NRS 430 Contemporary Nursing Practice Assignment
Contemporary Nursing Practice Bottom of Form
The healthcare system has advanced over the years towards the provision of better services leading to desirable patient outcomes. This change has been drastic among nurses. New regulations boosting access to healthcare services and improving patient outcomes without compromising the quality of services provided have expanded nursing roles. A paramount shift in nursing education has led to greater problem solving and critical thinking skills. Increased utilization of current technology and
informatics has revolutionized how nurses provide their services at the clinical level (Cherry & Jacob, 2019). Generally, registered nurses (RN) have adapted to the evolving environment around the healthcare system. This assignment will comprehensively analyze the changes that have taken place to revolutionize nursing practice towards the provision of better care services.
The Evolution of Nursing Practice
In its most basic form, a nursing practice began at a home back in the 1840s. during this period, there were no hospitals, and as a result, patients were being taken care of at home by their family members (Nazir, Levy, Rudolph, & Unroe, 2017). Gradually, women started acquiring training to become caregivers in minor to moderate hospital systems. The training could last for about two to three years before one could become a qualified nurse. With time, these hospitals expanded as nursing education became more comprehensive. Consequently, technology was introduced in the form of stethoscopes, advanced patient beds, and blood pressure devices. However, as medicine and technology advanced, the need for more education became very necessary.
Currently, nurses are expected to attend college and even take part in special nursing specialist programs first, then join the hospital environment. Consequently, nurses under training are expected to work under the supervision of RN to gain experience for them to graduate. The training also goes on even after graduating, to gain more knowledge and skills (Nazir, Levy, Rudolph, & Unroe, 2017). Technology has also advanced such that health records are now being stored electronically, with all types of new devices such as X-rays and CT scans. The future is even expected to be more advanced than the current practice.
Differentiated Practice Competencies
Both graduates of Bachelor of Science in Nursing (BSN) and Associate Degree in Nursing (ADN) practice as RN. However, their level of knowledge and skills acquired differ, hence differentiating their roles in clinical settings. BSN programs focus more on research and informatics, with more time allocated towards clinical rotations in public and community health settings (Matthias, & Kim-Godwin, 2016). They are more competent in carrying out procedures and assessments in acute care settings. ADN program on the other hand is task-oriented with more responsibility for actions taken. They possess better assessment, planning, and implementation skills and hence play a significant role in taking care of a patient from the point of adding to discharge. ADN nurses also administer basic clinical procedures and monitor patients, while updating their charts in day to day care of patients.
Patient Care Situation
In a patient care situation such as a surgical patient, nurses with BSN have recorded a lower failure-to-rescue and mortality rate as compared to ADNs. This is as a result of the differences in their approaches to patient care. BSN program is designed to enhance better critical thinking and analytical skills, when handling such a patient, in addition to extra procedures that cannot be taken by ADN nurses (Cherry & Jacob, 2019). As such, BSN nurses will observe better patient safety skills with a positive outcome as compared to AND nurses.
Evidence-Based Practice in BSN Education
Evidence-Based Practice (EBP) is aimed at translating the current knowledge into the daily care decisions to better care processes and patient outcomes. Consequently, through EBP, nurses can keep up with current medical protocols for better patient care. As such, the current nursing curriculum has incorporated EBP into the RN-BSN program, where graduates are educated on the roles of research in nursing practice (Horntvedt et al., 2018). The program entails methodologies, design, processes, and ethical tenets of research. Additionally, BSN nurses are equipped with appropriate critical thinking skills utilized in evaluating and critiquing research studies to apply the findings in their daily clinical practice.
Interdisciplinary Teams
In the current healthcare system, care delivery involves various interfaces and patients’ handoffs amongst several healthcare professionals with different education and occupational training levels. Within only a 4-day hospital stay, a patient can interact with more than 50 different hospital staff including pharmacists, physicians, nurses, and technicians among others. Effective clinical practice thus requires accurate communication of critical information across this interdisciplinary team (Buljac-Samardzic et al., 2010). To enhance effective communication, nurses are encouraged to take part in other departments’ training for more insight into their roles at the clinic. This way, it will be possible to assess situations with numerous viewpoints giving room for better decision making, hence improving patient safety and outcome. Consequently, it is necessary to promote multidisciplinary rounds while keeping focus on the patient to improve communication between departments.
Conclusion
The current healthcare system is dynamic with advanced technology and practices now and then to better the quality of care provided. Nurses being part of the frontlines in the changes happening have thus adapted and incorporated even more advancements in their education curriculum to prepare graduates for unforeseen changes in the future. This gives room for evolution and advancement in the nursing profession while maintain and improving the quality of care proved.
References
Buljac-Samardzic, M., Doorn, C. D., Maynard, M. T., Reiter-Palmon, R., Kennel, V., Allen, J., & Jones, K. J. (2010). Good Catch! Using Interdisciplinary Teams and Team Reflexivity to Improve Patient Safety. (Group & organization management.)
Horntvedt, M.-E. T., Nordsteien, A., Fermann, T., Severinsson, E., & SpringerLink (Online service). (2018). Strategies for teaching evidence-based practice in nursing education: a thematic literature review. (BMC medical education.)
In Cherry, B., & In Jacob, S. R. (2019). Contemporary nursing: Issues, trends, & management. St. Louis, Missouri: Elsevier.
Matthias, A. D., & Kim-Godwin, Y. S. (2016). RN-BSN students’ perceptions of the differences in practice of the ADN- and BSN-Prepared RN. Nurse Educator, 41(4), 208-211. DOI: 10.1097/NNE.0000000000000244
Nazir, A., Levy, C., Rudolph, J., & Unroe, K. (2017). Evolution in nursing home research: Forming collaborative groups. Caring for the Ages, 18(4), 6-7. https://doi.org/10.1016/j.carage.2017.03.007
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NRS 430 Topic 2 Contemporary Nursing Practice GCU
The field of nursing has changed over time. In a 750?1,000 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.
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.
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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.
Discuss the significance of applying evidence?based practice to nursing care and explain how the academic preparation of the RN?BSN nurse supports its application.
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. Refer to the LopesWrite Technical Support articles for assistance.
Green in 2018, mentioned that nursing began with Medicine Men and instead of disease, evil spirits were to blame. During the Middle Ages, Christianity was promoting self-care (Green,2018). Men were still primary caregivers while women would be deemed witches if they tried toprovide care (Green, 2018). There was the period of the industrial revolution where there was a lot of migrating for work, overcrowding, and plagues spreading (Green, 2018). Then along cameFlorence Nightingale assessing conditions, diagnosing problems and creating solutions. Nightingale thought that “…health promotion, disease prevention, and risk reduction” were the basis of nursing care (Green, 2018, Chapter 2, p. 4).
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