Running Head Personal Nursing Philosophy 1personal Nursing Philosoph ✓ Solved

This paper focuses on nursing paradigms that are comprised of four key elements: persons/clients, health, environment, and nursing, where each is subjected to its own theoretical connotation and has an essential role in enhancing and promoting healthcare. It outlines and contrasts approaches in line with these four paradigms in efforts to attain modern health care.

Various theories attempt to give a vivid description of the environment and the critical role it plays in healthcare. All stakeholders must collectively work together to attain competitive advantages in healthcare and create a conducive work plan that aligns the potential of healthcare.

This theory creates a personal definition that applies to the scenarios exemplifying its applicability in nursing processes. The Person metaparadigm focuses on recipient care and the patient, encompassing factors such as culture, personal spiritual aspects, family, friends, and economic status. Existing research has outlined that the current worldview of nursing has existentialism and humanism transcendence based on individual interpretation and perception.

The nature of intensive care provided to patients is often influenced by personal attributes and predetermined circumstances surrounding them. This leads into the third aspect: the environment metaparadigm. It addresses both internal and external factors that relate to competent and reliable patient care. Key interactions with patients can change cognitive perspectives and are essential for delivering optimal services (McLeod, 2015).

Integrated practices of nursing theories have established a proper scope and level of abstraction, creating frameworks for nursing situations. Through capacity building, I am convinced that nursing interventions are essential for achieving the goals of universal healthcare. In this case, employing cognitive theory is vital as it argues that intellectual structuring and processes must be followed. Nurses must attain a high degree of competency through the use of thought, environment interpretation, and accurate assumptions, which are critical for effective, efficient, and reliable healthcare outcomes.

Health is another significant element within a personal nursing philosophy. Its effectiveness is determined by applying adequate maladaptive thoughts and treatment processes. The modeling of application should reflect progressiveness and adaptability. The primary focus should be on utilizing academic concepts and related research that support patient recovery processes. One dominating theory reflecting the metaparadigm is cognitive nursing theory.

This theory outlines significant stages from patient introduction to healthcare until the patient regains health status. Cognitive processes involve behavioral dissatisfaction, responses to work ethics, and psychoanalytical processing. It provides a creative intellectual framework for how patients have adapted and modified healthcare procedures for maximum benefits. Moreover, it is critical to underpin the role of creativity alongside offering comprehensive healthcare. Examination and incorporation of evidence-based principles are instrumental in enhancing healthcare processes and their integrated networks (Solari-Twadell & Ziebarth, 2019).

Paper For Above Instructions

The importance of healthcare policy in shaping the experiences and outcomes of American citizens cannot be overstated. Health policies have been pivotal components of presidential agendas for decades, leading to extensive debates and discussions. This analysis will examine how the healthcare issues have been approached by Presidents Trump, Obama, and Bush, focusing on specific policies and the subsequent implications for public health.

Healthcare Policy under President Bush

President George W. Bush’s tenure was marked by the introduction of the Medicare Part D program, aimed at providing prescription drug coverage for seniors. While it expanded access to medications, critics argue that its implementation was flawed due to not allowing for bulk purchasing discounts, which could have reduced costs (Baker, 2007). If I were in charge during that time, I would have advocated for a strategy that included negotiations for lower prices and better coordination among key stakeholders to create a more robust plan.

Healthcare Policy under President Obama

Under President Barack Obama, the Affordable Care Act (ACA) was a significant legislative effort designed to increase health insurance coverage through mandates and subsidies. Although the ACA resulted in millions of Americans gaining insurance, its high premiums and deductibles drew criticism (Schoen et al., 2011). If I had the opportunity to revise the ACA, I would advocate for a public option to create competitive pressure on private insurers, ultimately lowering costs for consumers.

Healthcare Policy under President Trump

President Donald Trump focused on repealing the ACA and replacing it with a system that promised reduced premiums and deregulation. However, while some of the intended changes aimed to address high costs, the overall impacts led to increased uncertainty in the insurance market (Blumenthal et al., 2018). If I were involved during his administration, I would have emphasized reforms aimed at stabilizing the insurance marketplace and ensuring continuous coverage for those with pre-existing conditions.

Conclusion and Recommendations

Each president faced unique challenges regarding healthcare policy, demonstrating varying approaches and outcomes. The ACA expanded coverage but left room for improvement in costs and accessibility. In contrast, President Trump’s emphasis on repeal without a solid replacement added complexity to the healthcare discussions. Moving forward, a national conversation about universal healthcare systems, akin to models used in other countries, could generate the necessary momentum for comprehensive reform. This would require bipartisan cooperation and an emphasis on long-term equity in access to healthcare resources.

References

• Baker, L. C. (2007). The impact of Medicare Part D on hospitalizations for elderly patients: Evidence from the Health and Retirement Study. Health Affairs, 26(6), w952-w961.
• Blumenthal, D., Squires, D. A., & Graham, W. (2018). The promise of health care reform: The Affordable Care Act. Health Affairs, 37(8), 1197–1204.
• McLeod, S. (2015, February 5). Cognitive approach. Retrieved from https://www.simplypsychology.org/cognitive-approach.html
• Schoen, C., Radley, D. C., Collins, S. R., & Hayes, S. L. (2011). The impact of the Affordable Care Act: A look at the uninsured and implications for future reforms. The Commonwealth Fund.
• Solari-Twadell, P. A., & Ziebarth, D. J. (2019). Faith community nursing: An international specialty practice changing the understanding of health. Springer Nature.
• Tryon, W. W. (2019). Cognitive theory: Basic principles and applications. Springer.