Now That You've Nearly Completed The Course, Let's Revisit

Now that you've nearly completed the course, let's re-visit the week 1 discussion topic. You were asked to formulate a position on nursing as discipline, profession and science. Describe your position now; has it changed? Are all RNs responsible for advancing the nursing discipline, profession, and science? What are our responsibilities as a collective discipline and profession and as individuals?

Nursing is a complex and evolving field that encompasses the domains of discipline, profession, and science. Revisiting my initial position, I recognize that my understanding has deepened, affirming that nursing is inherently a discipline characterized by a unique body of knowledge, a profession that applies this knowledge to care for individuals, and a science underpinning its theoretical and research foundations. Initially, I viewed nursing primarily as a caring profession; however, my subsequent reflections and literature review have reinforced that nursing’s scientific base is integral to its identity and advancement.

The distinction between a discipline and a profession remains fundamental. A discipline refers to an academic field involved in generating knowledge—through research, theories, and systematic inquiry—while a profession involves the application of that knowledge in practice, often regulated by standards and ethical codes. Nursing embodies both elements: as a discipline, it endeavors to expand and refine its knowledge base; as a profession, it leverages this knowledge to provide evidence-based care, optimize patient outcomes, and influence health policies (DeNisco & Barker, 2016). Recognizing this duality underscores the importance of nurses engaging in research, continuous education, and policy advocacy to evolve nursing practice.

Furthermore, I acknowledge that nursing as both a basic and applied science is essential. Basic science in nursing involves foundational research that explores phenomena such as disease processes and human responses, contributing to theoretical frameworks (Polifroni & Welch, 2018). Applied science, on the other hand, translates this knowledge into practical interventions, clinical protocols, and health promotion strategies. Both are vital; basic science drives innovation and understanding, while applied science ensures the effective implementation of evidence in clinical settings. My perspective aligns with the view that nursing straddles both realms, facilitating a continuous cycle of discovery and application.

Responsibilities of RNs in Advancing the Nursing Discipline, Profession, and Science

Registered Nurses (RNs) bear significant responsibilities in advancing nursing as a discipline, profession, and science. As frontline practitioners, RNs contribute to the development of nursing knowledge by critically applying evidence-based practices and participating in research initiatives. Engaging in research activities, whether directly or indirectly, supports the growth of nursing science (Fawcett & DeSanto-Madeya, 2013). RNs also serve as educators, mentors, and advocates, promoting best practices and fostering a culture of inquiry within healthcare.

Moreover, RNs are responsible for integrating models such as the Nursing Process and conceptual frameworks into daily practice. These frameworks offer structured approaches to patient care, linking theory with practice seamlessly. For instance, the Orem Self-Care Deficit Nursing Theory emphasizes patient empowerment and self-care, guiding clinical decision-making that aligns with the holistic nature of nursing. Applying this framework in a clinical setting—such as educating a diabetic patient on self-management—advances nursing knowledge by reinforcing theories and demonstrating their practical value. This method not only enhances patient outcomes but also solidifies nursing’s scientific foundation.

Using a Nursing Conceptual Framework in Practice

One conceptual framework that resonates with me is Jean Watson’s Theory of Human Caring. This theory emphasizes the humanistic aspects of nursing, fostering connection, compassion, and holistic care. Watson’s model advocates for a caring environment that promotes healing beyond physical symptoms, integrating mind, body, and spirit. Applying this framework in a clinical situation—such as caring for a terminally ill patient—would involve intentional presence, active listening, and fostering trust. This approach aligns with nursing’s discipline of caring science and elevates the quality of care delivered.

For example, in caring for a patient experiencing severe post-operative anxiety, I would focus on creating a caring environment by offering empathetic communication, providing comfort measures, and supporting the patient’s emotional needs. This application of Watson’s theory not only humanizes the care but also contributes to the nursing discipline by emphasizing holistic, patient-centered practice. It enhances scientific understanding by integrating psychological and emotional dimensions into evidence-based interventions, enriching the overall body of nursing knowledge.

Professional Nursing Organizations and Their Role in Advancing Nursing

Currently, I am an active member of the American Nurses Association (ANA). Membership in professional organizations like the ANA is instrumental in advancing nursing by providing access to current research, policy advocacy, continuing education, and networking opportunities. Such organizations serve as platforms for collective voice, enabling nurses to influence healthcare policies, standards of practice, and educational requirements (ANA, 2021). They also foster professional identity and uphold the ethical standards that govern nursing practice.

Belonging to a professional organization reinforces a nurse’s commitment to lifelong learning, clinical excellence, and leadership development. It facilitates participation in conferences, workshops, and publications that keep nurses abreast of emerging trends and innovations. This continuous engagement is essential for maintaining competency and advancing nursing science through shared knowledge and collaborative efforts.

Additional Strategies to Advance the Nursing Discipline, Profession, and Science

Beyond membership in professional organizations, nurses can contribute to the advancement of nursing by pursuing advanced education, such as graduate and doctoral degrees, to become clinical researchers, educators, and policymakers (Benner et al., 2010). Moreover, participating in interdisciplinary collaboration fosters innovation and integrates nursing perspectives into broader healthcare initiatives. Telehealth practices and technological advancements also present opportunities for nurses to lead changes in practice models and health promotion strategies.

Engaging with policy development by serving on advisory boards or health committees further amplifies nursing’s voice and influence. Additionally, publishing research findings and case studies in scholarly journals spreads new knowledge and validates nursing interventions. Promoting cultural competence and health equity initiatives helps to expand nursing's foundational knowledge and ensures its relevance in diverse populations. Overall, these strategies collectively promote the continual growth of nursing as a discipline, profession, and science.

In conclusion, my understanding of nursing’s multifaceted identity has matured, emphasizing the importance of active participation in research, practice models, and professional advocacy. All registered nurses share the responsibility to contribute to this ongoing evolution, ensuring nursing remains a dynamic and evidence-informed discipline that profoundly impacts health outcomes globally.

References

• American Nurses Association. (2021). Code of ethics for nurses with interpretive statements. ANA.
• Benner, P., Sutphen, L., Leonard, V., & Day, L. (2010). Educating nurses: A call for radical transformation. Jossey-Bass.
• DeNisco, S., & Barker, A. M. (2016). Advanced practice nursing: Essentials for role development. Jones & Bartlett Learning.
• Fawcett, J., & DeSanto-Madeya, S. (2013). Contemporary nursing knowledge: Analysis and application. F.A. Davis Company.
• Polifroni, E. C., & Welch, M. (2018). Introduction to nursing science: Understanding the discipline. Nursing Science Quarterly, 31(3), 203-211.