Evolving Practice of Nursing and Patient Care

The government policy makers shown that nursing service are provided and to affect the career pathways and education. The policies are impacting on professional roles and boundaries in health care service. Nurses are becoming more individually on their own practice and they have been at the vanguard of new role development. The nursing profession has also been challenges by advances technology in health care. By becoming more knowledgeable about policy, legal and ethical standard decision-making, nurses can conquer these challenges.

“The legislation has begun the long process of shifting the focus of the U.S. health care system away from acute and specialty care. The need for this shift in focus has become particularly urgent with respect to chronic conditions; primary care, including care coordination and transitional care; prevention and wellness” (IOM, 2011). As more care is provided through Primary Care, walk-in clinics, and community outreach programs, “Nurses are being called upon to coordinate care among a variety of clinicians and community agencies; to help patients manage chronic illnesses, thereby preventing acute care episodes and disease progression; and to use a variety of technological tools to improve the quality and effectiveness of care. A more educated nursing workforce would be better equipped to meet these demands” (IOM. 2011).

We as nurses must accept that change is an inevitable part of our job. This means that our roles and requirements are ever changing (Finkelman, 2012). With the increase in diversity of our patients to now focusing on not just the patient themselves but the patient and the patient’s family as those we provide care to may be a major stressor. This is where leadership comes in, if a change is to take place but there is poor planning and execution then there will be resistance to this change (Glaever & Helleso, 2010). This is where the leader must step up and collaborate with other members of the health care team and management.

Virginia Henderson developed the nursing need theory, which focuses on increasing the patient’s independence to speed up the recovery process (Alligood and Tomey, 2009). This is where my theory begins to connect with hers. Our main duty as nurses is to provide care for the patient while they are unable to care for themselves and facilitate them to be the best individual they can be. For this reason nursing is both a science and an art. It is a science in that nurses must understand the disease processes that are affecting the patient’s health, they must also practice based on evidence that is defended by science, and know how to operate equipment and machines.

After reviewing the research articles and discovering nosocomial CLABSIs are an issue in many areas of nursing care, it is evident nurses need further education on this matter. It would also be beneficial to establish a quality assurance change plan and establish set guidelines for staff to follow when inserting, and caring, for CLs. Continuing education is always an advantage in nursing. Keeping current with evidence-based practices and research, ensures nurses are up to date on the current literature allowing them to provide quality, safe patient care. The research conducted in these articles highlighted the fact that educating staff led to improved patient outcomes in relation to nosocomial CLABSIs.

The nursing roles and responsibilities are evolving to health promotion by looking at the history where we find the main role of nursing was to take care of patients and to treat their disease condition. However in the present times we find that nurses are getting more educated and the roles and responsibilities of nurses are growing to be more complex including multitasking. In these modern times nurses not only treat the disease condition of the patients by giving them pain medications and other types of medications like PO, IM, IV, dressing changes, chemo treatment, cardiac monitors, CPR, including care and comfort measures. But the focus is further advanced to health promotion. Where nurses keep educating their patients including their families to eat healthy fo... ... middle of paper ... ... and exams for people with known cancers and other risk factors.

It is my opinion that appropriate health assessments are necessary to ensure a patient receives the correct treatment plan. All health assessment frameworks follow the same steps in organizing treatment, due to the wide scope of nursing disciplines there are varying focuses on these individual steps i.e. the emergency room could be more focused on the assessment in order to triage the patient. To help alleviate the patients or family members who may be distraught a health professional should take the time to expla... ... middle of paper ... ... of previous events. To conclude, reflection is a skill necessary to the efficient function of a nurse in order to identify risk factors, which can be reduced by better preparation.

The standards issued herein may be utilized as the indication of the standard of care, with the knowledge that the application of the rules is context dependent. The standards are determined to change with the dynamics of the nursing profession as new models of professional practice are developed and affirmed by the nursing education and the society. In addition, specific requirements and clinical circumstances may also affect the application of the criteria at a given time; e.g., during an emergency and natural disaster or in the war. The standards are directed to formal, periodic review and revision. Nurses should practice to the full extent of their education and training.

This verbal exchanges include both spoken and written communication. Secondly, the nursing situations where the needs of patients are assess and evaluate, or what the nurses do as nursing actions in the situation. And finally, nurses connect values and the nursing situations to serve a specific need in society. For a collaborating situation, nurses would identify risks of disease, injury or premature death; identify also the needs (physical and emotional needs), the values, the strengths and resources for their patients. Another way for king’s theory goal of attainment is for nurses to lead patient, family and community by increasing their quality of life.

According to Claywell (2014), a nurse should apply interpersonal skills, energy and motivation to perform the key tasks assigned to the RN, who is responsible for leading others in change and uses evidence based practices. Besides, a nursing student should be focused on balancing education, family and work. High levels of stress caused by the lack of balance of education, family and work have a strong impact on any nursing student. Due attention should be paid to modification of critical thinking skills and values in order to establish the most appropriate communication practices, and other activities related to the new role. There is a need for conducting self-assessment and self-reflection practices which help to identify the strengths and weaknesses, which affect the desired change.