Professional Nursing Philosophy Essay

Introduction After seventeen years in the nursing profession I realize each day is a learning experience. As my experiences evolve so do some of my beliefs and values. However, I believe nursing at its core has fundamentals that are unwavering. The essence of nursing: Caring, empathy, honesty, trust, communication, and respect have transcended all theories. What follows will be a discussion of how I was called to nursing and my vision for my future in the nursing profession. I will also discuss my beliefs and values and how they relate to patients, families, and health care providers. Choice of Nursing I was called to nursing. I always had a desire to care for others, to comfort, and to listen. As a child I spent summers with my grandmother who was also a nurse. I would watch her show honor in the way she wore her uniform. Before she left for work she made sure her uniform was clean and pressed. She proudly wore her nursing cap. I was able to visit the patients as she made her rounds. As I observed her care I witnessed the understanding, the compassion, and the commitment of a professional nurse. To my surprise and from my experiences my grandmother planted a seed of a nurse’s integrity, honor and loyalty to the care of others. When I was sixteen years old and in the tenth grade I became pregnant. I dropped out of high school but was determined not to be a statistic. Before my daughter was born I completed my GED and three months after her birth I start taking  classes at the community college. I knew I had more to offer. I had always been an active part of the community a nd had an interest in helping others. The career counselor at the community college suggested that I attend nursing school. My grandmother agreed and informed me of a nursing rule. A nurse cannot leave the profession until she finds another nurse to take her place. Five years, two children and one divorce later I finished nursing school. I truly believe it was a calling or I never would have finished. Nursing continues to call me seventeen years later. It calls me to learn more, to do better, and to encourage others. Nursing has now called me back to further my education and obtain my BSN and MSN in the next phase of my career. Essence of Nursing The core of nursing should be more than a career or a means to monetary gain. Nursing at its core is caring, empathy, honesty, trust, communication and respect. I believe the fundamental core of nursing is caring. If you cannot give of yourself to others you are missing the essence of nursing. â€Å"In 2003 the ANA stated that an essential feature of professional nursing is the provision of a caring relationship that facilitates health and healing† (as cited in Meyer & Lavin, 2005, para. 1). Another fundamental core of nursing is respect. The nurse must have respect for the patient and their beliefs. Without this basic respect there will remain a lack of trust on the patient’s part to divulge necessary information that can facilitate their recovery. Listening encompasses both verbal and nonverbal communication between the patient and nurse. Developing a relationship based on trust helps foster communication between the patient and nurse. Listening helps identify issues that can hinder the accomplishment of goals that have been set for the patient’s recovery. Jean Watson’s Caring Theory is comprised of ten carative factors that can foster a caring relationship between the patient and the nurse. According to Chantal Cara (A Pragmatic View, Introduction, para. 2) â€Å"upholding Watson’s caring theory not only allows the nurse to practice the art of caring, to provide compassion to ease patients’ and families’ suffering, and to promote their healing and dignity but it can also contribute to expand the nurse’s own actualization†. The politics of nursing can adversely affect the core of nursing. Hospital  politics can affect the lives of patients, families, staff, and the community at large. Hospital politics affect intra-departmental relationships and staffing ratios. The quality of the relationships and communication skills can affect the perception of the hospital as a whole. Witnessing negative relationships and poor communication skills may cause the community, patients, families, and other staff to feel nursing is unqualified or uncaring. These perceptions once perpetuated are difficult to change. Beliefs and Values I believe patients have the right to decide what happens to their bodies; however, many are still under informed due to lack of education. In Texas, a large number of first generation Mexican immigrants have not been afforded a complete education in their home country. Although educational opportunities are improving census data indicated that Mexican â€Å"males got 8.8 years of education in 2010 while females got 8.5 years† (2010 Census data, 2011, para. 1). However, in some indigenous areas of Mexico the education