Contemporary Nursing Practices Analysis
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.
In early days nursing was largely informal, gender-based and it involved a willingness to do the job. Nursing profession was mainly the women’s job whereby they learned nursing skills from other women or their mothers. Nursing was not a respectable job as women were not respected, either. Women were perceived as caretakers, so nursing was viewed as one of their roles. Over the years, the nursing profession has gone through tremendous changes, and it is no longer an informal profession. Nursing has been formalized with more training programs, more professional staff and a new degree of prestige that was never part of the job. Today, nursing is divided into many career paths with drastic changes to facilitate effective and efficient medical care. In the contemporary nursing profession, there is a huge focus on patient care, a sense of family, more training programs, better patient care facilities, and nurses are more responsible. In the past, the scope of nursing practice was mainly caretaking. Currently, the nursing practice has widened to incorporate more services all geared towards the provision of better patient care. Today, the nursing scope encompasses describing the terms “who,” “what,” “where,” “when,” “why,” and “how” (American Nurses Association , 2017, p. 12). The ‘Who” term is used to define the Advanced Registered Nurses and Registered Nurses. It used to stipulate the nurse’s level of education, licensure, and title to practice nursing. The ‘what’, aspect entails explaining the nursing responsibilities and approaches to meet the patient treatment requirements. It involves aspects like the facilitation of healing, patient care promotion, protection, prevention of injury and illness, optimizing health, relieving pain and suffering through proper treatment and diagnosis. The ‘what’ aspect is also applied to advocate for the appropriate care for the patients, populations, communities, groups, and families. The ‘where’ term stipulates the availability of nursing care. The ‘when’ concept denotes the availability of nursing expertise, compassion, and knowledge whenever it is needed. Finally, the ‘why’ explains the significance of the nursing profession in achieving positive customer positives and why nursing has a social obligation to society?
The need to provide quality patient care has led to the emergence of different career paths, the major ones being ADN and BSN levels where ADN is the associate degree in nursing while BSN is a bachelor’s degree program. The scope of the two nursing levels differs, but they both focus on providing quality patient care. The job scope of both ADN and BSN vary according to the department or employer’s requirements. For example, an ADN registered nurse cannot perform certain nursing jobs, especially the ones that require additional education. Besides the traditional nursing roles, the BSN nurses are likely to get engaged in management positions, department coordinator jobs and nursing educator roles. Many health facilities prefer nurses with the minimum requirement of BSN to ADN nurses. For example, in the entire hospital, it is possible to find that the whole staff including those serving in entry-level and floors are all BSN nurses (Auerbach, Buerhaus, & Staiger, 2015). Although some hospitals employ ADN nurses, they give them a grace period of three to five years to pursue and complete BSN. 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 RN‐BSN 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.