Theoretical Framework for Advanced Nursing


Personal Theoretical Framework for Advanced Nursing

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Nursing is an important profession structured in the healthcare environment to improve or promote the care of individuals. To secure the best success rate of caring for patients, nurses should have profound philosophies that effectively align with different patient scenarios to assert that the problems or needs are comprehensively addressed. One significant pillar in that direction is a substantial personal philosophy. This should be aligned with an appropriate professional nursing philosophy using one or more nursing theories or frameworks to maximize healthcare needs or objectives. This paper presents a personal nursing philosophy, a professional nursing philosophy, environmental theory, its areas of application and situations when various frameworks can be contextualized.

Personal Nursing Philosophy

My preference for the nursing profession was triggered by the fact I believe in helping people with different health problems to attain their desires. I truly believe that this is a calling and not a joint task that depends on collective ideas or considerations. It is personalized such that and the best outcome entirely depend on the individual level of professionalism. My principal objective is to offer a non-judgmental mode of care delivery to patients devoid of race, color, status, disability and other characteristics.

My personal philosophy in nursing holds that nurses have the sole responsibility to prioritize the safety of patients using patient-centered approaches that provide safe and holistic care. This implies that I need to recognize patients as people and not room numbers of medical conditions. From that perspective, I must offer quality care to patients who ultimately deserve individualized treatment plans. To support this philosophy, nurses should use evidence-based practices to help patients solve their problems and needs.

Besides, we as nurses can help patients advocate for their needs and rights and ensure that we offer patient education on how to formulate productive nurse-patient goals for safer patient outcomes. I also believe that nurses should use the concept of confidentiality when interacting with patients to increase their participation, directly linked to the quality and safe care and treatment plans. I also ascribe that nurses should educate patients concerning the best lifestyle choices and warn about specific health choices, which may trigger cases of nonresponsive medications. Finally, as nurses, we should adopt positive health behaviors to elevate our status of well-being before we persuade patients that the alternatives addressed are effective and useful for the improvement of health status.

Nursing Philosophy

The principles or core of professional nursing extensively match with the above philosophy about safety and equality of care in health care settings. In nursing, patient satisfaction and positive medication experience are outstandingly imperative. Nonetheless, to achieve these goals, patients’ needs should be met at the end of the treatment or care process. Proper identification and understanding of patient problems is a significant step of this nursing philosophy, as it ensures that the best quality of care is provided.

More importantly, positive quality of care will promote safety standards crucial for the patient decision-making process in terms of satisfaction levels. Professional nursing provides that nurses utilize the nurses’ code of conduct to underscore ethics, privacy, confidentially and safety when delivering care (Marchuk, 2014). Also, professional nursing outlines that these elements must be considered by giving the patients an ultimate priority of consideration. The philosophy states that nurses can only deliver the best outcomes when patients and nurses build an outstanding relationship (Marchuk, 2014). This can be done by using professional nursing communication skills to help nurses obtain information about the patient’s needs or problems. Notwithstanding, this component of nursing philosophy is convenient because it assists in the formulation of best medication practices characterized by few errors. Therefore, the safety level will be advanced.

Environmental Theory and Connection to the Personal Philosophy

Environmental theory by Florence Nightingale refers to using the patient’s environment to assist them in fastening the recovery. Understanding the patient’s environment helps nurses evaluate the internal and external triggers of the health problems (Hegge, 2013). This theory posits that most challenges are often caused by environmental disparities, which trigger minor to complex illnesses. This is in perfect alignment with my personal and professional nursing philosophy (Cody & Kenney, 2006). The nursing philosophy outlines the need for ethics, privacy, confidentially and safety when delivering care. Also, it fits with my understanding of nursing roles and principles more effectively. For instance, environmental theory can be enhanced to promote safety and quality of care.

