Theoretical and Scientific Foundation

Full Answer Section

This philosophy intersects with the four nursing domains in the following ways:

• Person: I view the "person" holistically, encompassing their physical, emotional, social, and spiritual dimensions. My approach is patient-centered, recognizing the individual's unique needs, values, and experiences. For example, when caring for a patient with diabetes, I not only focus on managing their blood sugar but also explore their lifestyle, cultural beliefs, and support system to develop a comprehensive care plan.
• Environment: I understand that the "environment" plays a crucial role in health and well-being. This includes the physical environment (e.g., access to clean air and water), the social environment (e.g., social support, community resources), and the political environment (e.g., healthcare policies). I believe nurses have a responsibility to advocate for healthy environments and address social determinants of health. For instance, if a patient is struggling to afford their medication, I would connect them with resources and advocate for policies that improve access to affordable healthcare.
• Health: I define "health" as a state of complete physical, mental, and social well-being, not merely the absence of disease or infirmity (WHO, 1948). My focus is on promoting health and preventing illness, as well as providing compassionate care to those who are ill. I believe patient education and empowerment are essential components of promoting health. For example, I would educate patients about healthy lifestyle choices and encourage them to take an active role in managing their health.  
• Nursing: I see "nursing" as both an art and a science. It requires critical thinking, clinical skills, and a deep understanding of human behavior and health. It also demands empathy, compassion, and a commitment to ethical practice. I believe nurses are uniquely positioned to bridge the gap between healthcare systems and the communities they serve. For instance, I can use my knowledge and skills to provide culturally competent care and advocate for policies that address health disparities.

My personal philosophy strongly aligns with Walden’s mission of social change. Walden's emphasis on creating positive social change resonates with my belief that nurses have a responsibility to address social injustices and improve the health and well-being of vulnerable populations. I am committed to using my nursing skills and knowledge to advocate for health equity and reduce health disparities. This commitment is further reinforced by the Social Determinants of Health (SDOH) framework, which recognizes the interconnectedness of social, economic, and environmental factors in shaping health outcomes. I believe nurses must address SDOH to truly improve population health. For example, recognizing that a patient's food insecurity impacts their ability to manage their diabetes, I would connect them with local food banks and advocate for policies that address food access.

Two middle-range nursing theories that support my philosophy are:

• Watson's Theory of Human Caring: This theory emphasizes the importance of caring as the central focus of nursing. It resonates with my belief in the inherent worth of every individual and my commitment to providing compassionate care. Watson's theory highlights the transpersonal caring relationship between the nurse and the patient, which I believe is essential for healing and well-being. For example, I would create a caring environment where patients feel safe, respected, and heard, allowing for a deeper connection and understanding of their needs.
• Orem's Self-Care Deficit Nursing Theory: This theory focuses on the individual's ability to care for themselves. It aligns with my belief in patient empowerment and education. Orem's theory suggests that nurses should assess the patient's self-care abilities and provide support and education to help them meet their self-care needs. For example, I would assess a patient's understanding of their medication regimen and provide tailored education to enhance their ability to manage their condition independently.

Two interdisciplinary theories that further support my philosophy are:

• Social Cognitive Theory: This theory emphasizes the role of cognitive, behavioral, and environmental factors in shaping human behavior. It supports my understanding of the complex interplay of factors that influence health and well-being. For example, I can use this theory to develop interventions that address both individual behaviors and environmental barriers to health.
• Systems Theory: This theory views individuals as part of larger systems, such as families, communities, and healthcare organizations. It reinforces my belief that nurses must consider the broader context in which individuals live and work to effectively promote health and well-being. For example, I can use systems theory to analyze the impact of healthcare policies on access to care and advocate for changes that improve the system for all.

My goals for expanding my awareness of issues beyond my current practice include continued learning about SDOH, engaging in community health initiatives, and advocating for policies that promote health equity. I plan to actively seek opportunities to collaborate with interprofessional teams and community organizations to address health disparities and create positive social change. I believe that by integrating my personal philosophy with these theoretical frameworks and a commitment to social justice, I can make a meaningful contribution to the nursing profession and the communities I serve.

Sample Answer

My Personal Philosophy of Nursing Practice

My personal philosophy of nursing practice is grounded in the belief that nursing is more than just a profession; it's a calling to serve humanity with compassion, integrity, and a commitment to social justice. It's about recognizing the inherent worth of every individual and advocating for their well-being, regardless of their background or circumstances. This philosophy has been shaped by my [briefly describe your professional experiences – e.g., years as an RN, specific patient populations you've worked with, any leadership roles]. My areas of interest and expertise lie in [mention your specific areas, e.g., critical care, community health, women's health], and I am particularly passionate about [mention specific areas of interest within your expertise, e.g., health equity, patient education, chronic disease management]