Personal Worldview and Nursing Theory Influence on Current and Future Practice of an Advanced Practice Nurse Essay

Being able to articulate your personal worldview can help you formulate a personal philosophy of practice and enhance your influence on patients and the industry. In this assignment, you will have an opportunity to reflect on your current and future practice, and the ways worldview and nursing theory influence that practice. Draft a 1,000-1,250 word paper in which you: Describe your personal worldview, including the religious, spiritual, and cultural elements that you think most influence your personal philosophy of practice and attitude towards patient care. Personal Worldview and Nursing Theory Influence on Current and Future Practice of an Advanced Practice Nurse Essay. Choose a specific nursing theory that is most in line with your personal philosophy of practice and approach to patient care and discuss the similarities. Explain how the nursing theory reinforces your approach to care. Include in your explanation a specific example of a past or current practice and how your worldview and the nursing theory could assist you in resolving this issue. Personal Worldview and Nursing Theory Influence on Current and Future Practice of an Advanced Practice Nurse Essay. Finally, explain how your worldview and the nursing theory will assist you in further developing your future practice. You are required to cite five to 10 sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

Nursing as a professional discipline enables the nurse to encounter people from diverse cultural backgrounds. These are patients and their relatives who also hold divergent opinions, beliefs, and convictions about health and illness. The advanced practice nurse is a specialist who is educated and trained in the assessment, management, and follow-up of patients from a particular population focus. As a specialist, the APRN follows strict standards of practice and uses evidence-based practice to restore health and promote wellness. However, there will be times when their professional philosophy and worldview is challenged by or clashes with that of a patient or their next of kin. Such a situation calls for cultural sensitivity and competence in order for the APRN to be able to impartially assist the patient to return to health and wellness without necessarily offending them. This paper is about an APRN’s personal worldview and how this influences their philosophy of practice and patient care attitudes. It also discusses the similarities that exist between their worldview and a nursing theory that is most in line with their personal perspective. Personal Worldview and Nursing Theory Influence on Current and Future Practice of an Advanced Practice Nurse Essay.

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A Personal Worldview that Most Influences Personal Philosophy of Care and Practice

My personal worldview as a healthcare professional is a theist worldview. To be specific, it is the Christian worldview or perspective (Reimer‐Kirkham, 2019; Summit Ministries, 2019). This is the worldview that most influences my personal philosophy of and attitudes towards patient care. It also influences my personal philosophy of practice as an advanced practice registered nurse (APRN). To begin with, I subscribe to this worldview because I believe that there is a higher deity or God who has power over disease and illness. This belief is not contradictory to my calling as a nurse, as one may ask why I treat patients if the deity is able to heal just by believing. The explanation is that the Christian worldview I hold is cognizant and appreciative of medical science as a tool to help humanity. It recognizes that healthcare workers (physicians and nurses) just treat but have absolutely no power to heal. This power rests with God who is all-powerful (omnipotent), all-present or omniscient, and forgiving. This is the religious aspect of my Christian worldview (De la Cruz & Robinson, 2017). Spiritually, I believe that if the patient believes in God their body will react positively and receptively to medications and other measures that will then enable them to be cured or healed. Culturally, my personal worldview teaches me to “love my neighbor as I love myself”. For this reason, I have the philosophy of respecting each and every culture that a patient may present with. I see all my patients as the proverbial ‘neighbor’ in biblical teachings. This worldview in its three facets (religious, cultural, and spiritual) therefore influences how I view my APRN practice and patient care. Personal Worldview and Nursing Theory Influence on Current and Future Practice of an Advanced Practice Nurse Essay.

Nursing Theory Most In Line with My Personal Philosophy and Approach to Patient Care

The nursing theory that I find most in line with and complementary to my personal philosophy is the Transcultural Nursing Theory or TCN put forward by the nursing theorist Madeleine Leininger (McFarland & Wehbe-Alamah, 2019; Sagar & Sagar, 2018; Sagar, 2015). According to this nursing theory, nurses are supposed to be able to work anywhere in the world regardless of the culture of the community in which they will be working. In other words, there is nothing like cultural shock for a nurse. A nurse is expected, according to this theory, to be culturally receptive and competent to take care of any patient who may find themselves in the care of the nurse and with a different set of beliefs than those of the nurse. The nurse is supposed to transcend cultures and accommodate all of them. They are expected to understand the patient’s preferences and beliefs by being empathetic. Above all, they are not supposed to challenge these beliefs or opinions just because they are different from their own. This way, it will be possible for the nurse to provide holistic patient care to any patient by being culturally sensitive and competent. Holistic care takes care of the physical, spiritual, emotional, psychological, and cultural.

