NRS-430V Contemporary Nursing Practice

NRS-430V Contemporary Nursing Practice

NRS-430V Contemporary Nursing Practice

Nurses remain at the core of effective care provision and a growing profession because of its evolution as shown in NRS-430V Contemporary Nursing Practice. The need for advanced education and training, ensures that nurses are well positioned to deliver care in a transforming health  care industry. Today, professional nursing entails specialization and scopes of practice based on one’s clinical skills, capabilities, and competencies.NRS-430V Contemporary Nursing Practice

The use of innovative care models and evidence-based practice implores nurses to advance their education, focus on patient care, and work in teams to enhance quality and delivery of patient care (Graebe & Chappell, 2019). The purpose of this essay is to evaluate contemporary nursing practice and evaluate how it has changed over time and its position today in health care system.NRS-430V Contemporary Nursing Practice

Changing Nursing Practice and The Effect of the Evolution On Scope of Practice & Patient Treatment: NRS-430V Contemporary Nursing Practice

The nursing profession has witnessed several changes since its establishment. Originally, nursing was about caretaking and caregiving roles that were assigned to women. The women did not have formal training or nursing education. In most instances, they were housewives and possess skills and knowledge transferred from family members who had the desire to care for the sick. The scope of their practice was not limited (Salmond & Echevarria, 2017).

These women treated patients as guests in their homes. However, things changed and have been transforming since the Crimean War when Nightingale made nursing a distinct model to care for the wounded soldiers by writing “Notes on Nursing in 1854. NRS-430V Contemporary Nursing Practice

The Civil War of 1861 also demonstrated the increased role of nurses based on women who followed their husbands, brothers, and fathers to care for them. The main responsibilities of these women included ensuring that the patients were comfortable and reported any issue to physicians.NRS-430V Contemporary Nursing Practice

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The initial concept of nursing emanated from these two critical events as physicians wanted trained women who became nurses. Hospitals began programs to train nurses as caregivers. These programs defined the scope of practice for the nurses. By end of 19th century, many hospitals had their nurse training programs but were not standardized (Graebe & Chappell, 2019). NRS-430V Contemporary Nursing Practice

Over the next century, nursing practice evolved and changed  leading to a contemporary nurse who is expected to use evidence-based practice (EBP) interventions, be a critical thinkers and highly trained and

educated. Nurses are today better equipped and have increased scope of practice based on their specialties. The provision of advanced education has enhanced their training and allowed them to think more critically and enabled them to conduct more role in clinical setting. Nurses are not primary care providers in certain regions, have better skills and control the treatment process while advocating for patients to enhance overall care outcomes.NRS-430V Contemporary Nursing Practice

Differentiated Practice Competences Between Associate and Baccalaureate Nursing Education

In comparing the practice competencies of associate and baccalaureate nursing education, the BSN-prepared nurses are considered as professional nurses while associate-degree trained nurses are technical nurses. Further, ANDs are trained primarily on clinical skills while BSN have more focus on nursing research, clinical skills, and management. Both qualifications equip nurses with essential skills focused on meeting accepted patient care standards. However, BSN nurses are more focused on disease prevent, advocacy, research, community health, and execution of best practices.

They also examine or evaluate data and informatics and generating effective solutions to patient outcomes based on their scope of practice (Salas et al., 2018). On their part, the scope of ADNs include basic nursing care that includes recording patient’s history, recoding symptoms, and utilizing simple medical equipment as well as provision of patent education on disease prevention, healthy living and respecting physician appointments and medical reviews. In summary of NRS-430V Contemporary Nursing Practice, BSN-trained and prepared nurses have more varied differentiated practice competencies and expanded scope of practice compared to those with AND qualifications.

NRS-430V Contemporary Nursing Practice

Patient Care Coordination

BSN-trained or prepared nurses have a different approach to nursing care and decision making when dealing with patients in care situations (Salas et al., 2018). For instance, a patient presenting with chronic conditions like diabetes may implore on the BSN-trained nurse to make better decisions and take effective actions compared to the ADN nurse. NRS-430V Contemporary Nursing Practice

A patient with type II diabetes may experience chest pain and shortness of breath. The patient has an NPO directive as he is scheduled for surgery at 9 am the following morning for catherization of heart. NRS-430V Contemporary Nursing Practice

The patient takes Eliquis twice daily since getting a stent in the heart. He also takes Clonidine for chronic hypertension. The vitals show elevated blood pressure of 108/60. The patient should be given insulin per sliding scale ACHS. However, at 7am, the patient experience a FSBS of 150mg/dL. In this case, the ADN nurse may give Eliquis which is an anticoagulant medication at 9pm since she may not be aware that research evidence shows that having anticoagulant medication 12 hours or more before surgery reduces the risk of fatal bleeding. The implication is that a BSN nurse is likely to handle the situation differently by not giving these medication and insulin because of the risk they portend for the patient.

Evidence-Based Practice

The deployment of evidence-based practice is important in delivery of quality health care to patients since it is founded on knowledge and research evidence as well as clinical trials. NRS-430V Contemporary Nursing Practice

NRS-430V Contemporary Nursing Practice Through EBPs, hospitals offer more reliable and high-quality patient care. Nurses enhance their critical thinking skills, enhance their observation and procession of information while practicing and brainstorming ideas to make necessary improvements in care delivery (Verot et al., 2021).

The academic preparation of the RN-BSN nurse supports the application of EBP as it prepares nurses to use evidence coming from research to make better care decisions and apply their critical thinking skills in different patient situations. The BSN also supports EBP in nursing by training nurses on leadership, management and effective communication as well as having scientific research skills.NRS-430V Contemporary Nursing Practice

Communication and Collaboration with Interdisciplinary Teams NRS-430V Contemporary Nursing Practice

Nurses are effective communicators and collaborators in care delivery. Nurses communicate and collaborate with interdisciplinary teams using different approaches. These include using electronic approaches, handwritten notes, texts and emails (McMenamin et al., 2019). Further, the integration of health information technologies has improved communication and collaboration among these teams as nurses can use electronic health records, telehealth and telemedicine means and teleconference to communicate not just with professionals but also patients and deliver quality care. NRS-430V Contemporary Nursing Practice

NRS-430V Contemporary Nursing Practice Conclusion

Nursing remains the foundation of patient care. The profession has transformed and continues its transformation for better care delivery. Nurses are at the forefront of care provision and advanced education allows them to be primary care providers in different care settings. ADNs and BSN-prepared nurses have different approaches to care provision for patients in diverse situations. therefore, by leveraging on EBP interventions, the contemporary nurse is well-positioned to offer quality care in a transforming healthcare system.NRS-430V Contemporary Nursing Practice

NRS-430V Contemporary Nursing Practice References

Graebe, J., & Chappell, K. (2019). Looking back and leaping forward—a reflection on the

evolution of nursing continuing professional development credentialing. The Journal of Continuing Education in Nursing, 50(12), 531-533. DOI: 10.3928/00220124-20191115-01.

McMenamin, A., Sun, C., Prufeta, P., & Raso, R. (2019). The evolution of evidence-based

practice. Nursing Management, 50(9), 14-19.NRS-430V Contemporary Nursing Practice

DOI: 10.1097/01.NUMA.0000579000.09987.b0.

Salmond, S. W., & Echevarria, M. (2017). Healthcare transformation and changing roles for

nursing. Orthopedic nursing, 36(1), 12. doi: 10.1097/NOR.0000000000000308

Salas, E., Zajac, S., & Marlow, S. L. (2018). Transforming health care one team at a time: ten

observations and the trail ahead. Group & Organization Management, 43(3), 357-381. https://doi.org/10.1177/1059601118756554

Verot, E., Denois, V. R., & Chauvin, F. (2021). Current perceptions of cancer nurses in France

about their role and the evolution of nursing practices: Findings and perspectives. Social Science & Medicine, 277, 113896. DOI: 10.1016/j.socscimed.2021.113896.

Contemporary Nursing Practice SAMPLE 2  NRS-430V Contemporary Nursing Practice

The nursing profession continues to transform based on the increasing diverse patient and health population needs arising from higher disease prevalence and an aging population. Chronic conditions like diabetes and hypertension affecting older individuals imply that nurses as primary care providers should increase their scope of practice to cater to special patient and health populations (Moran et al., 2023). The purpose of this paper is to discuss the changes and transformation in nursing practice over time and their overall impact on the scope of practice, need for advanced education and use of evidence-based practice by nurses.

Changes in Nursing Practice Over Time NRS-430V Contemporary Nursing Practice

Nursing practice has transformed and changed over time in the last fifty years to align with the best practices and meet diverse patient needs and demands. Nurses can now specialize as they are considered primary care providers. Nurses have advanced education as they seek bachelor’s degree, master’s degree and even terminal degree in the profession that allows them to nurture critical thinking skills, participate in the formulation, development and implementation as well as review of the policy.

