NRS 430 Contemporary Nursing Practice Assignment

NRS 430 Contemporary Nursing Practice Assignment

NRS 430 Contemporary Nursing Practice Assignment

Contemporary Nursing Practice Bottom of Form

The healthcare system has advanced over the years towards the provision of better services leading to desirable patient outcomes. This change has been drastic among nurses. New regulations boosting access to healthcare services and improving patient outcomes without compromising the quality of services provided have expanded nursing roles. A paramount shift in nursing education has led to greater problem solving and critical thinking skills. Increased utilization of current technology and

NRS 430 Contemporary Nursing Practice Assignment Essays
NRS 430 Contemporary Nursing Practice Assignment Essays

informatics has revolutionized how nurses provide their services at the clinical level (Cherry & Jacob, 2019). Generally, registered nurses (RN) have adapted to the evolving environment around the healthcare system. This assignment will comprehensively analyze the changes that have taken place to revolutionize nursing practice towards the provision of better care services.

The Evolution of Nursing Practice

In its most basic form, a nursing practice began at a home back in the 1840s. during this period, there were no hospitals, and as a result, patients were being taken care of at home by their family members (Nazir, Levy, Rudolph, & Unroe, 2017). Gradually, women started acquiring training to become caregivers in minor to moderate hospital systems. The training could last for about two to three years before one could become a qualified nurse. With time, these hospitals expanded as nursing education became more comprehensive. Consequently, technology was introduced in the form of stethoscopes, advanced patient beds, and blood pressure devices. However, as medicine and technology advanced, the need for more education became very necessary.

Currently, nurses are expected to attend college and even take part in special nursing specialist programs first, then join the hospital environment. Consequently, nurses under training are expected to work under the supervision of RN to gain experience for them to graduate. The training also goes on even after graduating, to gain more knowledge and skills (Nazir, Levy, Rudolph, & Unroe, 2017). Technology has also advanced such that health records are now being stored electronically, with all types of new devices such as X-rays and CT scans. The future is even expected to be more advanced than the current practice.

Differentiated Practice Competencies

Both graduates of Bachelor of Science in Nursing (BSN) and Associate Degree in Nursing (ADN) practice as RN. However, their level of knowledge and skills acquired differ, hence differentiating their roles in clinical settings. BSN programs focus more on research and informatics, with more time allocated towards clinical rotations in public and community health settings (Matthias, & Kim-Godwin, 2016). They are more competent in carrying out procedures and assessments in acute care settings. ADN program on the other hand is task-oriented with more responsibility for actions taken. They possess better assessment, planning, and implementation skills and hence play a significant role in taking care of a patient from the point of adding to discharge. ADN nurses also administer basic clinical procedures and monitor patients, while updating their charts in day to day care of patients.

Patient Care Situation

            In a patient care situation such as a surgical patient, nurses with BSN have recorded a lower failure-to-rescue and mortality rate as compared to ADNs. This is as a result of the differences in their approaches to patient care. BSN program is designed to enhance better critical thinking and analytical skills, when handling such a patient, in addition to extra procedures that cannot be taken by ADN nurses (Cherry & Jacob, 2019). As such, BSN nurses will observe better patient safety skills with a positive outcome as compared to AND nurses.

Evidence-Based Practice in BSN Education

            Evidence-Based Practice (EBP) is aimed at translating the current knowledge into the daily care decisions to better care processes and patient outcomes. Consequently, through EBP, nurses can keep up with current medical protocols for better patient care. As such, the current nursing curriculum has incorporated EBP into the RN-BSN program, where graduates are educated on the roles of research in nursing practice (Horntvedt et al., 2018). The program entails methodologies, design, processes, and ethical tenets of research. Additionally, BSN nurses are equipped with appropriate critical thinking skills utilized in evaluating and critiquing research studies to apply the findings in their daily clinical practice.

Interdisciplinary Teams

In the current healthcare system, care delivery involves various interfaces and patients’ handoffs amongst several healthcare professionals with different education and occupational training levels. Within only a 4-day hospital stay, a patient can interact with more than 50 different hospital staff including pharmacists, physicians, nurses, and technicians among others. Effective clinical practice thus requires accurate communication of critical information across this interdisciplinary team (Buljac-Samardzic et al., 2010). To enhance effective communication, nurses are encouraged to take part in other departments’ training for more insight into their roles at the clinic. This way, it will be possible to assess situations with numerous viewpoints giving room for better decision making, hence improving patient safety and outcome. Consequently, it is necessary to promote multidisciplinary rounds while keeping focus on the patient to improve communication between departments.


            The current healthcare system is dynamic with advanced technology and practices now and then to better the quality of care provided. Nurses being part of the frontlines in the changes happening have thus adapted and incorporated even more advancements in their education curriculum to prepare graduates for unforeseen changes in the future. This gives room for evolution and advancement in the nursing profession while maintain and improving the quality of care proved.


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Buljac-Samardzic, M., Doorn, C. D., Maynard, M. T., Reiter-Palmon, R., Kennel, V., Allen, J., & Jones, K. J. (2010). Good Catch! Using Interdisciplinary Teams and Team Reflexivity to Improve Patient Safety. (Group & organization management.)

Horntvedt, M.-E. T., Nordsteien, A., Fermann, T., Severinsson, E., & SpringerLink (Online service). (2018). Strategies for teaching evidence-based practice in nursing education: a thematic literature review. (BMC medical education.)

In Cherry, B., & In Jacob, S. R. (2019). Contemporary nursing: Issues, trends, & management. St. Louis, Missouri: Elsevier.

Matthias, A. D., & Kim-Godwin, Y. S. (2016). RN-BSN students’ perceptions of the differences in practice of the ADN- and BSN-Prepared RN. Nurse Educator, 41(4), 208-211. DOI: 10.1097/NNE.0000000000000244

Nazir, A., Levy, C., Rudolph, J., & Unroe, K. (2017). Evolution in nursing home research: Forming collaborative groups. Caring for the Ages, 18(4), 6-7.

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NRS 430 Topic 2 Contemporary Nursing Practice GCU

The field of nursing has changed over time. In a 750?1,000 word paper, discuss nursing practice today by addressing the following:

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.
Compare and contrast the differentiated practice competencies between an associate and baccalaureate education in nursing. Explain how scope of practice changes between an associate and baccalaureate nurse.


NRS 430 Contemporary Nursing Assignment
NRS 430 Contemporary Nursing Assignment

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.

Paula Hemmings

Sep 4, 2022, 1:36 PM


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).

Sade Riley

replied toPaula Hemmings

Sep 4, 2022, 9:24 PM(edited)

Hello Paula,

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.



  • Oluchi Osueke

replied toSade Riley

Sep 4, 2022, 9:57 PM

    • 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.

Sade Riley

replied toDana McKay

Sep 3, 2022, 10:10 PM

  • Thank you, was bery informative.
  • Beatrice Kisumba

replied toDana McKay

Sep 4, 2022, 2:49 PM

  • 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.