Nursing Philosophy

The purpose of this paper is to develop a nursing philosophy that includes ideal about the person, the environment, health and illness, and the nurse. ANA and JCAHO standards are also included in the discussion. The nursing philosophy is applied to women's health nursing.

A combination of several existing nurse models to include Orem's, Pender's, and Newman's models, was used to develop the current nursing philosophy and model. These theories are combined to develop a holistic women's health nursing philosophy that includes a self-care development system that is based on the perceptions of the client, with a focus on the person, environment, health/illness, and the nurse. Nurses must diagnose the patient with a thorough assessment that addresses all variables to include self-care strengths and deficits, all perceptions of the client, and all other factors. For example, five person variables (physiological, psychological, sociocultural, spiritual, and developmental) must be assessed along with environmental factors, health and wellness or illness factors, and nurse factors.

Orem's theory was used to develop the self-care component of this nursing philosophy and model. For this model, as with Orem, self-care is what is required to sustain and enhance a patient's health and their life (Orem, 1971). The nurse must strive to help the patient become competent in self-care. Methods to help increase this se

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iors which promote health (Pender, 2002; Pender, Murdaugh, & Parsons, 2002). Neuman's System Model was used to develop the patient, environment, health/illness, and nurse interactions part of this nursing philosophy and model. As with Neuman, this model includes the assessment of all factors that are involved and the integration of all aspects of a problem (Fitzpatrick & Whall, 2005). The model presents with concepts such as person, environment, health, and the nurse role in patient care. As with Neuman's model, the current philosophy also includes five person variables or subsystems in each layer, the physical and physiological, the psychological, the socio-cultural, the developmental, and the spiritual (Fitzpatrick & Whall, 2005). As with the Neuman's model, the person maybe an individual, or it may also be a family, a group, or a community. The environment includes the internal and external forces that surround the person (Fitzpatrick & Whall, 2005). The person interacts with these forces at any given moment. Health and wellness take place when all parts and subparts of the client are in harmony. Constant interaction with the environment leads to ongoing changes in wellness (Fitzpatrick & Whall, 2005). Applicatio

Category: Medical - N