NRS 430 Discussion: Contemporary Nursing Practice
Sample Answer for NRS 430 Discussion: Contemporary Nursing Practice 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:
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.
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 Discussion: Contemporary Nursing Practice
Title: NRS 430 Discussion: Contemporary Nursing Practice
Nurses remain at the core of effective care provision and a growing profession because of its evolution. The need for advanced education and training, ensures that nurses are well positioned to deliver care in a transforming health industry. Today, professional nursing entails specialization and scopes of practice based on one’s clinical skills, capabilities, and competencies. The use of innovative care models and evidence-based practice implores nurses to advance their education, focus on patient care, and work in teams to enhance quality and delivery of patient care (Graebe & Chappell, 2019). The purpose of this essay is to evaluate contemporary nursing practice and evaluate how it has changed over time and its position today in health care system.
Changing Nursing Practice and the effect of the evolution on scope of practice & Patient Treatment
The nursing profession has witnessed several changes since its establishment. Originally, nursing was about
caretaking and caregiving roles that were assigned to women. The women did not have formal training or nursing education. In most instances, they were housewives and possess skills and knowledge transferred from family members who had the desire to care for the sick. The scope of their practice was not limited (Salmond & Echevarria, 2017). These women treated patients as guests in their homes. However, things changed and have been transforming since the Crimean War when Nightingale made nursing a distinct model to care for the wounded soldiers by writing “Notes on Nursing in 1854. The Civil War of 1861 also demonstrated the increased role of nurses based on women who followed their husbands, brothers, and fathers to care for them. The main responsibilities of these women included ensuring that the patients were
comfortable and reported any issue to physicians.
The initial concept of nursing emanated from these two critical events as physicians wanted trained women who became nurses. Hospitals began programs to train nurses as caregivers. These programs defined the scope of practice for the nurses. By end of 19th century, many hospitals had their nurse training programs but were not standardized (Graebe & Chappell, 2019). Over the next century, nursing practice evolved and changed leading to a contemporary nurse who is expected to use evidence-based practice (EBP) interventions, be a critical thinkers and highly trained and educated. Nurses are today better equipped and have increased scope of practice based on their specialties. The provision of advanced education has enhanced their training and allowed them to think more critically and enabled them to conduct more role in clinical setting. Nurses are not primary care providers in certain regions, have better skills and control the treatment process while advocating for patients to enhance overall care outcomes.
Differentiated Practice Competences between associate and Baccalaureate Nursing Education
In comparing the practice competencies of associate and baccalaureate nursing education, the BSN-prepared nurses are considered as professional nurses while associate-degree trained nurses are technical nurses. Further, ANDs are trained primarily on clinical skills while BSN have more focus on nursing research, clinical skills, and management. Both qualifications equip nurses with essential skills focused on meeting accepted patient care standards. However, BSN nurses are more focused on disease prevent, advocacy, research, community health, and execution of best practices.
They also examine or evaluate data and informatics and generating effective solutions to patient outcomes based on their scope of practice (Salas et al., 2018). On their part, the scope of ADNs include basic nursing care that includes recording patient’s history, recoding symptoms, and utilizing simple medical equipment as well as provision of patent education on disease prevention, healthy living and respecting physician appointments and medical reviews. In summary BSN-trained and prepared nurses have more varied differentiated practice competencies and expanded scope of practice compared to those with AND qualifications.
Patient Care Coordination
BSN-trained or prepared nurses have a different approach to nursing care and decision making when dealing with patients in care situations (Salas et al., 2018). For instance, a patient presenting with chronic conditions like diabetes may implore on the BSN-trained nurse to make better decisions and take effective actions compared to the ADN nurse. A patient with type II diabetes may experience chest pain and shortness of breath. The patient has an NPO directive as he is scheduled for surgery at 9 am the following morning for catherization of heart. The patient takes Eliquis twice daily since getting a stent in the heart. He also takes Clonidine for chronic hypertension. The vitals show elevated blood pressure of 108/60. The patient should be given insulin per sliding scale ACHS. However, at 7am, the patient experience a FSBS of 150mg/dL. In this case, the ADN nurse may give Eliquis which is an anticoagulant medication at 9pm since she may not be aware that research evidence shows that having anticoagulant medication 12 hours or more before surgery reduces the risk of fatal bleeding. The implication is that a BSN nurse is likely to handle the situation differently by not giving these medication and insulin because of the risk they portend for the patient.
