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Personal Nursing Philosophy
The major challenge that has been realized in healthcare has been in the process of integrating individual beliefs and values in the professional nursing practice. My personal philosophy and what I expect of the nursing profession is a scenario where the strong link between the nurse and the patient is taken as a great chance of manifesting recognized strengths, goals, faith, mutual feelings, fears and choices. The approach taken on a certain patient in a given time may not necessarily be applied to solve the same kind of problem in another patient. Different patients react differently in different situations. As postulated in this philosophy, the nurse is thus expected to be aware of the conflicts, experience and individual drama of the patient. The response of the nurse to the condition of the patient must be in the effort of giving moral and spiritual support to the patient. This is aimed at promoting the welfare of the patient in coping easily with the difficult events of life.
School nursing has been applied as a practice in professional nursing geared towards advancing the well-being and success of learners. It is indeed as it should be and thus incorporates even giving the proper guidance for the students to react successfully to what is happening around them. School nursing in my opinion should also look into the aspects of nurturing the talents of the learners along with the creation of conducive and healthy conditions of achieving the same. Health matters are a great challenge to the realization of success. A sick individual would hardly produce their best. Therefore, it is imperative that school nursing made an effort to expound more on this issue affecting many learners in institutions of learning. School nursing should therefore provide a self evaluation system to students and help them to measure up to what is expected of them the society (School nursing, n.d).
The conceptual framework of this nursing philosophy to encompasses a variety of models touching on diverse aspects of the patient's condition and entire nursing process. The models and approaches in these beliefs are expected to create a collaborative atmosphere of the nursing process; removing any formed opinion and thereby aiming at producing a perfect work in administering treatment to the patient. While previous information on the current situation of the nurse is important, listening to the patient's efficacy is of equal importance. Nursing in this sense is meant to address the problems of the patient but not really applying a pre-determined procedure and treatment process on an individual (Snodgrass, 2004). The following concepts are thus imperative in enhancing such philosophy of school nursing.
Clinical Nurse Leadership
The process of administering special action in schools requires careful management procedures. Most learners have a lot of psychological issues that need to be dealt with amicably. The clinical Nurse Leader would be very instrumental in propagating good leadership and management of nursing operations in the area of school nursing. The role of a Clinical Nurse Leader is therefore expected to make improvements on organizational matters, redesign the delivery of health and nursing care and improve on quality of services being offered to patient. The role will provide nurses with a lot of information needed to tackle a variety of problems for different patients. This is expected to open up the minds of nurses in school nursing in these dynamic and challenging environments (Institute of Medicine, 2000).
Patient Centered Approach
A patient-centered approach as applicable in the health care system would require nurses to treat the patients like partners. The nurses must make an effort to include the patients in making plans for their care and helping them to be responsible for their lives. This way, the patient will be ready to take pills and avail themselves for appointments with the nurses. The nurse is therefore expected to instill this discipline in a way the patient understand and based upon what the patient says concerning their health. Nurses should not appear as police officers in white coats but instead make the patients adhere to treatment willingly. Such an approach respects the values and concerns of the patient and therefore promoting the administration of the right treatment. If the efficacy of the nurse is not felt by the patient, then the nurse is failing on his/her part. It may be thought that the nurse is just fulfilling an obligation as a sense of duty. The interests of the nurse should not override the feelings of the patient.
Listening and Communication Skills
School nursing would require that the nurse phrases questions in a manner to elicit information effectively and not by interrupting the message being passed on by the patient. Having good listening skills will make the nurse land on the right issue to be addressed. A lot of information is required before the nurse could administer the appropriate treatment. Therefore, listening well and giving the patient the time talk will be useful in dealing with the case at hand the way it is. All manner of prejudice and formed opinions which could mess up with the right treatment will thus be avoided. It should not be felt that such an approach will lengthen the visit by the patient. Empirical research has proved that it is cheap to encourage the patient's adherence than to hospitalize individuals as a result of giving improper treatment or the patient's defiance in taking the nurse's instructions.
Cultural Norms and Values
People have different cultural norms and values owing to their socialization into the world systems. For the nurse at the school to be effective in the roles, it is imperative to understand the needs of the patient based on the patient's background and beliefs as they are presented in the conversation. This is very crucial link in initiating spiritual care. An absolute comprehension of the patient's culture and orientation to life is paramount in promoting hope, love and meaning to the patient. The key to offering good care in nursing to a patient from a different culture is precise communication, educational values, getting an idea of the family structure as well as nutritional and health values. A patient's speech could be flowery and repetitive instead of being short and direct. The nurse should cope up with such patients while creating a relationship with them (Mason et al, 2002).
Dressing codes and way of lives should greatly be observed and taken care of by the nurse. The patient will feel appreciated and will be ready to open-up to the nurse. Treatment is thus expected to move on smoothly. Cultural space must therefore be kept at all times. The nurse should focus on placing emphasis on patients' care and treating them as people with kindness and respect, not based on customs and beliefs. Taking some time in establishing and knowing the patients' culture will facilitate effective discussions and cooperative interventions of health care. The treatment process is indeed expected to yield great results.
School Nursing and Public Health
The role of school nursing is not limited to the students and staff alone. Looking at each situation differently and with a new approach is a great way of promoting public health. School nursing thus should not only be carried out on reactive stages. The main goal of school nursing is ensuring the health and the safety of all. The school nursing process incorporates and the community and the public in general in promoting health matters of the school within the vicinity. This way, the nurse would have helped communities even deal with unhealthy conditions in their midst. Therefore, school nursing becomes a public activity at some stage affecting the community in general. This link must therefore not be interfered with by the nurse but instead should be maintained (Mason et al, 2002).
Implementation of Process
As earlier stated in this personal nursing philosophy, there is no formed opinion about any thing administering the right treatment. The integration of such a philosophy into the school nursing process would require an Evidence based treatment approach (Peile, 2004). The nurse would be required to point out the manner in which decisions will be made by highlighting such evidence available out of practice and rating it based on the way it sounds scientifically. The concepts as explained in 2.0 above do not have to necessarily follow one another in that order. Each concept could apply as the maiden step in any treatment process, based on the evidence that the nurse has on the case of the patient (Snodgrass, 2004).
The nurse can greatly influence the behavior of the patient. School nursing will therefore be successful if it is founded on mutual trust. It is expected that there will be a very good link between the nurse and the client before success in treatment could be realized. All thoughts and insights must be exchanged between the two parties. The nurse must also exercise caution on what is best to be disclosed in the discussions with patients. Patient's temperament must dictate the flow of the conversation. Every bit of discussion is to be keenly followed up by the nurse before generalization of whatever nature can be made. In conclusion, high standards of respect must be help and the nurse should be ready to discuss mutual beliefs as well as emotions without prevalence or criticism. It must however be noted that people have different ways of assimilation and of expressing their life experiences which could be different based on ethnicity, race, social status and gender.
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