Feb 23, 2024 NRS 430 Topic 2 Contemporary Nursing Practice
NRS 430 Topic 2 Contemporary Nursing Practice
NRS 430 Topic 2 Contemporary Nursing Practice
Nursing practice has undergone drastic changes from when nurses had minimal training and nursing entailed women taking care of the sick. When nursing began, it was not considered a profession, nor was it respected since it was only a woman’s work and women were not considered a respectable gender (Masters, 2018). NRS 430 Topic 2 Contemporary Nursing Practice
Besides, nursing was more of an extension of women’s duties at the home of taking care of their families. Nursing skills were passed down in generations without formal training. In this regard, this paper seeks to discuss the evolution of nursing and the current nursing practice and compare the practice competencies of Associate versus Baccalaureate-prepared nurses. NRS 430 Topic 2 Contemporary Nursing Practice
Evolution of Nursing Practice
Nursing training has evolved, and nurses today have in-depth training with specific education qualifications to become a nurse. There are numerous nursing training programs and specialties up to Doctor of Nursing Practice (DNP) and Ph.D. programs (Masters, 2018). Additionally, nurses have different practising licenses based on their education level. In the past, the care setting for nurses was mainly in battlefields and homes, but the setting has changed to hospitals, consultation offices, home-based care, schools, and correctional facilities.
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Nursing duties in the past included primary care, such as cleaning patients and dressing wounds. Nurses worked strictly under physician instructions (Masters, 2018). However, nursing programs have evolved the nurses’ scope of practice over time, with duties now including conducting patient assessments, diagnosing, developing treatment plans, performing complex nursing procedures, and providing emergency care.
Practice Competencies of an Associate vs. Baccalaureate Education in Nursing
To become a registered nurse (RN), one can pursue an Associate Degree in Nursing (ADN) program or a Baccalaureate of Science in Nursing (BSN) program. Both programs include courses that train students on nursing and clinical practice competencies to equip them with skills for nursing practice (Ghaffari, 2017). However, the BSN curriculum has courses not offered in the ADN program. They include critical thinking and communication, management, leadership, social sciences, public health, nursing theories, and specialized courses (Ghaffari, 2017).
ADN and BSN nurses have similar tasks in the healthcare setting, including providing direct patient care, administering treatment, and monitoring patients (Northrup-Snyder et al., 2017). However, the scope of practice varies to some degree, and the ADN nurse is not qualified for roles such as hospital unit coordinator, nurse educator, and managerial position. NRS 430 Topic 2 Contemporary Nursing Practice
Approaches to Decision-Making in a Patient Care Situation of a BSN vs. ADN
A patient care situation where nursing care would differ between the BSN and the ADN nurse is a patient with hypertension and diabetes presenting with a persistently elevated blood pressure despite being on antihypertensive therapy. A physician prescribes an IV antihypertensive drug. The ADN nurse will prescribe the drug since they are trained in clinical skills and may not provide health education (Northrup-Snyder et al., 2017).NRS 430 Topic 2 Contemporary Nursing Practice
On the other hand, a BSN nurse will take a detailed patient history to identify current medications, history of hypertensive crisis, family history of chronic conditions, and social history. The history will help establish why the blood pressure is uncontrolled by antihypertensive therapy and identify the patient’s lifestyle behaviors that could exacerbate the condition. The BSN nurse will take the role of nurse educator and educate the patient on lifestyle modification to help lower blood pressure and prevent complications of hypertension.
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Significance of Applying Evidence-Based Practice to Nursing Care
Evidence-based practice (EBP) has evolved over the years to be the gold standard of care and significantly influences the BSN program. EBP entails taking into account the latest healthcare research when determining the course of patient care (Mackey & Bassendowski, 2017). EBP has helped reduce complications and morbidities associated with chronic diseases and lowered healthcare costs. NRS 430 Topic 2 Contemporary Nursing Practice
The BSN program has integrated EBP into the curriculum, and it fosters the adoption of EBP by increasing students’ knowledge and professional accountability. Furthermore, the BSN program focuses on training students in scientific research, which they apply to determine the best interventions for patient care (Mackey & Bassendowski, 2017). BSN students are trained in nursing research and are familiarized with research methodologies that equip them with EBP research skills. NRS 430 Topic 2 Contemporary Nursing Practice
Interdisciplinary Communication and Collaboration in Nursing Practice
Interdisciplinary teams in healthcare settings comprise physicians, nurses, pharmacists, and other health care professionals. Nurses today are part of the interdisciplinary teams and play a major role in deciding the care of patients (Cao et al., 2018). During patient rounds, they communicate with the interdisciplinary teams using the situation, background, assessment, and recommendation (SBAR) approach.
