In a 750-1,000 word paper discuss nursing practice today

In a 750-1,000 word paper discuss nursing practice today

In a 750-1,000 word paper discuss nursing practice today

Nursing practice has changed over the decades from when nurses had minimal education to having complex nursing training programs and when nurses provided basic care to performing complex medical and nursing procedures. Nursing was initially a woman’s work where women cared for the sick at home in the era where there were no hospitals (Egenes, 2017). Modern nursing is attributed to Florence Nightingale, who developed nursing practices that created new standards for nursing practice.  In this regard, this paper will discuss the evolution of nursing practice, the differences between ADN and BSN nurses, and the significance of evidence-based practice in nursing.

Evolution of Nursing Practice

Nurses were formerly not provided formal nursing education but were instead given on-job training on how to provide basic care such as clean and dress wounds. They did not have autonomy and received instructions from physicians. As the nursing practice evolved and more hospitals were established, women began receiving nursing training in small to medium-size hospital systems (Egenes, 2017). However, the training was observation-based, taking two to three years, and the scientific rationale for interventions was not emphasized.

Advances in medicine and technology created a need for complex and specialized nursing education. As a result, nursing training shifted from hospital observation to the classroom.  Certification programs have been created, changing the scope of nursing practice (Egenes, 2017). Nurses also have Master’s and Doctorate levels, which increase a nurse’s scope of practice to include duties similar to physicians such as taking history and physical exams, making diagnoses, interpreting diagnostic results, and initiating treatment plans.  Furthermore, standards of nursing practice have been created to ensure quality nursing care, and nurses are educated on ethical practice and providing culturally sensitive care.

Practice Competencies between an Associate and Baccalaureate Education in Nursing

Nurses with an Associate Degree in Nursing (ADN) and with a Baccalaureate Degree (BSN) are both registered nurses (RNs). Both BSN and ADN programs prepare nursing students to deliver patient care that meets the set standards. Besides, both programs equip the future RN with nursing skills and ensure they attain the clinical practice competencies necessary for nursing practice (Northrup-Snyder et al., 2017). However, the BSN program emphasizes more on areas of informatics and research. It also has courses not offered in the ADN program, such as nursing theories, social sciences, public health, leadership, and management. The differences in the ADN and BSN training result in differences in the scope of practice. ADN RNs are generally more focused on technical, clinical duties and everyday direct patient care, including monitoring patients, administering treatment, performing basic nursing procedures, and updating charts (Ghaffari, 2017). On the other hand, the scope of BSN nurses includes nursing educator, research, public health, administrative, leadership, management roles, and direct patient care.

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.

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Compare and Contrast the Differentiated Practice Competencies between an Associate and Baccalaureate Education in Nursing
Nurses with Associate Degree in Nursing (ADN) and Bachelor of Science in Nursing (BSN) both practice as registered nurses. However, their competencies in practice vary significantly depending the variation in nursing education. The education of ADN takes a period of three years and it’s mostly technical. Moreover, it focuses on the clinical skills intended to enhance patient health status. The ADN scope of practice is usually task oriented and nurses are held responsible for their actions. ADNs are expected to have the ability of evaluating, planning, and executing proper patient care from the time patient visits to the triage until admission or discharge. On the other hand, BSN connotes a four-year program that involves various nursing issues such as nursing roles, critical thinking, patient care, supervision, management, and community health. Regarding the scope of practice, BSN nurses should portray independent decision-making and ability of problem solving. The scope of practice also involves integration of intellectual, emotional, physical, and social competencies to improve patient outcomes (Rosseter, 2014). Overall, BSN-prepared nurses provide more holistic care as opposed to ADN-prepared nurses because they take care of patients in the entire time of patient care, which begins from pre-admission to post-discharge.
In a 750-1,000 word paper discuss nursing practice today

