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 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.

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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.

Prepare this assignment according to the guidelines found in the APA Style Guide. 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.

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Nursing Practice

Nursing Practice

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.           

            Unlike today where care is provided in healthcare facilities, the nursing profession was carried out in households during ancient times. Being one of the oldest occupations, nursing lacked formal medical training. Mothers and family members provided care for the sick in ancient times. Care was not differentiated like today, whereby it considers gender and specification of service. In the contemporary world, nursing is characterized by extensive training programs. Unlike in the past, when nurses were called caregivers, today, the profession gets prestige. Florence Nightingale is considered one of the first nurses who offered training. After the 19th century, nurses were subjected to nursing programs, certifications, degrees, and specialties. Training in the old times was rudimentary. In the 20th century, nurses started to receive basic healthcare skills in their homes (Stievano et al., 2019). Practicing nurses are needed in correctional facilities and medical schools to offer basic care training. In the ancient past, nursing responsibilities were few compared to today. Women were the sole nurses, but today, men study nursing and practice the profession in hospitals. In the past, responsibilities were simulative to household chores until extensive and comprehensive training came into play( Leary & MacLaine, 2019). Current responsibilities are professional like although they resemble those of other medical professionals. Now, nursing takes a real world application, which is to provide care. The application of technology was not present in the 19th century. Fast forward, innovations and medical researches have transformed the nursing scope. Medical advancements have shifted nursing care comprising dermatology, midwifery, amongst others.

Compare and contrast the differentiated practice competencies between an associate and baccalaureate education in nursing. Explain how the scope of practice changes between an associate and baccalaureate nurse.

              There are few competency practice differences between associate and baccalaureate education in nursing. The perception is that baccalaureate nurses are better than associate nurses because they a groomed to handle various nursing competencies. Associate nurses are trained to take technical roles. Even though both educations are needed to become registered nurses, the instructions given determine nursing competencies (Matthias & Kim-Godwin, 2016). Associate nursing students undertake a one-year program in a community college, whereas a baccalaureate takes a more extended period. A baccalaureate program involves patient care, extensive research, and critical thought, thus expanding competencies. An associate nurse knows about the physical, emotional, and societal aspects of health (Tyndall& Scott, 2017). A BSN is a mixture of ASN competencies, religious, and rational constituents of health. A BSN nurse is obliged to attend and coordinate care, whereas an associate nurse attends to patients.

Identify a patient care situation and describe how nursing care, or approaches to decisionmaking, differs between the BSNprepared nurse and the ADN nurse.

              The nursing objective is to treat patients’ end-stage renal disease is to manage the condition and prevent reversible causes of kidney failure. Nursing care decisions would be geared towards taking measurements on body fluids, maintain electrolyte balance, and monitoring the condition signs. The decisions would help slow the disease’s progression to a life threatening stage (Anbari & Vogelsmeier, 2018). A BSN‐or ADN nurse intervention would provide advanced care, thus preventing the possibilities of complications, impairments, and infections. ADN and BSN Approaches somewhat offer the same interventions due to the advancements in nursing. BSN nurses are better communicators, leaders, managers, and decision-makers for this healthcare situation (Kavanagh, & Szweda, 2017). Education received ensures nurses are better prepared to carry out clinical procedures while guaranteeing safety to the patient. A BSN assures better healthcare outcomes due to supplemented skills that are not present in ADN nursing. The probability of using evidence-based practice in solving a problem is highest in BSN compared to ADN.

Discuss the significance of applying evidencebased practice to nursing care and explain how the academic preparation of the RNBSN nurse supports its application.

              It is imperative to apply evidence‐based practice in nursing care because nurses have access to scientific research needs to make thoughtful decisions. Evidence‐based practices ensure nurses are aware of new medical procedures. It is easy to evaluate medical research with evidence-based practice (Karagiannis, 2019). Patients feel included in a care plan through the use of EBP. Patients get to share their values, suggest and voice their claims openly without intimidation. The demand for healthcare resources decreases when EBP is applied (Ellis, 2019). During the academic preparation of RN‐BSN nurses, students are trained on multiple elements of patient care. Nurses are trained to become healthcare managers and leaders that are essential in contemporary practice. EBP in ADN and BSN stirs nurses to embrace technology and consider health advocacy.

Discuss how nurses today communicate and collaborate with interdisciplinary teams and how this supports safer and more effective patient outcomes.

              Communication and coordination in healthcare are care is critical. One service provider cannot address patients’ concerns, and that’s when interdisciplinary teams come into effect (Griffiths, 2018). Care providers are dependent on each other to perform diagnosis and treat patients. The increase of complicated conditions has led to specialized care that needs multidisciplinary interventions; communication is evident when practitioners share information physically or electronically. Listening skills and the providence of feedback is essential in care. Practitioners ought to gather the patient’s information and liaise with other professionals for enhanced care. Teamwork in care enhances patient safety because all symptoms are addressed by different professionals (Liu, Gerdtz, & Manias, 2016). Besides physical wellness, the psychological state of a patient is important for better outcomes. Interdisciplinary conferences help address complex issues that may affect the patient’s safety. Interactions herein formulate collaboration plans for a comprehensive care approach needed for the continuum of care.

References

Griffiths, B. (2018). Preparing tomorrow’s nurses for collaborative quality care through simulation. Teaching and Learning in Nursing13(1), 46-50. https://doi.org/10.1016/j.teln.2017.08.005

Liu, W., Gerdtz, M., & Manias, E. (2016). Creating opportunities for interdisciplinary collaboration and patient‐centred care: how nurses, doctors, pharmacists and patients use communication strategies when managing medications in an acute hospital setting. Journal of clinical nursing25(19-20), 2943-2957. https://doi.org/10.1111/jocn.13360

Karagiannis, T. (2019). The Importance of Applying Evidence-Based Medicine in Clinical Practice. In Management of Hypertension (pp. 3-17). Springer, Cham. https://doi.org/10.1007/978-3-319-92946-0_1

Ellis, P. (2019). Evidence-based practice in nursing. Learning Matters.

Anbari, A. B., & Vogelsmeier, A. (2018). Associate Degree in Nursing-to-Bachelor of Science in Nursing Graduates’ Education and Their Perceived Ability to Keep Patients Safe. Journal of Nursing Education57(5), 300-303. https://doi.org/10.3928/01484834-20180420-09

Stievano, A., Caruso, R., Pittella, F., Shaffer, F. A., Rocco, G., & Fairman, J. (2019). Shaping nursing profession regulation through history–a systematic review. International Nursing Review66(1), 17-29. https://doi.org/10.1111/inr.12449

Matthias, A. D., & Kim-Godwin, Y. S. (2016). RN-BSN students’ perceptions of the differences in practice of the ADN-and BSN-prepared RN. Nurse educator41(4), 208-211. doi: 10.1097/NNE.0000000000000244

Kavanagh, J. M., & Szweda, C. (2017). A crisis in competency: The strategic and ethical imperative to assessing new graduate nurses’ clinical reasoning. Nursing Education Perspectives38(2), 57-62. doi: 10.1097/01.NEP.0000000000000112

Tyndall, D. E., & Scott, E. S. (2017). Writing development in associate degree in nursing-to-baccalaureate degree in nursing students: Moving out of the comfort zone. Journal of Nursing Education56(3), 182-185. https://doi.org/10.3928/01484834-20170222-11

Leary, A., & MacLaine, K. (2019). The evolution of advanced nursing practice: past, present and future. Nursing Times115(10), 19-20.