NRS 430 Assignment Contemporary Nursing Practice
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
Previously, nurses were not given formal nursing education but were instead given on-the-job training on how to provide basic care such as cleaning and dressing wounds. They had no autonomy and were dictated to by physicians. Women began receiving nursing training in small to medium-sized hospital systems as nursing practice evolved and more hospitals were established (Egenes, 2017). However, the training was observation-based and took two to three years, with no emphasis on the scientific rationale for interventions.
As medicine and technology advanced, there was a greater demand for complex and specialized nursing education. As a result, nursing education moved away from hospital observation and toward the classroom. Certification programs have been developed, which has altered the scope of nursing practice (Egenes, 2017). Nurses can also obtain Master’s and Doctorate degrees, which expand their scope of practice to include duties similar to those of physicians, such as taking histories and physical exams, making diagnoses, interpreting diagnostic results, and initiating treatment plans. Furthermore, nursing practice standards have been developed to ensure quality nursing care, and nurses are educated on ethical practice and 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.
Nursing practice involve wide range of health care activities. This paper seeks advance various key areas of contemporary nursing practice. In particular, the paper will discuss the evolution of nursing practice overtime, comparison and contrast of the differentiated practice competencies between an associate and baccalaureate education in nursing, identify a patient care situation that portrays how nursing care differs between the BSN prepared nurse and the ADN nurse, discussion of the essence of applying evidence-based practice to nursing and how RNBSN supports its application, and illustration of interdisciplinary team collaboration and communication among nurses and how it supports patient outcomes.
Evolution of Nursing Practice
Nursing practice has gradually changed overtime. According to Ranard, (2015), nursing was initiated when it did not require formal medical training but it was based on the gender and eagerness for the job. At that time, women would learn medical skills from their mothers or other women in nursing. Women were regarded as caretakers and nursing was perceived as extension of their job as care takers. Nurses used to deal with minor ailments and help patients who were unable to perform activities of daily living. However, the nursing profession started changing after the creation of council of nurses in different countries which brought the rules, standards, and regulations which turned the nursing into a profession (Ranard, 2015). Today, nursing profession has drastically changed and is characterized by extensive training programs, more responsibilities, better hospitals, focus on patient care, and more diversified staff. Moreover, the current nurses are more about leading change, promoting teamwork and consistency, prioritizing, and organizing, which have in turn changed the scope of practice and approach to treat an individual by increasing efficiency in health care, saved lives, and led to generations of devoted medical professionals. Essentially, the current nurses act as bridge that binds team of health care professionals and other disciplines together.
The field of nursing has changed over time. In a 7501,000 word paper, discuss nursing practice today by addressing the following:
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.
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 decisionmaking, differ between the BSNprepared nurse and the ADN nurse.
4. Discuss the significance of applying evidencebased practice to nursing care and explain how the academic preparation of the RNBSN 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.
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 theLopesWrite Technical Support articles for assistance.
Topic 2 DQ 1
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.
Topic 2 DQ 2
Describe how the nursing profession is viewed by the general public. Discuss factors that influence the public’s perception of nursing? Describe ways to educate the general public on the professional nurse’s role and scope of nursing within a changing health care system.
Topic 2 Participation
Read Chapter 3 in Dynamics in Nursing: Art and Science of Professional Practice.
Creating a More Highly Qualified Nursing Workforce
Read “Creating a More Highly Qualified Nursing Workforce,” by Rosseter (2015), located on the American Association of Colleges of Nursing (AACN) website.
The Impact of Education on Nursing Practice
Read “The Impact of Education on Nursing Practice,” by Rosseter (2017), located on the American Association of Colleges of Nursing (AACN) website.
Scope of Practice
Read “Scope of Practice,” located on the American Nurses Association (ANA) website.
Initial Course Survey
In an effort for continuous improvement, Grand Canyon University would like you to take this opportunity to provide feedback about your experience with the university. Your participation is appreciated.
What Is Nursing?
Read “What is Nursing,” located on the American Nurses Association (ANA) website.
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.
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.
You are required to cite a minimum of three sources to complete this assignment. Sources must be appropriate for the assignment and relevant to nursing practice.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.
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. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.
Compare and Contrast the Differentiated Practice Competencies between an Associate and Baccalaureate Education in Nursing
Nurses with Associate Degree in Nursing (ADN) and Bachelor of Science in Nursing (BSN) both practice as registered nurses. However, their competencies in practice vary significantly depending the variation in nursing education. The education of ADN takes a period of three years and it’s mostly technical. Moreover, it focuses on the clinical skills intended to enhance patient health status. The ADN scope of practice is usually task oriented and nurses are held responsible for their actions. ADNs are expected to have the ability of evaluating, planning, and executing proper patient care from the time patient visits to the triage until admission or discharge. On the other hand, BSN connotes a four-year program that involves various nursing issues such as nursing roles, critical thinking, patient care, supervision, management, and community health. Regarding the scope of practice, BSN nurses should portray independent decision-making and ability of problem solving. The scope of practice also involves integration of intellectual, emotional, physical, and social competencies to improve patient outcomes (Rosseter, 2014). Overall, BSN-prepared nurses provide more holistic care as opposed to ADN-prepared nurses because they take care of patients in the entire time of patient care, which begins from pre-admission to post-discharge.