Today, different reports like the Institute of Medicine (IOM) in 2010 and the National Academy of Medicine’s report on the future of nursing demonstrate that advanced education is a core part of the transformation in nursing profession (Hassmiller et al., 2022). These two reports emphasize the role of education on nursing and the strategic position that nurses play as core healthcare providers. The implication is that their scope has expanded based on their specialization as a result of advanced education and can practice independently without the supervision of or under the control of physicians.

Differentiated Practice Competencies Between AND & BSN-Prepared Nurses

Nurse pursue different educational training to join the profession. The Associate degree in nursing (ADN) is a two-year program that prepares one to be a registered nurse (Moran et al., 2023). ADN-prepared nurses have basic skills in practice that include administration of patient care like recording of symptoms and medical history as well as patient education, use of simple medical equipment working under strict instructions of physicians.

The baccalaureate program (BSN) allows nurses to take more complex roles aside from those required at basic levels. BSN-prepared nurses possess more competencies that include making complex decisions and handling complex patients, meeting patient needs and delivery of better and safe patient care (Djukic et al., 2019). BSN nurses also have critical thinking and problem solving skills based on their expansive preparation through their education programs that take four years. BSN-prepared nurses can interpret research findings and use evidence-based practice interventions to enhance patient care.

Specific Nursing Situations NRS-430V Contemporary Nursing Practice

Healthcare facilities with a higher proportion of BSN-prepared nurses offer better care based on reduced adverse events like medication errors and mortality rates that are attributed to better decision-making and higher qualifications of providers. Certain nursing incidences can show the differences in decision-making between ADN-prepared and BSN-prepared nurses while in practice (Moran et al., 2023). For example, a patient present in the emergency room with elevated hypertension levels.

Upon evaluating the medical history, the ADN gives appropriate medications and reports the rest of the situation to a physician. On the other hand, a BSN-prepared nurse will implement more measures to enhance outcomes. The nurse may inquire more information from that patient through the integration of patient-centered care and evidence-based practice. More interaction with the patient allows the nurse to know other underlying factors leading to pain for the patient.

The patient asserts that her marriage is stressful and this affects her saturations. The BSN-prepared nurses then give non-pharmacological intervention that entails counselling the lady on the best approach to the situation. The nurse also prescribes pain relieving medications. This situation demonstrates that BSN-prepared nurses have better skills that ADN-prepared counterparts.

Evidence-Based Practice in Nursing NRS-430V Contemporary Nursing Practice

Evidence-based practice entails nurses integrating patient preferences, concerns, and needs in their care plans based on their expertise and skills. Through use of EBP in their practice, nurses illustrate their resolve to provide quality care that meets patient needs and well-structured based on their level of competencies and education. NRS-430V Contemporary Nursing Practice

The academic preparation of RN-BSN supports the deployment of EBP as it improves nurses’ competencies through knowledge and increased educational content and materials. Nurses who possess BSN qualification are well prepared to offer quality care compared to those with the associate degree. They are better in 12 out of the 16 areas of nursing practice (Han et al., 2022). As such, the BSN degree prepares nurses better to implement EBP in their practice settings compared to ADN qualification.

Nurses in Interdisciplinary Team NRS-430V Contemporary Nursing Practice

Communication and collaboration are essential for nurses working in interdisciplinary teams that lead to safer and more effective patient outcomes. Nurses communicate and collaborate with other healthcare professionals like physicians to offer quality patient care. They communicate when they provide reports to physicians concerning patients and what they need. Nurses collaborate by closely working and coordinating with physicians and other professionals to develop plans of care and other interventions (Moran et al., 2023).

Through collaboration and communication, nurses attain safer and effective client outcomes because they develop common care approaches and integrate different aspects of care to improve delivery of quality services. Effective communication allows nurses to provide accurate reports and information about patients for better decisions and development of care plans leading to better outcomes. NRS-430V Contemporary Nursing Practice

Conclusion NRS-430V Contemporary Nursing Practice

The transformation of nursing practice has improved patient care through better and advanced educational qualifications like the BSN degree. Nurses are leveraging evidence-based practice (EBP) interventions to enhance their qualifications and competencies to deliver better care. Advanced education is a core part of enabling nurses to attain better competencies and work in inter-professional and multidisciplinary teams.

References NRS-430V Contemporary Nursing Practice

Djukic, M., Stimpfel, A. W., & Covner, C. (2019). Bachelor’s degree nurse graduates report

better quality and safety educational preparedness than associate degree graduates. The Joint Commission Journal on Quality and Patient Safety, 45(3), 180-186.

DOI: 10.1016/j.jcjq.2018.08.008.

Hassmiller, S. B., & Wakefield, M. K. (2022). The Future of Nursing 2020–2030: Charting a

path to achieve health equity. Nursing Outlook, 70(6), S1-S9. DOI:https://doi.org/10.1016/j.outlook.2022.05.013

Han, H. R., D’Aoust, R., Gross, D., Szanton, S., Nolan, M., Campbell, J., & Davidson, P. (2022).

Preparing future nursing faculty: integrating enhanced teaching and leadership development curricula into PhD education. Journal of advanced nursing, 78(1), e3-e5. https://doi.org/10.1111/jan.14982

Moran, K. J., Burson, R., & Conrad, D. (2023). The doctor of nursing practice project: A

            framework for success. Jones & Bartlett Learning.

“Critical thinking “is thought that is disciplined, comprehensive, based on intellectual standards, and, as a result, well-reasoned. When you think critically, you examine assumptions, evaluate evidence, and uncover underlying values and reasons.” (Taylor et al, 2019, p. 304) A major component of critical thinking is an evidence-based practice, which is “the integration of best research evidence with clinical expertise and values.” (Stannard p.1081) Evidence-based practice involves using scientific/practical evidence to guide our decisions and actions.

Isolation precautions are an example of how evidence practice is used to guide our protocols. These precautions are based on up-to-date research and expertise, and directly impact the care of patients. Nurses in turn can use this evidence to protect not only themselves but the patients that they care for. NRS-430V Contemporary Nursing Practice

To have the ability to think critically as a health care professional, one must be able to use EBP to guide their actions and decisions. Critical thinking and EBP are directly related to patient outcomes because they guide the decisions and actions made in a clinical setting to lead to improved patient outcomes.

Topic 2 DQ 1 NRS-430V Contemporary Nursing Practice

Define critical thinking and evidence-based practice. Discuss what critical thinking in nursing practice entails and explain why it is important. Discuss the role of critical thinking and evidence-based practice as they relate to client outcomes.

Critical thinking is the ability to objectively assess a situation and develop a problem-solving plan based on the available facts. It relies on facts and evidence rather than emotions, making it essential for effective decision-making. In clinical practice, nurses have to critically assess the clinical manifestations of patients to develop an accurate diagnosis and develop an effective care plan.

According to Berg et al. (2021), implementing critical thinking in the nurse decision-making process increases the effectiveness of clinical decisions as nurses get to build their capacity for critical thinking. Nurse students should go through training to help them understand the importance of relying on experience to build critical thinking skills. Critical thinking is important in nursing practice since it allows the nurse to be objective and focus on addressing the matter at hand based on current evidence. This will help improve patient health outcomes since nurses can make quick and effective decisions during emergencies.

Evidence-based practice (EBP) is the process of using recent research evidence to lead to a change in practice. It helps reduce the level of uncertainty when implementing clinical interventions since clinicians rely on research outcomes that have a definitive outcome. EBP provides clinicians with a framework on how to approach care making it easier to track and monitor patient progress.

Saunders et al. (2019), clinicians should strive to improve their EBP competencies through advancing their education. BSN-prepared nurses are more equipped to implement EBP and lead change projects in practice. These change initiatives are often geared towards addressing healthcare challenges that negatively impact the health and well-being of patients. EBP competence increases operational efficiency and ensures that clinicians can better meet the health needs of their patients.

References

Berg, C., Philipp, R., & Taff, S. D. (2021). Scoping review of critical thinking literature in healthcare education. Occupational Therapy In Health Care, 1-18. https://doi.org/10.1080/07380577.2021.1879411

Saunders, H., Gallagher‐Ford, L., Kvist, T., & Vehviläinen‐Julkunen, K. (2019). Practicing healthcare professionals’ evidence‐based practice competencies: An overview of systematic reviews. Worldviews on Evidence‐Based Nursing, 16(3), 176-185. https://doi.org/10.1111/wvn.12363

I am retired after many years of nursing practice. Reflecting back on my life, I know I made the right decision to enter the nursing profession. Every day was a new learning and rewarding experience. I have the urge to further my nursing education and reenter the always evolving nursing profession. Many changes have happened since I last practiced regarding nursing education levels and each’s scope of practice.

After researching many nursing programs across the United States (US), I found Grand Canyon University (GCU) nursing programs to be the most affordable, resourceful, and user-friendly, especially the associate degree (ADN) to baccalaureate degree (BSN) five-week course online program. I have concerns regarding my lac of computer skills and potential difficulties such as loss of internet connection or program lag. I know my first week will be the most difficult, since it has been many years since I have attended an educational program, and this is my first online learning program.

