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Contemporary Nursing Practice
Chika Q Ugwu
Grand Canyon University: NRS-430V
October 21,2018.

Contemporary Nursing Practice
Introduction
The nursing profession has undergone dramatic changes that have redefined the whole nursing profession. Particularly, the nursing profession has undergone extensive varied changes that include extensive training programs, diversification in the staff members and increased level of prestige that is associated with the medical field (Benner, 2012). Ranging from the training programs, the improvement in the working conditions, increased responsibilities and a more focus of the patient, the nursing program has embraced drastic changes which have enhanced efficiency in service delivery over time.

Changing Nursing Practices
Early on, nursing training was rudimentary and entirely disorganized. Patients received treatment from caretakers who were not trained at all. Currently, the qualification of nurses has been made specific and in depth. A variety of programs have been introduced whereby we have specialties, degrees, and certification for different types of nursing with all of them having specific academic requirements. These changes have also influenced the medical settings for nurses with hospitals, physician offices and home health care’s being improved with facilities that meet the educational qualification of the nurses. Nurses have evolved to be medical professionals who are needed in various institutions such as schools, correctional facilities, and the military (Benner, 2012). Importantly, the evolution of the setting for nurses was influenced by the changes that had made nurses respected medical personnel who flourished working in the hospital rather than providing care from homes.

The responsibilities of nurses also changed with the adoption of more comprehensive training, a different view of women and the drastic growth in the overall nursing profession. The evolution in training introduced a new task that were initially reserved for physicians. Lately, the roles of nurses have changed with nurses being viewed as their own professionals who can handle medical emergencies without depending on the help of physicians. Furthermore, the issue of patient care has also been significantly affected by the evolution making it more efficient and helpful due to technological advancements (Nelson, 2002). The experience of patient care has improved with the nurses becoming more concerned and showing more compassion to the patients while addressing their concerns. Through their education, the nurses are now able to empower the patients in decision making, expressing empathy, communicating therapeutically and responding appropriately to the body language of the patients.

Competencies of ADN and BSN Nurses
Although the associate (ADN) and baccalaureate (BSN) undergo the same level of licensing and overlapping roles, they still depict a number of differentiated competencies. The “ADN” is more of a technical nurse who is experienced on medical skills while the BSN is a professional nurse who majors on management, extensive research in nursing, leadership, and clinical skills. The BSN nurses are able to make clinical judgment using strong scientific concepts whereas the ADN nurses majorly concentrate on clinical skills and being more task oriented (Sauld, 2017). Thus, the BSN nurses have the technical know-how of modifying plans and actions to meet the client’s demand while the ADN nurses stick to the same protocol in their tasks. Overly, the BSN is better trained to handle complex operations and ability to meet the nation’s patient’s nursing needs nursing and deliver effective patient care while the ADN nurses will dwell in less complex tasks such pain management and subsiding swelling.

Patient Situation Approach
In a patient care situation, it is evident that the BSN and the ADN nurse will approach the situation from different perspectives depending on their knowledge experience. For instance, a typical scenario is of a lactating mother who has had an ever-increasing blood pressure since giving birth. Afterward, the patient is admitted as a PRN in the ward where his pressure still rises although at a lower rate. An ADN nurse handling this situation will probably come and analyze the situation by looking at the readings. Then the ADN nurse will proceed to dispense medication on such a patient in line with her training concerning the issue (“Healthcare Transformation and Changing Roles for Nursing”). On the contrary, a BSN nurse will come to the patient’s room and try to analyze the patient overall situation after taking the readings. She can then try to ask the patient on her general body conditions and try to understand if anything was bothering her before weighing on what to do to reduce the pressure.

Evidence Based Practice
Evidence-based practice is the application of the existing best evidence from the available sources of information in making decisions. Evidence-based practice is important since it aims at providing efficiency care targeting at improving the patient outcome. Particularly, it encourages an attitude of inquiry in nursing and makes them to why exactly they are engaging in specific activities and whether there exists any evidence that can enhance a better outcome. Moreover, it ensures that finite health resources are utilized in the right way and decisions on funding health services are based on relevant evidence. Students completing an online RN to BSN program are exposed to the best evidence-based practice models (Sauld, 2017). Their coursework includes the opportunity to learn and integrate theories evidence, clinical judgment, and patient preference. Students participate in in nursing research opportunities as they prepare the nurses on how and where to get and implement evidence-based protocols in the workplace.
Communication and Collaboration
Finally, communication is paramount for effective nursing. Nurses should be in a position to communicate clearly and comprehensively to establish a good rapport with the patient. When communicating, the nurses approach the patients with an intent of understanding that patient’s concerns and experiences (Benner, 2012). Effective communication of the nurse plays an instrumental role in the patient’s entire healthcare experience. As a result, Collaboration with the interdisciplinary teams is enhanced by this effective communication. The development of ways of improving communication among nurses enhances the collaboration with the interdisciplinary care teams. Thus, the interdisciplinary teams provide a platform for nurses to come together for patient care. Nurse participation in this teams support positive patient outcome while the entire team improves quality by reducing events such as hospital related falls and enhancing other safety aspects.

Conclusion
In conclusion, it is evident that nursing as a profession has undergone an extensive evolution since time immemorial. Through this transformation, the nursing profession has grown in all aspects starting from training, setting, communication and even patient care. In the long run, these changes will keep influencing the nursing profession and it is the hope of every individual that the outcome will be positive and benefit all and sundry.

References
Benner, P. (2012). Educating nurses: A Call for Radical Transformation—How Far Have we Come?. Journal of Nursing Education, 51(4), 183-184.

Healthcare Transformation and Changing Roles for Nursing. (n.d.). Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5266427/Nelson, M. (2002). Education for professional nursing practice: Looking backward into the future. Online Journal of Issues in Nursing, 7(3), 4.

Sauld, J. (2017). A Gadamerian Phenomenological Study Examining the Meaning of Having a Bachelor’s Degree Expressed by Associate Degree Nurses (ADN) Who Educationally Transitioned to a Baccalaureate Degree in Nursing (BSN).

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