Identification of a Patient Care Situation that Highlights the Difference in Nursing Care between the BSN Prepared Nurse and the ADN Nurse
In patient care situations, there are fundamental differences in approaches to decision-making between BSN-prepared nurses and ADN-prepared nurses. For instance, in a patient c are situation where the patient needs intubation in emergency room, the ADNs and BSN nurses are likely to portray differences in decision making approaches. The BSNs approach to decision is likely to be anchored on the management of the patient after intubation while ADNs approach to decision is directly focused on patient treatment since they have authority to intubate the patient and prescribe drugs to the patient. Likewise, in the decision making approaches involving end of life care, the BSNs will focus on various aspects such as the rights of the patient, legal, and palliative aspects, which the ADNs are not trained to focus on (Loversidge et al., 2018).
Significance of EBP to Nursing and How Academic Preparation of the RNBSN Nurse Supports EBP Application
Evidence-based practice (EBP) in nursing connotes application of best available evidence, patient inclinations, and clinical expertise to clinical practice. EBP is important in the nursing practice of care because it avails scientific research to nurses to guide their decision. Moreover, EBP helps nurses to be updated about the new medical guidelines for patient care. By relying on the best current documented interventions that matches the health care needs of the patients, nurses tend to increase recovery chances for the patients (Dang &Dearholt,2017). Overall, the implementation of EBP in health care is associated with better patient-outcomes, which can ultimately reduce the demand for health care resources. The EBP models of care are applied in healthcare organizations in a bid to standardize and deliver more reliable and quality patient care. On the other hand, the academic preparation of the RNBSN nurse supports EBP application because it sharpens RNBSN nurses’ skills on research. RNBSN nurse students learn how to incorporate nursing evidence, theories, clinical judgment, and patient preferences. As health care is increasingly becoming complex, EBP knowledge of EBP is crucial for the success of nurses. RNBSN-prepared nurses know how and where to pursue evidence-based guidelines and the manner of executing such guidelines in the routine nursing practice.
Interdisciplinary Team Collaboration and Communication among Nurses and How it Supports Safe and Effective Patient Outcomes
Multidisciplinary teams connote health care team members drawn from different areas of specialty with complementary skills, experience, and profession. For patients to receive better health care under the interdisciplinary team, nurses should communicate with pertinent experts concerning the treatment plan for their patient while acknowledging the responsibilities of each team member. Mostly, nurses serve a bridge between the health care organization, physicians, and patients. As such teamwork is crucial for nursing role. Therefore, it is imperative to facilitate open communication. Effective communication in multidisciplinary team ensures safe and more effective patient outcomes by ensuring quality patient-oriented care. It also ensures reduction in medical errors and enhances patient experience with health care. Ultimately, this will reduce the health care cost (American Association of Colleges of Nursing, 2015).
The nursing profession has evolved from a situation where it did not require formal medical training to the present practice where nursing is considered as a valuable profession extensive training programs and more patient health care responsibilities. On the other hand, the practice competencies between ADN and BSN prepared nurses varies significantly. BSN-prepared nurses provide more holistic care as opposed to ADN-prepared nurses because they take care of patients in the entire time of patient care, which begins from pre-admission to post-discharge. It has also been established that the implementation of EBP in health care is associated with better patient-outcomes. Finally, interdisciplinary team collaboration is crucial in ensuring safe and effective health care services, which leads to positive patient outcomes and satisfaction with health care services.
American Association of Colleges of Nursing. (2015). Creating a more highly qualified nursing workforce. Retrieved September, 30.
Dang, D., &Dearholt, S. L. (2017). Johns Hopkins nursing evidence-based practice: Model and guidelines. Sigma Theta Tau.
Loversidge, J., Yen, P. Y., Chipps, E., Gallagher-Ford, L., Genter, L., & Buck, J. (2018). Top-of-license nursing practice, part 2: differentiating BSN and ADN perceptions of top-of-license activities. JONA: The Journal of Nursing Administration, 48(6), 329-334.
Ranard, C. (2015). How Nursing Has Changed Over Time – Minority Nurse. Minority Nurse. Retrieved 29 September 2020, from https://minoritynurse.com/how-nursing-has-changed-over-time/.
Rosseter, R. J. (2014). The impact of education on nursing practice. American Association of Colleges of Nursing Fact Sheet.
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%)
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.
Click here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS: NRS 430 Assignment Contemporary Nursing Practice
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.
NRS 430 Contemporary Nursing Practice Assignment
Topic 1 DQ 1
It has been my desire to return to school to earn my bachelor’s degree in nursing since I graduated as an RN but have not been able to enroll due to a couple of challenges hindering me. Fortunately, I ran across an old friend who told me that she has her Bachelors degree and back again for her masters. She gave me the reason to leave my comfort zone to this wake up call.