Nightingale’s environmental theory demonstrated that patient needs would be satisfied by evaluating their environmental factors such as fresh air, freshwater, proper drainage system, advanced sanitation and adequate light or sunlight (Hegge, 2013). The theory promotes ethics because it was formulated to improve the living standards of community members. According to the principle of ethics in nursing, the utilitarian concept (defined as the ability to make nursing decisions, which provide the highest percentage of happiness to the majority of individuals) can be applied (Mack, 2014). It also promotes safety because interventions will aim at elevating the quality of air, water, drainage, sanitation and light, which are useful to raise the quality of health for the community members. Therefore, the theory caters to safety and ethics as expounded on the nursing philosophy.

Besides, Nightingales environmental theory significantly promotes the elements of my personal philosophy in various aspects. For example, the theory emphasized patient-centered care. The five pillars of the environmental theory (free air, free water, proper sanitation, good drainage and light) are particularly meant to escalate care safety among patients in the community settings. The approach is usually used today by nurses to understand the background information or causes of various problems, to guide the formulation of best medication practices. This theory fits my philosophy because the elements I addressed, including but not restricted to patient safety and ethics, are expansively considered.

Poor Fit Frameworks for the Environmental Theory

Although the environmental theory is an effective fit for nursing ethics and safety issues, it cannot be applied in nursing setups that prioritize privacy and confidentiality as paramount components of their philosophy. Conventionally, in the recent two decades, the have been several technological inventions and innovations. Computerization and network use in healthcare are global trends that most organizations are striving to adopt and avoid creating competitive advantages. With the large volume of patient data stored with nurses, privacy and confidentiality are elementary tools to consider as part of the nursing framework. Even though the two profoundly appear in my personal and professional nursing philosophy, Nightingale’s environmental theory cannot be utilized as it does not outline the procedures or information to address the concepts (American Nurses Association, 2015). In scenarios where there is a breach of medical information or mishandling of patient data, the experts and professionals should not use the environmental theory of nursing because little or no improvement of the problem will be realized.

Alignment of Theory with Situations

Aligning a theory with situations is as important as ensuring success in healthcare settings. Poor choice of a theory guarantees a failure in handling specific nursing situations. Besides, nursing theories are often set up to address unique challenges that present at different times. One important thing that should be noted is that the nursing field is full of imminent diversities, depending on the population concerned. These diversities spike the need for new solutions to coherently address the problems and not the symptoms.

A nursing framework like the environmental theory can work best for scenarios that involve patient safety and ethical standards. However, ethics is in the context of utilitarianism theory and not general nursing codes (Mack, 2014). The selected theories for situations must be as specific as possible to reduce the occasion of the negligence of serious matters, which would otherwise form the bedrock of ultimate decision-making. Decision-making is a core part of nursing that is crucial towards facilitating patient safety. Good decisions will deliver positive patient outcomes, patient satisfaction, favorable experiences, quality of care and safety (Newman, 1994). Bad decisions made from the wrong choice of nursing theories are most likely to lead to medication errors. Theories are made to satisfy specific contexts, hence the need to evaluate scenarios and select the best that fits the situation. The environmental theory is exemplary for situations that involve nursing education for preventive measures. The theory emphasized that the measures by patients can shape their environment.

In conclusion, it is congruent that my personal philosophy details the role and effectiveness of ethics, safety, privacy and confidentiality. The success of a nursing philosophy depends on the ability to integrate it with the professional frameworks and proper theory or concepts that best fit the demands or needs of the situation. Proper implementation and alignment of the principles are substantial to collectively improve the healthcare standards.


American Nurses Association. (2015).Code for nurses: with interpretive statements. The Association.

Cody, W. K., & Kenney, J. W. (Eds.). (2006).Philosophical and theoretical perspectives for advanced nursing practice. Jones & Bartlett Learning.

Hegge, M. (2013). Nightingales environmental theory.Nursing science quarterly,26(3), 211-219.

Mack, P. (2014). Utilitarian ethics in healthcare.International Journal of the Computer, the Internet and Management,12(3), 63-72.

Marchuk, A. (2014). A personal nursing philosophy in practice.Journal of neonatal nursing,20(6), 266-273.

Newman, M. A. (1994). Theory for nursing practice.Nursing Science Quarterly,7(4), 153-157.




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