NRS 430 Topic 3 DQ 1

NRS 430 Topic 3 DQ 1

NRS 430 Topic 3 DQ 1

How has nursing practice evolved over time? Discuss the key leaders and historical events that have influenced the advancement of nursing, nursing education, and nursing roles that are now part of the contemporary nursing profession.

In order to choose a nursing theorist, I had to think about what aspect of nursing care matters to me the most. Proving holistic care is very important to me, and it is what guides my actions daily at work. Jean Watson’s theory of Caring provides a structure for nurses to demonstrate care in a holistic and patient-focused manner, by meeting the physical, emotional, and spiritual needs of patients. This theory is grounded on transpersonal psychology, which offers nurses and instructors the foundation upon which one can focus solely on human caring instead of what disease or condition the patient is suffering from. In clinical settings, caring responses simply mean accepting a person as is and looking beyond what the person may become. For example, a psychiatric nurse should treat mentally ill patients positively and promote their mental well-being through knowledge and appropriate interventions.

NRS 430 Topic 3 DQ 1 References

Watson, J. (2013). Nursing: The Philosophy and Science of Caring, Revised Edition. Caring in nursing classics: An Essential Resource, 243-264

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If I could have sat and talked to one of the nursing theorists it would be Faye Abdellah. The reason for her interest in the profession is profound . She witnessed an explosion and could not have done anything to help. She vowed to herself she would never be hopeless again and decided to pursue the Nursing profession. I am very impressed with the level of intelligence she showcased for someone in that Era especially for recognizing the importance of research. Developing Abdellah’s Typology of 21 Nursing Problems was formidable. It has always been my belief that treating the disease  should not be the focus but  treating the person providing holistic care and this is what the typology fosters. Patients come in presenting with whatever symptoms in the hospital but there are factors outside of what they present that are affecting them, maybe they have kids at home and no babysitter, some maybe be on the verge of becoming homeless. When we overlook these things and focus on only what the patient came in with , we do not send a whole patient home and we do not meet all of their needs. As a consultant and educator with seminars around the world she made the profession more visible. I admire her for furthering herself academically despite all deterrents. She was a well educated person; she had three degrees from Columbia University: a bachelor of science degree in nursing in 1945, a master of arts degree in physiology in 1947, and a doctor of education degree in 1955 (Craddock, 2013). She could have been anything but she chose to remain in this profession.If i could ask her one question right now it would be what kept her going. Today we have everything at our fingertips, education at our disposal, and access to so much technology wise, better pay, more resources.But i find it almost impossible to accomplish one quarter of what she  has  accomplished. Maybe I might just be inspired by what motivated her.

NRS 430 Topic 3 DQ 1 Reference

Abdellah, F.G., Beland, I.L., Martin, A., & Matheney, R.V. Patient-centered approaches to nursing (2nd ed.). New York: Mac Millan. 1968.

Craddock, J. (2013). Encyclopedia of world biography supplement. Detroit, Mich.: Gale.

Nursing has evolved over time from being the work of men and “medicine men” who took care of the sick or injured because no one else would do it, to a well respected, highly educated and desirable profession. Nursing had become a job for the “undesirables” in society — the immoral, the alcoholic, and the illiterate.  Thankfully as time went on, there was a foundation set, the military and government took note of the importance of nursing and education.

Florence Nightingale was the pioneer in laying the foundation for nursing. She not only forged the way, she“enforced basic hygiene for patients and staff, proper handwashing, sanitation, ventilation, sunlight, and attention to diet.” Something no one had done before, she was able to teach and grow the profession to what it is today. If we look back at what she did, with her research she may have been the founder of evidence based practice, before it had a name. She wrote a book and started the first nurse training school.

The need for nursing services continued during the American Civil War (1861-1865). Women came from all over trained and not trained to take care of the sick and wounded fighting the war. The respect of what these women did caught the governments attention, however as training programs and early nursing schools were established there were racial and gender barriers, men and African Americans were discriminated against.

As the world evolved, people were educated about the profession, schools opened their doors and allowed admission for all genders and races to become nurses. It became a highly desired career where men and women were taught nursing research, evidence based practice, learned the skills needed to safely and effectively care for the ill.

  • I agree with you when you say Nightingale may have been the founder of evidence based practice. Nightingale assessed her patient’s environment, collected data, went back and analyzed those data and came up with her theory. One of the difference between now and then is that we have advanced technologies.

