Contemporary Nursing Practice Essay Assignment

Contemporary Nursing Practice Essay Assignment

The field of nursing has changed over time. In a 750‐1,000-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 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.
3. 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.
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 client outcomes. Contemporary Nursing Practice Essay Assignment

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How nursing practice has changed over time

Nursing practice has evolved from domestic work and basic caretaking to requiring medical knowledge and real clinical experience. According to Alligood (2021), the history of professional nursing started with Florence Nightingale. She envisaged nurses as a body of educated women in an era when women were not educated or employed in public service. After providing her services organizing and caring for the wounded soldiers during the Crimean war, Nightingale’s vision and the creation of a nursing school at St. Thomas hospital in London marked the birth of contemporary nursing. Today, nurses have a wider range of practice options and can work in numerous focus areas and specializations such as emergency rooms, and ambulatory care.

The evolution of nursing has led to the expansion of nurses’ scope of practice. According to Feringa et al. (2018), during the last decades, there has been an evolution and expansion of the scope of practice (SOP) of registered nurses. A SOP of practice outlines the boundaries or parameters within which nurse practice and reflects what is manifestly nursing.  Globally, RNs perform activities that were in the past the prerogative of doctors, while some nursing tasks have been relegated to members of support staff.  The expectation is that tasks will continue to shift to registered nurses in the near future, particularly due to the rising health care cost and the emergence of non-communicable diseases globally.   The evolution of nursing has given rise to evidence-based practice, where nurses are required to use evidence-based treatments, think critically and attain higher levels of education. Contemporary Nursing Practice Essay Assignment

Compare the differentiated practice competencies between an associate (ADN) and baccalaureate (BSN) education in nursing

The graduates of ADN and   BSN nursing programs have specific competencies associated with their educational preparation and roles, and they are separately identified in four broad categories.  They are the enhancement and promotion of human flourishing of those they serve and themselves, growth of professional identity, demonstration of appropriate nursing judgment, and continuing a spirit of inquiry in practice. human flourishing competency requires  ADN nurses to engage in advocacy to promote flourishing in patients and families and the BSN nurse to extend the promotion of human flourishing to include patients as well as communities. Nnursing judgment competency requires ADN nurses to use evidence and nursing science, to make clinical Judgments about health promoting and care in communities, patients, and families, and BSN nurses to use evidence and science from nursing and other disciplines to provide health promotion and care for communities, patients and families. Professional identity competency requires ADN nurses to implement a nursing role embracing an evolving nursing identity showing commitment to quality, safe caring while the BSN nurse needs to manifest nursing identity via devotion to leadership in the provision of quality, safe care. Spirit of enquiry competency requires ADN nurse to examine evidence on which nursing practice is based while the BSN  nurse needs to assume the role of scholar and critique and contribute to the body of nursing knowledge(Claywell, 2021).

The scope of practice changes between an associate and baccalaureate nurse. Transitioning from ADN to BSN represents an evolution from technical registered nurses to professional registered nurses. Associate degree nurse usually focuses on technical tasks and daily care, like updating charts, administering basic procedures, or monitoring patients. In addition to providing direct patient care, BSN nurses can adopt management, administrative and leadership roles.  Claywell (2021) indicates that AND-prepared nurses are well provided to provide comprehensive bedside care in long-term and acute care settings. The nurse is not well prepared to practice in community health nursing or school environment or assume leadership responsibility

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Specific client care situation and how nursing care, or approaches to decision making, differ between the BSN‐prepared nurse and the ADN nurse.

Registered nurses have the role of formulating a nursing care plan. A nursing care plan outlines the plan of action that will be implemented during the medical care of a patient.  According to Royal (2016), the role of the BSN registered nurses is to provide leadership in patient care. Despite the work environment, the registered nurse with a BSN established a nursing care plan and collaborates with healthcare team members to ensure that care is patient-centered with collective goals to maintain or achieve the optimum health for the individual patient. A difference between the ADN and BSN nurse is the level of authority and responsibility in nursing practice. Although both ADN and BSN nurses will direct patient care utilizing the nursing process and nursing plan of care, the BSN nurse will also deliver care to more complex patients with multiple diagnoses. They have a more autonomous practice structure and a strong theoretical base that permit the BSN to apply critical thinking to the process of care decision-making. Contemporary Nursing Practice Essay Assignment

The significance of applying evidence‐based practice to nursing care

Evidence-based practice incorporates clinical expertise, patient values, and the best, latest available evidence. EBP is essential in nursing as it provides a wide range of benefits. It improves clinical outcomes for patients, assists nurses to build their body of knowledge, decreases healthcare costs, and reduces the gap between nursing education, practice and research.

