Explain how nursing practice has changed over time and how this evolution has changed the scope of practice and the approach to treating the individual

Explain how nursing practice has changed over time and how this evolution has changed the scope of practice and the approach to treating the individual

Explain how nursing practice has changed over time and how this evolution has changed the scope of practice and the approach to treating the individual

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Nurses, as a result of their evolution, remain at the center of successful care providing and a rising profession. Nurses are well-positioned to offer care in a changing health care market since extensive education and training are required. Specialization and scopes of practice in professional nursing are increasingly based on clinical skills, competences, and competencies. The adoption of innovative care models and evidence-based practice encourages nurses to continue their education, focus on patient care, and collaborate in order to improve the quality and delivery of patient care (Graebe & Chappell, 2019). The purpose of this essay is to evaluate contemporary nursing practice, its evolution over time, and its current role in the health-care system.

The Impact of Changing Nursing Practice on Scope of Practice and Patient Care

The nursing profession has seen several modifications since its inception. Nursing was originally connected with female-dominated caretaking and caring roles. The women lacked formal schooling and nursing training. They were mostly housewives with skills and expertise passed down from family members who wanted to help the sick. Their profession was not hampered in any manner (Salmond & Echevarria, 2017). Patients were treated as guests at the houses of these women. However, things have changed and continue to evolve since the Crimean War, when Nightingale published “Notes on Nursing” in 1854, establishing nursing as a distinct paradigm for caring for wounded troops. During the 1861 Civil War, women followed their husbands, brothers, and dads to care for them. The main duties of these women included making sure the patients were comfortable and reporting any difficulties to the doctors.

As physicians desired trained women to become nurses, these two pivotal events spawned the first nursing concept. Hospitals began training programs for nurses who wanted to work as caregivers. These programs defined the scope of practice for nurses. By the end of the nineteenth century, many hospitals had nurse training programs, but they were not standardized (Graebe & Chappell, 2019). Over the next century, nursing practice evolved and changed, giving rise to the modern nurse, who is expected to use evidence-based practice (EBP) interventions, be critical thinkers, and be highly trained and educated. Based on their specialties, today’s nurses are better equipped and have a broader scope of practice. Advanced education has improved their training, given them the ability to think critically, and given them a larger role in clinical settings. In some areas, nurses who are not primary care providers have superior skills and control the treatment process while advocating for patients to improve overall care outcomes.

Contemporary Nursing Practice

At the core of contemporary nursing practice is the transformative nature of the nursing profession and care provision based on the needs of diverse patient and health populations. Nurses must adopt to these changes through enhancing their educational qualification and attaining higher education. They are also adapting to these changes through knowledge and skills acquisition to offer better and patient-centered care (Kunhunny & Salmon, 2017). These changes have had profound impact and influence on the profession and the nurse practitioners who need to transition from registered nurses (RN) and take higher education through programs like Bachelor of Science in Nursing (BSN) to offer better care. The purpose of this paper is to discuss the nursing profession today based on its changing nature.

Evolution of Nursing Practice and Effects on Scope and Treatment Approaches

Nursing practice is regarded as one of the key pillars of the healthcare industry, with nurse practitioners serving as primary care providers at various levels based on their qualifications. Nurses are now viewed as professionals who use their clinical expertise and experience to help patients make better decisions based on emerging models such as value-based care, evidence-based practice interventions, and patient-centered care (O’Brien, Knowlton, & Whichello, 2018). Nursing practice has evolved from being a profession based on continuous training and the acquisition of knowledge and skills to being a profession based on continuous training and the acquisition of knowledge and skills. The first female nurses had no boundaries and treated their patients as guests in their homes (Spencer, 2021). They did whatever they thought would be beneficial to the patients. However, nursing practice advanced during the Crimean War, when Florence Nightingale cared for injured soldiers and wrote “Notes on Nursing,” which is regarded as the first nursing manual.

