NRS 430 Contemporary Nursing Practice
Grand Canyon University NRS 430 Contemporary Nursing Practice– Step-By-Step Guide
This guide will demonstrate how to complete the Grand Canyon University NRS 430 Contemporary Nursing Practice assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.
How to Research and Prepare for NRS 430 Contemporary Nursing Practice
Whether one passes or fails an academic assignment such as the Grand Canyon University NRS 430 Contemporary Nursing Practice depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.
After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.
How to Write the Introduction for NRS 430 Contemporary Nursing Practice
The introduction for the Grand Canyon University NRS 430 Contemporary Nursing Practice is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.
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How to Write the Body for NRS 430 Contemporary Nursing Practice
After the introduction, move into the main part of the NRS 430 Contemporary Nursing Practice assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.
Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.
How to Write the Conclusion for NRS 430 Contemporary Nursing Practice
After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.
How to Format the References List for NRS 430 Contemporary Nursing Practice
The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.
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Sample Answer for NRS 430 Contemporary Nursing Practice
Evolution of Nursing Practice
Nursing practice has gradually changed overtime. When nursing was initiated, it did not require formal medical training but it was based on the gender and eagerness for the job. At that time, women would learn medical skills from their mothers or other women in nursing. Women were regarded as caretakers and nursing was perceived as extension of their job as care takers. Nurses used to deal with minor ailments and help patients who were unable to perform activities of daily living. However, the nursing profession started changing after the creation of council of nurses in different countries which brought the rules, standards, and regulations which turned the nursing into a profession. Today, nursing profession has drastically changed and is characterized by extensive training programs, more responsibilities, better hospitals, focus on patient care, and more diversified staff. Moreover, the current nurses are more about leading change, promoting teamwork and consistency, prioritizing, and organizing, which have in turn changed the scope of practice and approach to treat an individual by increasing efficiency in health care, saved lives, and led to generations of devoted medical professionals. Essentially, the current nurses act as bridge that binds team of health care professionals and other disciplines together.
Question 2
Nurses with Associate Degree in Nursing (ADN) and Bachelor of Science in Nursing (BSN) both practice as registered nurses. However, their competencies in practice vary significantly depending the variation in nursing education. The education of ADN takes a period of three years and it’s mostly technical. Moreover, it focuses on the clinical skills intended to enhance patient health status. The ADN scope of practice is usually task oriented and nurses are held responsible for their actions. ADNs are expected to have the ability of evaluating, planning, and executing proper patient care from the time patient visits to the triage until admission or discharge. On the other hand, BSN connotes a four-year program that involves various nursing issues such as nursing roles, critical thinking, patient care, supervision, management, and community health. Regarding the scope of practice, BSN nurses should portray independent decision-making and ability of problem solving. The scope of practice also involves integration of intellectual, emotional, physical, and social competencies to improve patient outcomes (Rosseter, 2014). Overall, BSN-prepared nurses provide more holistic care as opposed to ADN-prepared nurses because they take care of patients in the entire time of patient care, which begins from pre-admission to post-discharge.
Question 3
In patient care situations, there are fundamental differences in approaches to decision-making between BSN-prepared nurses and ADN-prepared nurses. For instance, in a patient c are situation where the patient needs intubation in emergency room, the ADNs and BSN nurses are likely to portray differences in decision making approaches. Te BSNs approach to decision is likely to be anchored on the management of the patient after intubation while ADNs approach to decision is directly focused on patient treatment since they have authority to intubate the patient and prescribe drugs to the patient. Likewise, in the decision making approaches involving end of life care, the BSNs will focus on various aspects such as the rights of the patient, legal, and palliative aspects, which the ADNs are not trained to focus on.
Question 4
Evidence-based practice (EBP) in nursing connotes application of best available evidence, patient inclinations, and clinical expertise to clinical practice. EBP is important in the nursing practice of care because it avails scientific research to nurses to guide their decision. Moreover, EBP helps nurses to be updated about the new medical guidelines for patient care. By relying on the best current documented interventions that matches the health care needs of the patients, nurses tend to increase recovery chances for the patients (Dang & Dearholt, 2017). Overall, the implementation of EBP in health care is associated with better patient-outcomes, which can ultimately reduce the demand for health care resources. The EBP models of care are applied in healthcare organizations in a bid to standardize and deliver more reliable and quality patient care. On the other hand, the academic preparation of the RNBSN nurse supports EBP application because it sharpens RNBSN nurses’ skills on research. RNBSN nurse students learn how to incorporate nursing evidence, theories, clinical judgment, and patient preferences. As health care is increasingly becoming complex, EBP knowledge of EBP is crucial for the success of nurses. RNBSN-prepared nurses know how and where to pursue evidence-based guidelines and the manner of executing such guidelines in the routine nursing practice.