Evidence-Based Practice
The deployment of evidence-based practice is important in delivery of quality health care to patients since it is founded on knowledge and research evidence as well as clinical trials. Through EBPs, hospitals offer more reliable and high-quality patient care. Nurses enhance their critical thinking skills, enhance their observation and procession of information while practicing and brainstorming ideas to make necessary improvements in care delivery (Verot et al., 2021). The academic preparation of the RN-BSN nurse supports the application of EBP as it prepares nurses to use evidence coming from research to make better care decisions and apply their critical thinking skills in different patient situations. The BSN also supports EBP in nursing by training nurses on leadership, management and effective communication as well as having scientific research skills.
Communication and Collaboration with Interdisciplinary Teams
Nurses are effective communicators and collaborators in care delivery. Nurses communicate and collaborate with interdisciplinary teams using different approaches. These include using electronic approaches, handwritten notes, texts and emails (McMenamin et al., 2019). Further, the integration of health information technologies has improved communication and collaboration among these teams as nurses can use electronic health records, telehealth and telemedicine means and teleconference to communicate not just with professionals but also patients and deliver quality care.
Conclusion
Nursing remains the foundation of patient care. The profession has transformed and continues its transformation for better care delivery. Nurses are at the forefront of care provision and advanced education allows them to be primary care providers in different care settings. ADNs and BSN-prepared nurses have different approaches to care provision for patients in diverse situations. therefore, by leveraging on EBP interventions, the contemporary nurse is well-positioned to offer quality care in a transforming healthcare system.
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.
Salmond, S. W., & Echevarria, M. (2017). Healthcare transformation and changing roles for
nursing. Orthopedic nursing, 36(1), 12. doi: 10.1097/NOR.0000000000000308
Salas, E., Zajac, S., & Marlow, S. L. (2018). Transforming health care one team at a time: ten
observations and the trail ahead. Group & Organization Management, 43(3), 357-381. https://doi.org/10.1177/1059601118756554
Verot, E., Denois, V. R., & Chauvin, F. (2021). Current perceptions of cancer nurses in France
about their role and the evolution of nursing practices: Findings and perspectives. Social Science & Medicine, 277, 113896. DOI: 10.1016/j.socscimed.2021.113896.
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.
A Sample Answer 2 For the Assignment: NRS 430 Discussion: Contemporary Nursing Practice
Title: NRS 430 Discussion: Contemporary Nursing Practice
Evidence-based practice is defined as using information from clinical knowledge, the latest research in healthcare, and the patient’s favorable method of care (Dean, 2018). Nurses use critical thinking by being able to properly execute the nursing process related to a patient’s problem (Green, 2018). Critical thinking is the ability to think on your feet based on your clinical experience combined with evidence-based practice (EBP) you have learned about to get the best possible outcome for your patient.
Critical thinking is the difference between saving a life or losing one. If you can’t apply critical thinking in a clinical setting, then you will not have the best possible outcome. We must remember that critical thinking levels come with education and clinical experiences.
Mental and physical dexterity are the actions allowing the nurse to think and act quickly and allows the nurse to make an informed decision if the situation is urgent or critical (Dean, 2018). The nurse must be able to integrate the nursing process efficiently and effectively while using critical thinking. The nursing process consists of five steps: assessment, diagnosis, planning, implementation, and evaluation (Dean, 2018). Utilizing the ANA scope of practice, and using EBP, may help nurses find the best method of care for their patients (Dean, 2018). Nurses must utilize these tools to keep relevant in the nursing field and help provide more information for EBP research. Most importantly, the RN is well versed in holistic care and critical-thinking skills to provide the best possible outcomes for each of their patients (Dean, 2018).
Dean, J. K. (2018). Practice and competency development. [E-book]. Dynamics in nursing: Art & science of professional practice. Grand Canyon University. https://lc.gcumedia.com/nrs430v/dynamics-in-nursing-art-and-science-of-professional-practice/v1.1/#/chapter/3
Green, S. Z. (2018). Advancing Professional Standards. BibliU. Retrieved April 20, 2023, from https://bibliu.com/app/#/view/books/1000000000583/epub/Chapter4.html#page_84
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.
A Sample Answer 3 For the Assignment: NRS 430 Discussion: Contemporary Nursing Practice
Title: NRS 430 Discussion: Contemporary Nursing Practice
I would like to believe that for the most part, nurses are viewed as ethical, responsible, empathetic, hardworking, caring, compassionate, and essential individuals. In my 2 years of working bedside as a nurse, I still have however unfortunately encountered disrespectful and ungrateful patients or family members, who have made threats towards me, or said awful things to me, even though I was the one providing care to them. I try not to take things like that personally, because I imagine those people must have deeper issues, and they probably treat everyone that way. I will however say that, since Covid erupted in our country, I see nurses are finally getting the recognition that was lacking for so many years. With the massive nursing shortage and so many nurses leaving beside during the pandemic, more people in the public began to recognize how vital nurses are to the entire overall health care system. With the alarming number of nurses leaving bedside, the wait times in ED were much longer, the patient to staff ratio increased to unsafe numbers and everyone saw the burn out effects from the pandemic.