level is as low as 2.5 years (2010 Census data, 2011, para. 4). â€Å"To improve informed consent comprehension, federal agencies such as the FDA, Office for Human Research Protection, and National Cancer Institute (NCI) recommend 6th to 8th grade reading level consent forms† (Hochhauser, 2007). There is a disparity in the recommendation of these agencies and the consents they produce for their own clients. Hochhauser stated,† agencies should follow t heir own advice †¦ but five NCI documents averaged a grade 14 reading level†. Families share an important role in health promotion and decision making. A patient’s cultural beliefs and values can greatly affect the family’s perception of the health care system and the individual roles family members assume in a time of illness. In the Gypsy culture hospitals are feared and avoided whenever possible. â€Å"Most Gypsies will go to a hospital only if they are in serious danger of dying or if they view the situation as a crisis† (Sutherland, 1992, p.278). â€Å"For Gypsies, illness is not just the concern of the individual, it is a problem of broader social importance. Families coming together when someone is ill is one of the strongest values in Gypsy culture† (Sutherland, 1992, p.277). Hispanic immigrants may be reluctant to  seek medical attention because of their immigrant status. â€Å"They may be afraid of the clinical staff and may consider them members of a government agency such as INS† (Poma, 1983, p. 945). Among Hisp anics, the support provided by the extended family is very important. In 1986 Reinert stated â€Å"important decisions are made by the entire family. Family decisions may supersede decisions made by the health care provider† (as cited in Gordon, 1994, pp. 309-310). I believe health care providers have become overly specialized and no longer treat patients holistically. The movement toward Advance Practice Nurses as primary health care providers will alleviate this problem and the patient will be treated in a more holistic approach. Many nurses begin their professions as staff nurses in the hospital setting. Following Watson’s carative theory we strive to help the patient meet their physical, emotional, and spiritual needs. â€Å"The nurse guided by Watson’s work has responsibility for creating and maintain an environment supporting human caring while recognizing and providing for patients’ primary human requirements† (Chitty & Black, 2007). As I reviewed my own health I realized I was not a good steward for the nursing profession. I have educated my patients about diet modification and exercise regimens. I have advised them to keep regular doctor appointments and receive annual physicals. I was not following my own advice. I began to account for my nutritional intake and workout every morning before work. I received an annual physical to assess my lab values and discuss with my health care provider a plan of care. I believe as a nurse I should be my best and I am willing to except whatever my best is at forty-one years old. Vision for the Future My goal is to complete my BSN by the end of 2013. I am a staff nurse in PACU within the Perioperative Services Department of our hospital. My responsibilities include direct patient care, relief charge, staffing, and conflict resolution. Within two years, I plan to receive certification in my specialty through ASPAN and pursuing my MSN degree. My hospital is growing and the Perioperative Services Department is under expansion and will double in size and patient capacity over the next three years. In my profession I see potential for growth that will include my future goals. I love to precept new nurses and students, encourage others, monitor quality indicators, and formulate policies and procedures. Within five years, I would like to have completed my MSN degree as a Clinical Nurse Leader and working in a permanent preceptor position for Perioperative Services. In ten years I hope to have found my niche in my profession. I would like to be molding the future of nursing even if it is one nurse at a time. I plan on working as a nurse as long as my body allows. Summary My strengths are my determination, ability to adapt to changing situations easily, love of learning and organizational skills. The support I have received from family and friends has been paramount in allowing me to succeed in my endeavors. The support and encouragement I have received from my peers has heightened my determination to complete my degree. Stress will be the greatest limiting factor in attaining my goals. Balancing school, work, family, and friends is always a challenge. It will be important for me to prioritize my activities and manage my time wisely over the coming year. I look forward to these challenges as I pursue my BSN degree. References 2010 Census data show a significant improvement in Mexican education. (2011). Retrieved November 16, 2012, from http://geo-mexico.com/?p=4048 Cara, C. A pragmatic view of Jean Watson’s caring theory [PDF document]. Retrieved November 15, 2012 from Lecture Notes Online Web site: http://www.humancaring.org/conted/Pragmatic%20View.pdf Chitty, K.K., & Black, B.P. (Eds.). (2007). Chapter 13: Nursing theory: The basis for professional nursing. Professional Nursing: Concepts and Challenges (pp.328-348). Philadelphia: Elsevier. Gordon, S.M. (1994). Hispanic cultural beliefs and folk remedies. Journal of Holistic Nursing. 