Professional Boundaries

Evolving Practice of Nursing and Patient care Delivery models. In the nursing practice, the obligations of tasks of nurses are going to be affected by the changes in the future in the United States. Because the health care system are reformed and also have to give Services that will gain the community, nurses are demanded to take on more various roles continues care. Cost effective which is centered on the patient can be provided by health clinics and medically based homes have nurse managers. In the endless and total care of the, responsible care Organizations are helping nurses to take accountability.

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.

A nurse must be able to connect with the patient based on their needs. A nurse has the to the ability to strategize and design a care plan that fit the patients and will reach every one of their needs. A nurse’s role is a lot more that than just administering medication, it goes beyond that and hospitals need to consider the effect it will have if they cut back on their nursing

In the nursing practice, critical thinking for medical decision-formulating is the capacity to contemplate in a logical and systematic way with readiness to question plus reflect upon the thinking process utilized to guarantee safe practice of nursing plus quality patient care. (Facione, Facione & Sanchez, 2010). How nurses view the patients and the kinds of problems that the nurses manage in practice while they engage in patient care? They need to be certain, precise and just in front of the patients. Their reasoning is sufficient for their expected purpose.

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.

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.

In the healthcare setting it becomes highly relevant for the nurse to have the ability to lead, as it is important to be able to work within or lead a team to facilitate quality and safe care for patients (Coelho Amestoy et al. 2014). Coelho Amestoy et al. (2014) also reflect on the challenges that the rn can face in trying to assume the leadership role in the healthcare setting, as there are many health professionals in in this setting there may be conflicting ideas in relation the care. Influential leadership skills are needed by all RNs, from those in management positions and especially to RNs providing direct care to patients (Curtis, DeVries and Sheerin, 2011).

This is where the leader must step up and collaborate with other members of the health care team and management. Also it is important that all nurses participate in the change this will make things go more smoothly and leaders have it in their power to help persuade a change in the staffs behavior and attitudes towards the change ... ... middle of paper ... ...Retrieved from http://web.ebscohost.com/ehost/pdfviewer/pdfviewer?vid=7&sid=7a2956b6-6a70-4ff9-9b3a-8305bb29b0ab%40sessionmgr12&hid=9 Hinckley, P. (2009, March 1). Making Change work. American School board Journal, 27-28. Retrieved from http://web.ebscohost.com/ehost/pdfviewer/pdfviewer?vid=21&sid=19ba3043-0687-4c24-9c04-41fcbc55215f%40sessionmgr15&hid=103 Newport, F. (2012).

Delegation and Supervision Delegation is the process of making appropriate nursing judgment to achieve maximum patient care outcomes. This process is done by the registered nurse, with the understanding of the organizational structure, policies and culture of the institution. This skill has to be mastered by the registered nurse regardless of the method of nursing care delivery. This process can be challenging as well as a learning experience to gain proficiency in delegation and maintain the safety and well being of the patient (Yoder-Wise, 2015). To provide safety, critical thinking, stability and time management the registered nurse needs to take several steps to foster effective delegation.

As nurses build on practical knowledge, gain experience and continue educational endeavors, the intellectually disciplined process allows the nurse to recognize possible patient problems. Lastly, the saying, “Measure twice, cut once” goes a long way when discussing safety in nursing. Regardless of how stressed or overwhelmed a person might feel, it is imperative to pay attention to detail to avoid sentinel events or near misses. These are the crucial qualities that I hope to attain as a nurse and important goals to conform to throughout my years as a registered