DNP 801 How does “open-mindedness” influence nursing care when caring for patients who do not share your personal philosophy or worldview?

DNP 801 How does “open-mindedness” influence nursing care when caring for patients who do not share your personal philosophy or worldview?

DNP 801 How does “open-mindedness” influence nursing care when caring for patients who do not share your personal philosophy or worldview?

A personal worldview and personal philosophy are guiding principles that we live by. Such principles include values, culture, religion, and one’s meaning and purpose (Simplicable, n.d.).  These principles are established in childhood and carried on through adult hood based on surroundings, upbringings and situational events (both positive and negative). As a child and young adult, I was surrounded by the Romanian culture that focused on family and a Pentacostal Christian environment. The values within the bible and the culture resembled my daily living and ideas of the world. I value the concepts my parents and family taught me in my uprising however I as I grew older, I realized I was sheltered towards the negative aspects and different views of the world. The church that I attended with my family had segregated seating (male vs female) and woman were always to wear dresses and skirts that were below the knees. I had a culture shock the first time I attended an American Christian church based on the standards I was told were appropriate. There were many concepts like this I had to learn as I carried on learning other aspects of the worldview. None the less, a few principles I learned and to this day still encompass are compassion, selflessness and the unconditional caring for those in need.

Like many nurses, wanting to help others was a calling I had. When I was a teenager, I tragically had to perform CPR on my grandfather who experienced a fatal MI. From that moment on, I knew I was meant to do what I could not do for him; help save lives. I have spent 16 years in healthcare and to this day, I focus my care on my patients as if they were my own family. To achieve good patient outcomes, values and principles should be embedded in the healthcare provider team. The value of being open-minded allows opportunities for growth, to learn and implement new protocols and polices to increase positive patient outcomes, empathy, and great listening skills. This value also establishes rapport between the nursing staff. A person is still entitled to their worldview, philosophies and values and whether or not we agree, we should respect each other’s choices as we are in the healthcare setting to assist the ill, not to reprimand or become confrontational.  I am hopeful that my openness to listen, selflessness and compassion assists others in putting trust in my care.


21 examples of personal philosophy. Simplicable. (n.d.). Retrieved April 2, 2022, from

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A worldview is a personal philosophy of how one perceives the world. An individual’s worldview is deeply embedded in their subconscious and, unless reflected upon, is difficult to intellectualize. This philosophy is developed from early childhood and undergoes a continual transformation as one matures. Worldviews are a matter of spiritual orientation, rather than a matter of the mind alone (Sire, James, 2015). It is important to understand one’s worldview because it is the source from which all thoughts and actions are derived. Reflecting on our own worldviews will help to reduce personal bias that can influence our interpersonal relations and will, in turn, foster respect for the worldviews of those we interact with. Even though we are not born with a worldview, every human being possesses a worldview, and it is formed in us over time.

As a Nigerian, values are fundamental in all human societies and inhuman actions and activities, morality originates from religious considerations, and so pervasive is religion in Nigerian culture that the two cannot be separated. What constitutes the moral code of any Nigerian society are the laws, taboos, customs, and set forms of behavior all to derive their compelling power from religion. Thus, morality flows out of religion, and through this, the conduct of individuals is regulated; and any break of the moral code is regarded as evil and punishable.

The two core principles of my personal philosophy are truth and hard work

Truth (Eziokwu): For the Igbo, the truth is the major strand that welds society together. Without truth, there was no need for human society. The trust built in Igbo society lies mainly in the ability of the individual members to tell one another the truth. Thus, it is obvious that the pillar stone of every community is telling the truth. Thus, the Igbo say: “eziokwu bu ndu” “truth is life.” (J. B. Oguejiofor, 2010).

Hard work: In the Igbo cultural life, certain Igbo proverbs/adages lay great emphasis on the importance of hard work and the consequences of laziness, and not showing seriousness towards one’s work or means of livelihood. Such as

‘Ngana kpuchie ute, agụụ e kpughee ya’. (If laziness/sloth pushes one to sleep, hunger, will wake him up).

‘Onye rụọ, o rie’. (He that sow reaps) (J. B. Oguejiofor, 2010).

In the course, of caring for my patients, I have come to realize that human beings must always be an end and not a means, a subject and not an object or a commodity of trade. Second, is the value of human cultures, which no external power has the right to downplay and still less to destroy. So, always treat others the same way you will like to be treated.



  1. B. Oguejiofor, Globalization and the resilience of Traditional Paradigms: The Case of the Igbo of Nigeria, in A. B. C. Chiegboka, T. C. Utoh-Ezeajugh, G. I. Udechukwu, eds., The Humanities and Globalization in the Third Millennium, (Nimo: Rex Charles and Patrick, 2010), pp.15-25. ii Felicia Iremeka, Moral V


Sire, James W. A. Personal Philosophy of a Worldview: Worldview as a Concept, 2d ed. Downers Grove, Ill: IVP Academic, 2015

Worldview is a part of global meaning, a basic set of beliefs and goals that guide the way in which people give

DNP 801 How does open-mindedness influence nursing care when caring for patients who do not share your personal philosophy or worldview
DNP 801 How does open-mindedness influence nursing care when caring for patients who do not share your personal philosophy or worldview

meaning to their lives (Littooij et al., 2016a, b; Park, 2013a, b, p. 358). Worldview is a component about the norms and values in life. Values can form a point for a reflection on what is important and valuable and worthwhile in life. For me, worldview refers to belief, cultures, values and individual own view since we were young and until up to now. The disappearance of institutionalized, organized worldviews with moral, existential and spiritual authority in western society means that there is no longer a common language which would enable people to talk to each other about their vision of a good life, or to reflect upon the social constructs which could inform their actions and decisions (Alma, 2018, p. 54).

As a filipina we have a lot of traditions, cultures and beliefs that we follow in our country. And now, that I am a nurse and live here in the US I have to have an open-mind and be open with a lot of cultures and beliefs from our patients. Filipinos are very religious and take pride with family being close-knit together. Also, filipinos are very respectful to others and helps one another when in need. Making sure that we don’t disregard their views in life and we should honor and respect them. It is important for me that people treat with respect and as a professional. I always try to respect everyone I encounter and to all my patients. Providing high quality of care and at the same time acknowledging their wishes with respect is important. There are certain issues in healthcare can be perceived as problematic by the clinicians when it comes to beliefs and cultures. These worldview is not simple for various reasons but with these beliefs, cultures, philosophy and traditions it can change our perspective in life. Enabling how people see the different personal beliefs and cultures can have an impact with their decision making.




Alma H. De kunst van samenleven: Een pleidooi voor een pluralistisch humanisme (The art of living together: A plea for pluralistic humanism) Brussel: VUBPRESS; 2018.


Littooij E, Dekker J, Vloothuis J, Leget CJW, Widdershoven GAM. Global meaning in people with stroke: Content and changes. Health Psychology Open. 2016;3(2):205510291668175. doi: 10.1177/205502916681759.


Park, C. L. (2013b). Religion and meaning. In R. F. Paloutzian & C. L. Park (Eds.), Handbook of psychology of religion and spirituality. (pp. 357–379). Guildford Publications.