Personal Philosophy of Nursing Research Proposal

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Personal Philosophy of Nursing

Philosophy of Nursing

The Responsiveness Theory of Nursing: Thoughts of a dialysis nurse

Providing effective nursing is not like following a rulebook or a recipe, although certain standard procedures and practices must be observed. Instead, a nurse must be continually responding to changes in the patient's immediate state of wellness, changes in the environment, and also to long-standing changes regarding how health and nursing is defined in the context of the patient and the nursing profession. Just as the patient responds to and changes with shifts in the environment and his or her internal state of health, the nurse must respond to and use his or her observations to define the belief structures that will underline a specific patient's treatment, and the nurse's subsequent interpretations, and practices. Nursing is creative and dynamic by necessity, and must be individualized in a responsive manner to facilitate the patient's health and well-being.

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TOPIC: Research Proposal on Personal Philosophy of Nursing Philosophy of Nursing Assignment

The Responsiveness Theory of nursing ultimately defines nursing as choosing to perform specific roles. Nurses may act as advocates, teachers, advisors, supporters (even 'cheerleaders'), emotional punching bags, social workers, confidants, and/or friends. The one uniting factor of all of the roles a nurse may perform is the need to respond to the patient. A nurse approaches the patient first as a stranger, intruding into the patient's world yet implicitly asking the patient to entrust his or her life to the nurse. The nurse must learn about the patient and respond to the patient, learning about the patient and recognizing the patient's uniqueness. A nurse must recognize the 'situated' nature of the patient. The patient does not come to the nurse in a state of neutrality, but located in a personal, historic dynamic defined by his or race, culture, beliefs, and values. The patient's family and caregivers also have a 'situated' quality in regards to their own personal history and relationship to the patient. When the nurse communicates and treats the patient the nurse must respect and respond to such situational factors. Additionally, past experiences with the medical profession, the progression of the patient's illness or health, and stage in life will also affect the nurse's responsiveness to the person. The 'person' always exist as part of an integrated system of care, incorporating not only physical needs but also spiritual, psychological, and socio-cultural demands that define the patient as an individual, as a member of a family, and as part of community (Hagopian, 2009, Slide 5). Explaining what is going on to the patient and to their family, showing respect for their dignity in difficult situations, communicating in terms they can understand, and adjusting communication strategies as well as specific facets of the treatment process without compromising accuracy of information or quality of care are all part of Responsiveness Nursing.


The nursing definition of environment encompasses all internal and external conditions, circumstances, and influences affecting the person (Hagopian, 2009, Slide 6). One of the most useful philosophies of nursing has proved to be Betty Neuman's Healthcare Systems Model because of its emphasis on stress and stress reduction in patient treatment. My Responsiveness Theory emphasizes the need to respond to tensions and stresses in the environment, and to reduce them. A nurse must first perceive and then treat the stresses upon the patient. As a dialysis nurse, I am continually faced with patients who must change their entire lifestyle to manage the side effects of both their illness and their treatment. For Neuman: "the person is a complete system, with interrelated parts maintain[ing] balance and harmony between internal and external environment by adjusting to stress and defending against tension-producing stimuli" (Hagopian, 2009, Slide 50). Dialysis is an unavoidable stressor, no matter how necessary… [END OF PREVIEW] . . . READ MORE

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How to Cite "Personal Philosophy of Nursing" Research Proposal in a Bibliography:

APA Style

Personal Philosophy of Nursing.  (2009, May 30).  Retrieved October 24, 2021, from

MLA Format

"Personal Philosophy of Nursing."  30 May 2009.  Web.  24 October 2021. <>.

Chicago Style

"Personal Philosophy of Nursing."  May 30, 2009.  Accessed October 24, 2021.