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Clinical Nurse Leader Philosophy The Metaparadigm of Advanced Professional Nursing practice involves three key concepts that are equally important: Practical approach, theoretical influence and research utilized to provide solutions for individuals with healthcare needs. Those concepts evolve around each other and share the ultimate power in greatly influencing persons wellbeing. In the practice of Clinical Nurse Leader the needs of the patient are determined by careful assessment of physical, psychological, social, spiritual, educational, developmental and cultural wishes. Humankind is viewed to be a unique individual, with persistent determination in striving for independence and ability for freedom of choice. People are conceived as open systems in an active interaction with the internal and external milieu predisposed to their own values, code of ethics and beliefs. Humankinds learn to co-exist with others through the art of continuous socialization within their families, networks of friends and participation in technological advances. Individuals state of health models their quality of life. Persons wellbeing and homeostasis is a constantly changing phenomenon. The state of health depends on self-awareness and perception influenced by growth and development phase of a persons life, past experiences, cultural beliefs and socio-economic status. Health cares goal is to offer preventative care in order to preserve the wellbeing of many. The role of Advanced nurse practitioner is to critically analyze, collect, plan and deliver necessary interventions at a higher level of care through autonomy and opportunities that comes with that particular level of education. Nursing is a collaborative process that works on preventing, improving and treating disruptions of health status, including all aspects of well being such as mind,

2 body and spirit. APN builds relationships characterized by trust, caring and compassion in order to facilitate recovery and healing. Utilizing nursing process such as planning, implementing and evaluating to accomplish quality care and positive outcomes. The environment is envisioned as a collection of continuously changing physical, psychosocial, and cultural settings. The hierarchy of needs depend greatly on persons surroundings: such as home, hospital and community. The components of a healthy environment include clean and safe living conditions, peace of mind and abstinence from substance abuse. Through process of planned teamwork, the nurse can became a determined factor in having influence on the quality of individuals connection with the environment. The Philosophy of Clinical Nurse Leader encompasses all the major concepts of Person, Health, Nursing and Environment. I think that the philosophy is very well written covering all those major metaparadigm explaining each one of them in a great detail, paying special attention to the patient their family and community. It talks about people as holistic beings and it underlines the importance of mind, body and soul. Two beliefs in my philosophy are that a persons health dictates a whole lot about their quality of life together with past experiences and cultural heritage can significantly influence peoples environment. Two professional nursing values expressed in my own philosophy are trust and caring.

Bowcutt, M., Wall, J., & Goolsby, M. (2006). The Clinical Nurse Leader: Promoting patient-centered outcomes. Nurs Admin Q. 30(2), 156-161.

3 Denisco, S.M., & Barker, A.M. (2013). Advanced practice nursing: Evolving Roles for the transformation of the profession (2nd ed). Burlingon, MA: Jones & Bartlett. Harris, J. & Roussel, L. (2010) Initiating and sustaining the clinical nurse leader role: A practical guide. Burlington, MA: Jones and Bartlett.