Nursing is both a science and an art, requiring the integration of evidence-based practice with compassion, advocacy, and holistic care. My personal philosophy of nursing practice is grounded in the belief that every patient deserves dignity, respect, and empowerment in their health journey. I view nursing as a calling to serve individuals, families, and communities by addressing not only their physical needs but also their emotional, social, and spiritual well-being. This philosophy emphasizes patient-centered care, equity, and the promotion of wellness through education, prevention, and advocacy.

Intersection with the Four Nursing Domains
The four nursing domains—person, environment, health, and nursing—provide a framework that aligns closely with my philosophy.

Person: I believe each patient is a unique individual whose values, experiences, and cultural background must be respected. For example, in caring for patients with Alzheimer’s disease, I prioritize not only symptom management but also emotional support and family education.

Environment: Health outcomes are shaped by the environments in which patients live. My philosophy emphasizes creating healing environments that foster safety, comfort, and inclusion, whether in hospitals, homes, or communities.

Health: I define health as a dynamic state of well-being, not merely the absence of disease. My practice focuses on prevention, education, and empowering patients to actively participate in their care.

Nursing: Nursing is both a discipline and a profession that blends scientific knowledge with compassionate care. My philosophy stresses advocacy, interdisciplinary collaboration, and lifelong learning as essential components of nursing practice.

Alignment with Walden’s Mission of Social Change
Walden University’s mission of social change emphasizes advancing positive change through education, advocacy, and community impact. My philosophy aligns with this mission by focusing on health equity and addressing disparities in vulnerable populations. For example, I advocate for Medicaid patients and those without primary care providers to receive consistent, high-quality care. By promoting preventive health measures and addressing systemic barriers, nursing practice becomes a vehicle for meaningful social change.

Alignment with the Social Determinants of Health (SDOH) Framework
The Social Determinants of Health (SDOH)—economic stability, education, healthcare access, neighborhood, and social context—are critical to patient outcomes. My philosophy integrates the SDOH framework by recognizing that barriers such as poverty, low health literacy, and limited access to care must be addressed alongside clinical interventions. For instance, in managing congestive heart failure patients who frequently visit the emergency department, addressing food insecurity and medication affordability is as important as clinical treatment. This holistic approach ensures that nursing care is equitable and responsive to the broader context of patients’ lives.

Middle-Range Nursing Theories Supporting My Philosophy
Two middle-range nursing theories provide strong support for my philosophy:

Pender’s Health Promotion Model emphasizes patient empowerment and self-care behaviors. This aligns with my philosophy by encouraging patients to take an active role in their health, such as teaching heart failure patients to monitor their weight daily and adhere to sodium restrictions.

Kolcaba’s Comfort Theory focuses on physical, psychospiritual, sociocultural, and environmental comfort. This theory supports my philosophy by highlighting the importance of holistic care. For example, ensuring emotional comfort through familiar routines and supportive environments is essential in caring for Alzheimer’s patients.

Interdisciplinary Theories Supporting My Philosophy
Interdisciplinary theories also reinforce my nursing philosophy:

Bandura’s Social Cognitive Theory (Psychology) emphasizes self-efficacy and behavior change through modeling and reinforcement. This supports my philosophy by guiding interventions such as peer support groups for heart failure patients, which build confidence in managing their condition.

Bronfenbrenner’s Ecological Systems Theory (Human Development) recognizes the multiple layers of influence—family, community, and policy—on health outcomes. This aligns with my philosophy by acknowledging that patient care must consider family dynamics, community resources, and systemic factors.

Conclusion
My personal philosophy of nursing practice is holistic, equity-driven, and empowerment-focused. It intersects with the four nursing domains, aligns with Walden’s mission of social change, and integrates the SDOH framework. Supported by middle-range theories such as Pender’s Health Promotion Model and Kolcaba’s Comfort Theory, as well as interdisciplinary theories like Bandura’s Social Cognitive Theory and Bronfenbrenner’s Ecological Systems Theory, my philosophy provides a robust foundation for advancing patient-centered care. Ultimately, nursing is not only about treating illness but also about advocating for equity, fostering resilience, and promoting wellness across diverse populations.

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