The public’s perception of nurses can either steam from a personal experience with a “good or bad nurse,” in that person’s eyes, but unfortunately much of the public gets their information from the news or social media. With that being said, if a nurse makes a mistake, or medical error occurs, and it gets leaked to the news media, a large majority of the public can lose trust in nurses. I remember when I was in nursing school, and that case involving Radonda Vaught occurred, so many people were talking about her and hanging her out to dry. She made a critical mistake, but it could happen to the best nurse, yet when that story hit the news, it had people questioning many nurses’ integrity as a whole.
As nurses we swore by the Code of Ethics when we graduated nursing school and these ethics help hold nurses accountable to others, and to ourselves. Being a nurse who is providing care to someone in need is a responsibility that I don’t take lightly because I feel it is an honor and privilege to call myself a nurse. Nurses could help educate the public on their role in the profession by hospitals and other healthcare organizations doing more community outreach to the public and educating them about health issues that affect people in that area or age group. Not only would this community outreach be a great way to help build a better relationship with the community, but it could possibly help gain the trust of those who distrust nurses or healthcare providers as a whole.
A group of nurses in Utah started a community outreach project called “Stop the Bleed.” These nurses organized an outreach teaching the community how to handle trauma cases from hemorrhages to mass causality events. The reason behind this is because the number one cause of death in the age range of 1-44 years old is trauma. After the teaching was performed, 94% of participants said the course was presented in simple terms, and 86% said they felt more confident about their ability to stop bleeding. 73% of participants said they felt more prepared to respond to emergencies after training was complete, and 95% of the trainees said they were comfortable passing along newly learned abilities.
References
Green, S. (2018). Advanced Professional Standards. [E-book]. Dynamics in nursing: Art and science of professional practice. Grand Canyon University. https://bibliu.com/app/#/view/books/1000000000583/epub/Chapter4.html#page_83
Liu, S., Curren, J., Sobocinski, K., Zambardino, D., Smith, L., Rosenberg, J., Leahy, N., Winchell, R., & Narayan, M. (2019). Stop the Bleed: A nurse-driven community outreach initiative. International Journal of Academic Medicine, 5(2), 105. https://link-gale-com.lopes.idm.oclc.org/apps/doc/A598288799/AONE?u=canyonuniv&sid=ebsco&xid=5c6cfb02
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.
Dynamics in Nursing: Art and Science of Professional Practice
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.
Critical Thinking and Evidence Based Practice
Critical Thinking is, in short, self-directed, self-disciplined, self-motivated, and self-corrective thinking. It presupposes assent to rigorous standards of excellence and mindful commands of their use. It entails effective communication and problem-solving abilities and a commitment to overcome our native egocentrism and sociocentrism. (Paul and Elder, 2008).
Evidence Based Practice is the foundation which has direct impact on the outcome of the patient’s health by making quality improvements. Evidence Based Practice also gives the nurses a voice and ability to help create sustainable changes in the nursing field. Evidence Based Practice drives nurses to increase their critical thinking skills. (Falker, 2022).
Evidence Based Practice and Critical thinking are very closely related. Critical thinking knowledge, skills and values are fundamental to Evidence Based Practice. Critical Thinking in nursing practice will increase the accuracy of clinical decisions, providing useful problem-solving skills which help to avoid the errors in daily nursing practice.
Clinical Thinking is very important in daily nursing practice during nursing assessment and nursing interventions. Evidence Based Practice is the use of the best evidence to guide everyday nursing practice. Evidence Based Practice helps to create new policies in the health care settings which helps in the patient’s quality improvement and overall outcomes.
References:
Dean, J.K., Falkner, A., Green, S.Z., Helbig, J., & Whitney, S. (2022). Dynamic in nursing: Art & Science of Professional practice.
https://bibliu.com/app/#/view/books/1000000000583/epub/Chapter1.html#page_20
Gambrill, Eileen. (2012) Critical Thinking in Clinical Practice: Improving the Quality of Judgements and Decisions. https://ebookcentral-proquest-com.lopes.idm.oclc.org/lib/gcu/reader.action?docID=7103437
Richard Paul and Linda Elder, The Miniature Guide to Critical Thinking Concepts and Tools, Foundation for Critical Thinking Press, 2008.
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