The SBAR approach briefly informs the team of a patient’s condition, assessment findings, plan of care, and recommendations (Cao et al., 2018). The SBAR improves interdisciplinary communication by bringing healthcare professionals to the patient’s bedside. Furthermore, the SBAR allows nurses to interact with the health team and give opinions on ways to improve clinical practices, thus promoting better patient outcomes. Communication and collaboration of nurses in the interdisciplinary teams minimize medical errors, improve patient outcomes, and reduce healthcare costs.
Conclusion
There have been drastic changes in nursing that have significantly led to the efficient delivery of patient care. Currently, nursing is an independent profession, and education qualifications determine the scope of practice. The ADN program focuses on clinical skills, while BSN focuses on management, leadership, nursing research, in addition to clinical skills. EBP in nursing practice has promoted better health outcomes and reduced healthcare costs. NRS 430 Topic 2 Contemporary Nursing Practice
NRS 430 Topic 2 Contemporary Nursing Practice References
Cao, V., Tan, L. D., Horn, F., Bland, D., Giri, P., Maken, K., … & Nguyen, H. B. (2018). Patient-centered structured interdisciplinary bedside rounds in the medical ICU. Critical care medicine, 46(1), 85-92. https://doi.org/10.1097/CCM.0000000000002807
Ghaffari, M. (2017). Preparing Nurses for Community Health Care: A Comparative Study of the ADN and BSN Programs. International Journal, 5(2), 32-45. https://doi.org/10.18488/journal.9.2018.52.32.45 NRS 430 Topic 2 Contemporary Nursing Practice
Mackey, A., & Bassendowski, S. (2017). The history of evidence-based practice in nursing education and practice. Journal of Professional Nursing, 33(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 Education, 56(10), 581-590. https://doi.org/10.3928/01484834-20170918-02
Masters, K. (2018). Role development in professional nursing practice. Jones & Bartlett Learning. NRS 430 Topic 2 Contemporary Nursing Practice
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. NRS 430 Topic 2 Contemporary Nursing Practice
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. NRS 430 Topic 2 Contemporary Nursing Practice
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. NRS 430 Topic 2 Contemporary Nursing Practice
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I have decided to continue my education to further my knowledge, become more of an asset to my field, and expand my career. I am completing the bridge program for MSN in education. I currently precept new employees to my unit, I teach at education health fairs and am a part of the employee moral committee on my unit. I have grown to love teaching and would like to become more involved in education on my unit. NRS 430 Topic 2 Contemporary Nursing Practice
With an MSN-E, I plan to work towards becoming the perinatal educator for the labor and delivery, NICU and post-partum units. I have just begun the program, so my plan may change; however, I know that I want to educate in the field that I am working currently. This is the perfect time for me to obtain my MSN-E because I just went part time at work in order to continue and further my education. NRS 430 Topic 2 Contemporary Nursing Practice
I am generally concerned about being in a completely online program and essay writting. I am grateful for the flexibility in the online program, but I have never attended school in this setting. Because of this, it has been an adjustment navigating and understanding the process. Working and exploring the Navigating Halo program has been very beneficial prior to starting class. This tool has been helpful by allowing me to learn how to navigate the classroom. The halo navigations system also gives me the opportunity to explore each link and learn more about them (Navigating Halo, 2021).
I plan to use the researching database, an essential tool, through the GCU library. There I can look up peer-reviewed articles by searching key concepts. I will be using the three Boolean operators AND, OR and NOT to narrow my search. Once I find articles, I will use the abstract to see if the article pertains to topic in question (Falkner, 2018). From there, I will use GCU’s writing center to reference how to formulate my papers. Using proper tools for APA formatting and citations will benefit me as well. Overall, I plan to use the proper tools to research appropriate articles, formulate a well-organized paper and avoid plagiarism in any of my work.