Understanding and consistently implementing characteristics of successful students is important to being a successful student. An important characteristic of successful students is to be realistic, with time management being a priority. Remembering to allow sufficient time for yourself is crucial for good health and well-being, leading to having a clear mind and ability to focus on learning. Taking breaks when doing tasks at hand, rather than attempting to do it all at once or to multitask is important to help balance school and life’s happenings.

Let those close to you be aware of your schedule and school demands (Sanders, 2019). Divide each day into sections of time and prioritize things to do for each section (Murphy, 2015). Monitor assignments and due dates. Study efficiently by having a designated, quiet, organized, well-lit study area (Sanders, 2019). Learn the resources and services available, and utilize them (Sanders, 2019). Requesting help is not a sign of weakness or failure (Murphy, 2015).

It is part of being proactive and a characteristic of successful students. Acknowledge and make positive use of feedback (Sanders, 2019). Feedback helps improve the learning process by better understanding each assignment, knowing what was done correctly and what needs correction or improvement. Feedback also positively influences future programs by troubleshooting and improving the current programs. Developing a personalized study system, and consistently implementing it, can make the nursing program less challenging (Murphy, 2015).

It is necessary to be realistic and understand that this is not a perfect world. Distractions and disruptions will happen.

Maintaining my health and well-being, time management, and studying effectively, while proactively implementing resources and services available, along with remembering to take rest breaks and reward myself, are characteristics of the realistic plan I am developing to be a successful student.

Resources:

Murphy, P. (2015). 7 habits of highly effective nursing students. Minority Nurse. https://minoritynurse.com/7-habits-of-highly-effective-nursing-students

Sanders, E. (2015). Succeeding in an online nursing program. Nursing Made Incredibly Easy! 17(1). DOI: 16.1097/01.NME.0000549623.58762.3

Handwashing is such a simple act that can bring such big results. It is an easy task to wash our hands or use a hand sanitizer.

So why don’t we do it?

Sometimes it may be an education issue. We don’t think that we really did anything that could contaminate us. Is taking someone’s pulse considered a clean or dirty procedure? Do I need to wash my hands before? After? Both?

What about just straightening the patient’s blanket? Or handing them their cell phone?

Things to think about. While these seem like simple things – it is something that we need to critically think about.

Here are a couple of resources to look at:

https://www.who.int/gpsc/tools/faqs/evidence_hand_hygiene/en/

https://www.cdc.gov/handwashing/show-me-the-science.html

Hand washing is very important in and out of healthcare practices, it help to keep you healthy and prevent the spread of respiratory and diarrheal infections. Taking someone pulse is considered dirty, even touching the patient cell and straightening the patient blanket . So it’s best to practice a wash in wash out procedure.

Correct hand washing techniques were always a good step/reminder before going in a patients room and after leaving a patients room. It is essential that proper hand washing is done to keep from spreading any germs from patient to patient. It also keeps us nurses healthy from any bacteria that is spread through hospitals and or clinics.

Washing hands is a vital factor in preventing infection/illness to and from our most vulnerbal hosts. It is any easy task that should be second nature to most. However, some view it as out of sight, out of mind and a distraction from tasks. Oftentime, we do need to be edcuated on proper hand hygiene ie., the method and length of time in addition to when to use hand sanitizer and whenshing with soap and water is the preferred method.

Unfortunately, many nosocomial infections are transmitted by staff not or improperly washing hands in between patients. Should this simple task receive critical thought? Initially, the response would be NO, of course not; however, handwashing is often overlooked until it is too late.

In addition to the patients being set back negatively resulting from improper hand hygiene, nosocomial infections are costly. To add insult to injury, preventable conditions are not covered by most insurance companies. What’s most unfortunate is that more often than not, these illnesses could be prevented with proper handwashing. To add insult to injury, preventable conditions are not covered by most insurance companies.

In addition, please note that with proper hand hygiene we are protecting our patients and families. This is especially true of continuous, repeat offenders as they may need educating on technique and consequences of failure to wash hands properly. This simple protocol should be taken seriously and not be overlooked as the consequences may lead to my death.

To excel in their professional roles, nurses should acquire diverse skills and comprehensively understand practice problems and solutions. Basic clinical skills can be acquired through certificates, diplomas, or degrees. A nurse’s competence is typically higher when they acquire the highest education possible, making nurses perceive continued education positively (Thielmann et al., 2019).

As nurses continue to implement their roles, the nursing practice evolves in multiple dimensions. This evolution impacts patient care outcomes, communication strategies, and care models, among other critical aspects. Nurses should understand this evolution and adapt effectively. The purpose of this paper is to describe nursing practice today while primarily focusing on its evolution and differences between associate (ADN) and baccalaureate (BSN) education in nursing.

Nursing Practice Changes, Scope of Practice, and Approach to Client Care

Nursing has evolved in many aspects, profoundly impacting nursing scope and patient care approaches. One of the many changes characterizing modern practice is the evolution of care delivery models. Undeniably, remote care is increasingly dominant in the current practice as providers strive to improve access to care and reduce costs (Snoswell et al., 2020).

Besides, there is an increased focus on value-based care in an attempt to improve care quality and patient satisfaction. Another significant change defining the current practice is the broadened scope of nursing. Nurses’ role is not limited to clinical care; nurses can effectively perform other roles that optimize health outcomes, including policymaking, advocacy, and health education.

The progressive changes in nursing practice have broadened nursing practice not to be limited to patient care. As the push for higher patient outcomes continues, nurses are currently playing a pivotal role in creating safer environments and promoting patient rights. This role typifies patient advocacy, where nurses serve as the voice of patients (Nsiah et al., 2019).

Regarding the approach to treating the individual, there is an increased focus on patient-centeredness and patient engagement. In such approaches, healthcare providers are not the sole decision-makers. Patients should understand the treatment processes and consent to them as nurses tailor care according to patient needs.

Comparison of Practice Competencies and Scope of Practice

Nurses’ competencies impact their ability to implement comprehensive patient care and other roles. An ADN is a two-year degree that prepares students to be registered nurses (RNs). However, since it takes a short time, an ADN focuses primarily on the technical skills that prepare nurses as clinicians. As Deering (2023) stated, BSN-prepared nurses are more skilled in clinical roles and other practice areas such as research, nursing leadership, and public health.

The four-year program provides BSN nurses with a larger base of knowledge than AND-prepared nurses. The BSN further provides expanded skills in critical thinking and administration. Regarding the scope of practice, BSN nurses have broader roles than ADN nurses due to more competence and a more comprehensive understanding of patient care.

Research further confirms a positive link between BSN nurses’ expanded skills and higher patient outcomes, which underlines the need for more such nursing professionals (Anbari, 2019; American Association of Colleges of Nursing, n.d.). As ADN nurses concentrate on the clinical role, BSN nurses conduct research, engage in leadership, and implement change in routine practice. Importantly, BSN nurses also enjoy more independence in decision-making than ADN nurses.

Nursing Care or Approaches to Decision Making

The differences in skills level between ADN and BSN-prepared nurses affect how they approach client care situations. A suitable scenario is where a patient presents to the healthcare setting with a persistent headache. An ADN will likely have a somatic approach to relieve symptoms while trying to calm and comfort the patient.

The genesis of the headache could be established through a routine diagnosis to determine an effective treatment. On the other hand, as Kim and Sim (2020) suggested, BSN-prepared nurses are more skilled in critical thinking, communication, and decision-making. Therefore, they will likely take a more holistic approach in the assessment process to determine the potential cause of the illness. Their higher communication and assessment skills would enable them to communicate with the patient, establish a healthy nurse-patient relationship, and develop a treatment plan that integrates the patient to foster adherence.

Significance of Applying Evidence-Based Practice to Nursing Care

The current nursing practice stresses evidence-based practice (EBP) and encourages nurses to apply it to address simple and complex health matters. EBP is primarily about blending current research evidence with clinical expertise and patient values for higher patient outcomes (Abu-Baker et al., 2021). It ensures that multiple components are considered during decision-making to address patient needs comprehensively.

The academic preparation of the RN-BSN nurse supports EBP application by expanding nurses’ research and leadership skills. Research skills enable nurses to explore, analyze, and critique current, peer-reviewed research. Leadership skills prepare nurses to lead change whose positive outcomes are achieved by implementing EBP.

Nursing Communication and Collaboration

Nurses work in different settings and need a shared approach to decision-making to achieve enhanced, consistent outcomes. They communicate and collaborate with interdisciplinary teams by sharing information and approaching common issues as a team. Technologies have also allowed timely data sharing and analysis for better communication and collaboration.

According to Walton et al. (2019), collaboration across disciplines supports safer and more effective practices by reducing errors and improving care coordination. Health care practitioners within the interdisciplinary team benefit from shared roles and diverse perspectives that enhance their understanding of patient care and interventions as situations obligate.

