NRS 430 Week 2 Assignment Contemporary Nursing Practice

NRS 430 Week 2 Assignment Contemporary Nursing Practice

NRS 430 Week 2 Assignment Contemporary Nursing Practice

Nursing practice involve wide range of health care activities. This paper seeks advance various key areas of contemporary nursing practice. In particular, the paper will discuss the evolution of nursing practice overtime, comparison and contrast of the differentiated practice competencies between an associate and baccalaureate education in nursing, identify a patient care situation that portrays how nursing care differs between the BSN prepared nurse and the ADN nurse, discussion of the essence of applying evidence-based practice to nursing and how RNBSN supports its application, and illustration of interdisciplinary team collaboration and communication among nurses and how it supports patient outcomes.

Evolution of Nursing Practice

Nursing practice has gradually changed overtime. According to Ranard, (2015), nursing was initiated when it did not require formal medical training but it was based on the gender and eagerness for the job. At that time, women would learn medical skills from their mothers or other women in nursing. Women were regarded as caretakers and nursing was perceived as extension of their job as care takers. Nurses used to deal with minor ailments and help patients who were unable to perform activities of daily living. However, the nursing profession started changing after the creation of council of nurses in different countries which brought the rules, standards, and regulations which turned the nursing into a profession (Ranard, 2015). Today, nursing profession has drastically changed and is characterized by extensive training programs, more responsibilities, better hospitals, focus on patient care, and more diversified staff. Moreover, the current nurses are more about leading change, promoting teamwork and consistency, prioritizing, and organizing, which have in turn changed the scope of practice and approach to treat an individual by increasing efficiency in health care, saved lives, and led to generations of devoted medical professionals.  Essentially, the current nurses act as bridge that binds team of health care professionals and other disciplines together.

NRS 430 Week 2 Assignment Contemporary Nursing Practice

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.

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).

NRS 430 Week 2 Assignment Contemporary Nursing Practice

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.

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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). The impact of education on nursing practice. American Association of Colleges of Nursing Fact Sheet.

NRS-430V NRS-430V-O503 Contemporary Nursing Practice 150.0

Criteria Percentage Unsatisfactory (0.00%) Less than Satisfactory (75.00%) Satisfactory (79.00%) Good (89.00%) Excellent (100.00%)
Content 80.0%
Evolution of Nursing Practice Over Time and Resulting Changes to Scope of Practice and Approach to Patient Care 10.0% Explanation of how nursing practice has changed over time and how this evolution has changed the scope of practice and the approach to treating the individual is not presented. Explanation of how nursing practice has changed over time is incomplete. A partial summary of how scope of practice and approach to treating the individual have changed over time is presented. There are major inaccuracies. More information is needed. A general explanation of how nursing practice has changed over time is presented. How scope of practice and approach to treating the individual have changed over time is summarized. There are some minor inaccuracies. Some information is needed for clarity. An explanation of how nursing practice has changed over time is presented. How scope of practice and approach to treating the individual have changed over time is discussed. Minor detail is needed for clarity. The explanation is accurate and captures all significant aspects. A thorough explanation of how nursing practice has changed over time is presented. How scope of practice and approach to treating the individual have changed over time is discussed in detail. An insightful account of the evolution of nursing practice and its influence on scope of practice and patient care is presented. NRS 430 Contemporary Nursing Practice Assignment

Comparison of Differentiated Practice Competencies of ADN and BSN 15.0% The differentiated practice competencies of the ADN and BSN are not compared. An incomplete comparison of the differentiated practice competencies of the ADN and BSN is presented. Differences between ADN and BSN scope of practice is unclear. There are significant inaccuracies. More information is needed. A general comparison of the differentiated practice competencies of the ADN and BSN is presented. Differences between ADN and BSN scope of practice are summarized. Some information is needed for clarity or support. A comparison of the differentiated practice competencies of the ADN and BSN is nursing is presented. Differences between ADN and BSN scope of practice are described. Minor detail or rationale is needed for clarity or support. A comparison of the differentiated practice competencies of the ADN and BSN is clearly presented. Differences between ADN and BSN scope of practice are described in detail. The narrative demonstrates a strong understanding of differentiated competencies and scope of practice for the ADN and BSN.

NRS 430 Week 2 Assignment Contemporary Nursing Practice

Use of Patient Care Situation to Describe Differences in Approach to Nursing Care Based Upon ADN and BSN Education 20.0% A patient care situation illustrating the difference between ADN and BSN in decision making and approaches to patient care is not presented. Summary of patient care situation is incomplete or is not relevant to illustrating the differences in decision making or approach to nursing care based upon ADN and BSN education. Summary of relevant patient care situation is presented. Differences in decision making and approach to nursing care based upon ADN and BSN education are generally described. Difference between ADN and BSN scope of practice is summarized. More detail is needed for clarity and support. Relevant patient care situation is described, including differences in decision making and approach to nursing care based upon ADN and BSN education. Difference between ADN and BSN scope of practice is described. Minor detail is needed for clarity. Relevant patient care situation is thoroughly described. The differences in approach to nursing care and scope of practice based upon ADN and BSN education are described in detail. Narrative demonstrates insight into patient care, decision making, and differing approaches between ADN and BSN.

