NRS 430 Contemporary Nursing Practice Assignment
Sample Answer for NRS 430 Contemporary Nursing Practice Assignment Included After Question
Description:
The field of nursing has changed over time. In a 7501,000 word paper, discuss nursing practice today by addressing the following:
- 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.
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 decision making, differ between the BSN prepared 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.
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A Sample Answer For the Assignment: NRS 430 Contemporary Nursing Practice Assignment
Title: NRS 430 Contemporary Nursing Practice Assignment
Nursing remains a core part of healthcare delivery since the first nurse, Florence Nightingale, began the profession over two centuries ago. Started as part of caregiving, nursing is today one of the most critical professionals in healthcare and continues to evolve as nurses become more involved in care provision at the frontline as demonstrated at the height of the COVID-19 pandemic. Today, nurses prepare to offer care through advanced education and training. From associate degree nurses (ADNs) to BSN-prepared nurses and even those with terminal degrees like PhD., the contemporary nurse is well-positioned to offer quality patient care and is transforming healthcare (Snoswell et al., 2020). The purpose of this paper is to discuss the transformation of nursing practice and its position today in healthcare delivery.
Evolution of Nursing Practice & Effects on the Scope of Practice
Nursing practice has evolved and transformed in the last six decades compared to the other centuries. Today, present nurses specialize and are expected to attain higher levels of education and training to meet the changing patient needs. More fundamentally, they are expected to possess key skills and competencies like critical skills and analytical capabilities. Florence Nightingale founded the modern nursing practice in the mid-19th. At the time, the public opposed the idea of women nursing strangers but Nightingale considered nursing as an extraordinary chance for women. She believed that women could utilize not just their education but also scientific knowledge to enhance patient care as they attain personal independence (Graebe et al., 2019). However, wars like the Crimean War and later on the Civil War changed public perception of nursing as women made a significant impact by caring for wounded soldiers.
Based on newfound public support due to the indisputable contributions to healthcare, the profession would develop quickly over time leading to the establishment of training programs at colleges and universities. By 1960, there were over 170 college nursing programs in the United States. Today, over 870 schools exist in the country offering nursing education programs at undergraduate, graduate, and postgraduate levels (McMenamin et al., 2019). The Institute of Medicine (IOM) in its report in 2010 provided a framework to enhance the nursing profession by increasing nurses with bachelor’s degree. Consequently, the American Association of Colleges of Nursing (AACN) has set the BSN as the standard for all registered nurses. Again, there is a greater emphasis on academic progression for nurses to meet the high patient demand leading to changes in the scope of practice.
The changes in nursing practice affect the scope of practice and the approach to treating individuals. Nurses specialize in different areas and attain competencies that allow them to customize care plans based on individual patients’ needs and complications. For instance, the integration of evidence-based practice and culturally competent care has altered how nurses treat individuals through the patient-centered care model. Nurses should have sufficient training and competencies in their practice areas to deliver better and patient-centered care.
Differentiated Practice Competencies Between ADN and BSN Education
The Bachelor of Science in Nursing (BSN) prepared nurses are considered professional nurses compared to associate-degree (ADN) trained technical nurses. Again, ADNs are trained primarily on clinical skills but the BSN-prepared nurses focus on more aspects like nursing research, clinical competencies, and skills that include analytical and critical thinking skills, and also managerial components as well as cultural component (Salas et al., 2018). However, both qualification offer nurses skills that focus on meeting accepted and standard patient care. Another difference is that BSN-level-prepared nurses focus more on primary care through disease prevention and patient education, research and advocacy, community health, and implementing evidence-based practice. They also leverage data, informatics and generate better solutions to care provision for effective patient outcomes as part of their scope. The scope of practice for ADNs includes nursing care on aspects like documenting patients’ medical history, recording and noting patient symptoms, having knowledge of using simple medical equipment and providing patient education on various disease conditions, and assisting physicians.
