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the evolution of nursing chapter 1
the evolution of nursing chapter 1
contributions of florence nightingale in nursing practice
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Recommended: the evolution of nursing chapter 1
Nursing Process Approach to Malignant Melanoma
To fully comprehend the concept of the nursing process, one must first understanding what nursing is and the history of nursing. Nursing has evolved over the years from a basic system of care to a well-developed professional system in which special ways of think are applied in order to efficiently maximums patient care. The base of nursing is patient care, thus the nursing process is the foundation for nursing practice and key to ensuring the needs of the patient are met.
History
What is nursing? Florence Nightingale, first nursing theorist, defined nursing as having “charge of the personal health of somebody … and what nursing has to do … is to put the patient in the best condition for nature to act upon him” (Nightingale, 1946, p.6). The philosophy of nursing since then has been restated and refined; however the essence of what nursing is has stayed the same. The 2003 edition of ANA’s Nursing’s Social Policy is the most current definition of nursing that reflects the evolution of professional nursing. It defines nursing as:
Nursing is the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations (ANA, 2003).
In theory and practice, the focus of nurses is on the response of the individual and the family to actual or potential health problems. To evaluate patient care steps has to be taking that incorporates the collection of data and processing that data through critical thinking. The nursing process is essential because it incorporates this concept into a well throughout steps ...
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...Association (2010). Publication Manual of the American
Psychological Association (6th ed.). Washington, DC: Author.
American Nurses’ Association (2003). Nursing’s policy statement. Washington, DC: ANA
Chitty, K. K. & Black, B. P. (2007). Professional Nursing: Concepts and Challenges (6th
Ed.). New York: W. B. Saunders.
Chapter 13 (315p)
Potter, P., Perry, A. G., & Ochs, G. (2009). Fundamentals of Nursing (7th Ed.).
Philadelphia: PA, Mosby, Inc.
Wilkinson, J.M. (2007). Nursing Process & Critical Thinking (5th Ed.).
Upper Saddle River, NJ: Prentice Hall.
Chapter 1 (10p)
NightingaleF: Notes in nursing: what it is and what it is not, Philadelphia, 1946, JB Lippincott,
reprint (orgiginally published in 1859)
Critical thinking requires systematic disciplined use of universal intellectual standards (Paul and Elder, 2012). In nursing, the nursing process is a set of organized steps that aid a nurse in thinking critically and focus on how to solve problems related to the patient. The scholarly foundation of nursing practice was not expressed until the 1960s, when nursing teachers and pioneers started to distinguish and name the segments of nursing 's scholarly procedures. This denoted the start of the nursing process.
“The nursing process is an analytic problem solving method whereby the attainment of pre-determined nursing goals by means of chosen nursing care strategies is attempted through a systematic application of assessment, problem identification, planning, implementation and evaluation” (Arets and Morle, 1995, p311)
Since its establishment as a profession more than a century ago, Nursing has been a source for numerous debates related to its course, methods and development of nursing knowledge. Many nursing definitions and theories have evolved over time. Furthermore it is in a constant process of being redefined.
Clinical decision making involves the gathering of information, awareness, experience, and use of proper assessment tools. The term is often used when describing the critical role of nurses. The process is, therefore, continuous, contextual, and evolving. Authentic practices and experienced people are required to offer guidelines when needed. Effective decision making in clinical environment combines skills such as pattern recognition, excellent communication skills, ability to share, and working as a team, reflection, use of the available evidence and guidelines as well as application of critical thinking. A Clear understanding of this term contributes to consistency, broadening of the scope and improving the skills. However, this paper aims at providing an opinion on clinical decision making and how it is connected to nursing practices.
Research has demonstrated that nursing practice guided by theory from a perspective of nursing and caring has shown “improved patient and nurse satisfaction, and improvement in institutional reputation.” (Dyess et al., 2013, p. 167) Nursing theories specifically are created and shaped to describe this phenomenon called nursing. Afaf Meleis defines nursing theory as “a conceptualization of some aspect of nursing reality communicated for the purpose of describing phenomena, explaining relationships between phenomena, predicting consequences, or prescribing nursing care.” (Meleis, 2012, chap.
The nursing process is one of the most fundamental yet crucial aspects of the nursing profession. It guides patient care in a manner that creates an effective, safe, and health promoting process. The purpose and focus of this assessment paper is to detail the core aspects of the nursing process and creating nursing diagnoses for patients in a formal paper. The nursing process allows nurses to identify a patient’s health status, their current health problems, and also identify any potential health risks the patient may have. The nursing process is a broad assessment tool that can be applied to every patient but results in an individualized care plan tailored to the most important needs of the patient. The nurse can then implement this outcome oriented care plan and then evaluate and modify it to fit the patient’s progress (Taylor, C. R., Lillis, C., LeMone, P., & Lynn, P., 2011). The nursing process prioritizes care, creates safety checks so that essential assessments are not missing, and creates an organized routine, allowing nurses to be both efficient and responsible.
