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
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)
Optional Resources (click to expand/reduce)
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?
Developing a philosophy of nursing practice requires a deep reflection on one’s experiences, beliefs, and expertise in the nursing field. As a registered nurse with a passion for holistic care and patient advocacy, my philosophy of nursing practice is rooted in the following principles:
Patient-Centered Care: I believe in treating each patient as a unique individual with their own set of values, beliefs, and preferences. By actively listening to patients and involving them in the decision-making process, I aim to promote autonomy and empower them to take control of their health.
Holistic Approach: I recognize the interconnectedness of the mind, body, and spirit in health and healing. Therefore, I strive to address the physical, emotional, social, and spiritual needs of patients to promote overall well-being.
Evidence-Based Practice: I am committed to providing care that is grounded in the best available evidence, coupled with my clinical expertise and the preferences of the patient. By staying abreast of the latest research and guidelines, I ensure that my practice is informed and up-to-date.
Collaboration: I believe in the importance of interdisciplinary collaboration to optimize patient outcomes. By working closely with other healthcare professionals, including physicians, therapists, and social workers, I can provide comprehensive care that addresses all aspects of the patient’s condition.
Advocacy: As a nurse, I serve as an advocate for my patients, ensuring that their voices are heard and their rights are respected. Whether it involves navigating the healthcare system, addressing barriers to care, or promoting health equity, I am committed to standing up for the needs of those under my care.
As I transition into the Doctor of Nursing Practice (DNP) program, I aim to expand my professional awareness in several key areas. Firstly, I seek to deepen my understanding of diversity and cultural competence in nursing practice. By embracing cultural humility and actively seeking to understand the diverse backgrounds and perspectives of my patients, I can provide more culturally sensitive and equitable care.
Secondly, I recognize the importance of global health in an increasingly interconnected world. Through coursework, clinical experiences, and engagement with global health initiatives, I hope to broaden my perspective and contribute to addressing healthcare disparities on a global scale.
Lastly, as a Walden student, I am committed to advocating for social change in healthcare. By leveraging my platform as a nurse and future DNP, I aim to address systemic issues such as healthcare access, health disparities, and social determinants of health. Whether through policy advocacy, community outreach, or research, I am dedicated to making a positive impact and driving meaningful change in the healthcare system.
In conclusion, my philosophy of nursing practice serves as a guiding framework that shapes my approach to patient care, collaboration, and advocacy. As I embark on the journey towards earning my DNP and fulfilling the Walden social change requirement, I am excited to expand my horizons, deepen my knowledge, and continue making a difference in the lives of those I serve.
With these thoughts in mind …
Week 1: Philosophy of Nursing Practice
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.
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**Philosophy of Nursing Practice**
As a registered nurse with over a decade of experience primarily in critical care settings, my philosophy of nursing practice has evolved through hands-on patient care, continuous learning, and a commitment to holistic care. My area of expertise lies in critical care nursing, where I have developed skills in managing complex patient conditions, making rapid clinical decisions, and providing compassionate care to individuals and families facing life-threatening illnesses.
My philosophy of nursing practice is shaped by several core beliefs:
**Holistic Care:** I firmly believe in treating each patient as a whole person, recognizing the interconnectedness of their physical, emotional, social, and spiritual needs. This holistic approach to care not only addresses the immediate medical concerns but also fosters healing and promotes overall well-being.
**Patient-Centered Approach:** I prioritize building therapeutic relationships with patients and their families based on trust, empathy, and mutual respect. By actively involving patients in their care plans and respecting their autonomy, I empower them to make informed decisions about their health.
**Evidence-Based Practice:** I am committed to providing care that is grounded in the best available evidence, combined with my clinical expertise and the unique preferences of each patient. By staying abreast of current research and guidelines, I ensure that my practice is informed and effective.
**Goals for Expanding Experience and Practice as a DNP:**
As I transition into the Doctor of Nursing Practice (DNP) program, I have several goals for expanding my experience and practice:
**Embrace of Diversity:** I aim to deepen my understanding of cultural competence and diversity in healthcare. By actively seeking out opportunities to engage with diverse patient populations and communities, I hope to enhance my ability to provide culturally sensitive and equitable care.
**Global Health Issues:** I recognize the importance of addressing global health disparities and promoting health equity on a global scale. Through coursework, research, and clinical experiences focused on global health, I aspire to contribute to efforts aimed at improving healthcare access and outcomes for underserved populations worldwide.
**Collaboration:** I seek to further develop my skills in interdisciplinary collaboration and leadership. By working closely with healthcare professionals from different disciplines, I aim to enhance the quality and coordination of care, ultimately improving patient outcomes.
**DNP Role as a Social Change Agent:**
The Doctor of Nursing Practice (DNP) role encompasses a responsibility to advocate for positive social change within the healthcare system. As a Walden DNP, I recognize the importance of leveraging my knowledge, skills, and platform to address systemic issues and promote health equity.