Differences in Patient Care Coordination
BSN-prepared nurses handle or approach nursing care and decision-making differently from ADNs. For example, in the case of a patient presenting with congestive heart failure (CHF) and requiring blood transfusion, the BSN will evaluate the vital signs to ensure that there are in normal ranges and the lungs produce clear bilateral sounds. However, towards the end of the blood transfusion, the nurse may notice that oxygen saturation is dropping to below 95% and chest sounds moist. The ADN-prepared nurse may place the patient on a 21/min nasal cannula but the saturations continue to decline to 90%. However, since the BSN-prepared nurse thinks outside the box, she or he will conclude that the patient has an overload of fluids because of her condition (CHF) (Snoswell et al., 2020). Therefore, the BSN-prepared nurse will place the patient on a diuretic procedure to remove excess fluids but the ADN is likely to increase oxygen to 31/min to have the saturation above 95%. As such, BSN-prepared nurses use scientific evidence and best practices in making effective clinical decisions but associate degree nurses may not possess such in-depth knowledge to make better decisions.
Importance of Using Evidence-Based Practice in Nursing Care
Evidence-based practice entails delivering care founded on research studies and working in a host of settings through clinical trials. Evidence-based practice (EBP) allows healthcare facilities to offer reliable and high-quality patient care. EBP also enables nurses to improve their skills and competencies and process information for effective care delivery. The RN to BSN curriculum focuses on research and clinical expertise which are core components of evidence-based practice (Thielmann et al., 2019). Through EBP, nurses focus on improving care quality and enhancing population health for different groups and individuals. BSN-prepared nurses get sufficient training in leadership, management, and effective communication to implement EBP.
Communication and Collaboration in Interdisciplinary Teams
Nurses should communicate effectively and collaborate with other healthcare professionals to deliver quality care. Imperatively, nurses use a range of approaches in communicating and collaborating while in interdisciplinary teams. These include electronic means like emails, text messages, the use of electronic health records (EHRs), and verbal through exchanging and sharing thoughts, opinions, and information (Walton et al., 2019). They also write and make presentations before other professionals like physicians and implement EBP interventions to improve the quality of care.
Conclusion
The nursing profession and practice have evolved and continue to transform to deliver better patient care and meet the rising care demands. Nurses are a core part of the healthcare delivery system with BSN-prepared nurses demonstrating increased competencies and skills to deliver better care. As such, the transformation in the health sector implores nurses to get advanced education for effective specialization to offer better patient-centered care in their practice settings.
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. DOI: 10.1097/01.NUMA.0000579000. 09987.b0.
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
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 a minimum requirement for Professional Practice. Nursing Education Perspectives, 40 (1), 25-29. DOI: 10.1097/01.NEP.0000000000000391.
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.
Walton, V., Hogden, A., Long, J. C., Johnson, J. K., & Greenfield, D. (2019). How do inter-
professional 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
Description:
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 patient outcomes.
Topic 2 DQ 2
Description:
Describe how the nursing profession is viewed by the general public. Discuss factors that influence the public’s perception of nursing? Describe ways to educate the general public on the professional nurse’s role and scope of nursing within a changing health care system.
Topic 2 Participation
Description:
Read Chapter 3 in Dynamics in Nursing: Art and Science of Professional Practice.
Creating a More Highly Qualified Nursing Workforce
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.
A Sample Answer 2 For the Assignment: NRS 430 Contemporary Nursing Practice Assignment
Title: NRS 430 Contemporary Nursing Practice Assignment
Nursing practice involve wide range of health care activities. This paper seeks advance various key areas of contemporary nursing practice. In particular, the paper will discuss the evolution of nursing practice overtime, comparison and contrast of the differentiated practice competencies between an associate and baccalaureate education in nursing, identify a patient care situation that portrays how nursing care differs between the BSN prepared nurse and the ADN nurse, discussion of the essence of applying evidence-based practice to nursing and how RNBSN supports its application, and illustration of interdisciplinary team collaboration and communication among nurses and how it supports patient outcomes.
