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

NRS 430V Week 1 Assignment- Collaborative Learning Community Agreement

NRS 430V Week 1 Assignment- Collaborative Learning Community Agreement

Scope of Practice and Differentiated Practice Competencies: Contemporary Nursing

Nursing practice has changed over the decades from when nurses had minimal education to having complex nursing training programs and when nurses provided basic care to performing complex medical and nursing procedures. Nursing was initially a woman’s work where women cared for the sick at home in the era where there were no hospitals (Egenes, 2017). Modern nursing is attributed to Florence Nightingale, who developed nursing practices that created new standards for nursing practice.  In this regard, this paper will discuss the evolution of nursing practice, the differences between ADN and BSN nurses, and the significance of evidence-based practice in nursing.

Evolution of Nursing Practice

Nurses were formerly not provided formal nursing education but were instead given on-job training on how to provide basic care such as clean and dress wounds. They did not have autonomy and received instructions from physicians. As the nursing practice evolved and more hospitals were established, women began receiving nursing training in small to medium-size hospital systems (Egenes, 2017). However, the training was observation-based, taking two to three years, and the scientific rationale for interventions was not emphasized.

Advances in medicine and technology created a need for complex and specialized nursing education. As a result, nursing training shifted from hospital observation to the classroom.  Certification programs have been created, changing the scope of nursing practice (Egenes, 2017). Nurses also have Master’s and Doctorate levels, which increase a nurse’s scope of practice to include duties similar to physicians such as taking history and physical exams, making diagnoses, interpreting diagnostic results, and initiating treatment plans.  Furthermore, standards of nursing practice have been created to ensure quality nursing care, and nurses are educated on ethical practice and providing culturally sensitive care.

Practice Competencies between an Associate and Baccalaureate Education in Nursing

Nurses with an Associate Degree in Nursing (ADN) and with a Baccalaureate Degree (BSN) are both registered nurses (RNs). Both BSN and ADN programs prepare nursing students to deliver patient care that meets the set standards. Besides, both programs equip the future RN with nursing skills and ensure they attain the clinical practice competencies necessary for nursing practice (Northrup-Snyder et al., 2017). However, the BSN program emphasizes more on areas of informatics and research. It also has courses not offered in the ADN program, such as nursing theories, social sciences, public health, leadership, and management. The differences in the ADN and BSN training result in differences in the scope of practice. ADN RNs are generally more focused on technical, clinical duties and everyday direct patient care, including monitoring patients, administering treatment, performing basic nursing procedures, and updating charts (Ghaffari, 2017). On the other hand, the scope of BSN nurses includes nursing educator, research, public health, administrative, leadership, management roles, and direct patient care.

Approaches to Decision-Making in a Patient Care Situation of a BSN vs.ADN

Approaches to decision‐making would differ in a BSN and ADN nurse caring for a diabetic patient with uncontrolled sugars and a worsening foot ulcer.  An ADN nurse will care for the patient by providing basic care such as dressing the wound, administering insulin or hypoglycemics, and monitoring blood sugar levels. Conversely, the BSN nurse will perform these tasks but get concerned about the uncontrolled sugars and delayed wound healing. As a result, the BSN will assess the patient’s diet and exercise patterns and educate the patient on the needed changes to promote optimal glycemic levels. Besides, the nurse will apply evidence-based interventions to promote healing of the ulcer and educate the patient on foot care.

Applying Evidence‐Based Practice to Nursing Care

In the past decades, evidence-based practice (EBP) has become a key element of excellent patient care. EBP is applied in various aspects of nursing as it offers valuable insight into clinical care approaches backed by evidence to address issues in direct patient care, infection control, and patient workflow (Mackey & Bassendowski, 2017). It enables nurses to apply the latest research methods in the patient care setting, including direct patient care. It focuses on established outcomes, thus promoting enhanced patient care. The BSN program equips students with knowledge and skills on EBP, which helps to analyze patient care approaches that can improve health outcomes (Mackey & Bassendowski, 2017). Students are trained on scientific research, gathering, and analyzing evidence, which they apply to establish the best patient care interventions.

