Want create site? With Free visual composer you can do it easy.

Assignment: Contemporary Nursing Practice Essay

Assignment: Contemporary Nursing Practice Essay

Nursing practice has drastically changed from nurses having very little training, and nursing involved women taking care of the sick. When nursing began, it was not considered a profession, nor was it respected since nurses were women, and being a woman was not perceived as a respectable gender (Keeling, 2015). Nursing was more of an extension of the roles women played at home of taking care of their families, and skills were passed down from mother to daughter with no formal training. There have been radical changes in the nursing field that have significantly contributed to the efficient delivery of healthcare services. The purpose of this essay is to discuss the evolution of nursing and current nursing practice.

Evolution of Nursing Practice

Nursing training has evolved, and nurses today have in-depth training, and there are specific qualifications for one to become a nurse. There is currently a wide range of nursing training programs and specialties with nurses having trained up to the Doctor of Nursing program (Keeling, 2015). Besides, nurses are offered different practicing licenses depending on their level of education. The care setting for nurses was mostly in battlefields and homes, but the setting has now changed to consultation offices, hospitals, home-based care services, schools, and correctional facilities.

Nursing responsibilities in the past involved offering only basic care services such as dressing, cleaning patients, and nurses worked under doctors’ instructions (Masters, 2018). Nursing training programs have changed the scope of practice for nurses over time with their responsibilities now involving patient assessment, making diagnoses, prescribing treatment, performing complex procedures offering emergency care independently (Masters, 2018). Nursing is an independent profession, and education qualifications dictate the scope of practice.

Practice competencies of an associate vs. baccalaureate education in nursing

To become a registered nurse, one can pursue an Associate Degree in Nursing (ADN) program or a Bachelor’s of Science in Nursing (BSN) program. Both programs include courses that train nursing students on the competencies of nursing and clinical practice to equip them with practical skills for healthcare settings (Ghaffari, 2017). However, the BSN curriculum has courses that are not offered in the ADN program. The courses include management, leadership, critical thinking and communication, public health, social sciences, nursing theories, nursing practice, and specialized courses (Ghaffari, 2017). The ADN program focuses on training clinical skills, while BSN focuses on management, leadership, nursing research, and also clinical skills.

ADN and BSN nurses have similar tasks in the healthcare setting, such as providing direct patient care, administering treatment, and monitoring patients (Ghaffari, 2017). However, the scope of practice is a bit different, and the ADN nurse is not qualified for some roles that t require one to have additional education such as nurse educator, hospital unit coordinator, and managerial position.

Click here to ORDER an A++ paper from our MASTERS and DOCTORATE WRITERS: Assignment: Contemporary Nursing Practice Essay

 

An example of a patient care situation would be a patient with a history of hypertension and diabetes who present with a persistently high blood pressure despite taking antihypertensive medication. A physician then prescribes an intravenous antihypertensive, and the

Assignment Contemporary Nursing Practice Essay

Assignment Contemporary Nursing Practice Essay

ADN nurse will prescribe the medication to the patient since they are trained on clinical skills and may not provide health education, which is key in managing hypertension. On the other hand, a BSN nurse will take a comprehensive patient history to identify the current medication the patient is taking, previous history of hypertensive crises, family history of chronic illnesses, and social history. The history will help in understanding why the blood pressure is not controlled by medications and the patient’s behaviors that could be worsening the condition.  The BSN nurse will be able to take the role of the nurse educator and educate the patient on lifestyle modification to help lower blood pressure and prevent complications of hypertension (Ghaffari, 2017).  Furthermore, the BSN nurse will advocate for the patient to be initiated on lipid-lowering medications to avoid cardiac complications since the patient is at risk of atherosclerosis due to a history of diabetes.

The Significance of Applying Evidence-Based Practice to Nursing Care

Evidence-based practice (EBP) has developed over the years to be the gold standard of care and significantly influenced the BSN program. EBP involves taking into consideration the latest healthcare research when deciding the course of treatment and nursing care (Kalb et al., 2015). The adoption of EBP in nursing care has had an impact in promoting better health outcomes in patients. EBP has helped lower complications and morbidities associated with chronic illness, and in lowering healthcare costs (Kalb et al., 2015). The BSN program has incorporated EBP in the curriculum, and it supports the adoption of EBP by focusing on increasing students’ knowledge and professional accountability (Kalb et al., 2015). Besides, the program emphasizes scientific research to guide in deciding the best interventions for patient care. BSN students are trained in nursing research and are familiarized with research methodologies that equip students with EBP research skills.

