Knowing The Prestigious Nursing Science Outlook: A Unique Untold Narrative Ever Before
Ali Fakher, BSN, RN,
UN Nurse & Global Health Innovator | ?? ANHI Lifetime Achievement Award 2025 | ?? NurseHack4Health Winner | Transforming Nursing Leadership & Innovation | Championing Systemic Change
For decades, nursing has been confined within the biomedical framework, overshadowing its full scientific and intellectual depth. This misrepresentation has led to a huge shortfall in the patient treatment journey, depriving individuals of the bio-holistic, bio-predictive, bio-precision, bio-preventive, and bio-adaptive benefits of nursing.
But nursing is not medicine—it is its own distinct science. Nursing is a discipline of healing, adaptation, and whole-person care, which extends far beyond the symptom-based, disease-centered approach of traditional medicine.
?? It’s time to reveal the untold narrative of nursing—a science that is predictive, preventive, and adaptive, ensuring patients receive the complete care they deserve.
?? The Incomplete Biomedical Model vs. The Comprehensive Bio-Holistic Nursing Approach
?? The problem: The biomedical model primarily focuses on disease treatment, often neglecting:
?? Early predictive interventions that could prevent disease altogether.
?? Precision-based care tailored to a patient’s unique biology and behavior.
?? Holistic, long-term strategies that address the root causes of illness.
?? Adaptive health solutions that empower patients to self-regulate and sustain well-being.
? The solution: A Nursing Bio-Holistic Model integrates:
? Bio-Predictive (anticipating disease before onset)
? Bio-Precision (personalized interventions based on biology + behavior)
? Bio-Preventive (targeting root causes, not just symptoms)
? Bio-Adaptive (helping patients develop self-regulation & resilience)
?? To reveal the true prestige of nursing science, let’s simulate a patient’s treatment journey under both models and expose the critical gaps in the biomedical model.
?? Patient Case Simulation: A 52-Year-Old Male with Hypertension & Early-Stage Type 2 Diabetes
Symptoms on Admission:
?? Biomedical Model Approach (Shortfall & Incomplete Care)
?? Phase 1: Diagnosis & Treatment Plan
?? Phase 2: Immediate Intervention
?? Phase 3: Long-Term Impact
?? No predictive measures to track worsening metabolic syndrome.
?? No precision care to identify personalized metabolic risk factors.
?? No preventive interventions → Patient continues unhealthy habits, expecting medications to do the job.
?? No adaptive strategies → Patient feels dependent on pills, with no structured plan to restore health.
?? Outcome: 3 years later, patient progresses to full-blown diabetes, develops kidney issues, and gains more weight.
?? Shortfall: The biomedical model treats numbers (BP & glucose), not the patient’s full biological + behavioral profile, leading to chronic disease progression.
? Nursing Bio-Holistic, Bio-Predictive, Bio-Precision, Bio-Preventive, Bio-Adaptive Approach
?? Phase 1: Bio-Predictive Nursing Assessment
? Comprehensive metabolic screening → Predicts future risks based on genetics, microbiome, and inflammatory markers.
? Biobehavioral mapping → Identifies stress patterns, sleep disruption, and dietary habits contributing to hypertension.
? Precision nursing evaluation → Uses wearable health tracking for continuous BP & glucose monitoring.
?? Key Advantage: Instead of just treating hypertension & diabetes, this approach predicts future health complications early.
?? Phase 2: Bio-Precision Nursing Plan (Tailored for the Patient’s Biology + Behavior)
? Epigenetic testing → Determines which dietary patterns work best for this patient’s metabolic profile.
? Personalized nutritional therapy → Instead of generic "eat healthy" advice, patient is guided toward a precision-based anti-inflammatory diet.
? Circadian blood pressure management → Adjusts medication & exercise routines based on the patient’s biological clock & cortisol rhythms.
? Nursing-led micro-goals for sustainable behavior change → Biofeedback to track stress, meal timing, and heart rate variability.
?? Key Advantage: Instead of generic, one-size-fits-all advice, this approach customizes treatment based on the patient's biology, behaviors, and unique response patterns.
?? Phase 3: Bio-Preventive Nursing Intervention (Root-Cause Management)
? Microbiome-focused gut health optimization → Helps regulate blood sugar through gut flora modulation.
