Philosophy Statement Explanation

Philosophy Statement Explanation 

What does safe patient care mean?
Safe is defined as free from danger or the risk of harm.  Nurses provide for patient safety in a multitude of ways. Examples of how to provide safe patient care are listed below:

  • Adhere to just culture to promote individual and system safety improvements.
  • Develop individualized plan of care for the patient; addressing patient’s specific and unique needs. Revise plan as needed.
  • Provide planned and appropriate interventions safely in a setting that is responsive to specific patient needs.
  • Assess and reassess patients to identify appropriate care, treatment, and services to meet initial and changing needs while in the hospital.
  • Follow safety initiatives.
  • Ensure continuity of care using effective communication, such as SBAR for handing over care.

What does respect for the value and worth of each individual mean?
The nurse, in all professional relationships, practices with compassion and respect for the inherent dignity, worth and uniqueness of every individual, unrestricted by consideration of social or economic status, personal attributes or the nature of health problems (ANA Code of Ethics).

Respect requires precise awareness of interactions with patients and families during the most vulnerable times of their lives. Nurses must consider the patient’s values, beliefs and preferences, even when the environment is not conducive in maintaining patient dignity, shared decision making or inter-professional collaboration. Responses to individuality must be sensitive to, recognize, appreciate and incorporate differences into the provision of care. 

What is evidence-based, data driven decisions?
Evidence based practice is the collection, interpretation, and integration of good and applicable patient-reported, clinician-observed, and research-derived evidence. The best available evidence, coupled with patient circumstances and preferences, is applied to improve the quality of clinical judgments and patient outcomes and facilitate cost-effective care.

Nurses can engage in evidence based practice by:

  • Question practices that assess which do not promote optimal recovery and health of patient.
  • Bringing questions to leadership with suggestion for improvement and/or search the literature regarding practice issue. 

  • Utilizing library resources to help find current and relative evidence.

  • Staying engaged in professional specialty organizations for changes in practice.

  • Demonstrating a willingness to change practice related to the evidence. 

What does a respectful and collaborative partnership mean?
Successful, caring, and professional partnerships with patients, families, peers and colleagues include:

  • Knowledge sharing
  • Supporting others in skills enhancing development

  • Autonomy and shared responsibility

    • full participation in the work of the role

  • Mutual respect

  • Good communication

    • Appropriate time, place, tone and affect at all levels of interaction. 

  • Cooperation

    • Partner with others to effect change

  • Coordination

    • Special projects, committee work

  • Optimism

  • Trust

    • Healthy work environment

    • Constructive feedback

How does life long learning for ourselves and others progress nursing practice?

  • Membership in applicable professional organizations or acquiring advanced certifications
  • Broadening our expertise

  • Recognizing that one is always a student and there is always more to learn

  • Helping others to recognize their strengths and learning needs

  • Recognizing that it is our duty to help each other learn and support each others development 

What is ethical and holistic care?
Nurses understand that the patient is an interconnected unity and that physical, mental, social, and spiritual factors need to be included in any interventions. The nursing needs of human beings are identified from a holistic perspective. These needs are met within the context of a culturally sensitive, caring interpersonal relationship. Nurses can demonstrate ethical behavior and holistic care by:

  • Delivering care in a manner that preserves and protects patient autonomy, dignity, and rights, being non-judgmental and nondiscriminatory and sensitive to patient diversity.

  • Maintaining patient confidentiality within legal and regulatory parameters.

  • Serving as a patient advocate assisting patients in developing skills for self advocacy.

  • Maintains a therapeutic and professional patient-nurse relationship with appropriate professional role boundaries.

  • Demonstrating a commitment to practicing self-care, managing stress, and connecting with self and others.

  • Contributing to resolve ethical issues of patients, colleagues, or systems.

  • Reporting illegal, incompetent, or impaired practices.

  • Seeking available resources to help formulate ethical decisions (Ethics Committee, social work, chaplain, etc.). 

How can Nursing achieve advocacy for patients to attain their optimal health or a dignified death?
Nurses demonstrate the ability and willingness to actively protect their patients and their families. Helping them plan and implement measures designed to enable the individual to achieve the highest quality of life, reflecting their values and enhancing their dignity at every stage of development and/or the dying process.

Resources

In Our Hands: How Hospital Leaders Can Build a Thriving Workforce
American Hospital Association publication 2002
Foster Meaningful Work
Collaboration Between Disciplines, Generational Difference Recognition
Nursing: Scope and Standards of practice 
American Nurses’ Association publication 2004
Standards of Professional Performance
Standards 10, 11, and 15
MNA Professional Practice, Ethics and Regulation Handbook
Minnesota Nurses’ Association 2006