My Personal Philosophy of Advance Practice Nursing

By Joanne de Guia-Rayos, MSN, RN, NP-C

Caring is defined as a complex, and trans-cultural process, grounded in an ethical and spiritual context. Caring reflects a moral obligation or duty that lays the ethical framework for nursing ethos that safeguards a patient’s right to human dignity. As patient advocates, APNs should identify patient preferences in an emphatic and non-paternalistic fashion in order to navigate, coordinate and facilitate multi-disciplinary and patient-centered treatment plans. Active participation with others is needed to provide compassionate and ethical patient care in a healing environment. Quality care for patients requires reciprocity with those whom nurses can professionally identify with. Collaboration is a moral that reinforces the commitment to the common goal of a patient’s welfare.

I chose to become an APN because my disposition and demeanor are well suited for caring for others. I am currently working as a Clinical Nurse Specialist (CNS) in the emergency department at Mount Sinai Beth Israel. This allows me to be more involved in the training of our nurses and to provide compassionate and ethical patient care while maintaining a healing environment. As my preceptor once told me, paraphrasing Maya Angelou, “Patients will forget what you said and what you did however, they will never forget how you made them feel.”

As an ED nurse at MSBI, I have had the opportunity to take care of people from diverse backgrounds. Throughout my career, I have learned the importance of providing holistic care to my patients. This type of care reflects my personal philosophy. Knowing that I can apply my personal experience and contribute to a client’s recovery and wellness gives me a sense of personal pride, which in turn, strengthens my commitment to this profession. With the advance knowledge and skills, both in nursing and related fields, APNs have the capability to make a valuable contribution to the Mount Sinai Health System. Through health promotion, diverse population receives competent care, which enhances positive health care outcomes. Through my philosophy of caring, coupled with health promotion, I will be able to provide emphatic and holistic care to a diverse group of patients in my role as an APN.

Joanne de Guia-Rayos, MSN, RN, NP-C, has been working in the ED at Mount Sinai Beth Israel since 2003. She has a Masters in Nursing Education and is an adult nurse practitioner. She has been practicing as a clinical nurse specialist in the ED since 2013.

2 thoughts on “My Personal Philosophy of Advance Practice Nursing

  1. Permalink  ⋅ Reply

    vanessa elliott

    December 10, 2014 at 1:37pm

    This article is such an inspiration! While fulfilling my requirements for my BSN, I began forming my own philosophy, which is actually holistic care. I believe in this form of care because it is important for us nurses to provide quality care to patients while viewing them as one whole entity. This article truly gave me the extra confidence to pursue my career and provide holistic care to the community.

  2. Permalink  ⋅ Reply

    October 13, 2015 at 8:08pm

    Hey there! I’ve been following your blog for a while now
    and finally got the courage to go ahead and give you a shout out from Dallas Texas!
    Just wanted to tell you keep up the great work!

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