? Lifestyle-based insulin sensitivity training → Guided low-intensity movement strategies to retrain glucose metabolism.
? Anti-inflammatory stress-reduction protocol → Mindfulness + HRV biofeedback to reduce cortisol-driven blood pressure spikes.
?? Key Advantage: Instead of just lowering BP with medication, this approach eliminates risk factors at the root cause to prevent long-term complications.
?? Phase 4: Bio-Adaptive Strategy for Long-Term Self-Regulation
? Nurse-led patient coaching → Focuses on empowering the patient to regulate their health without full dependence on medication.
? Adaptive self-care modeling → Instead of episodic check-ups, the patient is educated to track & adjust their own health markers.
? Nursing-sensitive predictive AI monitoring → Uses technology to track and alert for early warning signs of metabolic dysregulation.
?? Key Advantage: Patient learns to self-adjust & prevent disease recurrence rather than relying on healthcare visits & medication refills.
?? Outcome Comparison: Which Model Truly Heals the Patient?
?? Key Takeaway: The biomedical model treats conditions in isolation, while nursing completes the patient treatment journey by predicting risks, personalizing care, preventing disease progression, and empowering self-regulation.
?? Conclusion: Nursing Science Must Be Recognized as the Core of Patient Care
?? Research confirms:
? Nursing-sensitive interventions reduce disease burden, healthcare costs, and improve self-management success.
? Nurse-led bio-precision & bio-adaptive models outperform physician-only chronic disease management.
? The future of healthcare must integrate nursing’s full scientific scope to achieve true healing.
?? The narrative of nursing as a subordinate discipline is outdated. It’s time to recognize nursing’s prestigious scientific outlook—one that transforms patient care beyond anything medicine alone can achieve.
?? Your Thoughts? How can we further embed nursing’s full capabilities into healthcare systems? Let’s discuss below! ??
Certified Healthcare Leadership Coach and Inclusive Team-Building Expert| Empowering Health Care Leaders to Have a Career They Thrive in| Click on the Link Below to Schedule a 1:1 Call With Me.
5 小时前What a powerful contrast between a holistic nursing approach and the bio-medical disease-centric model Ali Fakher, BSN, RN,. I believe that this type of comparison is important to embed in nursing education. One of the courses I taught was Team-Based Care Synthesis. Among other things the class included working through complex case studies, in which the roles of the various other non-nursing providers was examined. I had teams from the clinical setting come in and talk to the students about how they worked together as a team, and the unique contributions each made. It was a great learning experience for the students, and helped them to feel proud of their profession and aware of scope of practice! Love it!! I have a vision of something like this being incorporated across settings, beginning in school!
BSN, RN, CCDS, Lean Six Sigma Green Belt
8 小时前Ali Fakher, BSN, RN, love the case study and interventions! Makes it so easy to see where we currently falll short. A friend of mine was just started on blood pressure meds and none of the nurse interventions you describe were even mentioned! Don’t worry I will share your wisdom from this post ??
MSN, NI-BC| Informatics Specialist| Nurse Futurist| Reimagining Healthcare ????
8 小时前Nursing isn’t just an extension of medicine—it’s its own discipline with a distinct, science-driven approach to patient care. The biomedical model, while necessary, often falls short when it comes to predictive, preventive, and adaptive strategies. Nurses see the gaps in care every day. We’re the ones bridging the space between diagnosis and long-term health, guiding patients toward self-regulation, sustainable lifestyle changes, and whole-person healing. Yet, our impact remains undervalued and underutilized. The question is: how do we shift the system to fully integrate and elevate nursing’s bio-holistic approach? Because the future of healthcare isn’t just about treating disease—it’s about preventing it in the first place. Appreciate you bringing this forward, Ali. Let’s keep pushing for change.
Advisor to Ayur | Advancing Nurse Coaching | Bridging Technology, Holistic Health, and Human Connection
11 小时前Thank you for this post. More and more nurses are realizing how much knowledge we have to help people heal. You’re right, nursing is its own profession and we do know how to help people heal and empower them to stay healthy. It starts with healing ourselves first.
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13 小时前Well articulated, unfortunately the medical system still uses nurses as a medicine giver , not for a bioholistic approach