Assignment: NRS 430 Topic 2 The field of nursing has changed over time. In a 750-1,000 word paper, discuss nursing practice today by addressing the following:
Assignment: NRS 430 Topic 2 The field of nursing has changed over time. In a 750-1,000 word paper, discuss nursing practice today by addressing the following:
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 the differentiated practice competencies between an associate (ADN) and baccalaureate (BSN) education in nursing. Explain how scope of practice changes between an associate and baccalaureate nurse.
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Identify a specific client 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 client outcomes.
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Contemporary Nursing Practice
Nursing practice has undergone significant transformation over time. Unlike the past, current nurses can perform complex roles, which increase their autonomy in practice. Nursing specialties provide nurses the opportunities to offer advanced care to specific populations. Evidence-based practice ensures nurses provide high-quality, safe and efficient care to their patients. Therefore, this essay examines the evolution of nursing, comparison of ADN and BSN roles, communication and collaboration in nursing, and importance of evidence-based practice to nursing.
How Nursing Practice Has Changed Over Time
Nursing practice has changed over time. Unlike in the past, nurses currently are highly trained and equipped with essential knowledge and skills needed for them to be critical thinkers and be able to handle complex situations. The advanced training for nurses has enabled them to function independently unlike in the past when they relied on physicians in the decision-making processes. Nurses in the modern world are also sophisticated in other areas of service provision such as advocacy, legislation, leadership and management. Current nurses are empowered and supported to advocate for health equity and adoption of policies that advance the profession. Current nurses are also equipped with competencies to use technology in the provision of patient care services. They incorporate technologies to ensure efficiency, quality, and patient-centeredness in the care process (Bryant et al., 2020; Hansen-Turton & Rothman, 2022). Nurses can now collaborate with other healthcare providers efficiently using healthcare technologies to improve patient outcomes.
Comparison of Associate (ADN) and Baccalaureate (BSN)
ADNs and BSNs differ based on some areas of their practice competencies. While BSNs are trained to be professional nurses, ADNs are trained on the technical aspects of nursing practice. BSNs enjoy a wide scope of practice, which includes clinical practice, nursing education, research, and management. This makes BSNs more versatile in their areas of focus, which can include nursing leadership, research, management, clinical practice, and working with communities to improve their health-related outcomes. ADNs’ scope of practice appears limited compared to that of the BSNs. For instance, they largely provide basic patient care such as recording vital signs and patient education. Despite the differences, both ADNs and BSNs are trained to provide care that meets the universally accepted standards of nursing care (Curtis, 2020). Therefore, BSNs have an upper hand in terms of their scope of practice and opportunities in the healthcare industry as compared to ADNs.
Specific Client Situation
The care given by a BSN prepared and ADN prepared nurse would differ when caring for a patient with uncontrolled hypertension. While both nurses will provide care that meets the minimum expected nursing standards, one will observe some differences in their approach to care. Both nurses will perform a comprehensive patient assessment. However, the ADN nurse will largely focus on addressing the patient’s immediate needs. A BSN prepared nurse will be likely to offer holistic care. The nurse will go an extra mile to identify patient factors that affect treatment adherence and approaches to address them. A BSN nurse might also be largely involved in an interdisciplinary team that is caring for the patient. The nurse recognizes the importance of interprofessional collaboration for the realization of sustainable outcomes in the patient’s treatment. An ADN nurse will be likely to provide care under healthcare team’s direction (Curtis, 2020). They might not be actively involved in interprofessional decision-making.
Significance of Applying Evidence-Based Practice to Nursing
Evidence-based practice is an important part of nursing in the modern world. Evidence-based practice focuses on the use of best available evidence, professional expertise, and patient’s values and preferences in the decision-making processes. Evidendence-based practice improves patient outcomes. The use of best available evidence, informed by professional expertise and patient preferences ensure the adoption of patient-centered approaches that optimize health outcomes (Alqahtani et al., 2020). The interventions reduce the risk of complications in disease management and improve patient satisfaction, engagement, and treatment adherence.