To advance my nursing career, continuing education is necessary to attain my goal in a managerial position. Obviously, many hospitals and other healthcare facilities have preferences for nurses with a Bachelors degree. Also, there are more job opportunities in different fields of nursing. The desire to be enlightened and current with evidence-based practice will improve my competency.
Meanwhile, I have been a face-to-face student and have never enrolled in an online class, so I am concerned about taking my classes online and worried if I will be able to navigate the virtual learning process. Also, being a mother of six lovely children and working full time might be challenging with the school workload.
To be successful in this program, I will have to be able to manage my time effectively and efficiently. Also, by avoiding distractions and adhering to my schedule to achieve my desired goal. It is important for me to study material thoroughly to help me retain the information being passed on. I will also incorporate exercise to help me relieve stress.
Discuss the difference between a nursing conceptual model and a nursing theory.
Select a nursing theory and provide a concise summary of it. Provide an example in nursing practice where the nursing theory you selected would be effective in managing patient care.
Re: Topic 3 DQ 2
A nursing conceptual model is more of an abstract or a roadmap meant to guide researchers in their study. Meanwhile, the theory describes a specific nursing event. The theoretical framework in research is based upon existing approaches such as the theory of behavior or the theory of motivation. Meanwhile, a conceptual framework can be developed by an individual based on the theory (McKenna, 2006). In other words, a researcher may adopt a concept in the particular theory at the same time, add variables that they may feel are relevant to their study.
Dorothea Orem’s self-care deficit nursing theory is a theory based upon the philosophy that all “patients wish to care for themselves” (Hartweg, 1991). Also known as Orem’s theory, the self-care deficit nursing theory argues that patients can recover more holistically if they are allowed to perform self-care to the best of their capabilities. Therefore, Orem advocated for nurses to rate their patient’s self-care deficits to articulate the best support modality for them. Orem’s self–care deficit nursing theory can be applied to assess a patient’s condition, identify the needs of a patient, and recommend solutions to the identified needs of the patient (Kumar, 2007). this theory helps nurses provide care that is comprehensive and evidence-based, which helps improve the overall outcomes. By identifying a patient’s self-care requisites, nurses can manage and deliver patient care that is supportive and patient-centered.
Hartweg, D. L. (1991). Dorothea Orem: Self-care deficit theory. SAGE Publications, Inc., https://www.doi.org/10.4135/9781483325842
Kumar C. P. (2007). Application of Orem’s self-care deficit theory and standardized nursing languages in a case study of a woman with diabetes. International journal of nursing terminologies and classifications: the official journal of NANDA International, 18(3), 103–110. https://doi.org/10.1111/j.1744-618X.2007.00058.x
McKenna, H. (1997). Nursing Theories and Models (1st ed.). Routledge. https://doi.org/10.4324/9780203135440
Thank you Pepper! I do appreciate any resources I can get. It seems that online class were growing and now since COVID have become increasingly popular. There are many benefits such as learning at your own pace and being able to complete the work at any time of the day. Online learning makes it possible for many individuals to go back to school while balancing a work and personal life. Even though online learning is growing and the demand for higher education increases, we need to remember that there are risks. Plagiarism can increase with larger access to an abundance of resources. Plagiarism, intentional or unintentional, has a higher increase in probability (Falkner, 2018). Luckly we have the Student Success Center to avoid this.
I first wanted to mention that I think it is great you are getting your MSN-E to be a unit-based educator. I have worked in my current unit for almost seven years, and we have gone through five different educators. I feel it is unfortunate, and we see a constant change in learning methods, styles, and practice standards. In addition, I have seen the change in people’s skill levels coming off of orientation differ with each educator.
When you talked about not attending school in this setting, I’m with you on that! I genuinely like the in-class environment. I get to remove all the distractions from the world and soak in the knowledge the teacher exhibits. I have already been feeling a little overwhelmed with learning to navigate this virtual world.
I read Tips for Successful Students from the University of Saskatchewan from our syllabus went to the University’s website and found they have many PDF files relating to tips and tricks. “SLS Study Skills: Study Skills Tip Sheets” (Univ. of Saskatchewan, 2022). They have a great selection of strategies under the Online and Remote Learning Success section. Maybe there is something there for all of us during these online times.
I already dig the first PDF, and they are easy to read. I’m going to go put up a kitty poster that says “Hang in There” and my Rosie the Riveter Poster. It sounds cheesy, but sometimes I just need some visual reminders to tell me I can do this.
The University of Saskatchewan Libaray. (2022, March 28). SLS Study Skills: Study Skills Tip Sheets. https://libguides.usask.ca/studyskills/wallofhandouts
|Course Code||Class Code|
|NRS-430V||NRS-430V-O102||Contemporary Nursing Practice||150.0|
|Criteria||Percentage||Unsatisfactory (0.00%)||Less than Satisfactory (75.00%)||Satisfactory (79.00%)||Good (89.00%)||Excellent (100.00%)||Comments||Points Earned|
|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.||
PLACE THIS ORDER OR A SIMILAR ORDER WITH SUPERIOR NURSING PAPERS TODAY AND GET AN AMAZING DISCOUNT