Problem:
My Personal Philosophy of Nursing Practice Working in the CVICU has changed the way I view nursing. Every shift reminds me that nursing is not just about clinical skills, medications, or charting. Patients come into the ICU during some of the worst moments of their lives, and many of them are already carrying problems long before admission. I take care of patients recovering from heart transplants, ECMO cannulations, CRRT initiation, open-heart surgeries, and other high-acuity conditions that require constant monitoring and fast decision-making. In those moments, nurses do much more than complete tasks. We advocate, educate, comfort families, recognize subtle changes, and help patients maintain dignity when they feel completely vulnerable. My experiences in critical care shape the way I understand the nursing metaparadigm concepts of person, environment, health, and nursing. McEwen and Wills (2022) explain that nursing philosophy helps guide nursing practice and professional beliefs. I do not look at patients as diagnoses or room numbers. I see them as people whose outcomes are affected by far more than the immediate medical condition. In ICU settings, I constantly see how transportation issues, financial stress, limited healthcare access, chronic illness, low health literacy, and poor support systems affect recovery and readmission rates. The Centers for Disease Control and Prevention (2024) describes how social determinants of health influence overall health. Need Assignment Help?