One way I will advocate for positive social change as a Walden DNP is by actively participating in policy advocacy efforts at the local, state, and national levels. For example, I may collaborate with professional nursing organizations to advocate for policies that improve access to healthcare services for marginalized communities, such as expanding Medicaid coverage or increasing funding for community health centers. Additionally, I may engage in grassroots advocacy initiatives, such as community organizing and coalition building, to address social determinants of health and promote health equity in underserved communities.
By actively engaging in policy advocacy as a Walden DNP, I can contribute to positive social change within the healthcare system, ultimately advancing the well-being of individuals and communities.
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.
**Response to Colleague 1:**
Thank you for sharing your philosophy of nursing practice. It’s evident that your commitment to holistic care and patient-centered approach aligns closely with my own beliefs. Your extensive experience in critical care nursing has undoubtedly shaped your perspective on providing comprehensive care to individuals facing life-threatening illnesses.
I appreciate your goals for expanding your experience and practice as a DNP, particularly your emphasis on embracing diversity and addressing global health issues. As someone who has also pursued opportunities to engage with diverse patient populations, I’ve found that cultural competence is essential for providing effective and equitable care. One suggestion for expanding your experience in this area is to seek out immersive cultural experiences, such as volunteering in underserved communities or participating in international healthcare missions. These experiences can deepen your understanding of cultural differences and help you tailor your care approach to meet the unique needs of diverse patients.
Regarding your advocacy for positive social change, I commend your commitment to policy advocacy efforts. One suggestion for enhancing your impact in this area is to build coalitions with other healthcare professionals, community organizations, and policymakers who share similar goals. By leveraging collective expertise and resources, you can amplify your advocacy efforts and enact meaningful change at both local and systemic levels.
Overall, I’m inspired by your dedication to holistic care, lifelong learning, and advocacy for social change. Keep up the excellent work, and I look forward to seeing the impact you’ll make as a Walden DNP.
**Response to Colleague 2:**
Thank you for sharing your philosophy of nursing practice. It’s fascinating to hear about your background and expertise in pediatric nursing, which differs from my own experience in critical care settings. Your emphasis on family-centered care and fostering partnerships with parents aligns with the unique challenges and dynamics of caring for pediatric patients and their families.
I appreciate your goals for expanding your experience and practice as a DNP, particularly your focus on collaboration and interdisciplinary teamwork. As someone who has worked closely with interdisciplinary teams in critical care settings, I’ve found that effective collaboration is essential for delivering comprehensive care and optimizing patient outcomes. One suggestion for expanding your experience in this area is to pursue interdisciplinary projects or initiatives during your DNP program. By collaborating with professionals from different disciplines, you can gain valuable insights, perspectives, and skills that will enhance your ability to work as part of a multidisciplinary team in pediatric healthcare settings.
Regarding your advocacy for positive social change, I commend your commitment to advocating for children’s health and well-being. One suggestion for enhancing your impact in this area is to leverage social media and digital platforms to raise awareness about pediatric health issues and advocate for policy changes. By sharing compelling stories, evidence-based research, and calls to action, you can engage a broader audience and mobilize support for initiatives aimed at improving children’s health outcomes.
Overall, I’m impressed by your passion for pediatric nursing and your dedication to advocating for positive social change. Keep up the fantastic work, and I look forward to seeing the difference you’ll make as a Walden DNP in pediatric healthcare.
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.
**Philosophy of Nursing Practice**
As a registered nurse with a background primarily in critical care settings, my philosophy of nursing practice is rooted in a commitment to holistic care, patient advocacy, and lifelong learning. Drawing upon my experiences, expertise, and beliefs, I have developed a framework that guides my approach to patient care, collaboration, and advocacy for positive social change.
**Holistic Care:** I believe in treating each patient as a unique individual with physical, emotional, social, and spiritual dimensions. By adopting a holistic approach to care, I aim to address the multifaceted needs of patients and promote their overall well-being. This involves actively listening to patients, involving them in the decision-making process, and tailoring care plans to align with their preferences and values.
**Patient Advocacy:** I serve as a steadfast advocate for my patients, ensuring that their voices are heard, their rights are respected, and their needs are met. This entails advocating for equitable access to healthcare services, navigating the complexities of the healthcare system on behalf of patients, and addressing barriers to care. By empowering patients to actively participate in their care and advocating for their best interests, I strive to promote autonomy, dignity, and empowerment.
**Evidence-Based Practice:** I am committed to providing care that is grounded in the best available evidence, coupled with my clinical expertise and the preferences of the patient. By staying abreast of current research, guidelines, and innovations in nursing practice, I ensure that my care is informed, effective, and responsive to the evolving needs of patients.
**Collaboration:** I recognize the importance of interdisciplinary collaboration in optimizing patient outcomes and fostering a culture of teamwork and mutual respect. By working closely with healthcare professionals from different disciplines, including physicians, therapists, and social workers, I can provide comprehensive care that addresses all aspects of the patient’s condition. This collaborative approach enhances communication, coordination, and continuity of care, ultimately leading to improved patient outcomes.
