NRS 415 Topic 1 DQ 2
Sample Answer for NRS 415 Topic 1 DQ 2 Included After Question
How has nursing practice evolved over time? Explain the significance of evidence-based practice and critical thinking in modern nursing. Identify one key nursing leader and summarize one historical event that has shaped contemporary nursing practice, the advancement of nursing as a profession, and the development of nursing roles. Select a leader and a historical event different from those identified by your classmates.
Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to “RN-BSN Discussion Question Rubric” and “RN-BSN Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.
American Association of Colleges of Nursing Core Competencies for Professional Nursing Education
This assignment aligns to AACN Core Competencies 1.1, 9.5.
A Sample Answer For the Assignment: NRS 415 Topic 1 DQ 2
Title: NRS 415 Topic 1 DQ 2
Professional Nursing has evolved from the beginnings of Florence Nightingale to what we have today. Nursing is expanding and evolving due to evidence-based practice. Evidence-based nursing is new knowledge building upon past knowledge. The ANA website states, “Evidence-based practice requires you to review and assess the latest research. The knowledge gained from evidence-based research in nursing may indicate changing a standard nursing care policy in your practice Discuss your findings with your nurse manager and team before implementation. Once you’ve gained their support and ensured compliance with your facility’s policies and procedures, merge nursing implementations based on this information with your patient’s values to provide the most effective care.” The knowledge and study of good outcomes build the knowledge database to improve patient health outcomes.
Researching the key nursing leader, I found Lillian Wald (1867-1940). The Baylor University School of Nursing website, states, “Her deep involvement with the community led her to coin the term “public health nurse,” and she later became the first president of the National Organization for Public Health Nursing. She was an early advocate for public school nurses.” Lillian found “The Henry Street Settlement, which provided not only healthcare but was supportive of women and children, and the right of all people to have quality healthcare at home, provided with respect, regardless of the patient’s ability to pay.” Learning about her inspires me to do more. I loved this quote by Lillion Wald, “Nursing is love in action, and there is no finer manifestation of it than the care of the poor and disabled in their own homes.”
American Nursing Association (n.d.). What Is Evidence-Based Practice in Nursing? Retrieved December 15, 2023, from https://www.nursingworld.org/practice-policy/nursing-excellence/evidence-based-practice-in-nursing/#:~:text=Why%20Is%20Evidence%2DBased%20Practice,up%20throughout%20your%20nursing%20career.
Baylor University (n.d.). 13 Famous Nurses Who Shaped the World of Nursing. Baylor University, Louise Herrington School of Nursing. Retrieved December 15, 2023, from https://onlinenursing.baylor.edu/news/13-famous-nurses-who-shaped-world-nursing
A Sample Answer 2 For the Assignment: NRS 415 Topic 1 DQ 2
Title: NRS 415 Topic 1 DQ 2
A calling from God was all Florence Nightingale needed to convince herself nursing was her passion. In the mid/late 1800s, Florence Nightgale impacted nursing perspectives on cleanliness and how it affects the lives of patients. Today nurses still are making this fight to improve sanitation and keep health care facilities as clean as possible. October of 1853, the Battle of Alma during the Crimean War (between British and Russia over the Ottoman Empire) was a revelation to Nightingale. With minimal supplies, deteriorating conditions, and an overload of injured soldiers, Nightingale was requested by the Secretary of War, Sidney Herbert, to gather groups of nurses to heal solders. Conditions were horrifying despite the warnings. Rats were running aimlessly in and out of rooms. Soldiers were in the hallways. Water was being rationed making patient care that much more difficult. Typhoid and Cholera, curable conditions that could have been prevented with a more sanitary environment, ended the lives of numerous solders. Nightingale fighting against long hours without sleep, would spend time gathering cleaning supplies and scrubbing the British hospital (Scutari in Constantinople). She formed a kitchen and laundry ensuring clean linens. She provided entertainment and intellectual stimulation by building classrooms and a library (Dowdeswell, 2022). Her strategy not only decreased death rates but left a mark on the nursing society. She made recognition that the conditions of healthcare facilities impact patient outcomes.
Dowdeswell, M. (2022, December 19). Florence Nightingale: The lady with the lamp. TheCollector. Retrieved March 29, 2023, from https://www.thecollector.com/florence-nightingale-lady-with-lamp/
A Sample Answer 3 For the Assignment: NRS 415 Topic 1 DQ 2
Title: NRS 415 Topic 1 DQ 2
Nursing has evolved over time in multiple ways. Trial and error is one example. As this has been very effective in advancing nursing, this has been an awfully dangerous path. How do you test new inventions that are made for people without using people themselves though (The Manufacturer, 2018)? I specialize on a cardiac unit so my interests sparked towards cardiac catheterizations. Werner Frossman was convinced he was going to be the first man ever to catheterize himself. Being 1922, the only tests for heart caths have been on animals for decades. Through documentation on X-ray film, Frossman successfully manipulated his way with a ureteral catheter into the right auricle. Luckily for him, there were no life threatening injuries; however his clinical privileges were revoked when he repeated this finding on a septic patient. In the 1930s the use of cardiac catheterization popularized when the correct technique was properly used for hemodynamic monitoring (Nossaman, etc, 2011). Today nurses and doctors are in contact every day with cardiac catheterized patients. Fortunately we live in the era where the technique has been perfected enough to do more good than bad. I can not imagine how many changes have been made to perfect the heart catheter from then to now. Trial and error, I feel, was a significant yet dangerous way to improve nursing.
Critical thinking and evidence-based practice go hand in hand in nursing. Critical thinking is analyzing, conceptualizing, applying, and evaluating to form a well thought perception supporting secure results for evidence-based practice. Observation, experience, and reflection simulate a powerful critical thinker. Critical thinking is vital for evidence-based practice (EBP). Research, implementation, and evaluation complete the steps for EBP in improving patient outcomes.
Critical thinking in nursing helps shape a nurse’s disposition and expertise. Observing a situation by another peer, experiencing a comparable situation through oneself or another, and reflecting on past situations makes critical thinking a sixth sense for a nurse. Student nurses should be introduced to this in early student development as critical thinking is not a sudden skill (Joanne Profetto-McGrath, 2005). These criteria supporting critical thinking are absorbed over time.
Nossaman, B. D., Scruggs, B. A., Nossaman, V. E., Murthy, S. N., & Kadowitz, P. J. (2010). History of right heart catheterization. Cardiology in Review, 18(2), 94–101. https://doi.org/10.1097/crd.0b013e3181ceff67
Profetto-McGrath, J. (2005). Critical thinking and evidence-based practice. Journal of Professional Nursing, 21(6), 364–371. https://doi.org/10.1016/j.profnurs.2005.10.002
Removing the ‘trial and error’ approach to healthcare treatment. The Manufacturer. (2018, November 12). Retrieved April 2, 2023, from https://www.themanufacturer.com/articles/removing-trial-error-approach-healthcare-treatment/
Sax, H., Allegranzi, B., Chraïti, M.-N., Boyce, J., Larson, E., & Pittet, D. (2009). The World Health Organization Hand Hygiene Observation Method. American Journal of Infection Control, 37(10), 827–834. https://doi.org/10.1016/j.ajic.2009.07.003