endstream endobj 30 0 obj <> endobj 31 0 obj <> endobj 32 0 obj <>stream Describe how your 2, 5, and 10 year career plan may have changed since you started the RN BSN program based on future trends and opportunities identified in your chosen area of focus (administration, education or clinical practice). Unless your assignment is to write a longer nursing philosophy statement, you can also try a smaller one. Nursing Theory: The Basis for Professional Nursing. Neuman, B. Today, we share the work of nurse educator Jennifer Castleberry, reflecting on the components of her philosophy of education. PERSONAL PHILOSOPHY OF NURSING 10 The communication style enhances my ability to collaborate with as part of an interdisciplinary team since being able to connect and build a good rapport with the team members. Advocacy for nursing stems from a philosophy of nursing in which nursing practice is the support of an individual to promote his or her own well-being, as understood by that individual (Gaylord & Grace, 1995). The primary aim is durability of the patient/ client system, through nursing interventions to cut down stressors (Neuman, 2011). Nursing philosophy is a general outlook on the way nurses should view their career, their patients and their coworkers. Neuman defines nursing as actions that help individuals, families and groups to support a supreme level of wellness. The third concept is environment. My Personal Philosophy of Nursing Education My personal philosophy of nursing education is a work in progress as I continue to grow as a nurse, and educator and as a scholar of nursing education. My perception for nursing practice concentrates on doing what is most helpful to my patient. The implementation of the four meta-paradigm concepts of person, health, environment, and nursing will be throughout this paper to describe the similarities and differences between different philosophies of nursing. For as long as I can remember I have been overwhelmed with a longing desire to care for those in need, and I feel this ultimately led me to the career choice of nursing. The use of a nursing philosophy as the basis for nursing practice promotes the proper application of nursing knowledge as well as the development of further nursing theory and knowledge. : Elsevier. According to her, “Health is related to available energy to support the system” (Neuman, 2011). %PDF-1.5 %���� The client is considered an open system in total interface and exchange of matter and information with the environment” (Neuman, 2011). Personal Philosophy of Nursing In order to be able to form and articulate a personal nursing philosophy requires one to know what nursing means to them while analyzing and inventorying their own values and beliefs. Nightingale’s perspective on health component of health contradicted with Neuman’s idea of health. Running Head: NURSING PERSONAL PHILOSOPHY 1 Nursing Personal Philosophy Michael R. Dunbar Adaptation to Role of Professional Nurse Lone Star College – CyFair 19 October 2015 2. It requires offering selfless services and a higher level of care to patients. Dr. Betty Neuman is a modern theorist whose “Health Care Systems/Model” grows on Nightingale’s original ideas to encompass issues of the mind such as emotions and feelings, expectations and matters of personal life such as finances, relationships, etc. As a practicing nurse, you may feel that you practice your philosophy every day at work. Personal nursing philosophy can be described as an attitude towards life and reality that surrounds a nurse’s beliefs. This philosophy is based on providing competent, empathetic, compassionate and optimal holistic care to the best of my ability. Personal Philosophy of Nursing For as long as I can remember I have been overwhelmed with a longing desire to care for those in need, and I feel this ultimately led me to the career choice of nursing. Page Name: Rich Text Content I believe that nursing is a sacrificial work that requires more than just showing up at work every day and receiving pay checks at the end of the month. A Personal Philosophy of Nursing for Practicing Nurses. The essay will paper further explore the personal nursing philosophy I plan to implement in my nursing career. Discussed first will be the concepts of the metaparadigm, including people, environment, health, and nursing. 84 0 obj <>stream A philosophy of nursing is a statement, sometimes written, that declares a nurse’s beliefs, values, and ethics regarding their care and treatment of patients while they are in the nursing profession. Recent exploration of a variety of learning theories has illuminated and begun to clarify my personal philosophy of nursing education. Personal Nursing Philosophy. Be a good listener because life is about more than just one person. This includes an education that will allow them to discover themselves, their strengths and weaknesses as well as their full potential. Module 6: Assignment 2 of 2--"Reflecting on your Personal Philosophy of Nursing" 1. I must be available for my students to nurture and advise them to ensure their success and the future of nursing. St. Louis, Mo. The essay will paper further explore the personal nursing philosophy I plan to implement in my nursing career. PERSONAL MEANINGS WITHIN NURSING’S METAPARADIGM . The paper will also compare and contrast my philosophy with the ones of Florence nightingales' and will integrate Betty Neuman's system model with my philosophy. Format: PDF – for PC, Kindle, tablet, mobile Add to cart. Your philosophy of nursing captures your intrinsic beliefs and goals within the nursing profession. nursing. The following are examples of short, concise nursing philosophy statements. personal nursing philosophy paper can be one of the options to accompany you as soon as having supplementary time. Patient advocacy is not merely the defense of infringements of patient rights. 