Angel Falkner (2018). Dynamics in Nursing: Art and Science of Professional Practice. CCC web books by AWS & CDD. Grand Canyon University (Ed.). https://lc.gcumedia.com/nrs430v/dynamics-in-nursing-art-and-science-of-professional-practice/v1.1/#/chapter/1 NRS 430 Topic 2 Contemporary Nursing Practice
Navigating Halo (2021). Grand Canyon University Technical support. Library. Student Success Center. https://lc.gcumedia.com/nrs430v/dynamics-in-nursing-art-and-science-of-professional-practice/v1.1/#/chapter/1
To excel in their professional roles, nurses should acquire diverse skills and comprehensively understand practice problems and solutions. Basic clinical skills can be acquired through certificates, diplomas, or degrees. A nurse’s competence is typically higher when they acquire the highest education possible, making nurses perceive continued education positively (Thielmann et al., 2019). As nurses continue to implement their roles, the nursing practice evolves in multiple dimensions.
This evolution impacts patient care outcomes, communication strategies, and care models, among other critical aspects. Nurses should understand this evolution and adapt effectively. The purpose of this paper is to describe nursing practice today while primarily focusing on its evolution and differences between associate (ADN) and baccalaureate (BSN) education in nursing. NRS 430 Topic 2 Contemporary Nursing Practice
Nursing Practice Changes, Scope of Practice, and Approach to Client Care
Nursing has evolved in many aspects, profoundly impacting nursing scope and patient care approaches. One of the many changes characterizing modern practice is the evolution of care delivery models. Undeniably, remote care is increasingly dominant in the current practice as providers strive to improve access to care and reduce costs (Snoswell et al., 2020). NRS 430 Topic 2 Contemporary Nursing Practice
Besides, there is an increased focus on value-based care in an attempt to improve care quality and patient satisfaction. Another significant change defining the current practice is the broadened scope of nursing. Nurses’ role is not limited to clinical care; nurses can effectively perform other roles that optimize health outcomes, including policymaking, advocacy, and health education. NRS 430 Topic 2 Contemporary Nursing Practice
The progressive changes in nursing practice have broadened nursing practice not to be limited to patient care. As the push for higher patient outcomes continues, nurses are currently playing a pivotal role in creating safer environments and promoting patient rights. This role typifies patient advocacy, where nurses serve as the voice of patients (Nsiah et al., 2019).
Regarding the approach to treating the individual, there is an increased focus on patient-centeredness and patient engagement. In such approaches, healthcare providers are not the sole decision-makers. Patients should understand the treatment processes and consent to them as nurses tailor care according to patient needs.
Comparison of Practice Competencies and Scope of Practice
Nurses’ competencies impact their ability to implement comprehensive patient care and other roles. An ADN is a two-year degree that prepares students to be registered nurses (RNs). However, since it takes a short time, an ADN focuses primarily on the technical skills that prepare nurses as clinicians. As Deering (2023) stated, BSN-prepared nurses are more skilled in clinical roles and other practice areas such as research, nursing leadership, and public health.
The four-year program provides BSN nurses with a larger base of knowledge than AND-prepared nurses. The BSN further provides expanded skills in critical thinking and administration. Regarding the scope of practice, BSN nurses have broader roles than ADN nurses due to more competence and a more comprehensive understanding of patient care.
Research further confirms a positive link between BSN nurses’ expanded skills and higher patient outcomes, which underlines the need for more such nursing professionals (Anbari, 2019; American Association of Colleges of Nursing, n.d.). As ADN nurses concentrate on the clinical role, BSN nurses conduct research, engage in leadership, and implement change in routine practice. Importantly, BSN nurses also enjoy more independence in decision-making than ADN nurses.
Nursing Care or Approaches to Decision Making
The differences in skills level between ADN and BSN-prepared nurses affect how they approach client care situations. A suitable scenario is where a patient presents to the healthcare setting with a persistent headache. An ADN will likely have a somatic approach to relieve symptoms while trying to calm and comfort the patient. The genesis of the headache could be established through a routine diagnosis to determine an effective treatment.
On the other hand, as Kim and Sim (2020) suggested, BSN-prepared nurses are more skilled in critical thinking, communication, and decision-making. Therefore, they will likely take a more holistic approach in the assessment process to determine the potential cause of the illness. Their higher communication and assessment skills would enable them to communicate with the patient, establish a healthy nurse-patient relationship, and develop a treatment plan that integrates the patient to foster adherence.
Significance of Applying Evidence-Based Practice to Nursing Care
The current nursing practice stresses evidence-based practice (EBP) and encourages nurses to apply it to address simple and complex health matters. EBP is primarily about blending current research evidence with clinical expertise and patient values for higher patient outcomes (Abu-Baker et al., 2021). It ensures that multiple components are considered during decision-making to address patient needs comprehensively.