Implementation of nursing process (assess, diagnose, plan, implement, and evaluate) is the foundation of the way nurses think. Research done on critical thinking that mirrors the nursing process can make it easier to cognitively integrate critical thinking into routine nursing care—as
Nursing is one of the oldest professions. It isn’t a static occupation, as it has changed frequently over time. Its development and evolution has changed differently depending on the historical influences. As of today the nursing profession is changing and becoming larger and greater. Nursing has gone from being a career that did not require an education, to being one that is very respected and demands a high education.
Nurses are an essential part of the healthcare system and the society. Nurses require special knowledge, preparation and skill, in their profession. They must have adequate training on issues that pertain to handling patients, medicine and medical records among other issues. Nursing profession requires an advanced knowledge and skills that it outgrows the needs of any society for special services. Nursing profession is a calling because it involves a lot of sacrifice of personal time, patient, discipline, values, ethics and other essential qualities.
Nursing process discipline is a nursing theory developed by nursing theorist, Ida Jean Orlando. This theory, one of the first written about the nursing process, was written to help establish nursing as an independent function in providing health care for a patient. Through this independent nursing function, Orlando developed her theory on the concept of the nurse-patient interaction. During that interaction the nurse recognizes a patient behavior as an “… immediate need for help” (George, 2011, p. 165). This “immediate” need must be correctly identified by the nurse, so the nurse may provide care to relieve the need for help experienced by the patient. Orlando’s creation of the nursing process discipline helped to further establish nursing as a profession and aimed to “…recognize the pivotal importance of the patient participation and intelligent nurse deliberation in the nursing process” (Sitzman & Eichelberger, 2011, p. 118). The purpose of this paper is to introduce the reader to the basic concepts of Ida Jean Orlando’s nursing theory and the working correlation between patient behavior and the nurse reaction to that behavior.
Nursing is a discipline of knowledge acquired through formal education and through life experiences. My philosophy of nursing is to always see the beauty in the art of being a nurse. I chose nursing as my profession as caring for people and the nursing profession is a true art form.
It is an essential part of the nursing care plan. The Deliberative Nursing Process consists of five stages: assessment, diagnosis, planning, implementation, and evaluation. These stages focus on creating patient improvement or positive outcomes for patients (Wayne, 2014). The entire process is cyclical, individualized, and flexible, as you can determine whether to continue or modify the plan of care, or terminate the plan of care if the goals were achieved. All five steps are interrelated and depend on the accuracy of each of the preceding steps. The stages are collaborative as well. The nurse is required to communicate with the patient, their family, and other members of the healthcare team to provide quality, patient-centered care. In addition, the nurse uses critical thinking skills throughout the process. Research by Butts and Rich (2015) support Orlando’s theory is considered a middle
Nursing began with the reformation by Florence Nightingale. Nursing philosophy, science and research all define the nursing profession. The profession of nursing has advanced because of the concepts of philosophy, science, knowledge, and research. These concepts continue to develop into advanced practice nursing. The nursing process implements critical thinking skills and applies accountability to nursing. Two important philosophical foundations of science are rationalism and empiricism. These strategies help create nursing theories. Philosophy is a set of ideas, beliefs or values. Our own personal values and beliefs must be clear in order to meet the healthcare needs to our patients (Masters, 2017, p. 112). My own personal nursing
In the healthcare setting, a systematic process to ensure maximum care and maximum recovery in patients is needed, which is called the nursing process. This process consists of four steps: assessment, diagnosis, planning, implementation, and evaluation (Walton, 2016). The nursing process is important to ensure quality care and to get the preferred outcome. In the nursing process, critical thinking is used to recognize the issue and come up with a logical solution to solving it. One important aspect of the nursing process is that the plan is not set in stone; it is meant to be manipulated in order to better suit the patient. Nurses must be able to think critically in order to recognize the issue, develop a way to correct it, and be able to communicate the issue to others. Throughout the nursing process, critical thinking is used to determine the best plan of care for a patient based on their diagnosis.
Nursing is a medical profession that involves the care and management of patients majorly in the hospital setting. This paper seeks to illustrate the fact that nursing is both a science and an art. Nursing is a science because it involves evidence based practice, education of the public, lifelong learning for the nurse and administrative roles that are allocated to the nurses. Nursing is also an art because nurses depend on intuition, have the capacity to promote positive change, are understanding and culturally sensitive.