She was a leader in her time. And can you imagine the battles she faced getting people to pay attention to her as a woman? Hard to comprehend now

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Nursing is not a static profession, but changes almost daily and the profession as we know it today is vastly different than how it originated. To begin with, nursing was often done by “medicine men”, and women who cared for the sick were sometimes seen as witches (Solera-Deuchar et al., 2020). Essentially, nursing was seen as a low down profession, and left to people who could find no other work. Then, Florence Nightingale revolutionized nursing with her focus on caring for patients as a whole, and recognizing the role the environment has in a person’s health, and how a nurse can change an environment to help someone get better. Another influential leader was Clara Barton. Although without a nurses training, the need for care of soldiers during the Civil War led her to advertising for nurses and donations and organizing how to get these supplies distributed. This later led to the foundation of the American Red Cross (Lavin et al., 2017.). Around the 20th century the need for education for nurses was recognized, and different hospitals began implementing diploma programs. The students in these programs excelled clinically, as they practiced and learned at the bedside, while helping to staff the hospitals as well. Later, associate degree programs were developed by Mildred Montage in the 1950s. This was to give a better theoretical and knowledge base for nurses, as well as offer college credits at an affordable cost. This was beneficial as the need for nurses continued to grow. ADN schools grew and appeared all over the country, but in recent years there has been a drive for more baccalaureate prepared nurses to enter the practice. A further key development was the initiation of nurse registration. Looking at nursing now, it is evident how this is important to regulate and maintain quality of the nursing workforce. Another important figure is Alice Magaw, who was unique in her time in the 1900s in researching and writing about the practice she worked in, which was largely in the field of anesthesia (Ray & Desai, 2016.). This is important because as we know now, nurses can continue to several different masters and doctoral degree programs, such as specializing in anesthesia. All these programs are based off research and evidence based practice which continues to be essential to nursing.

Solera-Deuchar, L., Mussa, M. I., Ali, S. A., Haji, H. J., & McGovern, P. (2020). Establishing views of traditional healers and biomedical practitioners on collaboration in mental health care in Zanzibar: a qualitative pilot study. International Journal of Mental Health Systems14, 1.

Lavin, R., Adelman, D., & Veenema, T. (2017). Society for the advancement of disaster nursing: Exploring the path to excellence. Disaster Medicine and Public Health Preparedness, 11(6), 641-646. doi:10.1017/dmp.2017.10

Ray, W. T., & Desai, S. P. (2016). The history of the nurse anesthesia profession. Journal of Clinical Anesthesia30, 51–58.

Summarizes what was learned from the lesson, readings, and other student posts for the week. • Meets expectations of 2 posts on 2 different days.
• The main post is not made by the Wednesday deadline
• Does not reply to a question posed by a peer or faculty • Has only one post for the week
• Discussion posts contain few, if any, new ideas or applications; often are a rehashing or summary of other students’ comments • Does not post to the thread
• No connections are made to the topic
Minus 1 Point Minus 2 Point Minus 3 Point Minus 4 Point Minus 5 Point
Grammar, Syntax, APA
Note: if there are only a few errors in these criteria, please note this for the student in as an area for improvement. If the student does not make the needed corrections in upcoming weeks, then points should be deducted.
Points deducted for improper grammar, syntax and APA style of writing.
The source of information is the APA Manual 6th Edition • 2-3 errors in APA format.
• Written responses have 2-3 grammatical, spelling, and punctuation errors.
• Writing style is generally clear, focused, and facilitates communication. • 4-5 errors in APA format.
• Writing responses have 4-5 grammatical, spelling and punctuation errors.
• Writing style is somewhat focused. • 6-7 errors in APA format.
• Writing responses have 6-7 grammatical, spelling and punctuation errors.
• Writing style is slightly focused making discussion difficult to understand. • 8-10 errors in APA format.
• Writing responses have 8-10 grammatical, spelling and punctuation errors.
• Writing style is not focused, making discussion difficult to understand. • Post contains greater than 10 errors in APA format.
• Written responses have more than 10 grammatical, spelling and punctuation errors.
• Writing style does not facilitate communication.
• The student continues to make repeated mistakes in any of the above areas after written correction by the instructor

0 points lost
-5 points lost

Total Participation Requirements

per discussion thread The student answers the threaded discussion question or topic on one day and posts a second response on another day. The student does not meet the minimum requirement of two postings on two different days
Early Participation Requirement
per discussion thread The student must provide a substantive answer to the graded discussion question(s) or topic(s), posted by the course instructor (not a response to a peer), by Wednesday, 11:59 p.m. MT of each week. The student does not meet the requirement of a substantive response to the stated question or topic by Wednesday at 11:59 pm MT.

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