Conclusion

Nursing is an evolving practice characterized by many changes in patient care approaches occurring over time. Nurses should be competent multi-dimensionally to address patient needs comprehensively and adapt as the practice evolves. As discussed in this paper, the competency differences between ADN and BSN-prepared nurses affect how they respond to situations. Although both sets of nurses are skilled in clinical roles, BSN nurses have expanded knowledge of research, leadership, and critical thinking skills. Research skills prepare BSN nurses for a higher role in implementing evidence-based practice.

References

Abu-Baker, N. N., AbuAlrub, S., Obeidat, R. F., & Assmairan, K. (2021). Evidence-based practice beliefs and implementations: a cross-sectional study among undergraduate nursing students. BMC Nursing, 20(1), 1-8. https://doi.org/10.1186/s12912-020-00522-x

Anbari, A. B. (2019). What makes a BSN a BSN? Western Journal of Nursing Research, 41(2), 167–170. https://doi.org/10.1177/0193945918803683

American Association of Colleges of Nursing. (n.d.). Fact sheet: the impact of education on

nursing practice. https://www.aacnnursing.org/Portals/42/News/Factsheets/Education-Impact-Fact-Sheet.pdf

Deering, M. (2023). RN Diploma vs. ADN vs. BSN degree: what’s the difference? NurseJournal. https://nursejournal.org/degrees/bsn/rn-and-bsn-degree-differences/#:~:text=A%20BSN%20degree%20and%20an,school%20and%20your%20career%20goals.

Kim, A. Y., & Sim, I. O. (2020). Communication skills, problem-solving ability, understanding of patients’ conditions, and nurse’s perception of professionalism among clinical nurses: a structural equation model analysis. International Journal of Environmental Research and Public Health, 17(13), 4896. https://doi.org/10.3390/ijerph17134896

Nsiah, C., Siakwa, M., & Ninnoni, J. P. K. (2019). Registered Nurses’ description of patient advocacy in the clinical setting. Nursing Open, 6(3), 1124–1132. https://doi.org/10.1002/nop2.307

Snoswell, C. L., Taylor, M. L., Comans, T. A., Smith, A. C., Gray, L. C., & Caffery, L. J. (2020). Determining if telehealth can reduce health system costs: Scoping review. Journal of Medical Internet Research, 22(10), e17298. https://doi.org/10.2196/17298

Thielmann, B., Parker, K., Post, J., & Abraham, S. (2019). Factors influencing nurses’ perceptions of the Baccalaureate Degree in Nursing as minimum requirement for Professional Practice. Nursing Education Perspectives, 40 (1), 25-29. doi: 10.1097/01.NEP.0000000000000391.

Walton, V., Hogden, A., Long, J. C., Johnson, J. K., & Greenfield, D. (2019). How do interprofessional healthcare teams perceive the benefits and challenges of interdisciplinary ward rounds. Journal of Multidisciplinary Healthcare, 12, 1023–1032. https://doi.org/10.2147/JMDH.S226330

Topic 2 DQ 1

Define critical thinking and evidence-based practice. Discuss what critical thinking in nursing practice entails and explain why it is important. Discuss the role of critical thinking and evidence-based practice as they relate to client outcomes.

According to Güven (2003), critical thinking It is necessary to think critically to provide adequate, creative, and effective nursing care when making the right decisions. Critical thinking is an essential skill that we need to develop during our nursing career because it teaches us when to prioritize and how to implement it.

Critical thinking is a skill that is not easy to develop; it is to think divergently and be capable of deciding what type of care the patient will be needing. Evidence-based practice is needed for efficiency in patient outcomes, and it involves knowledge of the consequences or outcomes of any procedure. Everything that we know right now about nursing procedures and even our scope of practice was done using evidence-based practice to improve patient care and avoid malpractice.

EBP is described as the integration of clinical expertise, the most up-to-date research, and the patient’s preferences for care. (Dean, 2022). Critical thinking and evidence-based practices go together because both help in decision-making and improve patient outcomes. In order for evidence-based practice to be successful, critical thinking is needed.

Güven, Ş.D. (2023). Critical Thinking in Nursing. In: Rezaei, N. (eds) Brain, Decision Making and Mental Health. Integrated Science, vol 12. Springer, Cham. https://doi.org/10.1007/978-3-031-15959-6_10

Dean, J. K. (2022). Practice and competency development. (2nd ed.) Dynamics in nursing: Art & science of professional practice. Grand Canyon University.

As stated by (Ryan, 2023), “Critical thinking is the ability to effectively analyze information and form a judgement. To think critically, you must be aware of your own biases and assumptions when encountering information, and apply consistent standards when evaluating sources.” More specifically we can describe it as the capacity for introspective and autonomous thought. As stated by (Li, 2019), ” EBP refers to using the best available evidence for decision-making and providing efficient and effective care for patients on a scientific basis. Systematic implementation of EBP can enhance healthcare safety and improve patient outcomes.”

As stated by (Wilson, 2021), “When faced with difficult decisions, these nurses won’t just rely on their gut feelings or what seems right according to society’s norms; instead, they’ll analyze all available information carefully until they develop the best solution. Critical thinking is also crucial because it helps nurses avoid making mistakes in their work by providing them with a way to examine each situation and identify any potential risks or problems that may arise from subsequent actions before they take place.”

As stated by (McGrath, 2005), “Critical thinking (CT) is vital to evidence-based nursing practice. Evidence-based practice (EBP) supports nursing care and can contribute positively to patient outcomes across a variety of settings and geographic locations. The nature of EBP, its relevance to nursing, and the skills needed to support it should be required components of baccalaureate education and must be introduced early in students’ development as independent, self-directed learners and as professional nurses.

Among the knowledge, skills, and processes needed to support EBP, CT is paramount. The development of CT can prepare nurses with the necessary skills and dispositions (habits of mind, attitudes, and traits) to support EBP. The intents of this study were to explore the importance of CT as an essential skill to support EBP and to describe some of the strategies and processes considered key to the ongoing development of CT.”

References

Ryan, E. (2023, May 31). What is critical thinking?: Definition & examples. Scribbr. https://www.scribbr.com/working-with-sources/critical-thinking/

Li, S., Cao, M., & Zhu, X. (2019, September). Evidence-based practice: Knowledge, attitudes, implementation, facilitators, and barriers among community nurses-systematic review. Medicine. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6775415/#:~:text=EBP%20refers%20to%20using%20the,safety%20and%20improve%20patient%20outcomes.

Wilson, B. (2021, November 8). Why critical thinking is important in nursing. The Nerdy Nurse. https://thenerdynurse.com/why-critical-thinking-is-important-in-nursing/

Profetto-McGrath, J. (2005, December 21). Critical thinking and evidence-based practice. Journal of professional nursing : official journal of the American Association of Colleges of Nursing. https://pubmed.ncbi.nlm.nih.gov/16311232/

In your response, I wanted to point out this quote: “The foundations we have as nurses can be greatly enhanced by thinking critically in the analysis of a situation and then by using EBP to integrate “the best available research evidence with clinical expertise and the patient’s unique values and circumstance” (https://libguides.csu.edu). I feel like it has a connection to Dean’s (2018) discussion about “Today’s view of nursing as a profession is described as applying evidence-based practice (EPB) with acceptable social aspects of care.”

I want to focus on this particular part, “patient’s unique values and circumstance.” EBP incorporates three topics, “Best Research Evidence, Clinical expertise, and Patient Values and Preferences” (Dean, 2018). Right there, the last one, Patient Values, and Preferences. Without realizing it, we get so wrapped up in the other two parts that we can easily forget about the patient’s values and beliefs. I want to walk it back farther.

I believe this talk of critical thinking is the clinical expertise of EPB, the best research evidence is what sets forth guidelines and practice, but we are missing the person in these discussions. So when I read patients’ unique values and circumstances, it hits the nail on the head, and I can confidently say nursing practice encompasses the body, mind, and spirit.

NRS-430V Contemporary Nursing Practice

NRS-430V Contemporary Nursing Practice

Nurses remain at the core of effective care provision and a growing profession because of its evolution as shown in NRS-430V Contemporary Nursing Practice. The need for advanced education and training, ensures that nurses are well positioned to deliver care in a transforming health  care industry. Today, professional nursing entails specialization and scopes of practice based on one’s clinical skills, capabilities, and competencies.NRS-430V Contemporary Nursing Practice

The use of innovative care models and evidence-based practice implores nurses to advance their education, focus on patient care, and work in teams to enhance quality and delivery of patient care (Graebe & Chappell, 2019). The purpose of this essay is to evaluate contemporary nursing practice and evaluate how it has changed over time and its position today in health care system.NRS-430V Contemporary Nursing Practice

Changing Nursing Practice and The Effect of the Evolution On Scope of Practice & Patient Treatment: NRS-430V Contemporary Nursing Practice

The nursing profession has witnessed several changes since its establishment. Originally, nursing was about caretaking and caregiving roles that were assigned to women. The women did not have formal training or nursing education. In most instances, they were housewives and possess skills and knowledge transferred from family members who had the desire to care for the sick. The scope of their practice was not limited (Salmond & Echevarria, 2017).