Women who accompanied their husbands to the US Civil War also worked as nurses as caretakers in military installations or on the battlefield (Kunhunny & Salmon, 2017). Their responsibilities included keeping patients comfortable and reporting their conditions to doctors. Through programs designed to meet the increased demand for nurses during the war, nurses’ scope of practice expanded as they shaped their duties and responsibilities. Nurses must now complete rigorous training that includes academic study as well as clinical practice in order to qualify and work in various patient settings.

Explain how nursing practice has changed over time and how this evolution has changed the scope of practice and the approach to treating the individual
Explain how nursing practice has changed over time and how this evolution has changed the scope of practice and the approach to treating the individual

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The scope of nursing practice has continued to expand due to the rising healthcare demands defined by a host of issues that include an aging population, emergence of disease outbreaks, and increased coverage leading to more accessibility. Nurse practitioners are now considered primary care providers and equal partners with physicians (Spencer, 2021). They can practice independently and even prescribe medications and order diagnostic tests. They can specialize through more and advanced education to offer better care and meet patient needs.

ALSO READ: NRS 430 How Nursing Practice Evolved Over Time

Topic 2 DQ 2

Describe how the nursing profession is viewed by the general public. Discuss factors that influence the public’s perception of nursing. Describe ways to educate the general public on the professional nurse’s role and scope of nursing within a changing health care system.

The nursing profession has seen several modifications since it’s inception. Nursing was originally connected with female- dominant caretaking and caring roles. The women lacked formal schooling and nursing training . They were mostly housewives with skills and expertise passed down from family members who wanted to help the sick. Their profession was not hampered in any manner ( Salmond & Echevarria, 2017).

The roles of the nurse have definitely advanced and evolved. Nurses play a vital role in patient care and outcomes. A competent and well informed nurse could in fact be the difference between life and death with respect to patient care. As the training requirements for nursing have become more extensive so have the responsibilities. As nurses, we are the eyes and ears for the patient. We are trained to treat prophylactically and improve upon what we are able to with interventions coupled with patient education and advocacy. We have to understand clinical prioritization by being able to determine which scenarios require immediate attention and those that would not be drastically affected by delay of care. Unfortunately, this is not always understood by the public and may actually come off as non- competent and or negligent. It is up to us to display competence so that not only the public grasp better understanding of our roles but also our colleagues. We are a team and the physicians especially want to feel confident with respect to our competency so that we establish and maintain public trust.

 

References:

https://onlinelibrary.wiley.com/doi/10.1111/jan.12177

    • Sade, I agree with you that nursing has evolved a lot and a smart and knowledgeable nurse can make a big impact in patient outcome and also improve quality of patient care.

Here is a video that I found that describes the importance of nurses and what they do. It is a good reminder of the importance of what we do.

https://www.youtube.com/watch?v=XsjNXWIW28w

Nursing has been defined as both science and art. Science as a discipline and art as the application of the knowledge,

Nursing is the study of human health and healing through caring” ( M. C Smith 1994, p.50 ) . You can translate this to mean, nursing is the study of people by taking care of them.

In 1978, Donaldson and Crowley sited that a discipline offers a “unique perspective, a distinct way of viewing phenomena, which ultimately defines the limits and nature of it’s inquiry ” [P 113]. This you can view at as to mean, environment has an impact on human being.

Some researchers have done theory-research-practice, comparing to the patient-nurse collaboration. According to Fawcett’s (1984) ‘the discipline of nursing is the study of the interrelationships among human beings, environment, health and nursing. Although majority have accepted this theory, others have defined it as the study of study of life process of unitary human beings, (Rogers, 1970, 1992).

As you can see, Nursing is a unique discipline. More attention need to be made to make nursing knowledge grow.

We site the co-existence of midrange theory and nursing discipline. You can compare and contrast different theorist’s in view to midrange theory as related to each other and describe it’s purpose, structure and evaluate it.