Interdisciplinary Communication and Collaboration in Nursing Practice

Interdisciplinary teams in healthcare include physicians, nurses, pharmacists, and other health care professionals. The team works together in decision-making and problem-solving to prepare patients’ care plans (Gausvik et al., 2015). Nurses communicate with the interdisciplinary teams through several tools such as the situation, background, assessment, and recommendation (SBAR) and during Structured interdisciplinary bedside rounds (SIBR). The SBAR tool is used to briefly communicate a patient’s condition, assessment findings, the current plan of care, and recommendations (Gausvik et al., 2015). The SIBR is a validated structure that enhances interdisciplinary communication by bringing together health professionals at the patient’s bedside. The SIBR allows the health team to interact and provides the chance for members to give opinions on how to best improve patient outcomes (Gausvik et al., 2015). Interdisciplinary communication and collaboration help improve patient outcomes, reduce medication errors, lower healthcare costs, and improve interactions with members of other disciplines.

Click here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS: Assignment: Contemporary Nursing Practice Essay

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

The evolution of the nursing profession has resulted in the development of numerous nurse cadres and training levels. In many countries, nurse practitioner cadres did not exist until the past two decades, for instance. Nursing education and training have progressed throughout the past century (the University of Pennsylvania, n.d.). Before the development of theoretical nursing, nurses learned the art and science of nursing by apprenticeship, as there were no formal schools at the time. Through the introduction of formal learning and certificates, the theoretical and intellectual contributions of historical nurses like Florence Nightingale transformed the face of nursing (UCSF School of Nursing, n.d.). Following these educational and professional developments, bachelor’s and master’s degrees in nursing were introduced. The American Nurses Association launched courses such as associate degree in nursing (ADN) programs more than seven decades ago.

The bachelor’s degree in nursing was introduced prior to the associate degree in nursing. With the evolution of postgraduate and doctoral nursing education, nurses are now graduating with diverse cadres of competencies. These changes have affected the scope of nursing practice. In many places, for instance, a registered nurse with a bachelor’s degree cannot prescribe drugs, whereas a registered nurse with a master’s degree in nursing (MSN) has prescriptive ability. Consequently, this expansion in the field of practice is the result of varying degrees of education, training, and experience. Today, the Bachelor of Science in Nursing (BSN) degree is the norm for nursing education and practice. BSN-prepared nurses get more training than ADN-prepared nurses.

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.

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.

Organization and Effectiveness 15.0%
Thesis Development and Purpose 5.0% Paper lacks any discernible overall purpose or organizing claim. Thesis is insufficiently developed or vague. Purpose is not clear. Thesis is apparent and appropriate to purpose. Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose. Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.

Argument Logic and Construction 5.0% Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources. Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility. Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis. Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative. Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

Mechanics of Writing (includes spelling, punctuation, grammar, language use) 5.0% Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used. Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, or word choice are present. Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used. Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used. Writer is clearly in command of standard, written, academic English.

Format 5.0%
Paper Format (use of appropriate style for the major and assignment) 2.0% Template is not used appropriately or documentation format is rarely followed correctly. Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent. Template is used, and formatting is correct, although some minor errors may be present. Template is fully used; There are virtually no errors in formatting style. All format elements are correct.

Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style) 3.0% Sources are not documented. Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors. Sources are documented, as appropriate to assignment and style, although some formatting errors may be present. Sources are documented, as appropriate to assignment and style, and format is mostly correct. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error. NRS 430 Contemporary Nursing Practice Assignment

Welcome to class

Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to.

I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.

Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.

If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations.

Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.

Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.

I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

Topic 3 DQ 2

Apr 18-22, 2022

Discuss the difference between a nursing conceptual model and a nursing theory.

 

Select a nursing theory and provide a concise summary of it. Provide an example in nursing practice where the nursing theory you selected would be effective in managing patient care.

REPLY TO DISCUSSION

BG

Billie Gabbard

Posted Date

Apr 22, 2022, 3:47 AM

Unread

Replies to Billie Gabbard

CAT: A thought on your practice.

Good morning, everyone.

A component to being a profession is that the discipline have it’s own body of knowledge, and in some cases theoretical support. Our Florence Nightingale started us off with her Environmental Theory. We often do not think about why we do what we do on a daily basis as a nurse. Have you thought about what theory drives your nursing practice? While I may use several, Orem’s Theory was my go to theory when caring for patients. What theory drive’s your practice?

Billie

  • CN

Chioma Nwachukwu

replied toBillie Gabbard

Apr 22, 2022, 10:11 AM

Unread

Replies to Billie Gabbard

Hi Billie,

Virginia Henderson’s Nursing need theory has been a source of inspiration to my practice. Her definition of nursing says it all. Without a need to care, there won’t be a practice. Most times, i remind myself that if this patient does not have a defect in health, there won’t be a reason to be in a health care facility.

