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underprivileged patient, thus steering nursing down a altruistic road (Blais &
Hayes, p. 38-39). Over time the definition of what a nurse is has varied, but
the one component that has been constant is the element of care that is
administered to the sick. This is the main reason I entered nursing, for my
love of helping others. Nursing is most rewarding to me because of the
different facets of care I can provide, whether that is accomplished through
physical care of administering medicines and treatments or emotional
through listening and touch. The American Academy of Nursing (ANA) on
their website www.nursingworld.org defines nursing as, Nursing is the
protection, promotion, and optimization of health and abilities, prevention of
illness and injury, alleviation of suffering through the diagnosis and
treatment of human response, and advocacy in the care of individuals,
families, communities, and populations (American Nurses Association,
2013).
The definition by the ANA goes hand in hand with the purpose of
nursing. I divide the purpose of nursing into three areas prevention,
treatment and support. Nurses play a critical role in the prevention and
spread of disease through education to their patients and the public
promoting health. Upon admission to the hospital, I have a captive audience
to teach to throughout my patients hospitalization up until their discharge.
My unit provides a teaching packet that is loaded with information related to
prevention of injury and disease in respect to the care of the patient. The
forms range from immunization schedules, care seat safety, storage of
the Nursing Code of Ethics for Nursing on their website. Two areas that stood
out to me, where the sections related to professional boundaries and
integrity within this long document. In caring for children it is easy to cross
boundaries due to the close physical contact we have with our patients. At
times we hold, swaddle, rock, feed, sing to, read books and tuck into bed,
thus making it all the more important to define boundaries to help the nurse
not risk threatening the sanctity of the therapeutic relationship. This is key
to the patients well being along with the survival of the nurse in not
partaking in behaviors that could potentially risk their license and risk burn
out. This is not an easy boundary to keep because there are a lot of gray
lines, but through being cognizant and mindful of ones actions, it is not only
possible it is essential. The Code of Ethics recommends seeking help from
superiors if the boundaries are being jeopardized (Code of Ethics p.6).
Provision 5 in the Code of Ethics speaks to the integrity of the nurse by
seeking out their own educational needs in order to remain competent and
knowledgeable in their field of work (Code of Ethic p 9-10). With nursing
changing through our new evidence based care, it is of most importance to
say current within your field of work. After many years of my employer
suggesting a group of us become certified in our field of work (Pediatric
Hematology/Oncology), I took the exam and passed. The feeling of
accomplishment was almost as exhilarating as passing the NCLEX exam. It
is with great pride that I am able to add initials behind my RN, to which I get
to explain frequently to those patients or parents that inquire as to what
CPHON stands for on my badge. This knowledge I am able to pull from daily
as I teach my patients or new nurses. When there is the situation of I am
unfamiliar with, The Childrens Hospital of The Kings Daughters (CHKD), has
done a phenomenal job of writing detailed policies and procedures that are
available to all staff on the Internet. This increases the integrity of the care
provided, due to it being the most current practices in our hospital.
The greatest challenge that I have encountered in my nursing practice
is in relation to ethical issues such as a family not telling their child that they
have cancer or more devastating to me was the family that refused to tell
their child that he was going to die within that hospitalization. These
situations go against my internal code of beliefs and values regarding
honesty, integrity, and trusts for the need and want to prepare the child or
parents on what to expect through this process is pressing. I am proud to
report though, my team at CHKD does an amazing job of helping to navigate
the parents through this difficult experience to enable them to come to grips
with the inevitable and share with their child the news that ultimately must
be shared.
In closing, after 18 years of experience although I had not ever been
consciously aware of my nursing philosophy, I had formed one. Over the
years, I have questioned others motives of becoming a nurse because their
value, beliefs and work ethic did not uphold my definition of what a nurse is
to me. I am proud to report that these nurses I questioned their career
choice did not work on my unit. What is most interesting to me though, as I
reflected was the realization that my philosophy changed from the time I was
new graduate to now, an expert in my field of practice. While my core
values and beliefs of integrity, honesty, reliability, accountability,
trustworthiness and caring have not changed, my view on education has
been revised. I have been stagnant in my formal education for many years
and refused to see the worth of a Bachelors Degree in Science (BSN) over my
Diploma of Nursing, but through this nationwide push for all nurses to have
their BSN, my eyes have been opened to an entire other world. For
advancement in my career, a degree is required, thus I must surge forward in
this decision to earn my BSN. The challenge of writing papers is excruciating
to me as I loathe being a novice, but when this experience is a memory, I will
be the expert helping the novice nurses coming behind me in this journey.
Works Cited
American Nurses Association. (n.d.). American Nurses Association. Retrieved November 13,
2013, from http://www.nursingworld.org/
Blais, K., & Hayes, J. S. (2011). Professional nursing practice: Concepts and perspectives.
Boston: Pearson.
Code of Ethics for Nurses. (2010, November 15). Code of Ethics for Nurses. Retrieved
November 13, 2013, from http://www.nursingworld.org/codeofethics
Online search
http://www.nursingworld.org
http://www.nursingworld.org/codeofethics
http://www.nursingworld.org/Mobile/Code-of-Ethics
http://www.nursingworld.org/EspeciallyForYou/What-is-Nursing
http://www.aacn.nche.edu/publications/white-papers/hallmarks-practiceenvironment
https://www.ncsbn.org/ProfessionalBoundaries_Complete.pdf
Honor Code:
I pledge to support the Honor System of Old Dominion University. I will refrain
from any form of academic dishonesty or deception, such as cheating or
plagiarism. I am aware that as a member of the academic community it is
my responsibility to turn in all suspected violations of the Honor Code. I will
report to a hearing if summoned