These women treated patients as guests in their homes. However, things changed and have been transforming since the Crimean War when Nightingale made nursing a distinct model to care for the wounded soldiers by writing “Notes on Nursing in 1854. NRS-430V Contemporary Nursing Practice

The Civil War of 1861 also demonstrated the increased role of nurses based on women who followed their husbands, brothers, and fathers to care for them. The main responsibilities of these women included ensuring that the patients were comfortable and reported any issue to physicians.NRS-430V Contemporary Nursing Practice

Click here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS: NRS-430V Contemporary Nursing Practice

The initial concept of nursing emanated from these two critical events as physicians wanted trained women who became nurses. Hospitals began programs to train nurses as caregivers. These programs defined the scope of practice for the nurses. By end of 19th century, many hospitals had their nurse training programs but were not standardized (Graebe & Chappell, 2019). NRS-430V Contemporary Nursing Practice

Over the next century, nursing practice evolved and changed  leading to a contemporary nurse who is expected to use evidence-based practice (EBP) interventions, be a critical thinkers and highly trained and

educated. Nurses are today better equipped and have increased scope of practice based on their specialties. The provision of advanced education has enhanced their training and allowed them to think more critically and enabled them to conduct more role in clinical setting. Nurses are not primary care providers in certain regions, have better skills and control the treatment process while advocating for patients to enhance overall care outcomes.NRS-430V Contemporary Nursing Practice

Differentiated Practice Competences Between Associate and Baccalaureate Nursing Education

In comparing the practice competencies of associate and baccalaureate nursing education, the BSN-prepared nurses are considered as professional nurses while associate-degree trained nurses are technical nurses. Further, ANDs are trained primarily on clinical skills while BSN have more focus on nursing research, clinical skills, and management. Both qualifications equip nurses with essential skills focused on meeting accepted patient care standards. However, BSN nurses are more focused on disease prevent, advocacy, research, community health, and execution of best practices.

They also examine or evaluate data and informatics and generating effective solutions to patient outcomes based on their scope of practice (Salas et al., 2018). On their part, the scope of ADNs include basic nursing care that includes recording patient’s history, recoding symptoms, and utilizing simple medical equipment as well as provision of patent education on disease prevention, healthy living and respecting physician appointments and medical reviews. In summary of NRS-430V Contemporary Nursing Practice, BSN-trained and prepared nurses have more varied differentiated practice competencies and expanded scope of practice compared to those with AND qualifications.

NRS-430V Contemporary Nursing Practice

Patient Care Coordination

BSN-trained or prepared nurses have a different approach to nursing care and decision making when dealing with patients in care situations (Salas et al., 2018). For instance, a patient presenting with chronic conditions like diabetes may implore on the BSN-trained nurse to make better decisions and take effective actions compared to the ADN nurse. NRS-430V Contemporary Nursing Practice

A patient with type II diabetes may experience chest pain and shortness of breath. The patient has an NPO directive as he is scheduled for surgery at 9 am the following morning for catherization of heart. NRS-430V Contemporary Nursing Practice

The patient takes Eliquis twice daily since getting a stent in the heart. He also takes Clonidine for chronic hypertension. The vitals show elevated blood pressure of 108/60. The patient should be given insulin per sliding scale ACHS. However, at 7am, the patient experience a FSBS of 150mg/dL. In this case, the ADN nurse may give Eliquis which is an anticoagulant medication at 9pm since she may not be aware that research evidence shows that having anticoagulant medication 12 hours or more before surgery reduces the risk of fatal bleeding. The implication is that a BSN nurse is likely to handle the situation differently by not giving these medication and insulin because of the risk they portend for the patient.

Evidence-Based Practice

The deployment of evidence-based practice is important in delivery of quality health care to patients since it is founded on knowledge and research evidence as well as clinical trials. NRS-430V Contemporary Nursing Practice

NRS-430V Contemporary Nursing Practice Through EBPs, hospitals offer more reliable and high-quality patient care. Nurses enhance their critical thinking skills, enhance their observation and procession of information while practicing and brainstorming ideas to make necessary improvements in care delivery (Verot et al., 2021).

The academic preparation of the RN-BSN nurse supports the application of EBP as it prepares nurses to use evidence coming from research to make better care decisions and apply their critical thinking skills in different patient situations. The BSN also supports EBP in nursing by training nurses on leadership, management and effective communication as well as having scientific research skills.NRS-430V Contemporary Nursing Practice

Communication and Collaboration with Interdisciplinary Teams NRS-430V Contemporary Nursing Practice

Nurses are effective communicators and collaborators in care delivery. Nurses communicate and collaborate with interdisciplinary teams using different approaches. These include using electronic approaches, handwritten notes, texts and emails (McMenamin et al., 2019). Further, the integration of health information technologies has improved communication and collaboration among these teams as nurses can use electronic health records, telehealth and telemedicine means and teleconference to communicate not just with professionals but also patients and deliver quality care. NRS-430V Contemporary Nursing Practice

NRS-430V Contemporary Nursing Practice Conclusion

Nursing remains the foundation of patient care. The profession has transformed and continues its transformation for better care delivery. Nurses are at the forefront of care provision and advanced education allows them to be primary care providers in different care settings. ADNs and BSN-prepared nurses have different approaches to care provision for patients in diverse situations. therefore, by leveraging on EBP interventions, the contemporary nurse is well-positioned to offer quality care in a transforming healthcare system.NRS-430V Contemporary Nursing Practice

NRS-430V Contemporary Nursing Practice References

Graebe, J., & Chappell, K. (2019). Looking back and leaping forward—a reflection on the

evolution of nursing continuing professional development credentialing. The Journal of Continuing Education in Nursing, 50(12), 531-533. DOI: 10.3928/00220124-20191115-01.

McMenamin, A., Sun, C., Prufeta, P., & Raso, R. (2019). The evolution of evidence-based

practice. Nursing Management, 50(9), 14-19.NRS-430V Contemporary Nursing Practice

DOI: 10.1097/01.NUMA.0000579000.09987.b0.

Salmond, S. W., & Echevarria, M. (2017). Healthcare transformation and changing roles for

nursing. Orthopedic nursing, 36(1), 12. doi: 10.1097/NOR.0000000000000308

Salas, E., Zajac, S., & Marlow, S. L. (2018). Transforming health care one team at a time: ten

observations and the trail ahead. Group & Organization Management, 43(3), 357-381. https://doi.org/10.1177/1059601118756554

Verot, E., Denois, V. R., & Chauvin, F. (2021). Current perceptions of cancer nurses in France

about their role and the evolution of nursing practices: Findings and perspectives. Social Science & Medicine, 277, 113896. DOI: 10.1016/j.socscimed.2021.113896.

Contemporary Nursing Practice SAMPLE 2  NRS-430V Contemporary Nursing Practice

The nursing profession continues to transform based on the increasing diverse patient and health population needs arising from higher disease prevalence and an aging population. Chronic conditions like diabetes and hypertension affecting older individuals imply that nurses as primary care providers should increase their scope of practice to cater to special patient and health populations (Moran et al., 2023). The purpose of this paper is to discuss the changes and transformation in nursing practice over time and their overall impact on the scope of practice, need for advanced education and use of evidence-based practice by nurses.

Changes in Nursing Practice Over Time NRS-430V Contemporary Nursing Practice

Nursing practice has transformed and changed over time in the last fifty years to align with the best practices and meet diverse patient needs and demands. Nurses can now specialize as they are considered primary care providers. Nurses have advanced education as they seek bachelor’s degree, master’s degree and even terminal degree in the profession that allows them to nurture critical thinking skills, participate in the formulation, development and implementation as well as review of the policy.

Today, different reports like the Institute of Medicine (IOM) in 2010 and the National Academy of Medicine’s report on the future of nursing demonstrate that advanced education is a core part of the transformation in nursing profession (Hassmiller et al., 2022). These two reports emphasize the role of education on nursing and the strategic position that nurses play as core healthcare providers. The implication is that their scope has expanded based on their specialization as a result of advanced education and can practice independently without the supervision of or under the control of physicians.

Differentiated Practice Competencies Between AND & BSN-Prepared Nurses

Nurse pursue different educational training to join the profession. The Associate degree in nursing (ADN) is a two-year program that prepares one to be a registered nurse (Moran et al., 2023). ADN-prepared nurses have basic skills in practice that include administration of patient care like recording of symptoms and medical history as well as patient education, use of simple medical equipment working under strict instructions of physicians.