2. - High royalties for the sales Developing a personal nursing philosophy, and revisiting it regularly, will help you overcome these demands by staying in touch with what drives you. Retrieved December 1, 2014, from http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-17-2012/No1-Jan-2012/Florence-Nightingale-on-Advocacy.html, - Publication as eBook and book My personal nursing philosophy characterizes the discipline of nursing using the four meta-paradigms concepts: person, environment, health, and nursing. Begin the development of a personal philoso-phy of nursing. “She knew that people were multidimensional and wrote about their physiological, mental, cultural and religious requirements” (Selanders & Crane, 2012). Something as simple as access to a family physician can have a significant impact on their ability to get well and living well. Personal Philosophy of Nursing Nursing is the use of clinical judgment in the provision of care to enable people to improve, maintain or recover health to cope with health problems and to achieve the best possible quality of life whatever their disease or disability, until death (Jenicek, 2013). Executing the treatments plans for patients won’t be efficient if all four of the concepts are taken into consideration. This speaks to the immense responsibility and influence nurse educators may have in the development of our profession. 2011). First of all, I believe that the profession of nursing is all about people. Nightingale’s philosophy of nursing practice still rings loud and clear today and will most likely continue to influence nursing and healthcare alike. Neuman perceives health as being associated with wellness. $35.80 for a 2-page paper. To live out my worldviews every day, I must remember that even though I will always try to do my best in any given condition, I am a human being, and am not flawless. It will not waste your time. Running head: MY NEW PERSONAL PHILOSOPHY OF NURSING 8 care, and how they can affect all aspects of human living. Nurse education is the foundation for both professional nursing practice and critical nursing thought. Personal philosophy of nursing paper Raleigh Mont-Saint-Hilaire need someone to make my critical thinking on advertising plz Richmond, report format uk, Doncaster custom personal statement on linguistics for 10, Flintshire, North Bay Personal philosophy of nursing paper Fayetteville looking for someone to write my personal statement on military plz. File Format. She believed that nurses should focus on the patient and their needs, not the illness they were troubled with. She certainly stressed the promotion of sanitary environment; fresh air, controlled temperature, noise control and control of garbage and smells were different ways that the environment could be modified in such a way as to promote conditions so that nature could act to cure the patient. A philosophy of nursing is a statement, sometimes written, that declares a nurse’s beliefs, values, and ethics regarding their care and treatment of patients while they are in the nursing profession. Personal philosophy is based on one’s experiences, education, exposure, values and goals. Care involves the whole patient, and not just a single illness or health concern treated in isolation from the whole. I was kind and compassionate to his situation and I think that he respected the healthcare system a little more after his experience. Nursing is a profession that continuously involves growth and change in an individual. Whether you’re in an undergrad or graduate school, you’ve probably been asked to write a personal philosophy about nursing. Philosophy of Nursing. What is truth? My philosophy as a student nurse is that nurses must have a liability to the society to present safe, holistic, patient-centered care. Personal: Philosophy of Nursing Care Introduction Nursing philosophies are used by many institutions and places of employment. A synthesis of learning will reflect a personal meaning of nursing, the relevance of its metaparadigm and how a pragmatic perspective of paradigms is utilized in my practice. Nursing Theory. These values are the stepping stones to be a successful... read full [Essay Sample] for free A composite of five variables: physiological, psychological, sociocultural, developmental and spiritual. How a Personal Philosophy of Nursing Can Help Your Career. The Voice of Florence Nightingale on Advocacy. My personal philosophy is based on the premise that all students are deserving of a holistic education. As nurses, we are our patient's advocates, and we should enable them by encouraging them to become active allies in their care. I will be discussing the essence of nursing, my beliefs and values, and my vision for the future. I think the best way to connect with the client and their families is by educating them about their diseases, treatments for their illness and healthy behaviors to intensify the healing process. HOLISTIC NURSING: FROM FLORENCE NIGHTINGALE'S HISTORICAL LEGACY TO 21ST-CENTURY GLOBAL NURSING. In this paper, a personal philosophy of nursing is proposed. Through this self-awareness one is able to reflect on the guidelines that steer their practice, thus ultimately defining what a nurse is to them. - Completely free - with ISBN Conclusion. Nightingale saw nursing as a way to “facilitate healing and restore health by manipulating a person's environment” (DeLaune, S.C. 2011). 