Knowledge Development in Nursing Essay

A philosophy of nursing should be all encompassing, with its foundation based upon core set and beliefs, while building upon experience. Medicine is often comprised of controversial estimable dilemmas where we must be advocates. In a study that examined the relationship between nurses and mendeleviums it was indomitable that Differences in values, communication, trust, and responsibilities can precipitate conflict between nurses and physicians over ethical components of care. (Corley MC 1998) Developing ones theoretical knowledge and learning how to apply it successfully into their clinical habituate is part of the evolving process.The evolution that occurs over the course of a career can be empowering. Hence, it is important to arrest positive nurse-physician relationships to reenforce confidence and grow from those interactions. The importance of positive nurse-physician relationships has been widely acknowledged (Baggs, 1989 Baggs & Schmitt, 1988 Eubanks, 1991 Fagin, 1992 auto-mechanic & Aiken, 1982 Prescott & Bowen 1985). Therefore, it is our obligation as professionals to mentor our peers, not only for ourselves, but our uncomplainings and families, as well. In an interesting illustration of self disclosure (Kim, H.S., 1999) a practitioner was able to identify the ineluctably of a patient, but clearly had trouble communicating the needs of the patient to the physician, although some of the difficulties appeared to be cultural in nature.The way we communicate with one another as practitioners, in appurtenance to, how we collaborate and communicate with physicians has a direct impact on patient outcomes. As practitioners we are restricted in performing our jobs if we can not effectively collaborate with the physician. It is herein that the problem lies. The inexperienced or less(prenominal) assertive practitioner will often find it difficult to glide slope a physician when faced with perhaps the Do Not recreate drift that has yet to be signe d. With that being said, approaching a family that needs to be educated on the implications of G-tube placement on their family member with lengthened intubatation and no signs of improvement can be daunting without interdisciplinary support.The more than experienced practitioners clinical judgment is more comfortably verbalizedbecause he/she is comfortable in interdisciplinary collaboration, therefore the physician is more likely to involve them in the decision making process. For sample in an ICU setting where often times the physician does not involve the practitioner in the decision making process or inform them when a decision has been made it generally creates one of tether things. A. the nurse will continue to aggressively pursue the physician until an order is received B. resort to slow codes, or C. resuscitate all patients until told other by the physician (Michael I Rauchman, BA). All of these things lead to negative outcomes for some(prenominal) the families and pat ients, and we as practitioners. Future directions of the discipline are revealed when these linkages between philosophy, disciplinary goals, theory, and practice are strengthened (McCurry, et al). It is for these reasons, we as practitioners must continually grow and develop through our experiences, always expanding our knowledge in the ever-changing profession we stir chosen.Corley MC (1998). Ethical dimensions of nurse-physician relations in critical-care (The Nursing Clinics of North America) 1998 Jun Vol. 33 (2), pp. 325-37. http//ehis.ebscohost.com.proxy.library.maryville.edu/ehost/detail?vid=19&sid=78745a3b-d950-4ea0-890c-4ee4ab4c4b46%40sessionmgr112&hid=101&bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3ddb=cmedm&AN=9624207 ISSN0029-6465MICHAEL I. RAUCHMAN, BAMedical studentMcGill UniversityMontreal, PQRABKIN MT. GILLERMAN G, RICE NROrders not to resuscitate. N Engi J MedI 976 295 364-366http//www.ncbi.nlm.nih.gov.proxy.library.maryville.edu/pmc/articles/PMC1875656/pdf/canmedaj01406-0055. pdfExpertise in Nursing PracticeCaring, Clinical Judgment, and Ethics