Nurse as a Health Intermediary: Personal Philosophy


The nursing profession has been embellished with numerous theories over the course of its existence, with the multitude of approaches to patient-nurse relations continually expanding. Having a wide variety of conceptions to choose from results in students having the ability to select from numerous ideas to form their personal philosophies. Thus, basing on some of the already existing conceptions, it is possible to create a behavioral dynamic, highlighting the role of the nurse not as a patient-doctor mediator but as a health intermediary.

Key Concepts

One of the essential concepts in healthcare relations remains the role of the nurse, who may be (in a base interpretation) merely a doctor’s aide, or could be the one controlling basic patient care. Multiple nursing patient-care theories rely on nurses being the ones who are answerable not just for patient health, but for helping them achieve independence in personal treatment (Masters, 2015).

Thus, the creation of a personal philosophy should be influenced not only by the desire to help immediately but be oriented by a long-term goal. From a willingness to assist should arise a methodology of what to identify as affecting patients outside the hospital – from their environment to their health predispositions. Therefore, nurses act as health guides, who have confidential information vital to the patients’ health obtained directly from them; they should incline patients towards collaboration.


The four meta paradigms of nursing, namely the person, their environment, health, and nursing, have a loose conception, possible to align with each personal stream of thought. This is supported by Alligood (2018), who states that “nursing models and paradigms include the metaparadigm concepts but define each in distinctly different ways” (p. 32). Thus, not only does apply them to the personal philosophy mentioned above become possible but so does reimagining them in light of private theory. Nursing, hence, should be defined as the guiding aspect, between the person and their health through a thorough analysis of their environment. This links all four paradigms together, where a patient cannot exist, or their health be treated without taking into account their situation.

Nursing Process – Philosophy

Applying an individual approach lies in the core of nursing, with the endeavor of the nurse existing in their desire to help. Thus, highlighting such an approach only brings to light a concept that is already base on nursing practice, and its application is natural. Through education, useful skills are applied to proper patient care, where without a specific approach to each patient something as simple as administering a vaccine may become troublesome. Issues such as patient refusal (i.e., from fear) are something that nurses should be prepared to handle on a case-by-case basis.

Nursing Process – Strengths and Limitations

An individual approach to every patient creates an efficient system where patients are not only treated for their ailments but where they are left with no fear of the healthcare system. Nurses, as already stated, become mediators between the patient and their health, and should play not just the supporting role but also an explanatory and guiding one. Such a beneficial approach stimulates the creation of a nursing force that is competent and approachable, and thus more efficient.

However, inclining patients to share personal information poses a problem for any professional, which cannot be solved by just taking the time to find a personalized approach. This will also require more nurses, and while Covell and Sidani (2013) state that a bigger nurse workforce is beneficial to the patient, understaffing remains a problem prominent in many organizations. In addition to this, the implementation of such an approach would incline the nursing profession towards a manner more appropriate in service, than medicine.


A student nursing conception cannot immediately offer something substantial to reimagining nursing but can rethink previously presented conceptions. Thus, through the analysis of previous patient-nurse dynamics and the creation of an individual approach to each patient, taking into account their personal information, it is possible to develop better medical care. While such a manner is hard to achieve, it limits the number of mistakes that could be made, from wrong prescriptions to overlooking even minor conditions.


Alligood, M. (2018). Nursing theorists and their work (9th ed.). St. Louis, MO: Elsevier.

Covell, C. L., & Sidani, S., (2013) Nursing intellectual capital theory: Implications for research and practice. OJIN: The Online Journal of Issues in Nursing, 18(2). Web.

Masters, K. (2015). Nursing theories: A framework for professional practice (2nd ed.). Burlington, MA: Jones & Bartlett Learning.