistic approach to each patient. I believe that the patient’s needs
Although many stipulations and expectations of the nursing profession are predetermined through regulatory authorities and organizations, there is a deeper meaning to this profession and the care that it provides. For decades, nursing theorists have had an impact on the care that this profession delivers; however, it is also important for every practicing nurse to explore themselves and their personal thoughts and feelings on the profession they have chosen. As a nurse, I have been able to search myself and determine what nursing means to me and apply it in my daily interactions with my coworkers, patients, families, and the community in which I serve. The nursing metaparadigm serves as a framework on discovering and exploring these thoughts and values as it introduces four concepts: nursing, health, person, and environment. Nursing care is a delicate and integral balance of various components within these concepts. Nurses provide care to others during some of the most difficult times of life. Because of this, it is imperative to understand the meaning and application of these concepts and be able to apply that knowledge to the care we provide as a profession. As a nurse, it is important to realize that the care we provide is an extension of what we learn from textbooks; nursing care encompasses an understanding and acceptance of others as well as a continual willingness to help and improve society.
Nursing is a profession with different categories of nurses who provide nursing care. Nursing is also explained as interpersonal in nature, which means that it exists through interaction between human beings (Me llish & Paton, 1994:4). This definition means that nursing can only exist through interaction. The nurse interacts with his/her patients – for example when taking a nursing history from patients – and with other health team members as they give report to each other when they change shifts. The nurse should possess knowledge and skills to ensure attainment
“Touch and personal interactions with patients are the hallmarks of our nursing practice” (Green 2013,p.253).
This paper is a first attempt at forming and articulating my own philosophy of nursing.
Throughout this philosophy paper, I have explored what nursing is based on my personal values and beliefs as it relates to the body of work in nursing. I value the importance of holistic nursing and the care of patients being individualized for them and their family. Also, effectively collaborating among health care professionals to ensure quality care for patients. Additionally, the importance of health promotion as one of the main roles of nurses is being a teacher, since promoting health prevents illness and increases the level of health in clients. These principles will serve as a guide for my personal standards of nursing practice.
When I became a nurse, in my heart, I knew that I was a caring person; however, I did not have a caring theory driving my practice. After studying Watson’s Human Caring Science Theory, the theory is consistent with my values, which emphasizes a holistic approach with mind, body, and spirit through a caring nurse patient relationship in an environment that promotes healing, comfort, and dignity. Human Caring Science gives the privilege of viewing human life with wonder, respect, and appreciates small and large miracles, which allows the inner world of the patient and nurse to come together in a unique human relationship, in the here and now moment (Watson, 2012, p. 24).
When a nurse is providing patient care, he/she creates a safe environment for the patient and enables the choice to establish a relationship on a human to human interaction or on a transpersonal level. The patient will be acknowledged as a person with the wholeness of their soul despite their illness or number on the bed. The ten carative factors in this theory are used as an education tool for nurses around the world and should be applied to the different care situations in practice. Nurses use the factors to promote growth in themselves and within the patient. A nurse should respect the patient’s decisions and take the time to fully be present in the moments with the patient. A lot of nurses complain about the time limitations they have and do not provide the necessary amount of time to listen and gather the patient’s perspective of the situation. Another way this theory can be applied to practice is by recognizing the caring moment between you and the patient. This will determine how the relationship will
Participant 4 stated, “I think just basically being there for the family as well…I think even just a cup of tea can go a long way with any family (McCallum & McConigley, 2013). Another theory that intertwines with Watson’s is Barbara Dossey’s Theory of Integral Nursing. Dossey articulates, “Healing is not predictable, it is not synonymous with curing but the potential for healing is always present even until one’s last breath,” (Parker and Smith, 2015, p. 212). Dossey believes that integral nursing is a comprehensive way to organize different situations in fours perspectives (nurse, health, person and environment) of reality with the nurse as an instrument in the healing process by bringing his or her whole self into a relationship with another whole self. In the HDU, the RN’s interacted with each patient while providing high quality care to create a healing environment for the patient and family even when their prognosis was otherwise. Patient 3 specified that “We still have to provide care...and make the family feel that they are comfortable and looked after” (McCallum & McConigley, 2013). These theories ultimately show the importance of a nurse through the aspects of caring to create and maintain a healing environment that is not only beneficial to the patient but to their loved ones as
Virginia Henderson developed the nursing need theory, which focuses on increasing the patient’s independence to speed up the recovery process (Alligood and Tomey, 2009). This is where my theory begins to connect with hers. Our main duty as nurses is to provide care for the patient while they are unable to care for themselves and facilitate them to be the best individual they can be. For this reason nursing is both a science and an art. It is a science in that nurses must understand the disease processes that are affecting the patient’s health, they must also practice based on evidence that is defended by science, and know how to operate equipment and machines. However, it is an art because it requires unique care for each patient, and each nurse is going to provide care in a slightly different way. The nurse is responsible for following the health care providers plan of care, but the nurse provides the creativity that provides the individualized care. The ultimate goal of nursing is to provide care to facilitate the patient in retaining or maintaining their maximal level of
The human becoming theory posits quality of life from each person's own perspective as the goal of nursing practice. It is a human science theory that views individuals as an open, unitary and free-willed beings that co-creates their health and interact with their environments. The human becoming theory views nursing as a basic science with a unique knowledge base. Parse defined unitary as the indivisible, unpredictable and ever-changing part of human that makes choices while living a paradoxical pattern of becoming in mutual process with the universe (Parse, 2004). Health is living one’s own chosen values; it is the quality of life experienced and described by the person and it cannot be given, guarded, manipulated, judged or diagnosed. It is a process of becoming that is unfolding and cannot be prescribed or described by societal norms but by the individual living t...
After completing registered nursing school in 2006, a few years later, I obtained a bachelor’s of Science in Nursing in 2016. Over the last 10 years, I have tried to look for inefficient procedures, finds ways to streamline them, and consistently have striven to boost the productivity of everyone around me. Working as a nursing supervisor an area hospital for the last 3 years, I have tried to promote healthy patient outcomes. I understand the need for procedures but I also try to maximized the time spent educating the patients and family. By allowing time for good explanations to both the patient and family development of an understanding their disease process can occur. This empowers them to make informed decisions and promote health improvements. Throughout my career in nursing, I have tried to successfully communicate and partner with other members in
Many persons go into the healthcare ground because they want to work with people. For these nurses, it is the nurse-patient relationship that is one of the most significant things. By understanding the nurse-patient relationship, nurses can be better furnished to work with their patients and, eventually, deliver superior care for them. Hildegard Peplau's model of nursing emphases on that nurse-patient relationship and recognizes the diverse roles nurses take on when working with patients.
My career of nursing is like the cyclical pattern of life, as time passes and situations are experienced, one is shaped into a certain individual/professional, ending up in places that never seemed to be part of life’s plan. Personally, the challenges and triumphs of providing patient centered care to help others live a healthier life, and aiming to prevent illness, is rewarding and quite humbling. As I continue to learn about opportunities to provide individualized care to patients and their families, I further understand the imperativeness of the “whole person,” which is a critical skill of a nurse practitioner. As a skilled clinician, progressing in my career as an aspiring family nurse practitioner in the Stony Brook University School of Nursing, I will impact my patients by providing them comprehensive care that will result in improved quality of life.