The academic preparation of the RN -BSN nurse supports the application of EBP by building on students’ previous experience and education to prepare them for professional nursing. This includes developing the knowledge and skills they require to integrate EBP. Abu-Baker et al. (2021) posit that   it is essential to provide EBP education to undergraduate nursing students to improve their knowledge about EBP, enhance their self-efficacy in EBP implementation and reinforce their belief about the benefits of EBP to nurses and students

How nurses today communicate and collaborate with interdisciplinary teams

Nurses play an equal and active role in the interdisciplinary team, communicating and collaborating effectively with a variety of colleagues. This includes understanding the scope of practice and the role of all nursing team members as well as the interdisciplinary team. According to Benbow et al. (20190), a  nurse is an equal member of an interdisciplinary team and is required to be able to communicate effectively face to face and via digital technologies, including with agencies outside the organization, and also the capability to be assertive and challenges and offer constructive feedback about the care provided by other team members. This supports safer and more effective client outcomes because interdisciplinary care teams by decreasing misunderstandings and conflicts, eliminate fragmentation of care prevent errors, and enhance patient safety. Contemporary Nursing Practice Essay Assignment

References

Abu-Baker, N. N., AbuAlrub, S., Obeidat, R. F., & Assmairan. (2021). Evidence-based practice beliefs and implementations: a cross-sectional study among undergraduate nursing students.  BMC Nursing,  201, 13. https://doi.org/10.1186/s12912-020-00522-x

Alligood, M. R.  (2021) Nursing theorists and their Work E-Book.  Elsevier.

Benbow, W., Jordan, G., & Knight, A. (2019). A Handbook for Student Nurses, third edition: Introducing  Key Issues  Relevant to  Practice. Scion Publishing Ltd.

Claywell, L. (2021). LPN to RN Transitions – E-Book. Elsevier.

Feringa M. M.,  De Swardy, H. C., & Havenga, Y. (2018).  Registered nurses’ knowledge, attitude, practice and regulation regarding their scope of practice: A literature review.  International Journal of Africa nursing sciences, 7, 87-97. https://doi.org/10.1016/j.ijans.2018.04.001

Royal, P. L. (2016). Today’s Health Professions: Working Together to Provide Quality Care. F. A. Davis.

Contemporary Nursing Practice

Assessment Description

The field of nursing has changed over time. In a 750‐1,000-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 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.
  3. 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.
  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 client outcomes.

Review the “APA Formatting Tutorial,” located in Class Resources. Utilize the APA paper template and the APA Style Guide, located in the Student Success Center, to ensure correct paper formatting when preparing applicable assignments.

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. Contemporary Nursing Practice Essay Assignment

Contemporary Nursing Practice – Rubric

Criteria Description

Nursing Practice Changes, Scope of Practice, and Approach to Client Care

  1. Target

15 points

The essay comprehensively explains how nursing practice has changed over time, including how these changes have impacted the scope of practice and the approach to treating the individual.

 

Criteria Description

Comparison of Differentiated Practice Competencies and Scope of Practice

5. Target

22.5 points

The comparison of the differentiated practice competencies between the ADN and BSN is comprehensive. A detailed and well thought out explanation for how the scope of practice changes between an associate- and baccalaureate-prepared nurse is provided.

Criteria Description

Nursing Care or Approaches to Decision Making Regarding Client Care Differences

5. Target

22.5 points

A specific client care situation is identified, and a comprehensive description of how nursing care or approaches to decision making differ between the BSN-prepared nurse and the ADN nurse is provided.

Criteria Description

The Significance of Applying Evidence-Based Practice to Nursing Care and the RN-BSN-Prepared Nurse

5. Target

22.5 points

There is a comprehensive discussion about the significance of applying evidence-based practice to nursing care and a detailed explanation of how the academic preparation of the RN-BSN nurse supports its application.

Criteria Description

Nursing Communication and Collaboration with Interdisciplinary Teams to Support Client Outcomes

5. Target

22.5 points

The essay includes a comprehensive discussion about how nurses today communicate and collaborate with interdisciplinary teams. A comprehensive explanation of how this would support safer and more effective client outcomes is included.

Criteria Description

Thesis, Position, or Purpose

Communicates reason for writing and demonstrates awareness of audience.

5. Target

10.5 points

The thesis, position, or purpose is persuasively developed throughout and skillfully directed to a specific audience.

 

Criteria Description

Development, Structure, and Conclusion

Advances position or purpose throughout writing; conclusion aligns to and evolves from development.

5. Target

10.5 points

The thesis, position, or purpose is coherently and cohesively advanced throughout. The progression of ideas is coherent and unified. A convincing and unambiguous conclusion aligns to the development of the purpose.

 

Criteria Description

Evidence

Selects and integrates evidence to support and advance position/purpose; considers other perspectives.

5. Target

9 points

Comprehensive and compelling evidence is included. Multiple other perspectives are integrated effectively.

 

Criteria Description

Mechanics of Writing

Includes spelling, capitalization, punctuation, grammar, language use, sentence structure, etc.

5. Target

9 points

No mechanical errors are present. Skilled control of language choice and sentence structure are used throughout.

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Criteria Description

Format Documentation

Uses appropriate style, such as APA, MLA, etc., for college, subject, and level; documents sources using citations, footnotes, references, bibliography, etc., appropriate to assignment and discipline.

5. Target

6 points

No errors in formatting or documentation are present. Selectivity in the use of direct quotations and synthesis of sources is demonstrated. Contemporary Nursing Practice Essay Assignment