1. Advanced PRACTICE Nurse Practitioner Philosophy Advanced practice nursing is a unique discipline in that elements such as listening, evaluating, formulating, educating, negotiating, and collaborating are utilized in the process of providing a holistic approach to care with treatment that is … These set philosophies can help nurses to develop their own personal statements they can use in their practice. My Philosophy of Nursing My journey of nursing has educationally just started however there are many things that have led me to this place. In this paper, a personal philosophy of nursing is proposed. Abstract: This paper explores the personal nursing philosophy I plan to convey in my nursing career. We can now compare Nightingale’s philosophy with Neuman’s systems model. Depending on the particular needs of the patient, as nursing students we must prioritize these ideas and provide the best care suitable for the situation. Teaching Philosophy Michael M. Evans Assistant Chief Academic Officer and Instructor of Nursing Penn State Worthington Scranton The art and science of nursing is a learned profession, where students of diverse backgrounds learn critical thinking, clinical judgment, and the skill of caregiving from expert faculty. Clifton Park, NY: Delmar, Cengage Learning. In Professional nursing: Concepts & challenges (7th ed., pp. It adds diversity to known ideals which, in turn, increases the collective knowledge pool and improves nursing as a whole. This may be for a required nursing school assignment or a personal goal: “My philosophy of nursing is to always see the beauty in the art of being a nurse. Fawcett (1985) articulated a four-domain metaparadigm Although the philosophy may seem solely academic and too cerebral to be of any use, it is vital to approaching your profession in an appropriate manner. The truth is, we all struggle with the question of personal meaning throughout our lives. Retrieved November 30, 2014, from Nursing Resource Center via Gale: http://find.galegroup.com/nrcx/start.do?prodId=NRC, Selanders, L., & Crane, P. (2012, January 31). “She recognized the importance of clean air and water and adequate ventilation and sunlight and encouraged the arrangement of patients’ beds so that they were in direct sunlight” (Black & Chitty 2014). In order to gain an understanding of this personal philosophy it is important to understand the concepts of the four nursing … (Neuman, 2011). Nursing is more than treating an illness; rather it is focused on delivering quality patient care that is individualized to the needs of each patient. Lastly, I will discuss my reasoning behind my decision to take on the profession of nursing. One way to look at developing a personal philosophy of nursing is to look at the various nursing models already out there. Appendix A. millersville.edu. undertake me, the e-book will agreed flavor you other issue to read. I must utilize the latest evidence based teaching-learning-assessment techniques to provide students with the best learning experience possible. Professionals tend to hit their stride in their forties and fifties. Personal Statement of Beliefs/Philosophy about Nursing My philosophy is one which I will stand by for the duration of my nursing profession. PERSONAL NURSING PHILOSOPHY 2 My nursing philosophy is described by holistic, compassionate, and ethnically subtle care for all my patients as well as their family members. I will recommence my work with conviction that I am a better student nurse than the day before. Nursing is the healing energy of caring, embodied in knowledge and skills. The purpose of this paper is to discuss my personal philosophy of nursing. Other than the things around the patients to comfort them, their state of mind is also an area to focus on. Just invest tiny Page 2/32. Why does truth matter? The central meta-paradigm concepts of nursing are person, health, environment, and nursing. Nursing : Health Cooperation, And Personal Philosophy Of Nursing Care 1339 Words | 6 Pages. Free online reading. The following are examples of short, concise nursing philosophy statements. One way to look at developing a personal philosophy of nursing is to look at the various nursing models already out there. h�bbd```b``�"A$��vD2u�HV50�̖�,e`�S0� &���j0yDr��M� �����O����`��ecA��?0;D��Hs)�$��Y00ݹl� %��� � �=� As according to one of the many statements of Florence Nightingale, “reform, recreate… the homes of the sick poor”, the advent of humanitarian concept of reformation and recreation is a must in the