The paper should be following APA style guidelines. The paper should address the following: Introduction that includes who you are and where you practice nursing Definition of Nursing Assumptions or underlying beliefs Definitions and examples of  the major domains (person, health, and environment) of nursing Summary that includes: How are the domains connected? What is your vision of nursing for the future? What are the challenges that you will face as a nurse? What are your goals for professional development?

Introduction

I am a registered nurse practicing in a busy hospital setting. Nursing, as a profession, plays a vital role in healthcare delivery, focusing on promoting and restoring health, preventing illness, and providing compassionate care to individuals, families, and communities. This paper aims to provide an overview of the key aspects of nursing, including its definition, underlying assumptions, and the major domains it encompasses.

Definition of Nursing

Defining nursing is a complex task, as it encompasses a broad range of roles, responsibilities, and perspectives. The American Nurses Association (ANA) defines nursing as 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” (ANA, 2015). This definition highlights the multifaceted nature of nursing, emphasizing its focus on holistic care, health promotion, and addressing the diverse needs of individuals and populations.

Assumptions or Underlying Beliefs

Nursing is based on several assumptions or underlying beliefs that shape its practice and philosophy. One key assumption is the belief in the inherent worth and dignity of every individual, regardless of their health status or background. Nurses recognize the unique needs, preferences, and values of each person and strive to provide patient-centered care that respects their autonomy and fosters their well-being.

Another assumption is the recognition of the dynamic interaction between individuals and their environment. Nurses understand that health is influenced by a wide range of factors, including social, cultural, economic, and environmental determinants. They consider these factors when assessing patients’ health status, planning care interventions, and promoting health education.

Definitions and Examples of the Major Domains of Nursing

The major domains of nursing include the person, health, and environment. These domains provide a framework for understanding and addressing the various aspects of nursing practice.

The person domain focuses on the individual or patient receiving nursing care. It considers the individual’s physical, psychological, social, and spiritual dimensions. Nurses take a holistic approach to patient care, recognizing that each person is unique and requires individualized attention. For example, a nurse working with a patient recovering from surgery would address not only their physical pain but also their emotional well-being, providing support, and promoting a positive healing environment.

The health domain encompasses the overall well-being of individuals, families, and communities. It extends beyond the absence of illness and includes physical, mental, and social aspects. Nurses aim to promote health and prevent illness through health promotion activities, education, and early detection of potential health problems. For instance, a nurse may conduct community outreach programs to raise awareness about the importance of regular exercise and healthy nutrition.

The environment domain recognizes the influence of the physical, social, and cultural context on health outcomes. Nurses consider the impact of environmental factors such as living conditions, access to healthcare, and community resources. They advocate for safe and supportive environments that promote health and well-being. For example, a nurse working in a neonatal intensive care unit may ensure a sterile and calm environment to support the optimal development of premature infants.

Summary

The domains of nursing – person, health, and environment – are interconnected and interdependent. Nurses recognize that an individual’s health is influenced by multiple factors, which require a holistic approach to care. By considering the person’s unique needs, addressing their health status, and recognizing the impact of their environment, nurses can provide comprehensive and effective care.

As a nurse, my vision for the future of nursing includes embracing technology to enhance patient care, promoting cultural competence and diversity, and advocating for healthcare policies that prioritize patient well-being. However, there are various challenges that I will face as a nurse. These may include managing an increasingly complex healthcare system, addressing the nursing shortage, and adapting to emerging healthcare technologies.

In terms of professional development, my goals include expanding my knowledge and skills through continuing education, pursuing advanced certifications, and engaging in ongoing research and evidence-based practice. Additionally, I aim to develop leadership abilities and contribute to improving the quality of care within my healthcare organization.

In conclusion, nursing is a dynamic and multifaceted profession that plays a crucial role in healthcare. By understanding the definition, assumptions, and major domains of nursing, nurses can provide holistic and patient-centered care while addressing the challenges and striving for continuous professional development.

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