Application of Evidence-Based Practice and RN-BSN Education in Nursing Care 20.0% Significance of evidence-based practice to nursing care and how the BSN supports its application is not discussed. The significance of evidence-based practice to nursing care and how the BSN supports the application of evidence-based practice is partially discussed. The discussion contains significant inaccuracies. A summary of the significance of evidence-based practice to nursing care and how the BSN supports the application of evidence-based practice is presented. The discussion contains minor inaccuracies; or, more evidence or rationale is needed to support claims. A discussion on the significance of evidence-based practice to nursing care and how the BSN supports the application of evidence-based practice is presented. Some evidence or rationale is needed to support claims. A discussion of the significance of evidence-based practice to nursing care and how the BSN supports the application of evidence-based practice is thoroughly presented. Strong evidence and rationale is provided to support claims.

Communication and Collaboration With Interdisciplinary Teams to Support Patient Outcomes 15.0% A discussion of how nurses today communicate and collaborate with interdisciplinary teams, and how this supports safer and more effective patient outcomes, is not presented. An incomplete discussion of how nurses today communicate and collaborate with interdisciplinary teams, and how this supports safer and more effective patient outcomes, is presented. The discussion contains inaccuracies and fails to demonstrate the importance of working with interdisciplinary teams. A summary of how nurses today communicate and collaborate with interdisciplinary teams, and how this supports safer and more effective patient outcomes, is presented. The summary generally illustrates the importance of working with interdisciplinary teams. Some information is needed for accuracy or to support claims. A discussion of how nurses today communicate and collaborate with interdisciplinary teams, and how this supports safer and more effective patient outcomes, is presented. Overall, the discussion illustrates the importance of working with interdisciplinary teams. A detailed discussion of how nurses today communicate and collaborate with interdisciplinary teams, and how this supports safer and more effective patient outcomes, is clearly presented. The discussion is well supported and strongly illustrates the importance of working with interdisciplinary teams.

Critical thinking and evidence-based practice are both essential in the work and professional development of bedside registered nurses. Evidence based practice is a approach to making clinical decisions and also solving patient problems via taking into account information such as patient preferences, personal environment, and characteristics and using evidence based on nurses experience and research (Sacket, 2000, as cited in Kim et all, 2018). When there is a situation that requires significant critical thinking experienced nurses will often first trust their past experiences rather than make a decision based on scientific evidence (Thiel & Ghosh, 2008, as cited in Kim et all, 2018). In order to make better and more scientific supported patient outcomes it is important to follow critical thinking and evidence based scientific research hand in hand.

References

Kim, S. S., Kim, E. J., Lim, J. Y., Kim, G. M., & Baek, H. C. (2018). Korean nursing students’ acquisition of evidence-based practice and Critical Thinking Skills. Journal of Nursing Education, 57(1), 21–27. https://doi.org/10.3928/01484834-20180102-05

Critical thinking values, knowledge and skills all are integrated in evidence base practice. Critical thinking and evidence base practice has resulted in effective nursing care. A critical thinker can develop a nursing diagnosis, implement and then come up with a solution. Evidence base practice has resulted in better patient outcomes and satisfaction by also reducing cost. The ANA provides standard necessary for critical thinking in the application for nursing process. Nurses should use critical thinking and evidence base practice when providing care to patient, change in patient status, educating patient, change of shift etc. The continuous use of evidenced base practice has resulted to greater interest nursing research

 

As nurses we are met with challenges as we provide care for our patients. We are charged with providing care, administering medications, educating patients, rounding with physicians, dealing with families, documentation, etc. There is so much that requires our attention. It can be hard to balance all the demands. But we must focus our attention on the needs of each patient.

We must always be watchful for things that are changing with our patients. We have to be ready to respond when needed. We have to consider the cultural needs of our patients as well.

All of these things require nurses to think critically.

The explanation by Shoulders, Follet & Eason (2014) gives a good description of what it means for a nurse to think critically:

“Skilled critically thinking nurses respond quickly to changes in patients’ conditions, changing priorities of care based on the urgency of the situation. They accurately interpret data, such as subtle changes in vital signs or laboratory values. They are not just looking at the numbers but also assessing the accuracy and relevancy of the findings. Critical thinking helps the nurse to recognize events as part of the bigger picture and center in on the problem” (p. 208).

 

Shoulders, B., Follett, C., & Eason, J. (2014). Enhancing critical thinking in clinical practice: Implications for critical and acute care