Interdisciplinary Communication and Collaboration in Nursing Practice

Nurses today are part of the interdisciplinary teams and play a major role in developing patients’ care plans. Nurses communicate with the interdisciplinary teams using CUS and SBAR protocols. CUS is an acronym for Concerned, Uncomfortable, and Safety. It is a communication tool used by nurses to express concerns to the interdisciplinary team about changes in a patient’s health status respectfully and professionally. The SBAR protocol representing situation, background, assessment, and recommendations is used by nurses when having a clinical problem that needs to be conveyed to the team (Müller et al., 2018). Communication using the SBAR protocol is usually purposive, straight, and prepared and promotes information exchange between the nurse and the team. The CUS and SBAR protocols foster quality and safe patient care since patient information is communicated through an efficient and well-organized format.

Conclusion

Unlike in the past, where nurses conducted similar tasks, nurses’ scope today is determined by their level of education and the specialized courses they have undertaken. Both BSN and ADN nurses have the same licensing level; however, some of their roles are different. ADNs focus on technical, clinical duties, while BSNs focuses on research, management, leadership, and informatics.  Nurses need to communicate accurately, succinctly, and purposeful with the interdisciplinary teams to promote collaborative care.

 

 

References

Egenes, K. J. (2017). History of nursing. Issues and trends in nursing: Essential knowledge for today and tomorrow, 1-26.

Ghaffari, M. (2017). Preparing Nurses for Community Health Care: A Comparative Study of the ADN and BSN Programs. International Journal5(2), 32-45. https://doi.org/10.18488/journal.9.2018.52.32.45

Mackey, A., & Bassendowski, S. (2017). The history of evidence-based practice in nursing education and practice. Journal of Professional Nursing33(1), 51-55. https://doi.org/10.1016/j.profnurs.2016.05.009

Northrup-Snyder, K., Menkens, R. M., & Dean, M. (2017). Student competency perceptions from associate degree to bachelor degree completion. Journal of Nursing Education56(10), 581-590. https://doi.org/10.3928/01484834-20170918-02

Müller, M., Jürgens, J., Redaèlli, M., Klingberg, K., Hautz, W. E., & Stock, S. (2018). Impact of the communication and patient hand-off tool SBAR on patient safety: a systematic review. BMJ open8(8), e022202. https://doi.org/10.1136/bmjopen-2018-022202

Extra Credit Commentary Instructions

You may submit up to 2 extra credit commentaries on any of the assigned (non-textbook) readings throughout the semester.  Each commentary is worth 2 points of extra credit added to your overall point total for the semester.  To earn these points, you must submit a 3-5 page double-spaced response to a selected assigned research article on Canvas.  Your commentary should have a clearly stated argument which you then support with logic and additional academic sources.  As long as you critically engage with a reading in an organized, coherent manner that is generally free of grammatical and spelling errors, you will earn both possible points.  NRS 430V Week 1 Assignment- Collaborative Learning Community Agreement. Some example prompts for a commentary include (but are not limited to):

  • Explain why the article made an important contribution to the field.
    • Briefly summarize the state of research prior to the article and how the article built off of that foundation and propelled the field forward in a meaningful way. Use class readings or outside sources to support your argument.
  • Argue that the article’s findings are suspect and should be interpreted with caution.
    • Point out some limitations of the author’s methods or logic using class readings or outside sources to support your claims.
  • Propose a follow-up study for the research presented.
    • No study is perfect. Describe a follow-up study the authors could do to improve upon the one they presented in the article. NRS 430V Week 1 Assignment- Collaborative Learning Community Agreement. Use class readings or outside sources to support your suggestion.

Assignment Details

For this Assignment, you are going to write a paper explaining how you developed your argument through the four stages (theorizing, syntax, theory testing, and evaluation). Your paper must be 3 to 5 pages, not including the title and reference pages.

To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Resources.

Assignment Requirements – NRS 430V Week 1 Assignment- Collaborative Learning Community Agreement

Before finalizing your work, you should:

  • Minimum requirement of at least 5 sources of support
  • be sure to read the Assignment description carefully (as displayed above);
  • consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and
  • utilize spelling and grammar check to minimize errors.

NRS 430V Week 1 Assignment- Collaborative Learning Community (CLC) Agreement

NRS430V Week2 Assignment -Educational Preparation BSN versus a Diploma or ADN Degree

Details:

Write a formal paper of 750-1,000 words that addresses the following:

1. Discuss the differences in competencies between nurses prepared at the associate-degree level versus the baccalaureate-degree level.

2. Identify a patient care situation in which you describe how nursing care or approaches to decision-making may differ based upon the educational preparation of the nurse (BSN versus a diploma or ADN degree).

