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NRS 430 Assignment: Contemporary Nursing Practice

NRS 430 Assignment: Contemporary Nursing Practice

Description:

The field of nursing has changed over time. In a 7501,000 word paper, discuss nursing practice today by addressing the following:

1. Explain how nursing practice has changed over time and how this evolution has changed the scope of practice and the approach to treating the individual.

NRS 430 Assignment Contemporary Nursing Practice Crackers

NRS 430 Assignment Contemporary Nursing Practice Crackers

2. Compare and contrast the differentiated practice competencies between an associate and baccalaureate education in nursing. Explain how scope of practice changes between an associate and baccalaureate nurse.
3. Identify a patient care situation and describe how nursing care, or approaches to decisionmaking, differ between the BSNprepared nurse and the ADN nurse.
4. Discuss the significance of applying evidence-based practice to nursing care and explain how the academic preparation of the RNBSN nurse supports its application.
5. Discuss how nurses today communicate and collaborate with interdisciplinary teams and how this supports safer and more effective patient outcomes.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

Description

Objectives:

1. Compare practice competencies between associate and baccalaureate nursing education.
2. Define the scope of practice for a baccalaureate prepared nurse.
3. Discuss how the general public is educated about the role of nursing.

Creating a More Highly Qualified Nursing Workforce

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Rubric Criteria

Total150 points

Criterion

1. Unsatisfactory

2. Less than Satisfactory

3. Satisfactory

4. Good

5. Excellent

Argument Logic and Construction

Argument Logic and Construction

0 points

Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.

5.63 points

Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.

5.93 points

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.

6.68 points

Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.

7.5 points

Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

Comparison of Differentiated Practice Competencies of ADN and BSN

Comparison of Differentiated Practice Competencies of ADN and BSN

0 points

The differentiated practice competencies of the ADN and BSN are not compared.

16.88 points

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.

17.78 points

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.

20.03 points

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.

22.5 points

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.

Mechanics of Writing (includes spelling, punctuation, grammar, language use)

Mechanics of Writing (includes spelling, punctuation, grammar, language use)

0 points

Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.

5.63 points

Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, or word choice are present.

5.93 points

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.

6.68 points

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.

7.5 points

Writer is clearly in command of standard, written, academic English.

Paper Format (use of appropriate style for the major and assignment)

Paper Format (use of appropriate style for the major and assignment)

0 points

Template is not used appropriately or documentation format is rarely followed correctly.

2.25 points

Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.

2.37 points

Template is used, and formatting is correct, although some minor errors may be present.

2.67 points

Template is fully used; There are virtually no errors in formatting style.

3 points

All format elements are correct.

Communication and Collaboration With Interdisciplinary Teams to Support Patient Outcomes

Communication and Collaboration With Interdisciplinary Teams to Support Patient Outcomes

0 points

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.

16.88 points

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.

17.78 points

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.

20.03 points

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.

22.5 points

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.

Application of Evidence-Based Practice and RN-BSN Education in Nursing Care

Application of Evidence-Based Practice and RN-BSN Education in Nursing Care

0 points

Significance of evidence-based practice to nursing care and how the BSN supports its application is not discussed.

22.5 points

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.

23.7 points

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.

26.7 points

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.

30 points

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.

Use of Patient Care Situation to Describe Differences in Approach to Nursing Care

Use of Patient Care Situation to Describe Differences in Approach to Nursing Care Based Upon ADN and BSN Education

0 points

A patient care situation illustrating the difference between ADN and BSN in decision making and approaches to patient care is not presented.

22.5 points

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.

23.7 points

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.

26.7 points

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.

30 points

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.

Thesis Development and Purpose

Thesis Development and Purpose

0 points

Paper lacks any discernible overall purpose or organizing claim.

5.63 points

Thesis is insufficiently developed or vague. Purpose is not clear.

5.93 points

Thesis is apparent and appropriate to purpose.

6.68 points

Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.

7.5 points

Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.

Documentation of Sources

Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)

0 points

Sources are not documented.

3.38 points

Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.

3.56 points

Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.

4.01 points

Sources are documented, as appropriate to assignment and style, and format is mostly correct.

4.5 points

Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

Evolution of Nursing Practice Over Time and Resulting Changes

Evolution of Nursing Practice Over Time and Resulting Changes to Scope of Practice and Approach to Patient Care

0 points

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.

11.25 points

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.

11.85 points

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.

13.35 points

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.

15 points

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.

 

Description:

Read “Creating a More Highly Qualified Nursing Workforce,” by Rosseter (2015), located on the American Association of Colleges of Nursing (AACN) website.

The Impact of Education on Nursing Practice

Description:

Read “The Impact of Education on Nursing Practice,” by Rosseter (2017), located on the American Association of Colleges of Nursing (AACN) website.

Scope of Practice

Description:

Read “Scope of Practice,” located on the American Nurses Association (ANA) website.

Initial Course Survey

Description:

In an effort for continuous improvement, Grand Canyon University would like you to take this opportunity to provide feedback about your experience with the university. Your participation is appreciated.

What Is Nursing?

Description:

Read “What is Nursing,” located on the American Nurses Association (ANA) website.
Contemporary Nursing Practice
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 practices.
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. Initially, 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 and offering emergency care independently (Masters, 2018). Therefore, in the contemporary dispensation, 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 require one to have additional education such as nurse educator, hospital unit coordinator, and managerial position.
Approaches to Decision-Making in a Patient Care Situation of a BSN vs. ADN
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 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 on the usage of 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.

References
Gausvik, C., Lautar, A., Miller, L., Pallerla, H., & Schlaudecker, J. (2015). Structured nursing communication on interdisciplinary acute care teams improves perceptions of safety, efficiency, and understanding of care plan and teamwork as well as job satisfaction. Journal of multidisciplinary healthcare, 8, 33.
Ghaffari, M. (2017). Preparing Nurses for Community Health Care: A Comparative Study of the ADN and BSN Programs. International Journal, 5(2), 32-45.
Kalb, K. A., O’Conner-Von, S. K., Brockway, C., Rierson, C. L., & Sendelbach, S. (2015). Evidence-based teaching practice in nursing education: Faculty perspectives and practices. Nursing education perspectives, 36(4), 212-219.
Keeling, A. W. (2015). Historical perspectives on an expanded role for nursing. OJIN: The Online Journal of Issues in Nursing, 20(2).
Masters, K. (2018). Role development in professional nursing practice. Burlington, MA: Jones & Bartlett Learning.

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

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

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

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

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