In order to reach one’s goal, the goal should be well defined, firm and the individual must be completely

committed to attaining it. Pursuing a career as a Primary Health Care Nurse Practitioner has always been my
driving goal throughout all my education and training since the age of seventeen. Over the past three years
working within a Surgical Inpatient unit as a Registered Nurse, I have become aware of the lack of community
resources and access to health care available in rural areas. This has inspired me apply to the University of
Western Ontario’s Primary Health Care Nurse Practitioner program for the fall of 2014. After completing my
Bachelor of Science of Nursing at the University of Western Ontario, I am certain that no other institute can
provide the same student experience that I was fortunate enough to obtain. Within this essay, I will first describe
my understanding of the role of the Nurse Practitioner in Primary Health Care in Ontario, secondly will describe my
motivation for wanting to become a Nurse Practitioner, and thirdly describe professional and personal attributes
that I will bring to the Nurse Practitioner role.
1. The role of the Nurse Practitioner in Primary health Care in Ontario is to work collaboratively with the
interprofessional team, patients, and patient’s families in order to communicate diagnoses, order and interpret
diagnostic tests, prescribe medication, and to provide treatment using a holistic approach. The Nurse Practitioner
does not replace other health care professionals, but works together with them focusing on “health promotion,
disease and injury prevention, cure, rehabilitation and support” (Ontario PHCNP Program, 2014). The Canadian
Nurse’s Association believes that the Nurse Practi...

... middle of paper ...

...chability and my dedication to learn new knowledge to help me provide professional and exception care. My
personal attributes include my passion towards helping people and my outgoing and positive attitude. I believe I
am the perfect fit for enrolling in the Primary Health Care Nurse Practitioner program at the University of Western
Ontario this fall because of my academic ability, my love for the nursing profession, and for my drive to wanting to
improve the health and wellbeing of those in rural areas.

Nursing is considered one of the most trusted professions in the world. It is an essential part in the caregiving of
sick, injured, and even healthy individuals. Developing a philosophy with any profession is the beginning basis of
any practice. The nursing philosophy is usually incorporated from the science of nursing. That is because the field
of health care is constantly changing, which causes the need of better competence in the health field of providing
caring (Flagg, 2015). With nursing it starts by the science behind it. Then along with knowledge and experiences,
that is when the nursing philosophy is developed. Researching differences between new ideas and cultural
differences can then expand the viewpoint into a bigger picture. It is then when the nurse adds a vision of an
assortment of nursing theorists is when the nursing philosophy comes together as a whole. The philosophy is a
fundamental part of developing a nursing into the nurse he or she will be. Nurses will work in many different
settings with countless of different people where they will work together to assess, plan, implement and evaluate
care.
The ultimate goal of nursing practice is to either return or maintain a patient to their functional baseline of well
being. In order to do that the nurse has to be able to incorporate all aspects of nursing into the care. Whether it is
caring for physical, cognitive, mental, social, or cultural problems the nursing science and philosophy should always
be implemented in the same manor or basis. It is important to understand that these factors can theoretically
continue to impact the development of science, including nursing science (Daiski, 2016). It is essential to
incorporate all the central concerns of nursing in...

... middle of paper ...

...uality and safety of care that is so critical and so needed yet continues to be so challenging (Flagg, 2015).
It is important to tell the patient what, why, and how you are going to be doing. Gaining those relationships is
really important and to do so one needs communication. Everyone is different in his or her own way. They could be
a different gender or come from a different culture. So the nurse has to be able to work with that certain
population. Alicea-Planas (2016) defines a vulnerable population by “variables depending on the discipline, topic,
or personal philosophy of an individual” (p.162). Nursing philosophies continue to vary and can include little to
multiple things. My personal nursing philosophy is patient-centered-care or holistic care. It involves teamwork,
communication, knowledge, caring, and a good environment that is revolved around the patient.

My journey to nursing began with my personal healthcare experience, and has continued to evolve since entering
the nursing program at State University. My personal philosophy of nursing is related my life experience and my
personal philosophy of life. Using reflection-on-action, I have begun to understand the influences that have lead
me to nursing. I discovered client and family centered care to be an important quality when I look at the influential
nurses in my life. To develop a positive therapeutic nurse-client relationship, nurses must integrate all 5
dimensions of the therapeutic nurse-client relationship into their practice (CNO, 2006). When it comes to providing
client-centered care, the dimensions of trust, empathy and respect are particularly important (CNO, 2006). Illness
can be a traumatic experience for patients and their families, and it is important to be empathetic to the patient’s
needs, while still trusting the patient to be an expert in their illness and care.

Client Centered Care

Client centered care is what creates the foundation for the therapeutic nurse-client relationships. The Registered
Nursing Association of Ontario (RNAO) recommends that nurses embrace the values of respect, human dignity,
client as expert, and clients as leaders, to foster patient centered care (RNAO, 2002). A study done at Coventry
University found that there were serious implications to care that was not family-center. Effective communication
plays a large role in how the care is perceived by families and patients. It is extremely important for clients to
receive constant and continual information from their healthcare professionals (Beckwitt, 2014). Relaying critical,
sensitive information is difficult, but when t...

Introduction
As a nursing student, my job has been very involving. In my career, I have recognized that I play a major role of
offering intensive care to patients who are recovering from surgery. I have managed to help a couple of patients
regain consciousness and also am responsible for managing their condition until they are discharged. My
responsibilities in post-anesthesia unit included the following:
My Roles in Post-Anesthesia Unit
My first role was to monitor patients who were out of theatre. I would do this by making sure that I continually
evaluate the patient until he or she wakes up. Upon their waking up, I would help the patient understand their
environment through regaining their consciousness. I would normally attend to few patients at a time so as to
ensure that each patient got maximum attention. Major parameters that I used to monitor include pulse and heart
rates.
My second role in the unit was to respond to various complications that arose as a result of cholecystectomy
surgery. If the patient was frightened, I would speak to them in a good and reassuring voice so as to calm them. In
some cases, patients were having trouble in breathing due to lying flat in one position for a long time during
surgery. In these cases, I would ensure that I help the patient sit up, breathe deeply and cough so as to prevent
some diseases like pneumonia. In dire circumstances, I was forced to insert a breathing line or breathing tube so as
to help the patient breath.
My third role in the unit was to provide family members with education on how anesthesia works and what they
should expect from the surgery. I also played an important role of explaining the potential side effects or
complications of anesthesia that was used, such a...

... middle of paper ...

...ves. I was able to appreciate practical experience of what I have learnt in class. Through participating in the
activities of the unit, I have learnt how critical thinking acts as an important tool in medical field and how effective
utilization of this tool can help provide quality care to various patients in the post-anesthesia unit. However, I
realized that I need to develop more skills on patient and family awareness on the issue of anesthesia and its side
effects, pre-operative considerations, and on vital signs that indicate stability or instability of the patient