The baccalaureate program (BSN) allows nurses to take more complex roles aside from those required at basic levels. BSN-prepared nurses possess more competencies that include making complex decisions and handling complex patients, meeting patient needs and delivery of better and safe patient care (Djukic et al., 2019). BSN nurses also have critical thinking and problem solving skills based on their expansive preparation through their education programs that take four years. BSN-prepared nurses can interpret research findings and use evidence-based practice interventions to enhance patient care.

Specific Nursing Situations NRS-430V Contemporary Nursing Practice

Healthcare facilities with a higher proportion of BSN-prepared nurses offer better care based on reduced adverse events like medication errors and mortality rates that are attributed to better decision-making and higher qualifications of providers. Certain nursing incidences can show the differences in decision-making between ADN-prepared and BSN-prepared nurses while in practice (Moran et al., 2023). For example, a patient present in the emergency room with elevated hypertension levels.

Upon evaluating the medical history, the ADN gives appropriate medications and reports the rest of the situation to a physician. On the other hand, a BSN-prepared nurse will implement more measures to enhance outcomes. The nurse may inquire more information from that patient through the integration of patient-centered care and evidence-based practice. More interaction with the patient allows the nurse to know other underlying factors leading to pain for the patient.

The patient asserts that her marriage is stressful and this affects her saturations. The BSN-prepared nurses then give non-pharmacological intervention that entails counselling the lady on the best approach to the situation. The nurse also prescribes pain relieving medications. This situation demonstrates that BSN-prepared nurses have better skills that ADN-prepared counterparts.

Evidence-Based Practice in Nursing NRS-430V Contemporary Nursing Practice

Evidence-based practice entails nurses integrating patient preferences, concerns, and needs in their care plans based on their expertise and skills. Through use of EBP in their practice, nurses illustrate their resolve to provide quality care that meets patient needs and well-structured based on their level of competencies and education. NRS-430V Contemporary Nursing Practice

The academic preparation of RN-BSN supports the deployment of EBP as it improves nurses’ competencies through knowledge and increased educational content and materials. Nurses who possess BSN qualification are well prepared to offer quality care compared to those with the associate degree. They are better in 12 out of the 16 areas of nursing practice (Han et al., 2022). As such, the BSN degree prepares nurses better to implement EBP in their practice settings compared to ADN qualification.

Nurses in Interdisciplinary Team NRS-430V Contemporary Nursing Practice

Communication and collaboration are essential for nurses working in interdisciplinary teams that lead to safer and more effective patient outcomes. Nurses communicate and collaborate with other healthcare professionals like physicians to offer quality patient care. They communicate when they provide reports to physicians concerning patients and what they need. Nurses collaborate by closely working and coordinating with physicians and other professionals to develop plans of care and other interventions (Moran et al., 2023).

Through collaboration and communication, nurses attain safer and effective client outcomes because they develop common care approaches and integrate different aspects of care to improve delivery of quality services. Effective communication allows nurses to provide accurate reports and information about patients for better decisions and development of care plans leading to better outcomes. NRS-430V Contemporary Nursing Practice

Conclusion NRS-430V Contemporary Nursing Practice

The transformation of nursing practice has improved patient care through better and advanced educational qualifications like the BSN degree. Nurses are leveraging evidence-based practice (EBP) interventions to enhance their qualifications and competencies to deliver better care. Advanced education is a core part of enabling nurses to attain better competencies and work in inter-professional and multidisciplinary teams.

References NRS-430V Contemporary Nursing Practice

Djukic, M., Stimpfel, A. W., & Covner, C. (2019). Bachelor’s degree nurse graduates report

better quality and safety educational preparedness than associate degree graduates. The Joint Commission Journal on Quality and Patient Safety, 45(3), 180-186.

DOI: 10.1016/j.jcjq.2018.08.008.

Hassmiller, S. B., & Wakefield, M. K. (2022). The Future of Nursing 2020–2030: Charting a

path to achieve health equity. Nursing Outlook, 70(6), S1-S9. DOI:https://doi.org/10.1016/j.outlook.2022.05.013

Han, H. R., D’Aoust, R., Gross, D., Szanton, S., Nolan, M., Campbell, J., & Davidson, P. (2022).

Preparing future nursing faculty: integrating enhanced teaching and leadership development curricula into PhD education. Journal of advanced nursing, 78(1), e3-e5. https://doi.org/10.1111/jan.14982

Moran, K. J., Burson, R., & Conrad, D. (2023). The doctor of nursing practice project: A

            framework for success. Jones & Bartlett Learning.

“Critical thinking “is thought that is disciplined, comprehensive, based on intellectual standards, and, as a result, well-reasoned. When you think critically, you examine assumptions, evaluate evidence, and uncover underlying values and reasons.” (Taylor et al, 2019, p. 304) A major component of critical thinking is an evidence-based practice, which is “the integration of best research evidence with clinical expertise and values.” (Stannard p.1081) Evidence-based practice involves using scientific/practical evidence to guide our decisions and actions.

Isolation precautions are an example of how evidence practice is used to guide our protocols. These precautions are based on up-to-date research and expertise, and directly impact the care of patients. Nurses in turn can use this evidence to protect not only themselves but the patients that they care for. NRS-430V Contemporary Nursing Practice

To have the ability to think critically as a health care professional, one must be able to use EBP to guide their actions and decisions. Critical thinking and EBP are directly related to patient outcomes because they guide the decisions and actions made in a clinical setting to lead to improved patient outcomes.

Topic 2 DQ 1 NRS-430V Contemporary Nursing Practice

Define critical thinking and evidence-based practice. Discuss what critical thinking in nursing practice entails and explain why it is important. Discuss the role of critical thinking and evidence-based practice as they relate to client outcomes.

Critical thinking is the ability to objectively assess a situation and develop a problem-solving plan based on the available facts. It relies on facts and evidence rather than emotions, making it essential for effective decision-making. In clinical practice, nurses have to critically assess the clinical manifestations of patients to develop an accurate diagnosis and develop an effective care plan.

According to Berg et al. (2021), implementing critical thinking in the nurse decision-making process increases the effectiveness of clinical decisions as nurses get to build their capacity for critical thinking. Nurse students should go through training to help them understand the importance of relying on experience to build critical thinking skills. Critical thinking is important in nursing practice since it allows the nurse to be objective and focus on addressing the matter at hand based on current evidence. This will help improve patient health outcomes since nurses can make quick and effective decisions during emergencies.

Evidence-based practice (EBP) is the process of using recent research evidence to lead to a change in practice. It helps reduce the level of uncertainty when implementing clinical interventions since clinicians rely on research outcomes that have a definitive outcome. EBP provides clinicians with a framework on how to approach care making it easier to track and monitor patient progress.

Saunders et al. (2019), clinicians should strive to improve their EBP competencies through advancing their education. BSN-prepared nurses are more equipped to implement EBP and lead change projects in practice. These change initiatives are often geared towards addressing healthcare challenges that negatively impact the health and well-being of patients. EBP competence increases operational efficiency and ensures that clinicians can better meet the health needs of their patients.

References

Berg, C., Philipp, R., & Taff, S. D. (2021). Scoping review of critical thinking literature in healthcare education. Occupational Therapy In Health Care, 1-18. https://doi.org/10.1080/07380577.2021.1879411

Saunders, H., Gallagher‐Ford, L., Kvist, T., & Vehviläinen‐Julkunen, K. (2019). Practicing healthcare professionals’ evidence‐based practice competencies: An overview of systematic reviews. Worldviews on Evidence‐Based Nursing, 16(3), 176-185. https://doi.org/10.1111/wvn.12363

I am retired after many years of nursing practice. Reflecting back on my life, I know I made the right decision to enter the nursing profession. Every day was a new learning and rewarding experience. I have the urge to further my nursing education and reenter the always evolving nursing profession. Many changes have happened since I last practiced regarding nursing education levels and each’s scope of practice.

After researching many nursing programs across the United States (US), I found Grand Canyon University (GCU) nursing programs to be the most affordable, resourceful, and user-friendly, especially the associate degree (ADN) to baccalaureate degree (BSN) five-week course online program. I have concerns regarding my lac of computer skills and potential difficulties such as loss of internet connection or program lag. I know my first week will be the most difficult, since it has been many years since I have attended an educational program, and this is my first online learning program.

Understanding and consistently implementing characteristics of successful students is important to being a successful student. An important characteristic of successful students is to be realistic, with time management being a priority. Remembering to allow sufficient time for yourself is crucial for good health and well-being, leading to having a clear mind and ability to focus on learning. Taking breaks when doing tasks at hand, rather than attempting to do it all at once or to multitask is important to help balance school and life’s happenings.

Let those close to you be aware of your schedule and school demands (Sanders, 2019). Divide each day into sections of time and prioritize things to do for each section (Murphy, 2015). Monitor assignments and due dates. Study efficiently by having a designated, quiet, organized, well-lit study area (Sanders, 2019). Learn the resources and services available, and utilize them (Sanders, 2019). Requesting help is not a sign of weakness or failure (Murphy, 2015).