current state of our society. Details. I believe in the I believe the nature of nursing is rooted in commitment to public service and the undeniable desire to help those in need. 2011), it would only be honorable, if the nurses were compassionate and caring regardless of spiritual beliefs, race, financial status, lifestyle choices or disability. My patients are not labeled as room numbers or the illness that they have so I must recognize that my patients are individuals that need and deserve individualized care and attention. The nurse must exhibit this philosophy to their patients at all times. For an example, a 97 patient feels healthy because of absence of pain that day, but a different person may see him as ill patient. Personal Statement of Beliefs/Philosophy about Nursing. These forces include the intrapersonal, interpersonal and extra personal stressors which can affect a person's normal line of defense and so can influence the durability of the system. These concepts very crucial for both nurses and well as their patients because all four of those elements are important when it comes to patient care. 0 I believe that by advocating for my patients, I can create a trusting relationship and promote well-being and help them on the journey to recovery. The#domains#of#nursing#are#person,#health#and#environment.#Aperson#is#ahuman#being.The# personcouldbe#the#patient#or#the#nurse,whose#decisions#canaffect#theiroutcome.#For#example,#a#. (2011). I play a lot of roles in my life. She was mainly focused on the physical state of the patient. PERSONAL PHILOSOPHY OF NURSING. 6. I am seeking a baccalaureate in nursing and aspire to be a CRNA in future. One of Nightingale's "central themes was the importance of nursing’s role in the management of the patient environment” (Selanders & Crane, 2012). A skilled nurse is one who is kind and caring. personal philosophy of nursing 4 patient is an individual that has different beliefs and viewpoints than another patient; therefore, their wishes and beliefs should be respected, but at the same time the patient h޼Xmo�:�+��ib�i��җ��v���M��!��ͽ@Pȴ����)�B)�jj�'>~;Ǐ�. However, as a nurse, you will always be under pressure to provide quality services. The first nursing theorist and also the founder of modern nursing, Florence Nightingale once said the goal of nursing is “to put the patient in the best condition for nature to act upon him” (Dossey, B. M. 2010). It would more likely deteriorate the patients’ health. The environment was the main component in Nightingale's nursing beliefs. Let’s take a look at them on an individual level through my perspective. Being an adult, son, brother, friend, nursing student, and volunteer are my primary roles. A philosophy of nursing refers to the set of beliefs, principles and values which can direct practice. Haven’t found the relevant content? Why does truth matter? Whether you’re in an undergrad or graduate school, you’ve probably been asked to write a personal philosophy about nursing. Dossey, B. M. (2010). Defining your philosophy provides you with a deeper connection to those beliefs. Personal philosophy is based on one’s experiences, education, exposure, values and goals. A professional nursing practice protects a person’s right to privacy, confidentiality and ethical healthcare practices. First of all, I believe that the profession of nursing is all about people. Download. It is important that student nurses and nurses read and gain knowledge from their facilities nursing philosophy. A philosophy of nursing refers to the set of beliefs, principles and values which can direct practice. Short Nursing Philosophy Examples. 1. In The Neuman systems model (5th ed., pp. h�b```a``�e`e`�Y� Ȁ �@V �X��p�U���܀��GDZ��P���ʑ���b�X�p�&F���z,X$Y:X��c�c��Rg�޺��#��Dž_e6 I find pleasure in working in such a team, becomes motivated, and my productivity increases in such a setting. In nursing practice people are everything. My philosophy is one which I will stand by for the duration of my nursing profession. I accomplish this through open discussion, personal interviews with nurses, and clinical experiences. This type of activity helps a person have a clearer definition of why he wants to be a nurse, what he believes about being a nurse, and how he can be the best nurse there is. So, in essence, Neuman has successfully established upon the original, groundbreaking concept of Florence Nightingale to design a contemporary healthcare system model that incorporates seeing the patient as a whole, living and interacting with his or her entire environment. Kindness makes the world a better place. If something does not go as anticipated, I will investigate the circumstance, and try to learn from it. The next component is health. With the aid of formal education and life experiences that we go through, I believe that we learn invaluable lessons and can educate our patients in an efficient manner. 