The academic preparation of the RN-BSN nurse supports EBP application by expanding nurses’ research and leadership skills. Research skills enable nurses to explore, analyze, and critique current, peer-reviewed research. Leadership skills prepare nurses to lead change whose positive outcomes are achieved by implementing EBP.
Nursing Communication and Collaboration
Nurses work in different settings and need a shared approach to decision-making to achieve enhanced, consistent outcomes. They communicate and collaborate with interdisciplinary teams by sharing information and approaching common issues as a team.
Technologies have also allowed timely data sharing and analysis for better communication and collaboration. According to Walton et al. (2019), collaboration across disciplines supports safer and more effective practices by reducing errors and improving care coordination. Health care practitioners within the interdisciplinary team benefit from shared roles and diverse perspectives that enhance their understanding of patient care and interventions as situations obligate.
Conclusion
Nursing is an evolving practice characterized by many changes in patient care approaches occurring over time. Nurses should be competent multi-dimensionally to address patient needs comprehensively and adapt as the practice evolves. As discussed in this paper, the competency differences between ADN and BSN-prepared nurses affect how they respond to situations. Although both sets of nurses are skilled in clinical roles, BSN nurses have expanded knowledge of research, leadership, and critical thinking skills. Research skills prepare BSN nurses for a higher role in implementing evidence-based practice.
NRS 430 Topic 2 Contemporary Nursing Practice References
Abu-Baker, N. N., AbuAlrub, S., Obeidat, R. F., & Assmairan, K. (2021). Evidence-based practice beliefs and implementations: a cross-sectional study among undergraduate nursing students. BMC Nursing, 20(1), 1-8. https://doi.org/10.1186/s12912-020-00522-x
Anbari, A. B. (2019). What makes a BSN a BSN? Western Journal of Nursing Research, 41(2), 167–170. https://doi.org/10.1177/0193945918803683
American Association of Colleges of Nursing. (n.d.). Fact sheet: the impact of education on
nursing practice. https://www.aacnnursing.org/Portals/42/News/Factsheets/Education-Impact-Fact-Sheet.pdf
Deering, M. (2023). RN Diploma vs. ADN vs. BSN degree: what’s the difference? NurseJournal. https://nursejournal.org/degrees/bsn/rn-and-bsn-degree-differences/#:~:text=A%20BSN%20degree%20and%20an,school%20and%20your%20career%20goals.
Kim, A. Y., & Sim, I. O. (2020). Communication skills, problem-solving ability, understanding of patients’ conditions, and nurse’s perception of professionalism among clinical nurses: a structural equation model analysis. International Journal of Environmental Research and Public Health, 17(13), 4896. https://doi.org/10.3390/ijerph17134896
Nsiah, C., Siakwa, M., & Ninnoni, J. P. K. (2019). Registered Nurses’ description of patient advocacy in the clinical setting. Nursing Open, 6(3), 1124–1132. https://doi.org/10.1002/nop2.307
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 minimum requirement for Professional Practice. Nursing Education Perspectives, 40 (1), 25-29. doi: 10.1097/01.NEP.0000000000000391.
Walton, V., Hogden, A., Long, J. C., Johnson, J. K., & Greenfield, D. (2019). How do interprofessional 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
I agree that nursing students should go through training to better understand critical thinking and the impact it can have on their patient outcomes. “Critical thinking is an essential process for the safe, efficient, and skillful nursing practice. The nursing education programs should adopt attitudes that promote critical thinking and mobilize the skills of critical reasoning”.(Papathanasiou et al, para 6).
It is also very unfortunate that as a result of the pandemic nursing students missed the opportunity to work on their critical thinking skills because of the lack of in-person clinicals. I am excited to get more insight regarding critical thinking both during this program and while working as a nurse.
Papathanasiou, Ioanna, et al. “Critical Thinking: The Development of an Essential Skill for Nursing Students.” Acta Informatica Medica, vol. 22, no. 4, 2014, p. 283., https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4216424/
NRS 430 Topic 2 Contemporary Nursing Practice Rubric Criteria
Total150 points
Criterion
1. Unsatisfactory
2. Less than Satisfactory
3. Satisfactory
4. Good
5. Excellent
Argument Logic and Construction
Argument Logic and Construction
0 points
Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.
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