Development Of Nursing Philosophy

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I see worldviews as a philosophical orientation about reality and the nature of knowledge. It is crucial to reflect on and be able to articulate one’s worldview because the philosophical underpinnings of that worldview will often guide the purpose of inquiry and the choice of research approaches (Creswell & Creswell, 2018). Upon reading literature regarding several major worldviews that researchers often bring to their inquiries, I find myself most strongly resonate with the constructivist worldview (also described as the interpretative paradigm in some literature).The ontological and epistemological aspects of constructivism will be discussed in this paper, followed by a detailed elaboration of a specific nursing worldview that is coherent with the constructivist worldview.In contrast to realism, the ontology of constructivism is relativism which means that multiple, instead of one, realities exist. Moreover, the reality is not independent of the researcher, but rather socially constructed based on human experience (Lincoln, Lynham, & Guba, 2017). Thus, reality can be identified through the language and other symbols that express individual mental constructions regarding various situations (Shah & Al-Bargi, 2013).Contrary to dualist and objectivist, the epistemology of constructivism is transactional and subjective in nature (Lincoln, Lynham, & Guba, 2017). The researcher and the participants do now not remain distant and independent of every other. Instead, the researcher can have full-size touch with the participants. Through these subjective interactions, the researcher is capable of interpret the discovered phenomena, recognize the human revel in, and ultimately acquire conceptualization (Monti & Tingen, 1999)A Nursing WorldviewOut of the three worldviews of nursing suggested by Fawcett (2012), I find that the simultaneous action worldview is most congruent with constructivism. Four components of the simultaneous action worldview are organism, simultaneity, change, and unitary-transformation (Fawcett & DeSanto-Madeya, 2012).The organic worldview espouses that human beings are holistic entities “recognized through patterns of behavior”, and the whole “is more than and different from the sum of parts” (Fawcett, 2012, p.10). This view is widely accepted in the discipline of nursing as nurses are enabled to deliver authentic care to patients when nurses do not reduce patients into isolated physical parts but perceive patients as multidimensional human beings (McEvoy & Duffy, 2008).The elements of simultaneity emphasize the human-environment relationship as a continuous interchange (Fawcett & DeSanto-Madeya, 2012). In other words, human beings do not merely react to the environment passively, but rather, interact with and are shaped by their environment. As a result, constructivist researchers often take the contexts of the participants’ experience into careful considerations (Creswell & Creswell, 2018).According to the simultaneous action worldview, human beings do not adapt for the purpose of survival alone, and thus, changes occurred in human beings do not always manifest in a cause-effect relationship. Instead, changes arise in a continuous and unpredictable way, vary from individuals, and are complex in nature (Fawcett & DeSanto-Madeya, 2012).The unitary-transformative thing of the simultaneous motion worldview states that phenomena of hobby are created thru non-public values, and consequently, it’s miles subjective and can’t be measured as suitable or bad (Cody, 1995). The simultaneous movement worldview implicates that health is considered to be produced from personal choices based totally on patients’ fee priorities (Fawcett, 1993). Therefore, the aim of nursing isn’t always entirely centered on restoring the sufferers to the objective social norm on the grounds that health is taken into consideration a subjective phenomenon. Rather, the aim of nursing targets to enhance the fine of life and strives to apprehend the reasons at the back of the non-public selections that patients make of their health behaviors (Cody, 1995).In conclusion, my philosophical worldview is most aligned with the constructivist worldview. I believe that reality is context-dependent and open to subjective interpretations. Knowledge is created through understanding the meaning of human interactions with the environment. The simultaneous action worldview of nursing agrees with the ontological and epistemological aspects of constructivism. In addition, two main characteristics of constructivism—subjectivity and value-laden knowledge—are highly exemplified in the simultaneous action worldview of nursing.
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