Evolution of Nursing Practice
Nursing practice has gradually changed overtime. According to Ranard, (2015), nursing was initiated when it did not require formal medical training but it was based on the gender and eagerness for the job. At that time, women would learn medical skills from their mothers or other women in nursing. Women were regarded as caretakers and nursing was perceived as extension of their job as care takers. Nurses used to deal with minor ailments and help patients who were unable to perform activities of daily living. However, the nursing profession started changing after the creation of council of nurses in different countries which brought the rules, standards, and regulations which turned the nursing into a profession (Ranard, 2015). Today, nursing profession has drastically changed and is characterized by extensive training programs, more responsibilities, better hospitals, focus on patient care, and more diversified staff. Moreover, the current nurses are more about leading change, promoting teamwork and consistency, prioritizing, and organizing, which have in turn changed the scope of practice and approach to treat an individual by increasing efficiency in health care, saved lives, and led to generations of devoted medical professionals. Essentially, the current nurses act as bridge that binds team of health care professionals and other disciplines together.
Compare and Contrast the Differentiated Practice Competencies between an Associate and Baccalaureate Education in Nursing
Nurses with Associate Degree in Nursing (ADN) and Bachelor of Science in Nursing (BSN) both practice as registered nurses. However, their competencies in practice vary significantly depending the variation in nursing education. The education of ADN takes a period of three years and it’s mostly technical. Moreover, it focuses on the clinical skills intended to enhance patient health status. The ADN scope of practice is usually task oriented and nurses are held responsible for their actions. ADNs are expected to have the ability of evaluating, planning, and executing proper patient care from the time patient visits to the triage until admission or discharge. On the other hand, BSN connotes a four-year program that involves various nursing issues such as nursing roles, critical thinking, patient care, supervision, management, and community health. Regarding the scope of practice, BSN nurses should portray independent decision-making and ability of problem solving. The scope of practice also involves integration of intellectual, emotional, physical, and social competencies to improve patient outcomes (Rosseter, 2014). Overall, BSN-prepared nurses provide more holistic care as opposed to ADN-prepared nurses because they take care of patients in the entire time of patient care, which begins from pre-admission to post-discharge.
Identification of a Patient Care Situation that Highlights the Difference in Nursing Care between the BSN Prepared Nurse and the ADN Nurse
In patient care situations, there are fundamental differences in approaches to decision-making between BSN-prepared nurses and ADN-prepared nurses. For instance, in a patient c are situation where the patient needs intubation in emergency room, the ADNs and BSN nurses are likely to portray differences in decision making approaches. The BSNs approach to decision is likely to be anchored on the management of the patient after intubation while ADNs approach to decision is directly focused on patient treatment since they have authority to intubate the patient and prescribe drugs to the patient. Likewise, in the decision making approaches involving end of life care, the BSNs will focus on various aspects such as the rights of the patient, legal, and palliative aspects, which the ADNs are not trained to focus on (Loversidge et al., 2018).
Significance of EBP to Nursing and How Academic Preparation of the RNBSN Nurse Supports EBP Application
Evidence-based practice (EBP) in nursing connotes application of best available evidence, patient inclinations, and clinical expertise to clinical practice. EBP is important in the nursing practice of care because it avails scientific research to nurses to guide their decision. Moreover, EBP helps nurses to be updated about the new medical guidelines for patient care. By relying on the best current documented interventions that matches the health care needs of the patients, nurses tend to increase recovery chances for the patients (Dang &Dearholt,2017). Overall, the implementation of EBP in health care is associated with better patient-outcomes, which can ultimately reduce the demand for health care resources. The EBP models of care are applied in healthcare organizations in a bid to standardize and deliver more reliable and quality patient care. On the other hand, the academic preparation of the RNBSN nurse supports EBP application because it sharpens RNBSN nurses’ skills on research. RNBSN nurse students learn how to incorporate nursing evidence, theories, clinical judgment, and patient preferences. As health care is increasingly becoming complex, EBP knowledge of EBP is crucial for the success of nurses. RNBSN-prepared nurses know how and where to pursue evidence-based guidelines and the manner of executing such guidelines in the routine nursing practice.