12(3), 307-322. doi:10.1177/089801019401200308 Hochhauser, M. (2007). Consent forms: No easy read. Applied Clinical Trials, 16(5), 74. Retrieved November 17, 2012 from http://libproxy.uta.edu:5745/ehost/pdfviewer/pdfviewer?sid=dd795158-f393-4eb8-b67b-8a1cc3b595fd%40sessionmgr104&vid=4&hid=121 Meyer, G., & Lavin, M.A. (2005). Vigilance: The essence of nursing. OJIN: The Online Journal of Issues in Nursing, 10(1). doi:10.3912/OJIN.Vol10No03PPT01 Poma, P.A. (1983). Hispanic cultural influences on medical practice. Journal of The National Medical Association. 75(10), 941-946. Retrieved November 17, 2012 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2561612/pdf/jnma00233-0029.pdf Sutherland, A. (1992, Sept.) Cross-cultural medicine: Gypsies and health care. The Western Journal of Medicine. 157(3), 276-280. Retrieved November 17, 2012 from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1011276/pdf/westjmed00085-0066.pdf

The Matrix and how it relates to philosophical issues raised with Essay

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Migration, Immigration, and Emigration, and their Effects on Religion, Women, and Minorities in the Developing World - Research Paper Example The Paper Egypt serves as one of the most influential and prosperous countries of the entire African continent. Her splendid geographical position, magnificent historical background, rich cultural heritage, sound economic structure and imperative political role in the strategic affairs of the region have earned a distinguished and respectable place for her in the international arena. Being a commercial hub and a significant trade junction, people arrive here from all parts of the continent in order to establish their business and get involved into the activities related to trade and commerce on the one hand, and in search of job and employment on the other. The most important aspect of the country is her geographical location, as Egypt is situated at the junction of three continents including Asia, Europe and Africa. At one side, she appears to be the leader of Africa community, and on the other side, Egypt looks engaged in presenting the case of the Middle East problems. Similarly, she also represents the Islamic world at different occasions, which proves her significance as the representative of several most important regional, religious and political communities of the world. It is therefore, the Egyptian people have developed social and commercial ties with the Asian and European traders, corporate firms and companies. â€Å"Occupying a focal geographic bridge linking Africa and Asia, contemporary Egypt is the inheritor of a civilization dating back more than 6,000 years. Egypt’s strategic location has made it the object of numerous conquests: by the Ptolemies, Romans, Greeks, Arabs, Fatimids, Mamluks, Ottomans, and Napoleon Bonaparte. (Platan & Teal, 2001:1) Though, divergent invaders entered Egypt and subjugated her population by capturing the land, wealth and resources of this ancient civilization, yet the country maintained its identity and distinction as the independent state of the world. It is mistakenly viewed that several ethno-racial group s live in Egypt; however, an overwhelming majority of the masses is Egyptian by race. Egypt has not been famous in history for his magnificent emperors and pharaohs of ancient eras only; rather, the architecture of ancient Egypt also makes it a remarkable society of ancient world. The Egyptian pyramids are included in the Seven Wonders existing on the face of the earth. Besides, her strong economy and established infrastructure have also turned the country an attractive place particularly for the people, belonging to southern, central and western parts of the continent, who arrive Egypt in the same manner as the masses from developed Middle East and Far Eastern countries proceed to Europe in search of superior living standard and career jobs as well. Thus, Egypt is one of the most migrated countries of Africa, where perhaps few countries including South Africa, Nigeria and others surpass her in the area of migration into the country. However, the Egyptians have developed popular tre nd of immigration to the southern Europe and the Middle East states particularly Brunei and the UAE. Actually, immigration to Egypt has religious background too, where in ancient time Prophet Joseph was forced to migrate as a child by his brothers, who had thrown him into a well. However, the entire House