It is part of being proactive and a characteristic of successful students. Acknowledge and make positive use of feedback (Sanders, 2019). Feedback helps improve the learning process by better understanding each assignment, knowing what was done correctly and what needs correction or improvement. Feedback also positively influences future programs by troubleshooting and improving the current programs. Developing a personalized study system, and consistently implementing it, can make the nursing program less challenging (Murphy, 2015).

It is necessary to be realistic and understand that this is not a perfect world. Distractions and disruptions will happen.

Maintaining my health and well-being, time management, and studying effectively, while proactively implementing resources and services available, along with remembering to take rest breaks and reward myself, are characteristics of the realistic plan I am developing to be a successful student.

Resources:

Murphy, P. (2015). 7 habits of highly effective nursing students. Minority Nurse. https://minoritynurse.com/7-habits-of-highly-effective-nursing-students

Sanders, E. (2015). Succeeding in an online nursing program. Nursing Made Incredibly Easy! 17(1). DOI: 16.1097/01.NME.0000549623.58762.3

Handwashing is such a simple act that can bring such big results. It is an easy task to wash our hands or use a hand sanitizer.

So why don’t we do it?

Sometimes it may be an education issue. We don’t think that we really did anything that could contaminate us. Is taking someone’s pulse considered a clean or dirty procedure? Do I need to wash my hands before? After? Both?

What about just straightening the patient’s blanket? Or handing them their cell phone?

Things to think about. While these seem like simple things – it is something that we need to critically think about.

Here are a couple of resources to look at:

https://www.who.int/gpsc/tools/faqs/evidence_hand_hygiene/en/

https://www.cdc.gov/handwashing/show-me-the-science.html

Hand washing is very important in and out of healthcare practices, it help to keep you healthy and prevent the spread of respiratory and diarrheal infections. Taking someone pulse is considered dirty, even touching the patient cell and straightening the patient blanket . So it’s best to practice a wash in wash out procedure.

Correct hand washing techniques were always a good step/reminder before going in a patients room and after leaving a patients room. It is essential that proper hand washing is done to keep from spreading any germs from patient to patient. It also keeps us nurses healthy from any bacteria that is spread through hospitals and or clinics.

Washing hands is a vital factor in preventing infection/illness to and from our most vulnerbal hosts. It is any easy task that should be second nature to most. However, some view it as out of sight, out of mind and a distraction from tasks. Oftentime, we do need to be edcuated on proper hand hygiene ie., the method and length of time in addition to when to use hand sanitizer and whenshing with soap and water is the preferred method.

Unfortunately, many nosocomial infections are transmitted by staff not or improperly washing hands in between patients. Should this simple task receive critical thought? Initially, the response would be NO, of course not; however, handwashing is often overlooked until it is too late.

In addition to the patients being set back negatively resulting from improper hand hygiene, nosocomial infections are costly. To add insult to injury, preventable conditions are not covered by most insurance companies. What’s most unfortunate is that more often than not, these illnesses could be prevented with proper handwashing. To add insult to injury, preventable conditions are not covered by most insurance companies.

In addition, please note that with proper hand hygiene we are protecting our patients and families. This is especially true of continuous, repeat offenders as they may need educating on technique and consequences of failure to wash hands properly. This simple protocol should be taken seriously and not be overlooked as the consequences may lead to my death.

To excel in their professional roles, nurses should acquire diverse skills and comprehensively understand practice problems and solutions. Basic clinical skills can be acquired through certificates, diplomas, or degrees. A nurse’s competence is typically higher when they acquire the highest education possible, making nurses perceive continued education positively (Thielmann et al., 2019).

As nurses continue to implement their roles, the nursing practice evolves in multiple dimensions. This evolution impacts patient care outcomes, communication strategies, and care models, among other critical aspects. Nurses should understand this evolution and adapt effectively. The purpose of this paper is to describe nursing practice today while primarily focusing on its evolution and differences between associate (ADN) and baccalaureate (BSN) education in nursing.

Nursing Practice Changes, Scope of Practice, and Approach to Client Care

Nursing has evolved in many aspects, profoundly impacting nursing scope and patient care approaches. One of the many changes characterizing modern practice is the evolution of care delivery models. Undeniably, remote care is increasingly dominant in the current practice as providers strive to improve access to care and reduce costs (Snoswell et al., 2020).

Besides, there is an increased focus on value-based care in an attempt to improve care quality and patient satisfaction. Another significant change defining the current practice is the broadened scope of nursing. Nurses’ role is not limited to clinical care; nurses can effectively perform other roles that optimize health outcomes, including policymaking, advocacy, and health education.

The progressive changes in nursing practice have broadened nursing practice not to be limited to patient care. As the push for higher patient outcomes continues, nurses are currently playing a pivotal role in creating safer environments and promoting patient rights. This role typifies patient advocacy, where nurses serve as the voice of patients (Nsiah et al., 2019).

Regarding the approach to treating the individual, there is an increased focus on patient-centeredness and patient engagement. In such approaches, healthcare providers are not the sole decision-makers. Patients should understand the treatment processes and consent to them as nurses tailor care according to patient needs.

Comparison of Practice Competencies and Scope of Practice

Nurses’ competencies impact their ability to implement comprehensive patient care and other roles. An ADN is a two-year degree that prepares students to be registered nurses (RNs). However, since it takes a short time, an ADN focuses primarily on the technical skills that prepare nurses as clinicians. As Deering (2023) stated, BSN-prepared nurses are more skilled in clinical roles and other practice areas such as research, nursing leadership, and public health.

The four-year program provides BSN nurses with a larger base of knowledge than AND-prepared nurses. The BSN further provides expanded skills in critical thinking and administration. Regarding the scope of practice, BSN nurses have broader roles than ADN nurses due to more competence and a more comprehensive understanding of patient care.

Research further confirms a positive link between BSN nurses’ expanded skills and higher patient outcomes, which underlines the need for more such nursing professionals (Anbari, 2019; American Association of Colleges of Nursing, n.d.). As ADN nurses concentrate on the clinical role, BSN nurses conduct research, engage in leadership, and implement change in routine practice. Importantly, BSN nurses also enjoy more independence in decision-making than ADN nurses.

Nursing Care or Approaches to Decision Making

The differences in skills level between ADN and BSN-prepared nurses affect how they approach client care situations. A suitable scenario is where a patient presents to the healthcare setting with a persistent headache. An ADN will likely have a somatic approach to relieve symptoms while trying to calm and comfort the patient.

The genesis of the headache could be established through a routine diagnosis to determine an effective treatment. On the other hand, as Kim and Sim (2020) suggested, BSN-prepared nurses are more skilled in critical thinking, communication, and decision-making. Therefore, they will likely take a more holistic approach in the assessment process to determine the potential cause of the illness. Their higher communication and assessment skills would enable them to communicate with the patient, establish a healthy nurse-patient relationship, and develop a treatment plan that integrates the patient to foster adherence.

Significance of Applying Evidence-Based Practice to Nursing Care

The current nursing practice stresses evidence-based practice (EBP) and encourages nurses to apply it to address simple and complex health matters. EBP is primarily about blending current research evidence with clinical expertise and patient values for higher patient outcomes (Abu-Baker et al., 2021). It ensures that multiple components are considered during decision-making to address patient needs comprehensively.

The academic preparation of the RN-BSN nurse supports EBP application by expanding nurses’ research and leadership skills. Research skills enable nurses to explore, analyze, and critique current, peer-reviewed research. Leadership skills prepare nurses to lead change whose positive outcomes are achieved by implementing EBP.

Nursing Communication and Collaboration

Nurses work in different settings and need a shared approach to decision-making to achieve enhanced, consistent outcomes. They communicate and collaborate with interdisciplinary teams by sharing information and approaching common issues as a team. Technologies have also allowed timely data sharing and analysis for better communication and collaboration.

According to Walton et al. (2019), collaboration across disciplines supports safer and more effective practices by reducing errors and improving care coordination. Health care practitioners within the interdisciplinary team benefit from shared roles and diverse perspectives that enhance their understanding of patient care and interventions as situations obligate.

Conclusion

Nursing is an evolving practice characterized by many changes in patient care approaches occurring over time. Nurses should be competent multi-dimensionally to address patient needs comprehensively and adapt as the practice evolves. As discussed in this paper, the competency differences between ADN and BSN-prepared nurses affect how they respond to situations. Although both sets of nurses are skilled in clinical roles, BSN nurses have expanded knowledge of research, leadership, and critical thinking skills. Research skills prepare BSN nurses for a higher role in implementing evidence-based practice.