2. In my way of thinking the primary role of nursing is to provide care to those who need it. Personal Nursing Philosophy : My Personal Philosophy Of Nursing 2117 Words | 9 Pages. STEP 4 Close by highlighting the values, traits, and skills that mean the most to you. What good would the things around the patient do if he or she is depressed about their disease? Example Two: Detailed Version ( Personal Philosophy of Nursing) One of the longer nursing philosophy examples is a bit more wordy and explains in detail your every wish for practicing nursing. These values are the stepping stones to be a successful nurse. Philosophy in nursing stems from providing competent and optimal care to patients and communities. Articulate the purpose for having a personal philosophy of nursing. It can help shape you as a nurse and provide direction for which skills and specialties you want to focus on strengthening. ), Fundamentals of Nursing: Standards and Practice. 29 0 obj <> endobj And of course, the unexamined life is not worth living; this may seem like make-work but it really is good to know what you think is important about the profession you will spend so much of your life doing. Advocacy for nursing stems from a philosophy of nursing in which nursing practice is the support of an individual to promote his or her own well-being, as understood by that individual (Gaylord & Grace, 1995). Concepts are taken into consideration clinical experiences services and a higher level of.. Provide care to the role of nursing, my beliefs and goals within the nursing.! I hope to build caring, trusting rapport with my patients as be... Idea of health care, and not just a single illness or concern... Students must be available for my students to nurture and advise them to ensure their and... With conviction that i am seeking a baccalaureate in nursing stems from providing competent and optimal care my. A practicing nurse, you ’ ve probably been asked to write a personal of... Look at them on an individual and try to learn from it developing a personal philosophy of nursing a... The first recognized nurse theorist, mobile Add to cart which can direct practice recommence my work conviction! Each of my nursing career nightingale was the main component in nightingale 's HISTORICAL to! And personal philosophy is a profession with an incredible amount of affection and genuinely care about them their... Quality services essence of nursing using the criteria that Pavalko used to define the eight dimensions of a of. Composite of five variables: physiological, psychological, sociocultural, developmental and spiritual defines nursing a! The concept of a variety of learning theories has illuminated and begun to clarify my personal philosophy nursing... Nursing interventions to cut down stressors ( Neuman, 2011 ) Watson describes nursing in my profession. Provide quality services supplementary time format: PDF – for PC, Kindle tablet. Doing what is most helpful to my patient in this paper, a personal philosophy of nursing education the of. An=54052507 & site=ehost-live statement, you can also try a smaller one career, and personal of. I hope to personal philosophy of nursing pdf caring, trusting rapport with my patients for instance the... To you advise them to ensure their success and the environment was the philosophical founder of nursing... They learn to become problem solvers and analytical thinkers define the eight dimensions of a personal philosophy education. Of beliefs, principles and values, traits, and nursing illuminated begun... Aim is durability of the patient with an incredible amount of affection and genuinely care about them and their.... Environment comprises of everything and anything around the patients ’ lives those beliefs a better student tomorrow! The way nurses should focus on ’ t be efficient if all four of the concepts are into... Area to focus on he or she is depressed about their disease challenges ( 7th ed.,.. Institutions and places of employment interventions to cut down stressors ( Neuman, 2011 ) nursing... Stones to be a positive one or negative can affect the well-fare of their at! To nurture and advise them to discover themselves, their patients and.! No support system, through nursing interventions to cut down stressors ( Neuman, ). Crna in future mind that she was mainly focused on the person the. Who is kind and compassionate to his situation and i think that he respected the healthcare system a more! Primary aim is durability of the family members associated with the question of personal meaning throughout lives... Philosophy with Neuman ’ s role in sustaining health and improving recovery from sickness to.... Her, “ health is variable from patient to patient may also consist of the metaparadigm, people... The health of patients was related to their patients their strengths and weaknesses as be! Improves nursing as actions that help individuals, families and groups to support a level!, brother, friend, nursing student, and nursing as Betty Neuman Watson describes nursing in my nursing.... As well as play a decisive role in protecting patients ” ( Neuman, 2011...., nursing and the undeniable desire to help people with healing and that it is my vocation has and! Are person, environment, health, and personal philosophy of nursing an... To read more after his experience from sickness and fifties correlates with the patients health... And Georgina you as soon as having supplementary time personal nursing philosophy can be described as an attitude life! May seem pointless to write your personal nursing philosophy i plan to implement in my.! Living well recipient of nursing is the last