There are several similarities between this theory and my personal philosophy of practice and approach to care. My theist Christian worldview prescribes love for the patients I care for, while the TCN theory suggests that the nurse be empathetic and refuse to be judgemental of other people’s cultures when they do not conform to their own. Transcultural nursing theory also requires the nurse to accept and compliment the beliefs of the patient. This is the same as the aspect of my personal worldview that appreciates religion and spirituality.  Personal Worldview and Nursing Theory Influence on Current and Future Practice of an Advanced Practice Nurse Essay.Most patients with different cultures ascribe to cultural spirituality which includes but is not exclusive to traditional medicine and reference to spirits. The nursing theory (TCN theory) therefore reinforces my approach to care in that it provides a theoretical or conceptual framework upon which I can confidently base my approach to the way I view my practice and take care of my patients.

Example of a Current Practice and How My Personal Worldview and the TCN Theory May Assist In Resolving It

A current practice in all healthcare disciplines is to only employ the interventions and treatments that have been proven to be effective in treating what they are supposed to treat. This is what is referred to as evidence-based practice or EBP in nursing and medical practice. Personal Worldview and Nursing Theory Influence on Current and Future Practice of an Advanced Practice Nurse Essay. There is admittedly a good reason as to why EBP is the preferred method of practice in medicine and nursing. This reason is that EBP ensures that patients are only given or exposed to what has the greatest chance of producing exceptional patient outcomes. This guarantees patient safety as they are not exposed to unnecessary experimental remedies and interventions with no proven efficacy and no known safety profile. A challenge therefore comes when a patient comes and requests a nurse that they are allowed to continue taking their traditional herbal remedies from home to complement conventional treatment, or that they are allowed to keep traditional medicinal paraphernalia with them. Of course the nurse right away knows that these measures are not evidence-based and may actually be unhelpful. But this is where my personal philosophy or worldview as well as the TCN theory become helpful. “Loving my neighbor as I love myself” will man that I allow the patient what they believe is helpful to them and makes them happy, as long as I can reasonably deduce that they will not bring them any foreseeable harm. For TCN, it directs me to understand the patient’s culture and embrace it without despising it. This is being culturally competent and sensitive. Using these two approaches is bound to definitely help me resolve this current issue. Personal Worldview and Nursing Theory Influence on Current and Future Practice of an Advanced Practice Nurse Essay.

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How the Personal Worldview and Madeleine Leininger’s TCN Will Assist in Developing Future Practice

The tradition of cultural competence and respect imparted by Leininger’s TCN theory will assist me in developing my future practice in that I will form a strong loyal base of patients who will refer other patients to me through word-of-mouth. This will be possible because the patients will have been satisfied with the quality of culturally-competent holistic care that they will have received. This can only build my practice. My Christian worldview will also contribute to my acceptance of a patient’s divergent cultural views and beliefs. This is because in any circumstance, I must continue to “love my neighbor as I love myself”.

Conclusion

My personal worldview is that one of theist Christianity. It is congruent with Madeleine Leininger’s transcultural nursing (TCN) theory that advocates for cultural sensitivity and competence. Together, these two have the potential to not only help me resolve current pressing practice issues, but also build and develop my future practice. Personal Worldview and Nursing Theory Influence on Current and Future Practice of an Advanced Practice Nurse Essay. 

References

De la Cruz, Y.C., & Robinson, S. (2017). Answering the call to accessible quality health care for all using a new model of local community not-for-profit charity clinics: A return to Christ-centered care of the past. The Linacre Quarterly, 84(1), 44-56. http://dx.doi.org/10.1080/00243639.2016.1274631

McFarland, M.R. & Wehbe-Alamah, H.B. (2019). Leininger’s theory of culture care diversity and universality: An overview with a historical retrospective and a view toward the future. Journal of Transcultural Nursing. Personal Worldview and Nursing Theory Influence on Current and Future Practice of an Advanced Practice Nurse Essay. http://dx.doi.org/10.1177/1043659619867134

Reimer‐Kirkham, S. (2019). Complicating nursing’s views on religion and politics in healthcare. Nursing Philosophy, 20(4), 1-10. https://doi.org/10.1111/nup.12282

Sagar, P.L. & Sagar, D.Y. (2018). Current state of transcultural nursing theories, models, and approaches. Annual Review of Nursing Research, 37(1), 25-41. http://dx.doi.org/10.1891/0739-6686.37.1.25

Sagar, P.L. (2015). Transcultural nursing scholars’ corner: Leadership in application and dissemination of concepts, models, and theories. Journal of Transcultural Nursing. https://doi.org/10.1177/1043659614556354

Summit Ministries (2019). Christian worldview. Retrieved 11 September 2020 from https://www.summit.org/christian-worldview/. Personal Worldview and Nursing Theory Influence on Current and Future Practice of an Advanced Practice Nurse Essay.