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I have thoughts in mind but I need it improved. Please give some idea or advise. My course is for DNP-FNP program, Subject Nursing and Healthcare for Advance Practice Nurse, online.  here is my reflection:      As a practicing nurse, I have come to learn during this course that I have a bigger role to play in transforming the healthcare of patients. I have realized  that making ideas that I have for innovative nursing has become a reality and will assist me in attaining the confidence and knowledge needed to improve the health care of patients. It will also assist me in becoming the voice for the patients as well as families.     During the course, I have learned how to write appropriately using the  APA 7th Edition. I have learned so much how to rephrase information that I have cited and how to use these information on my paper. I have learned so much deeply about what Chronic Kidney Disease. It is amazing how much information I have learned about this topic in a few months time. I realized how much I enjoy learning about this topic and I am really hoping that I will be able to utilize all these information for my final DNP project.     This course has helped build up my self confidence in becoming a future   DNP-FNP. It is a very challenging course but with all the help and advise from my professor, I have reached this point. All the hard work gave me more motivation and eagerness to finish it all the way until I complete the program. I have learned so many clinical gaps that can be improved upon. I know I can make a change, do something to make nursing practice better, and more efficient and become a great provider to patients and families.     The course had affected my future vision of healthcare with all its possibilities with the help of all researchers and amazing health care professionals. At the end of this course, I have come to learn that being a nurse goes beyond just giving treatment to patients. Nursing is best practiced when using evidence based practice.   INTRODUCTION OF THE COURSE:Welcome to N772: Nursing and healthcare science for advanced nursing practice.Over the course of this semester, you will theorize about and then refine your ideas about your nursing practice. Your ideas may develop into an idea for a potential doctor of nursing practice (DNP) project. Your passions, your interests, your preferences, and your opportunities will guide and sustain you as you work over the next 2-4 years on your project.By the end of this course, you will have fully defined a concept that fits with your passions, interests, and preferences. Consider how this concept might be applied to a quality improvement or practice change, given your opportunities in your nursing role.   At the conclusion of this course, the evolution will expound your ideas for a potential DNP project. I hope you enjoy the journey! The readings and assignments are designed to aid you in innovative theoretical thinking about your practice and potential project. As you read the text this week, consider how you define nursing practice. Do you agree with Reed (1997), that "nursing (as practice and praxis1) is a way of doing that creates good actions that facilitate well-being?" (p. 79). Do you agree with the definition of the practice of nursing as "facilitating processes of health and well-being within and among human systems across a diversity of environments"? (Reed, 2018, p. 3).This week you will also view Carolyn Jones' tribute to nurses (TED, 2016). You will hear about interviews Jones conducted with several nurses, all of whom told their unique stories about their nurse identities and nursing roles. Consider an area of your practice. What brings you passion? What questions about that aspect have you been thinking about or curious about? Begin a journal to keep track of your ideas.The foundations of nursing knowledge are nursing theories and nursing philosophies, grounded in the philosophies of science. Reed (2018) defines theory as "a tool for conceptualizing and studying practice problems, proposing explanations and interventions, and testing and refining ideas" (p. 7). She also describes a postmodern view of theories as "nets tossed out to the sea to catch a part of reality" (Reed, 2018, p. 9). The theory as net cast out into the vast seametaphor suggests that we can only explain limited aspects of our clinical practices. There is no one overarching theory that could possibly explain all aspects of nursing practice.Theory offers the simplest, most reduced, explanation of a phenomenon (Maurer, 1984). However, there are some philosophical and theoretical writings that are difficult to read, primarily because of inaccessible language. Though you will not likely  use these words, you are studying ontology, which describes the nature of the nursing discipline, and epistemology, which refers to what we hold as truths and what we value as knowledge in nursing. I have selected required or optional readings to supplement text readings; I hope these more clearly link philosophical or theoretical/conceptual ideas to day-to-day nursing practice.Carper (1978) defined one conceptual framework, what she called the ways of knowing, which she believes guide nursing practice. She identified the empiric, ethical, aesthetic, and personal ways of knowing. Munhall (1993) contributed another pattern of knowing which she termed unknowing. White (1995) added the socio-political way of knowing. More recently, Chinn and Kramer (2015) suggested an additional pattern of knowing in nursing, what they called emancipatory knowing. Consider these seven patterns as applied to your nursing practice. Which do you prefer? Which are you less partial to?  Journal about your reflections. 1Defined by Freire and Ramos (1970) as the unity between theory and practice. ReferencesCarper, B. A. (1978). Fundamental patterns of knowing in nursing. Advances in Nursing Science, 1(1), 13-23. https://doi.org/10.1097/00012272-197810000-00004Chinn, P. L., & Kramer, M. K. (2015). Knowledge development in nursing: Theory and process (10th ed.). St. Louis, MO: ElsevierFreire, P., & Ramos, M. B. (1970). Pedagogy of the oppressed. New York: ContinuumMaurer, A. (1984). Ockham's razor and Chatton's anti-razor. Medieval Studies, 46, 463-475. Munhall, P. L. (1993). 'Unknowing': Toward another pattern of knowing in nursing. Nursing Outlook, 41(3), 125-128. https://www.journals.elsevier.com/nursing-outlookReed, P. G. (1997). Nursing: The ontology of the discipline. Nursing Science Quarterly, 10(2), 76-79. https://doi.org/10.1177/089431849701000207Reed, P. G. (2018). The spiral path of nursing knowledge. In Reed, P. G., & Shearer, N. B. C. (Eds.). Nursing knowledge and theory innovation: Advancing the science of practice (2nd ed.) (pp. 1-20). New York: SpringerTED (2016, November). Carolyn Jones: A tribute to nurses. [Video file]. Retrieved from https://www.ted.com/talks/carolyn_jones_a_tribute_to_nursesWhite, J. (1995). Patterns of knowing: Review, critique, update. Advances in Nursing Science, 17(4), 73-86. https://doi.org/10.1097/00012272-199506000-00007
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