Underpinning Philosophy Essay

Underpinning Philosophy Essay

Underpinning philosophy that fits professional nursing approach

Nursing is a complex science requiring practitioners to apply different forms of knowledge to guide professional practice. In a bid to provide patients with holistic care, nurses must use analytical processes that are complemented with the art and science of nursing. The analytical aspect of nursing is promoted by incorporating aspects of the intuitive and subjective human world (Butts & Rich, 2011). The underpinning philosophy behind this approach to nursing is the idea that intuition is a valid form of knowing. Intuitive knowing has a positive effect on the therapeutic nursing process since it prompts thought that extends beyond reason and logic. This is particularly important when it is considered that intuition builds on senses, instincts and experiences. It results from observing emotional and mental processes. Underpinning Philosophy Essay.  The notion of intuition makes sense in nursing care since there is march that nursing science cannot explain, especially with regards to phenomenon that could be considered ‘miracles’. Besides that, it is not uncommon for important details to be missed, and this may be identified through intuition. Overall, the personal nursing practice is guided by intuition when analyzing cases and making decisions (Chang & Daly, 2012).

Relationship between the underpinning philosophy and chosen aspect that highlights nursing story

The nursing story focuses on creating miracles and making a significant change. It is not common for nursing care to face situations that cannot be explain with the current scientific capabilities so that a nurse relies on intuition to ensure a positive care outcome for the patient. In addition, it is not uncommon for a misdiagnosis to occur or symptoms to be missed so that nurses have to rely on their intuition to develop a more accurate diagnosis and appropriate care plan. Through relying on intuition, nurses can leverage their experiences and knowledge to identify important points that were missed thereby allowing for a more accurate diagnosis.

Ontological and epistemological beliefs associated with paradigm that underpin nursing story

Intuition is the irrational unconscious knowing that develops as a result of experience. It is independent of the analytical processes and presents as a result of nonlinear awareness. It acts as a component of judgment and decision-making in nursing care delivery, typical applied in exploring moral dilemmas of complex clinical situations. Intuitive knowing is particularly important for nurses as it enables them to apply their knowledge and experiences to offer accurate diagnosis, and manage crisis in unpredictable clinical situations. Although intuition is considered as present in nursing, it is perceived as unreliable and untrustworthy since it does not have a logical scientific basis. In addition, it has a mysterious and complex nature that is personal and cannot be articulated in clinical practice. Underpinning Philosophy Essay. Besides that, the abstract nature of intuition makes it difficult to explore its vagaries. Addition, the recognition of intuition in nursing is constrained by its non-rational approaches, divergence from evidence-based practice, lack of discourse, and possibility of error. However, the presence of the discussed constraints does not negate the presence of intuition in nursing care. Still, it is important to note that the use of intuition among nurses is more common with increase in conceptual knowledge, adequate experience, adequate clarity about the goal of practice about what is good for the patient, and the commitment and desire to achieve the best for patients. Overall, it is important to note that nurses who are committed to the wellbeing of their patients can distinguish between the physical and emotional states of patients, and make use of intuition in planning the appropriate care (Hassani et al., 2016).


Ways of knowing that are most prominent in the nursing story

Intuition as a way of knowing is most prominent in the nursing story. It involves using instinct, emotions, and/or gut to guide decision-making. Rather than evaluating the presenting facts or using rational thought, intuition (as a way of knowing), involves believing in something that appears or feels true. A concern with relying on intuition is that it can be wrong if driven by motivational and cognitive biases rather than scientific evidence and logical reasoning. While strange behavior may result in the perception that a patient is holding back information, it may also be a happenstance. However, thinking about every possible explanation for the strange behavior and weighing alternatives can help in understanding the reasons for the behavior. Overall, institution as a way of knowing helps to support decisions based on analysis thereby allowing for superior outcomes (Sinclair, 2014). Underpinning Philosophy Essay.


Butts, J., & Rich, K. (2011). Philosophies and Theories for Advanced Nursing Practice. Jones & Bartlett Learning.

Chang, E., & Daly, J. (Eds.) (2012). Transitions in Nursing: Preparing for Professional Practice (3rd ed.). Elsevier.

Hassani, P., Abdi, A., Jalali, R., & Salari, N. (2016). Use of intuition by critical care nurses: a phenomenological study. Advances in Medical Education and Practice, 7, 65-71. https://doi.org/ 10.2147/AMEP.S100324

Sinclair, M. (Ed.) (2014). Handbook of Research Methods on Intuition. Edward Elgar Publishing Limited. Underpinning Philosophy Essay.