**Social Change Advocacy:** As a Walden DNP student, I am committed to fulfilling the university’s requirement to be a social change agent within the healthcare system. I recognize that promoting positive social change requires proactive engagement, advocacy, and leadership. Therefore, I pledge to use my platform as a nurse and future DNP to advocate for policies and initiatives that address systemic issues such as healthcare access, health disparities, and social determinants of health. Whether through policy advocacy, community outreach, or research, I am dedicated to making a meaningful impact and driving positive change in the healthcare system and beyond.
In conclusion, my philosophy of nursing practice reflects a commitment to holistic care, patient advocacy, evidence-based practice, collaboration, and social change advocacy. It serves as a guiding framework that informs my approach to patient care, professional development, and advocacy efforts as a DNP student and future advanced practice nurse.
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.
**Title: Philosophy of Nursing Practice: Holistic Care, Advocacy, and Social Change**
**Introduction**
In nursing practice, developing a personal philosophy serves as a foundational framework that guides decision-making, shapes professional identity, and influences patient care outcomes. This paper presents my philosophy of nursing practice, which emphasizes holistic care, patient advocacy, evidence-based practice, collaboration, and social change advocacy. Drawing upon my experiences as a registered nurse and my aspirations as a Doctor of Nursing Practice (DNP) student, I will discuss how my philosophy accommodates expanded awareness of practice issues and reflects advocacy for social change. Additionally, I will identify middle-range nursing theories and interdisciplinary theories that support and inform my philosophy.
**Philosophy Statement**
My philosophy of nursing practice is centered on providing holistic care that addresses the physical, emotional, social, and spiritual needs of patients. I believe in treating each patient as a unique individual deserving of respect, compassion, and dignity. As a nurse, I am committed to advocating for patients’ rights, promoting health equity, and addressing social determinants of health. My practice is guided by evidence-based principles, collaborative teamwork, and a dedication to continuous learning and professional development.
**Accommodating Expanded Awareness as a DNP**
As a DNP student, I recognize the importance of expanding my awareness of practice issues beyond the bedside. This includes embracing diversity, addressing global health disparities, and advocating for policy changes that promote health equity. My philosophy accommodates this expanded awareness by emphasizing the importance of cultural competence, social justice, and advocacy for vulnerable populations. By incorporating these principles into my practice, I can better serve the diverse needs of patients and contribute to positive social change on a broader scale.
**Advocacy for Social Change as a DNP**
As a DNP student, I am committed to fulfilling the role of a social change agent within the healthcare system. My philosophy of nursing practice reflects this commitment by prioritizing advocacy for positive social change. This involves actively engaging in policy advocacy, community outreach, and research initiatives aimed at addressing systemic issues such as healthcare access, health disparities, and social determinants of health. By leveraging my expertise and platform as a nurse and future DNP, I strive to make a meaningful impact and drive positive change in the healthcare system and beyond.
**Middle-Range Nursing Theories**
Two middle-range nursing theories that support my philosophy of nursing practice are:
**Hildegard Peplau’s Theory of Interpersonal Relations:** Peplau’s theory emphasizes the importance of therapeutic interpersonal relationships in nursing practice. By focusing on the nurse-patient relationship as a vehicle for healing and growth, this theory aligns with my belief in patient-centered care and advocacy. For example, building trusting relationships with patients allows me to better understand their needs, preferences, and concerns, ultimately leading to improved outcomes.
**Katharine Kolcaba’s Theory of Comfort:** Kolcaba’s theory highlights the significance of addressing patients’ comfort needs to promote healing and well-being. This theory resonates with my holistic approach to care, which prioritizes the physical, emotional, and psychological comfort of patients. By integrating comfort measures into my practice, such as pain management, relaxation techniques, and emotional support, I can enhance patients’ overall comfort and quality of life.
**Interdisciplinary Theories**
One interdisciplinary theory that informs my philosophy of nursing practice is:
**Systems Theory:** Systems theory provides a framework for understanding the interconnectedness of various components within a healthcare system. By viewing healthcare delivery as a complex system comprised of interconnected parts, including patients, healthcare providers, organizations, and communities, this theory underscores the importance of collaboration, communication, and coordination in achieving optimal outcomes. For example, recognizing the interdependence of healthcare professionals and departments within a hospital setting reinforces the need for interdisciplinary teamwork to provide comprehensive care and address the diverse needs of patients.
**Conclusion**
In conclusion, my philosophy of nursing practice is rooted in holistic care, patient advocacy, evidence-based practice, collaboration, and social change advocacy. As a DNP student, I am committed to expanding my awareness of practice issues, advocating for positive social change, and integrating middle-range nursing theories and interdisciplinary theories into my practice. By embracing these principles and theories, I aim to enhance the quality of care, promote health equity, and drive positive change in the healthcare system.
No Assignment submission required for this week.
Submit your Assignment by Day 7 of Week 3.
Week 1: Philosophy of Nursing Practice
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.
Week 1: Philosophy of Nursing Practice
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