For additional help finding research on this topic, refer to the GCU Library tutorial located at in the Student Success Center.

Refer to the American Association of Colleges of Nursing (AACN) Fact Sheet: Creating a More Highly Qualified Nursing Workforce as a resource.

Refer to the assigned readings for concepts that help support your main points.

Refer to “Grand Canyon University College of Nursing Philosophy.” This is an informational resource to assist in completing the assignment.

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

This assignment uses a rubric. Students should review the rubric prior to beginning the assignment to become familiar with the criteria and expectations for successful completion.

You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center.

NRS430V Week2 Assignment -Educational Preparation BSN versus a Diploma or ADN Degree

Assignment Details

For this Assignment, you are going to write a paper explaining how you developed your theory through the four stages (theorizing, syntax, theory testing, and evaluation). Your paper must be 3 to 5 pages, not including the title and reference pages.

To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Resources.

Click here to ORDER an A++ paper from our MASTERS and DOCTORATE WRITERS:NRS 430V Week 1 Assignment- Collaborative Learning Community Agreement

Assignment Requirements

Before finalizing your work, you should:

  • Minimum requirement of at least 5 sources of support
  • be sure to read the Assignment description carefully (as displayed above);
  • consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and
  • utilize spelling and grammar check to minimize errors.

Topic 2 DQ 1

Apr 11-13, 2022

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.

REPLY TO DISCUSSION

BG

Billie Gabbard

Posted Date

Apr 12, 2022, 3:50 AM

Unread

Replies to Billie Gabbard

CAT: Critical Thinking about Critical Thinking

Nurses must be able to think critically to provide effective care and to problem solve. In your opinion, is one born with critical thinking or develop these skills overtime?

Billie

  • CN

Chioma Nwachukwu

replied toBillie Gabbard

Apr 12, 2022, 6:45 PM

Unread

Replies to Billie Gabbard

Hello Billie,

In my opinion, critical thinking is developed over time . It takes knowledge, constant practice and experience to develop critical thinking skills. Everyone is born with a thinking ability and capable of logical reasoning. However, critical thinkers learn the ability to judge and solve issues as the need arises.

It could be a skill learnt after several and repeated practice or years of experience.

 

For instance, a new RN working in a psychiatric unit the first time might get frightened when the patient becomes disruptive or aggressive. It might be tough to deal with such a situation the first time. However, with constant practice in the unit, the nurse would learn and understand the proper way to deescalate while keeping self and others safe.

Therefore, I believe critical thinking skills offer the judgement and reasoning required to act in any given situation. It goes beyond the four walls of the classroom.

    • BG

Billie Gabbard

replied toChioma Nwachukwu

Apr 13, 2022, 3:56 AM

Unread

Replies to Chioma Nwachukwu

Thank you, Chioma. You provided a great example of how first exposure to an experience may result in uncertainty but has knowledge, skill, and experience are gained, one thinking about a situation change.

Billie

    • CW

Carly Wallmeyer

replied toChioma Nwachukwu

Apr 14, 2022, 12:54 PM

Unread

Replies to Chioma Nwachukwu

I agree with you Chioma. I think critical thinking is skill that takes time to learn and apply. Knowledge and experience play huge role in critical thinking. Something as simple as starting and IV requires some level of critical thinking. We all learned in nursing school the steps to starting an IV, but until we were able to actually touch the patient and see the vein then we could critically think through the process. Why wasn’t there a flash? Am I in the vein? Advance? Make minor adjustments? Learning through practice and knowledge, we can think through and apply that knowledge and experience to the situation at hand.

  • PW

Pepper Wooters

replied toBillie Gabbard

Apr 13, 2022, 5:49 AM

Unread

Replies to Billie Gabbard

Billie,

I feel it is a skill that one develops over time. It is also greatly dependent on your environment whether you learn it soon rather than later. We all grow up in different cultures, economic statuses, and lifestyles, which could affect when you start to grasp advanced thinking beyond the rudimentary level later in life.

 

I feel some people have an inherent trait or are more talented in critical thinking. When Im moving around the hospital on IV team, I witnessed many new grad nurses going through the motions and being task-oriented/task-driven. We have all been victims of this at one point. But as mentioned before, when one obtains knowledge through experience, one starts to bring more overall care to the table, which has better outcomes for the patient.

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