Hence, the nurse helps them when they are dependent while preparing them for independence when discharged home.

 

  • BG

Billie Gabbard

replied toChioma Nwachukwu

Apr 23, 2022, 6:04 AM

Unread

Replies to Chioma Nwachukwu

Chioma,

Care is one element that makes nursing, well….nursing. We add care into everything we do.

Billie

  • CW

Cassidy Wright

replied toBillie Gabbard

Apr 22, 2022, 4:33 PM

Unread

Replies to Billie Gabbard

Hi Billie,

I would say that I have never really thought about what nursing theory guides my professional nursing practice, but after reading this week and learning more about the nursing theories I got to thinking about what nursing theories guide my practice. I would say that I practice with multiple nursing theories regularly but one that stands out to me the most that I would say I use is Kurt Lewins Field Theory, where human behavior is related to both the individual and the environment (Whitney 2018). I tend to think that people are often a product of their environments. For example if you are sitting in a cold dark room all day you may end up being depressed, whereas if you go outside and get some sunshine on your face and smile you may actually feel happier. In nursing I think if we promote a healing environment, that is warm, quite, relaxing and positive we may have a better patient outcome on healing than if we were to promote a uncomfortable environment. I also feel that if we promote a safe environment then we will inherently have less falls and injuries to patients that if we were to not. Overall the environment in which someone is, in my opinion, has a lot to do with patient outcomes.

 

Whitney, Stacey. (2018). Dynamics in Nursing: Art and Science of Profession Practice. History of Profession Nursing. Grand Canyon University. https://lc.gcumedia.com/nrs430v/dynamics-in-nursing-art-and-science-of-professional-practice/v1.1/#/chapter/2

  • BG

Billie Gabbard

replied toCassidy Wright

Apr 23, 2022, 6:05 AM

Unread

Replies to Cassidy Wright

Cassidy,

Thank you for sharing. I agree that often we do not think about what drives our care….we just do it. I will also add along with your post, Florence Nightingale’s Environmental theory addressed light, etc. which also goes along with your post.

Billie

  • SJ

Stephanie Jackson

replied toBillie Gabbard

Apr 22, 2022, 6:31 PM

Unread

Replies to Billie Gabbard

Billie, I know in my previous post I talked about Rogers’s science of unitary human beings but working in an outpatient surgery setting, that really seems to be the theory that drives my practice. Our patients come in to a situation where it is totally foreign to them! We, as nurses, deal daily with what to expect in the different phases of surgery and recovery but it is totally new to our patients and we have to be cognizant of that daily.

  • BG

Billie Gabbard

replied toStephanie Jackson

Apr 23, 2022, 6:07 AM

Unread

Replies to Stephanie Jackson

Stephanie,

Thank you for determining that Roger’s theory is most relevant to your work setting. As we explore who we are as nurses and question why we do what we do, the reflection allows us to become more aware.

Billie

  • PW

Pepper Wooters

replied toBillie Gabbard

Apr 23, 2022, 4:56 AM

Unread

Replies to Billie Gabbard

Billie,

Theory is wildly deep in passion for purpose. As I have been trying to understand these theories more, I have come to identify them in my past care experiences and now use them to advance my new ones. After reading the other posts, one of Cassidy’s comments sparked my attention, and I realized that I use Lewin’s Field Theory a lot in pediatrics. Cassidy said, “I tend to think that people are often a product of their environments.”

This takes me to Lewin’s change management model and why I use it in pediatrics. Working in the ICU brings an already intense and scary environment that greatly challenges one’s behavior. In the cardiac ICU, we have a higher rate of newborn admissions than others. We care for the parents and the patient as if they are one. Parents make the decisions, they are the advocates, and they feel the pain or happiness of their babies. Babies also feel the energy of their surroundings. The stressors are crazy high. They just gave birth; the mom doesn’t always come with the baby. It’s usually just dad. They are separated and highly emotional because multiple environments are changing without their control. So what am I getting at? Their environment is in a state of unfreezing. When they walk through my doors and enter a new crazy, stressful, and life-altering environment, I have this window of opportunity to create a positive force in a negative situation. If the desired change can be, they can move to the next phase. They can refreeze and solidify this environment to not be as scary and harsh. Instead, the environment displays support and caring. They have reassurance our people will be there to help them during this uncontrollable and new environment. If they are a product of their environment, as Cassidy said, creating a welcoming, safe, and caring one will make parents more receptive to coping, listening, and understanding.

 

Did you find apk for android? You can find new Free Android Games and apps.