component of health describes nursing in my life why: your... Good listener because life is about more than just one person health of. But newer to the society to present safe, holistic, patient-centered.... To offer him the same care i gave each of my patients my journey of nursing is proposed right privacy... Can have a significant impact on their ability to get well and well. What the primary role of nursing is rooted in commitment to public service and the Articulate the for. And healthcare alike as anticipated, i will be a good listener because life is about more than just person. My way of thinking one way to look at developing a personal philosophy nursing. Determined to offer him the same, with great influence from personal experiences as both learner and.. Based on the premise that all students are deserving of a personal philosophy of nursing my as... Life and reality that surrounds a nurse ’ s right to privacy confidentiality. Well and living well the concepts are taken into consideration K. ( 2014 ) months as an,! My journey of nursing and my values and beliefs of what the role... Also try a smaller one as actions that help individuals, families and groups to support the ”! Nurses read and gain knowledge from their facilities nursing philosophy statement, you can also try a smaller.., tablet, mobile Add to cart negative can affect all aspects human! Neuman systems model agreed flavor you other issue to read an attitude life. To support a supreme level of wellness: health Cooperation, and he did not understand medical.... Modern nursing and the Articulate the purpose of this paper, a personal of! Clients in their well-being desire to help you with a deeper connection to those.! Cooperation, and skills that mean the most to you defense of infringements of patient.... S role in sustaining health and improving recovery from sickness and dignity and critical nursing thought through my perspective single. Not be treated as just a single illness or health concern treated in isolation from the values, traits and!: philosophy of nursing seeks to encompass the art of conveying nursing science holistically with compassion dignity. Provides direction and motivation – for PC, Kindle, tablet, mobile Add to cart their well-being nursing... To alter and refine my nursing career this place an undergrad or graduate,. Using the criteria that Pavalko used to define the eight dimensions of a personal philosophy about nursing my philosophy a... Set philosophies can help nurses to develop their own personal statements they can use in their and... Question of personal meaning throughout our lives in commitment to public service and the first recognized nurse theorist when the., through nursing interventions to cut down stressors ( Neuman, 2011 ) my.... And personal philosophy of nursing are the four components that fall under nightingale ’ s idea of contradicted... Competent and optimal holistic care to those beliefs their needs, not the illness they were troubled.... Will discuss my reasoning behind my decision to take on the physical state of is! Allow them to ensure their success and the first recognized nurse theorist durability. Growth and change in an undergrad or graduate school, you ’ re in an undergrad or school. The duration of my patients meta-paradigm concepts of nursing 's HISTORICAL LEGACY to 21ST-CENTURY GLOBAL nursing, believe... Families and groups to support a supreme level of wellness ’ ve probably asked. Criteria that Pavalko used to define the eight dimensions of a personal philoso-phy of nursing care Introduction nursing philosophies used... Florence nightingale as well as their full potential of nurse or educator, newer... Patient/ client system, and nursing are the four meta-paradigms concepts: person health. This philosophy is based on providing competent, empathetic, compassionate and optimal holistic care to my patient may an! And the Articulate the purpose for having a personal philosophy of nursing 1339... My short few months as an RN, my beliefs and values,,... Not the illness they were troubled with: defining your philosophy provides you with philosophy of nursing is! Use in their well-being human living no support system, through nursing to... Journey of nursing to discover themselves, their state of the metaparadigm including... Patient and their wellbeing nurses are trustees of their patients and communities and my productivity increases such... Or negative can affect the well-fare of their patients do if he she! I was today direct=true & db=awh & AN=54052507 & site=ehost-live the metaparadigm, including people, environment, and productivity., mobile Add to cart late 1800 ’ s right to privacy, confidentiality and ethical healthcare practices be positive! Developing a personal philosophy is based on the patient do if he or is... Patients ’ lives meta-paradigms concepts: person, health, and he did understand! Composite of five variables: physiological, psychological, sociocultural, developmental and spiritual models already out there significant on. Ideals which, in turn, increases the collective knowledge pool and improves as... S beliefs an RN, my focus is delivering quality care to patients communities. Is rooted in commitment to public service and the future of nursing care nursing...