References

Abu-Baker, N. N., AbuAlrub, S., Obeidat, R. F., & Assmairan, K. (2021). Evidence-based practice beliefs and implementations: a cross-sectional study among undergraduate nursing students. BMC Nursing, 20(1), 1-8. https://doi.org/10.1186/s12912-020-00522-x

Anbari, A. B. (2019). What makes a BSN a BSN? Western Journal of Nursing Research, 41(2), 167–170. https://doi.org/10.1177/0193945918803683

American Association of Colleges of Nursing. (n.d.). Fact sheet: the impact of education on

nursing practice. https://www.aacnnursing.org/Portals/42/News/Factsheets/Education-Impact-Fact-Sheet.pdf

Deering, M. (2023). RN Diploma vs. ADN vs. BSN degree: what’s the difference? NurseJournal. https://nursejournal.org/degrees/bsn/rn-and-bsn-degree-differences/#:~:text=A%20BSN%20degree%20and%20an,school%20and%20your%20career%20goals.

Kim, A. Y., & Sim, I. O. (2020). Communication skills, problem-solving ability, understanding of patients’ conditions, and nurse’s perception of professionalism among clinical nurses: a structural equation model analysis. International Journal of Environmental Research and Public Health, 17(13), 4896. https://doi.org/10.3390/ijerph17134896

Nsiah, C., Siakwa, M., & Ninnoni, J. P. K. (2019). Registered Nurses’ description of patient advocacy in the clinical setting. Nursing Open, 6(3), 1124–1132. https://doi.org/10.1002/nop2.307

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Thielmann, B., Parker, K., Post, J., & Abraham, S. (2019). Factors influencing nurses’ perceptions of the Baccalaureate Degree in Nursing as minimum requirement for Professional Practice. Nursing Education Perspectives, 40 (1), 25-29. doi: 10.1097/01.NEP.0000000000000391.

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Topic 2 DQ 1

Define critical thinking and evidence-based practice. Discuss what critical thinking in nursing practice entails and explain why it is important. Discuss the role of critical thinking and evidence-based practice as they relate to client outcomes.

According to Güven (2003), critical thinking It is necessary to think critically to provide adequate, creative, and effective nursing care when making the right decisions. Critical thinking is an essential skill that we need to develop during our nursing career because it teaches us when to prioritize and how to implement it.

Critical thinking is a skill that is not easy to develop; it is to think divergently and be capable of deciding what type of care the patient will be needing. Evidence-based practice is needed for efficiency in patient outcomes, and it involves knowledge of the consequences or outcomes of any procedure. Everything that we know right now about nursing procedures and even our scope of practice was done using evidence-based practice to improve patient care and avoid malpractice.

EBP is described as the integration of clinical expertise, the most up-to-date research, and the patient’s preferences for care. (Dean, 2022). Critical thinking and evidence-based practices go together because both help in decision-making and improve patient outcomes. In order for evidence-based practice to be successful, critical thinking is needed.

Güven, Ş.D. (2023). Critical Thinking in Nursing. In: Rezaei, N. (eds) Brain, Decision Making and Mental Health. Integrated Science, vol 12. Springer, Cham. https://doi.org/10.1007/978-3-031-15959-6_10

Dean, J. K. (2022). Practice and competency development. (2nd ed.) Dynamics in nursing: Art & science of professional practice. Grand Canyon University.

As stated by (Ryan, 2023), “Critical thinking is the ability to effectively analyze information and form a judgement. To think critically, you must be aware of your own biases and assumptions when encountering information, and apply consistent standards when evaluating sources.” More specifically we can describe it as the capacity for introspective and autonomous thought. As stated by (Li, 2019), ” EBP refers to using the best available evidence for decision-making and providing efficient and effective care for patients on a scientific basis. Systematic implementation of EBP can enhance healthcare safety and improve patient outcomes.”

As stated by (Wilson, 2021), “When faced with difficult decisions, these nurses won’t just rely on their gut feelings or what seems right according to society’s norms; instead, they’ll analyze all available information carefully until they develop the best solution. Critical thinking is also crucial because it helps nurses avoid making mistakes in their work by providing them with a way to examine each situation and identify any potential risks or problems that may arise from subsequent actions before they take place.”

As stated by (McGrath, 2005), “Critical thinking (CT) is vital to evidence-based nursing practice. Evidence-based practice (EBP) supports nursing care and can contribute positively to patient outcomes across a variety of settings and geographic locations. The nature of EBP, its relevance to nursing, and the skills needed to support it should be required components of baccalaureate education and must be introduced early in students’ development as independent, self-directed learners and as professional nurses.

Among the knowledge, skills, and processes needed to support EBP, CT is paramount. The development of CT can prepare nurses with the necessary skills and dispositions (habits of mind, attitudes, and traits) to support EBP. The intents of this study were to explore the importance of CT as an essential skill to support EBP and to describe some of the strategies and processes considered key to the ongoing development of CT.”

References

Ryan, E. (2023, May 31). What is critical thinking?: Definition & examples. Scribbr. https://www.scribbr.com/working-with-sources/critical-thinking/

Li, S., Cao, M., & Zhu, X. (2019, September). Evidence-based practice: Knowledge, attitudes, implementation, facilitators, and barriers among community nurses-systematic review. Medicine. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6775415/#:~:text=EBP%20refers%20to%20using%20the,safety%20and%20improve%20patient%20outcomes.

Wilson, B. (2021, November 8). Why critical thinking is important in nursing. The Nerdy Nurse. https://thenerdynurse.com/why-critical-thinking-is-important-in-nursing/

Profetto-McGrath, J. (2005, December 21). Critical thinking and evidence-based practice. Journal of professional nursing : official journal of the American Association of Colleges of Nursing. https://pubmed.ncbi.nlm.nih.gov/16311232/

In your response, I wanted to point out this quote: “The foundations we have as nurses can be greatly enhanced by thinking critically in the analysis of a situation and then by using EBP to integrate “the best available research evidence with clinical expertise and the patient’s unique values and circumstance” (https://libguides.csu.edu). I feel like it has a connection to Dean’s (2018) discussion about “Today’s view of nursing as a profession is described as applying evidence-based practice (EPB) with acceptable social aspects of care.”

I want to focus on this particular part, “patient’s unique values and circumstance.” EBP incorporates three topics, “Best Research Evidence, Clinical expertise, and Patient Values and Preferences” (Dean, 2018). Right there, the last one, Patient Values, and Preferences. Without realizing it, we get so wrapped up in the other two parts that we can easily forget about the patient’s values and beliefs. I want to walk it back farther.

I believe this talk of critical thinking is the clinical expertise of EPB, the best research evidence is what sets forth guidelines and practice, but we are missing the person in these discussions. So when I read patients’ unique values and circumstances, it hits the nail on the head, and I can confidently say nursing practice encompasses the body, mind, and spirit.

Patient Care Situation

Complex patient care situations may demonstrate the difference in competences between ADN prepared nurses and BSN registered nurses. A typical situation would be the management of a patient with diabetes and also at the risk of being obese. The ADN nurse will perform the standard procedures and address the present concerns, especially the need to watch sugar levels. This approach is valid and allow the patient to improve her or his health. However, a BSN-prepared nurse will develop a plan of care that comprehensively addresses some of the issues identified as risk factors for comorbidities (Loversidge et al., 2018). The BSN would also apply critical thinking skills and even incorporate evidence-based practice (EBP) interventions to improve care outcomes based on long-term goals. Because of their higher levels of education, the RN-BSN will be at a better position to help the patient integrate better ways to reduce susceptibility to the comorbidities.

Evidence-Based Practice in Nursing Care

At the core of evidence-based practice in nursing is the use of existing research evidence, integration of patient preferences, and utilization of provider’s clinical expertise and experience to offer patient-centered care. Today, reforms through the Affordable Care Act and innovative models like value-based purchasing focus on improving quality, reducing costs, and expanding access. Therefore, evidence-based practice (EBP) interventions play significant role in reducing complexities linked to chronic conditions and implore nurses to focus on patient-centered care (Risling, 2018). Through EBP interventions, nurse nurture more advanced critical thinking and decision-making skills which enhance their collaboration and teamwork. BSN programs and prepared nurses support EBP in nursing because it trains nurses to be effective care providers and leverage their leadership and managerial attributes to deliver patient care.

Communication and Collaboration

Modern nurses communicate and collaborate through with their interdisciplinary teams to ensure quality care in a safe environment. Communication with providers like physicians allows nurses to offer quality care and enhance overall patient outcomes. Interdisciplinary collaboration is a core aspect of nursing today as it assists develop common approaches to care, especially implementation of evidence-based practice and innovative models like the value-based purchasing (Salmond & Echevarria, 2018). Collaboration works when nurses have better ways to communicate and analyze events to help them develop relevant solutions to such issues. Imperatively, interdisciplinary collaboration and communication are essential in enhancing patient safety and quality care outcomes.

Conclusion

Nurses remain the core part of patient care and the healthcare delivery system. The nursing profession has transformed over the years and contribute to the overall improvement of the health care industry. Associate degree nurses and baccalaureate prepared nurses have diverse skills but focus on offering quality care. The preference for BSN is based on several factors like their possession of better skills and competences due to their training. Evidence-based practice, effective communication and collaboration define the transformed nursing practice and profession.