Assignment: Worldview and Nursing Process Personal Statement
Assignment: Worldview and Nursing Process Personal Statement
Worldview refers to an individual’s intellectual response to basic life questions. It is based on a set of beliefs about essential aspects of reality that establish and influence a person’s perception, thoughts, knowledge, and actions. Worldview is an essential concept in making health providers aware of their beliefs and assumptions that may influence the delivery of patient care (Spronk et al., 2021). The purpose of this paper is to describe my worldview, describe a nursing theory aligning with my philosophy of practice, and explain how the worldview and nursing theory will help me develop my future practice.
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Personal Worldview
The worldview that drives my nursing practice is that life begins at conception and ends in the process of death. However, as individuals engage in the process of living, their position on the lifespan influences their capacity for independence. I believe that progress in the lifespan influences individuals’ capacity for independence, but the progress is unidirectional (Fawcett, 2022). Furthermore, I believe that nursing interventions are usually needed when an individual cannot be independent in any activities of living, and the family or social grouping cannot ensure that the activities are performed. People’s need for nursing interventions is relatively short; thus, my role as a nurse is to promote the resumption of normality.
[elementor-template id="165244"]My worldview is influenced by Christianity scriptures that, as Christians, we should let our light shine before others so that they may see our good deeds and glorify God. My spirituality is based on being of service to other people who need my help. Thus, it influences my worldview since I believe that God will reward me by being of service to others, just as Christ was of service to the Church (Rieg et al., 2018). I believe that the best way to serve others is by providing quality patient care that will improve patients’ quality of life and enable them to resume their daily activities. Furthermore, the worldview is influenced by the cultural practices of helping individuals in need in society to get back on their feet. Thus, I seek to deliver interventions that will enable patients to acquire, maintain, or restore maximum independence in their activities of living.
Nursing Theory
The Roper-Logan-Tierney Activities of Living Model for Nursing is one of the nursing theories that most aligns with my philosophy of practice and approach to patient care. The model demonstrates that a person’s health status and lifestyle are closely connected. It seeks to equip nurses with an approach to planning and delivering patient-centered care (Williams, 2018). The model has five components: The activities of living (ALs), Life Span, The dependence/independence continuum, Factors influencing the activities of living, and Individualizing nursing. The model outlines 12 activities of living that can be used as a framework for assessment: Maintaining a safe environment, Breathing, Mobilizing, Eating and drinking, Communicating, Personal cleansing and dressing, Eliminating, Controlling body temperature, Working and playing, Sleeping, Expressing sexuality, and Dying (Williams, 2018).
The Activities of Living Model is similar to the philosophy of nursing practice since the two hypothesize that the goals of nursing are to help the patient acquire, maintain, and restore maximum independence in the activities of living. Both the model and philosophy of practice acknowledge that individuals cannot always carry out each of the activities of living independently. They recommend implementing medically prescribed treatment interventions to overcome an illness or its symptoms, leading to recovery and independence (Williams, 2018). The two support nursing interventions that enable individuals to perform preventive health activities independently to avoid injury and disease. Besides, the model and philosophy of practice emphasize providing patients comfort and implementing strategies to promote recovery and ultimate independence.
The model’s component on lifespan asserts that the progression along the lifespan is characterized by recurrent change as a person moves through a sequence of developmental stages, each related to the expression of varying levels of physical, cognitive, and social function (Fawcett, 2022). This is similar to my philosophy that asserts that individuals’ position on the lifespan influences their capacity for independence. The Activities of Living Model influences my approach to care since I focus my nursing interventions on preventing and comforting activities. Under preventing activities, I identify care interventions that seek to prevent factors impairing a patient’s living, like disease and accidents, and thus provide preventive education (Williams, 2018). Besides, I direct nursing care with regard to comforting activities by implementing interventions to give patients physical, psychological, and social comfort.
Application of the Worldview and the Nursing Theory in a Past or Current Practice
I previously worked in a care home where I provided care to an 89-year-old female patient with moderate Alzheimer’s disease (AD) progressing to the severe stage. The patient’s basic ADLs were gradually getting impaired, including her ability to eat, dress, groom, bathe, and toilet independently. The client’s relatives were worried that their patient had lost her capacity to care for herself, which led to significant psychological distress in the patient. Consequently, the patient would insist on dressing and going to the bath herself because she believed that she was not as incapacitated as the providers perceived. In this case, I would have applied the Activities of Living Model to assess the patient to establish what the patient could and could not do in each of the activities of living considering the physical, physiological, sociocultural, environmental, and politico-economic factors influencing the patient.
During the patient assessment, I would have documented the activities the patient could perform independently and those activities she could not perform without assistance. All the activities that could not be performed independently would have been treated as problems during the assessment. Besides, I would have identified nursing actions to address the identified problems by assessing how I would promote the patients’ independence in the activities of living (Motamed-Jahromi & Kaveh, 2021). In addition, I would have applied the worldview by implementing comforting activities to prevent complications like infections and slow AD progression.
How the Worldview and Nursing Theory Will Assist in Further Developing Future Practice
The worldview and Activities of the Living Model will help to develop my nursing practice further by guiding me on actions to promote independence in the activities of living with patients. The model recommends a problem-solving process that nurses can use, which includes: Assessment of the patient; Identification of the patient’s problems and developing a statement of expected outcomes; Planning of care; Implementation of care; Evaluation of the outcomes of care (Williams, 2018). In my future practice, I can apply the model to identify patients’ health needs and establish their ability to perform ADLs. Based on the assessment results, I will identify patients who need total, partial, or no assistance in ADLs. Besides, I will identify the interventions to implement to help patients achieve independence, which will align with my worldview of promoting independence.
Conclusion
My worldview is based on independence, and I believe that progress in the lifespan influences individuals’ capacity for independence, but progress is unidirectional. The Activities of Living Model focuses on the patient as a person engaged in living throughout his/her lifespan and moving from dependence to independence based on age, living circumstances, and environment. The model and my philosophy of practice support nursing interventions that enable patients to carry out preventive health activities independently to avoid illness. I can apply the model in future practice to assess patients, identify problems in carrying out ADLs, and identify interventions to enable them to attain independence.
References
Fawcett, J. (2022). Thoughts About Teaching: A Nursing Discipline–Specific Perspective of Lifespan Growth and Development. Nursing Science Quarterly, 35(4), 494–497. https://doi.org/10.1177/08943184221115
Motamed-Jahromi, M., & Kaveh, M. H. (2021). Effective Interventions on Improving Elderly’s Independence in Activity of Daily Living: A Systematic Review and Logic Model. Frontiers in Public Health, 8, 516151. https://doi.org/10.3389/fpubh.2020.516151
Rieg, L. S., Newbanks, R. S., & Sprunger, R. (2018). Caring from a Christian Worldview: Exploring Nurses’ Source of Caring, Faith Practices, and View of Nursing. Journal of Christian Nursing: A Quarterly Publication of Nurses Christian Fellowship, 35(3), 168–173. https://doi.org/10.1097/CNJ.0000000000000474
Spronk, B., Widdershoven, G., & Alma, H. (2021). The Role of Worldview in Moral Case Deliberation: Visions and Experiences of Group Facilitators. Journal of Religion and Health, 60(5), 3143–3160. https://doi.org/10.1007/s10943-021-01246-1
Williams, B. C. (2018). The Roper-Logan-Tierney model of nursing. Nursing2020 Critical Care, 12(1), 17–20. doi: 10.1097/01.CCN.0000508630.55033.1c
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