Interdisciplinary Team Collaboration and Communication among Nurses and How it Supports Safe and Effective Patient Outcomes
Multidisciplinary teams connote health care team members drawn from different areas of specialty with complementary skills, experience, and profession. For patients to receive better health care under the interdisciplinary team, nurses should communicate with pertinent experts concerning the treatment plan for their patient while acknowledging the responsibilities of each team member. Mostly, nurses serve a bridge between the health care organization, physicians, and patients. As such teamwork is crucial for nursing role. Therefore, it is imperative to facilitate open communication. Effective communication in multidisciplinary team ensures safe and more effective patient outcomes by ensuring quality patient-oriented care. It also ensures reduction in medical errors and enhances patient experience with health care. Ultimately, this will reduce the health care cost (American Association of Colleges of Nursing, 2015).
Conclusion
The nursing profession has evolved from a situation where it did not require formal medical training to the present practice where nursing is considered as a valuable profession extensive training programs and more patient health care responsibilities. On the other hand, the practice competencies between ADN and BSN prepared nurses varies significantly. BSN-prepared nurses provide more holistic care as opposed to ADN-prepared nurses because they take care of patients in the entire time of patient care, which begins from pre-admission to post-discharge. It has also been established that the implementation of EBP in health care is associated with better patient-outcomes. Finally, interdisciplinary team collaboration is crucial in ensuring safe and effective health care services, which leads to positive patient outcomes and satisfaction with health care services.
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References
American Association of Colleges of Nursing. (2015). Creating a more highly qualified nursing workforce. Retrieved September, 30.
Dang, D., &Dearholt, S. L. (2017). Johns Hopkins nursing evidence-based practice: Model and guidelines. Sigma Theta Tau.
Loversidge, J., Yen, P. Y., Chipps, E., Gallagher-Ford, L., Genter, L., & Buck, J. (2018). Top-of-license nursing practice, part 2: differentiating BSN and ADN perceptions of top-of-license activities. JONA: The Journal of Nursing Administration, 48(6), 329-334.
Ranard, C. (2015). How Nursing Has Changed Over Time – Minority Nurse. Minority Nurse. Retrieved 29 September 2020, from https://minoritynurse.com/how-nursing-has-changed-over-time/.
Rosseter, R. J. (2014). The impact of education on nursing practice. American Association of Colleges of Nursing Fact Sheet.
NRS-430V NRS-430V-O503 Contemporary Nursing Practice 150.0
Criteria Percentage Unsatisfactory (0.00%) Less than Satisfactory (75.00%) Satisfactory (79.00%) Good (89.00%) Excellent (100.00%)
Content 80.0%
Evolution of Nursing Practice Over Time and Resulting Changes to Scope of Practice and Approach to Patient Care 10.0% Explanation of how nursing practice has changed over time and how this evolution has changed the scope of practice and the approach to treating the individual is not presented. Explanation of how nursing practice has changed over time is incomplete. A partial summary of how scope of practice and approach to treating the individual have changed over time is presented. There are major inaccuracies. More information is needed. A general explanation of how nursing practice has changed over time is presented. How scope of practice and approach to treating the individual have changed over time is summarized. There are some minor inaccuracies. Some information is needed for clarity. An explanation of how nursing practice has changed over time is presented. How scope of practice and approach to treating the individual have changed over time is discussed. Minor detail is needed for clarity. The explanation is accurate and captures all significant aspects. A thorough explanation of how nursing practice has changed over time is presented. How scope of practice and approach to treating the individual have changed over time is discussed in detail. An insightful account of the evolution of nursing practice and its influence on scope of practice and patient care is presented. NRS 430 Contemporary Nursing Practice Assignment
Comparison of Differentiated Practice Competencies of ADN and BSN 15.0% The differentiated practice competencies of the ADN and BSN are not compared. An incomplete comparison of the differentiated practice competencies of the ADN and BSN is presented. Differences between ADN and BSN scope of practice is unclear. There are significant inaccuracies. More information is needed. A general comparison of the differentiated practice competencies of the ADN and BSN is presented. Differences between ADN and BSN scope of practice are summarized. Some information is needed for clarity or support. A comparison of the differentiated practice competencies of the ADN and BSN is nursing is presented. Differences between ADN and BSN scope of practice are described. Minor detail or rationale is needed for clarity or support. A comparison of the differentiated practice competencies of the ADN and BSN is clearly presented. Differences between ADN and BSN scope of practice are described in detail. The narrative demonstrates a strong understanding of differentiated competencies and scope of practice for the ADN and BSN.
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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