Discussion: Progress in Nursing NR 390
Discussion: Progress in Nursing NR 390
Week 5: Progress in Nursing in the Early-to-Mid 20th Century
There was much progress in nursing during the early-to-middle part of the 20th century (1900 through the late 1930s). After reading the textbook and the lesson for this week, describe one area of change in nursing that intrigues you during that time period. Discuss how that area could be applied today.
As in our chapter readings, nursing research and education is discussed throughout the years. “An almost endless effort . . . has changed nursing practice and provided the body of knowledge to support evidence-based practice. . .” (Judd & Sitzman, 2014). Nursing research and education will always continue, so that nurses can improve patient care.
In the 20th century, and in the very beginning years of the 21st century, nurses were trained according to evidence-based practice, to aspirate intramuscular injections. Not long into the beginning years of the 21st century, evidence-based practice states that this procedure is no longer necessary.
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Nurses were originally trained to aspirate intramuscular injections, to verify that the injection was in the muscle and not in a vein. If blood aspirated into the syringe, this meant that the injection was placed in a vein, and then the syringe with the blood and medicine would need to be discarded, and the medicine drawn up again. The act of aspirating was to be done over a five to ten second period.
“More recently, evidence-based guidelines do not advocate aspiration. . .” (Do you need to aspirate, 2016). Aspirating intramuscular injections today is no longer necessary. The rationales for this new procedure are that the sites that intramuscular injections are given in do not contain major blood vessels, there is no evidence that aspiration without or with blood eliminates the chance of being in a blood vessel, not aspirating reduces the time of the injection, there is less waste of medications, less pain, and most nurses do not wait and aspirate over the recommended five to ten second period. (Evidence-based Injection Practice, n.d.).
However, if using the dorsal gluteal area, aspiration is needed, because you must be careful of the sciatic nerve and blood vessels. Therefore, it is not recommended to use this area. (Evidence-based Injection Practice, n.d.).
Nursing gives many drugs intramuscularly, so it is necessary to keep up on medication education. For example, one intramuscular medication that I have given many times is Haldol, to calm down patients. As stated above, some advantages to no longer having to aspirate intramuscular injections is less pain and reducing the time of the injection. If having to give Haldol, usually it is needed to be given quickly, and less pain is beneficial for the patient. So far, the changes to this evidence-based practice has proved to be successful in my practice.
Do you need to aspirate when giving intramuscular (IM) injections? (December 11, 2016). Retrieved from https://ed-areyouprepared.com/wp-content/uploads/2018/12/Do-you-need-to-aspirate-when-giving-intramuscular.pdfLinks to an external site.
Evidence-based Injection Practice: To Aspirate or Not. (n.d.). Retrieved from www.nnpnetwork.org/Uploads/EBPLinks to an external site. aspiration poster 9 25 12 for iowa.pdf
Judd, D., & Sitzman, K. (2014). A history of American nursing: Trends and eras. (2nd ed.). Jones & Bartlett
You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.
Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.
Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.
The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.
ADDITIONAL INSTRUCTIONS FOR THE CLASS
Discussion Questions (DQ)
- Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
- Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
- One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
- I encourage you to incorporate the readings from the week (as applicable) into your responses.
- Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
- In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
- Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
- Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
APA Format and Writing Quality
- Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
- Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
- I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes
- I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
- As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
- It is best to paraphrase content and cite your source.
- For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
- Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
- Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
- Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
- The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
- Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
- If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
- I do not accept assignments that are two or more weeks late unless we have worked out an extension.
- As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
- Communication is so very important. There are multiple ways to communicate with me:
- Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
- Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.
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