Excellent question--- my days are structured so that there is no time for a nursing philosophy [seriously, I don't get to take a lunch most of the time]. My day is 100% structured in medicine.
The only time my nursing philosophy comes out is at the bedside, when I am examining someone---- THEN, I get to be a nurse [not for very long], but that's it- the medical orientation of what I do has taken the front seat to what I must do. When you're seeing someone for an episodic health event, and must elicit the cardinal areas of investigation of their complaint, then you don't have a lot of time for much else [especially when you have 15 other patients to see].
Grouchy, the job market is very contingent upon the area and the specialty. Here in PA, the vast majority of schools
offer FNP programs. I had to go to New York to find a GNP program. I have never had a problem finding a job. Many of the FNP's I know do something other than NP because the market is literally saturated with FNP's [the other thing that these NP programs fail to tell potential new students].
I hope this helps.