Evidence-based practice also improves safety and quality in the care process. The use of best evidence in the care process eliminates and reduces the risk and rate of adverse events, errors, and complications, which could worsen patient health status. Evidence-based practice also promotes efficiency. Reduction in, prevention errors, and adverse events lower the costs patients and healthcare organizations incur. The academic preparation of the RN nurse supports the application of evidence-based practice to their role. This can be seen in their training, which focuses on equipping RN nurses with knowledge and skills in nursing research, translation of evidence into practice, use of critical thinking, and interprofessional collaboration to improve care outcomes (Alatawi et al., 2020).
How Nurses Today Communicate and Collaborate with Interdisciplinary Teams
Nurses communicate and collaborate with interdisciplinary teams to improve care outcomes. One of the approaches to communication and collaboration between nurses and interdisciplinary teams is the use of healthcare technologies to coordinate patient care. Nurses utilize healthcare technologies such as telehealth to collaborate virtually with other members of the interdisciplinary teams in undertaking roles such as patient assessment, planning, implementing, monitoring, and evaluating treatment outcomes (Zhou et al., 2021).
Nurses are also part of the interdisciplinary teams involved in direct patient care in their clinical settings. They collaborate with other healthcare providers such as physicians, social workers, and physical therapists to determine the appropriate care that patients require for their optimum health and wellbeing. Nurses provide valuable inputs that will influence treatment decisions for their patients. The nurses’ role in interdisciplinary teams supports safer and more effective client outcomes. Nurses stay with patients in most of their time compared to other healthcare providers. As a result, they have a better understanding of the needs of their patients (Campbell et al., 2020). Their inputs in interdisciplinary teams ensure the provision of patient-centered care that optimize safety, quality, efficiency and patient outcomes, including patient satisfaction and empowerment.
Conclusion
In summary, nursing has undergone significant evolution since the past decades. The scope of practice for BSNs differs from that of the ADNs. The approaches to care by BSNs and ADNs also differ. Evidence-based practice is important in nursing. Academic preparation of the RN BSN supports evidence-based practice application. Nurses are a crucial part of the interdisciplinary teams involved in patient care.
References
Alatawi, M., Aljuhani, E., Alsufiany, F., Aleid, K., Rawah, R., Aljanabi, S., & Banakhar, M. (2020). Barriers of Implementing Evidence-Based Practice in Nursing Profession: A Literature Review. American Journal of Nursing Science, 9(1), 35. https://doi.org/10.11648/j.ajns.20200901.16
Alqahtani, N., Oh, K. M., Kitsantas, P., & Rodan, M. (2020). Nurses’ evidence-based practice knowledge, attitudes and implementation: A cross-sectional study. Journal of Clinical Nursing, 29(1–2), 274–283. https://doi.org/10.1111/jocn.15097
Bryant, K., Aebersold, M. L., Jeffries, P. R., & Kardong-Edgren, S. (2020). Innovations in Simulation: Nursing Leaders’ Exchange of Best Practices. Clinical Simulation in Nursing, 41, 33-40.e1. https://doi.org/10.1016/j.ecns.2019.09.002
Campbell, A. R., Layne, D., Scott, E., & Wei, H. (2020). Interventions to promote teamwork, delegation and communication among registered nurses and nursing assistants: An integrative review. Journal of Nursing Management, 28(7), 1465–1472. https://doi.org/10.1111/jonm.13083
Curtis, S. B. (2020). Novice ADN and BSN: Comparative Study of Behavioral Intention for Practice Change [PhD Thesis, Capella University]. https://search.proquest.com/openview/43a43963f4cbf0694f6920e8341299f6/1?pq-origsite=gscholar&cbl=44156
Hansen-Turton, T., & Rothman, N. L. (2022). 15 – Health policy for advanced practice nurses: The nurse-led care evolution and policy implications for improving services for populations experiencing disproportionate health disparities. In D. Seibert, B. Malone, & P. DeLeon (Eds.), Shaping Nursing Healthcare Policy (pp. 181–195). Academic Press. https://doi.org/10.1016/B978-0-323-99993-9.00005-6
Zhou, Y., Li, Z., & Li, Y. (2021). Interdisciplinary collaboration between nursing and engineering in health care: A scoping review. International Journal of Nursing Studies, 117, 103900. https://doi.org/10.1016/j.ijnurstu.2021.103900