Identification of a Patient Care Situation that Highlights the Difference in Nursing Care between the BSN Prepared Nurse and the ADN Nurse
In patient care situations, there are fundamental differences in approaches to decision-making between BSN-prepared nurses and ADN-prepared nurses. For instance, in a patient c are situation where the patient needs intubation in emergency room, the ADNs and BSN nurses are likely to portray differences in decision making approaches. The BSNs approach to decision is likely to be anchored on the management of the patient after intubation while ADNs approach to decision is directly focused on patient treatment since they have authority to intubate the patient and prescribe drugs to the patient. Likewise, in the decision making approaches involving end of life care, the BSNs will focus on various aspects such as the rights of the patient, legal, and palliative aspects, which the ADNs are not trained to focus on (Loversidge et al., 2018).
Significance of EBP to Nursing and How Academic Preparation of the RNBSN Nurse Supports EBP Application
Evidence-based practice (EBP) in nursing connotes application of best available evidence, patient inclinations, and clinical expertise to clinical practice. EBP is important in the nursing practice of care because it avails scientific research to nurses to guide their decision. Moreover, EBP helps nurses to be updated about the new medical guidelines for patient care. By relying on the best current documented interventions that matches the health care needs of the patients, nurses tend to increase recovery chances for the patients (Dang &Dearholt,2017). Overall, the implementation of EBP in health care is associated with better patient-outcomes, which can ultimately reduce the demand for health care resources. The EBP models of care are applied in healthcare organizations in a bid to standardize and deliver more reliable and quality patient care. On the other hand, the academic preparation of the RNBSN nurse supports EBP application because it sharpens RNBSN nurses’ skills on research. RNBSN nurse students learn how to incorporate nursing evidence, theories, clinical judgment, and patient preferences. As health care is increasingly becoming complex, EBP knowledge of EBP is crucial for the success of nurses. RNBSN-prepared nurses know how and where to pursue evidence-based guidelines and the manner of executing such guidelines in the routine nursing practice.
Interdisciplinary Team Collaboration and Communication among Nurses and How it Supports Safe and Effective Patient Outcomes
Multidisciplinary teams connote health care team members drawn from different areas of specialty with complementary skills, experience, and profession. For patients to receive better health care under the interdisciplinary team, nurses should communicate with pertinent experts concerning the treatment plan for their patient while acknowledging the responsibilities of each team member. Mostly, nurses serve a bridge between the health care organization, physicians, and patients. As such teamwork is crucial for nursing role. Therefore, it is imperative to facilitate open communication. Effective communication in multidisciplinary team ensures safe and more effective patient outcomes by ensuring quality patient-oriented care. It also ensures reduction in medical errors and enhances patient experience with health care. Ultimately, this will reduce the health care cost (American Association of Colleges of Nursing, 2015).
Conclusion
The nursing profession has evolved from a situation where it did not require formal medical training to the present practice where nursing is considered as a valuable profession extensive training programs and more patient health care responsibilities. On the other hand, the practice competencies between ADN and BSN prepared nurses varies significantly. BSN-prepared nurses provide more holistic care as opposed to ADN-prepared nurses because they take care of patients in the entire time of patient care, which begins from pre-admission to post-discharge. It has also been established that the implementation of EBP in health care is associated with better patient-outcomes. Finally, interdisciplinary team collaboration is crucial in ensuring safe and effective health care services, which leads to positive patient outcomes and satisfaction with health care services.

References
American Association of Colleges of Nursing. (2015). Creating a more highly qualified nursing workforce. Retrieved September, 30.
Dang, D., &Dearholt, S. L. (2017). Johns Hopkins nursing evidence-based practice: Model and guidelines. Sigma Theta Tau.
Loversidge, J., Yen, P. Y., Chipps, E., Gallagher-Ford, L., Genter, L., & Buck, J. (2018). Top-of-license nursing practice, part 2: differentiating BSN and ADN perceptions of top-of-license activities. JONA: The Journal of Nursing Administration, 48(6), 329-334.
Ranard, C. (2015). How Nursing Has Changed Over Time – Minority Nurse. Minority Nurse. Retrieved 29 September 2020, from https://minoritynurse.com/how-nursing-has-changed-over-time/.
Rosseter, R. J. (2014).

Topic 2 DQ 2

Aug 29-Sep 2, 2022

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.

Dana McKay

Sep 3, 2022, 4:54 PM

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.