Question 5
Multidisciplinary teams connote health care team members drawn from different areas of specialty with complementary skills, experience, and profession. For patients to receive better health care under the interdisciplinary team, nurses should communicate with pertinent experts concerning the treatment plan for their patient while acknowledging the responsibilities of each team member. Mostly, nurses serve a bridge between the health care organization, physicians, and patients. As such teamwork is crucial for nursing role. Therefore, it is imperative to facilitate open communication. Effective communication in multidisciplinary team ensures safe and more effective patient outcomes by ensuring quality patient-oriented care. It also ensures reduction in medical errors and enhances patient experience with health care. Ultimately, this will reduce the health care cost (American Association of Colleges of Nursing, 2015).
References
American Association of Colleges of Nursing. (2015). Creating a more highly qualified nursing workforce. Retrieved September, 30.
Dang, D., & Dearholt, S. L. (2017). Johns Hopkins nursing evidence-based practice: Model and guidelines. Sigma Theta Tau.
Rosseter, R. J. (2014). The impact of education on nursing practice. American Association of Colleges of Nursing Fact Sheet.
Sample Answer 2 for NRS 430 Contemporary Nursing Practice
Contemporary Nursing Practice
Nurses remain at the core of effective care provision and a growing profession because of its evolution. The need for advanced education and training, ensures that nurses are well positioned to deliver care in a transforming health industry. Today, professional nursing entails specialization and scopes of practice based on one’s clinical skills, capabilities, and competencies. The use of innovative care models and evidence-based practice implores nurses to advance their education, focus on patient care, and work in teams to enhance quality and delivery of patient care (Graebe & Chappell, 2019). The purpose of this essay is to evaluate contemporary nursing practice and evaluate how it has changed over time and its position today in health care system.
Changing Nursing Practice and The Effect of the Evolution On Scope of Practice & Patient Treatment
The nursing profession has witnessed several changes since its establishment. Originally, nursing was about caretaking and caregiving roles that were assigned to women. The women did not have formal training or nursing education. In most instances, they were housewives and possess skills and knowledge transferred from family members who had the desire to care for the sick. The scope of their practice was not limited (Salmond & Echevarria, 2017). These women treated patients as guests in their homes. However, things changed and have been transforming since the Crimean War when Nightingale made nursing a distinct model to care for the wounded soldiers by writing “Notes on Nursing in 1854. The Civil War of 1861 also demonstrated the increased role of nurses based on women who followed their husbands, brothers, and fathers to care for them. The main responsibilities of these women included ensuring that the patients were comfortable and reported any issue to physicians.
The initial concept of nursing emanated from these two critical events as physicians wanted trained women who became nurses. Hospitals began programs to train nurses as caregivers. These programs defined the scope of practice for the nurses. By end of 19th century, many hospitals had their nurse training programs but were not standardized (Graebe & Chappell, 2019). Over the next century, nursing practice evolved and changed leading to a contemporary nurse who is expected to use evidence-based practice (EBP) interventions, be a critical thinkers and highly trained and educated. Nurses are today better equipped and have increased scope of practice based on their specialties. The provision of advanced education has enhanced their training and allowed them to think more critically and enabled them to conduct more role in clinical setting. Nurses are not primary care providers in certain regions, have better skills and control the treatment process while advocating for patients to enhance overall care outcomes.
Differentiated Practice Competences Between Associate and Baccalaureate Nursing Education
In comparing the practice competencies of associate and baccalaureate nursing education, the BSN-prepared nurses are considered as professional nurses while associate-degree trained nurses are technical nurses. Further, ANDs are trained primarily on clinical skills while BSN have more focus on nursing research, clinical skills, and management. Both qualifications equip nurses with essential skills focused on meeting accepted patient care standards. However, BSN nurses are more focused on disease prevent, advocacy, research, community health, and execution of best practices.
They also examine or evaluate data and informatics and generating effective solutions to patient outcomes based on their scope of practice (Salas et al., 2018). On their part, the scope of ADNs include basic nursing care that includes recording patient’s history, recoding symptoms, and utilizing simple medical equipment as well as provision of patent education on disease prevention, healthy living and respecting physician appointments and medical reviews. In summary BSN-trained and prepared nurses have more varied differentiated practice competencies and expanded scope of practice compared to those with AND qualifications.
Patient Care Coordination
BSN-trained or prepared nurses have a different approach to nursing care and decision making when dealing with patients in care situations (Salas et al., 2018). For instance, a patient presenting with chronic conditions like diabetes may implore on the BSN-trained nurse to make better decisions and take effective actions compared to the ADN nurse. A patient with type II diabetes may experience chest pain and shortness of breath. The patient has an NPO directive as he is scheduled for surgery at 9 am the following morning for catherization of heart. The patient takes Eliquis twice daily since getting a stent in the heart. He also takes Clonidine for chronic hypertension. The vitals show elevated blood pressure of 108/60. The patient should be given insulin per sliding scale ACHS. However, at 7am, the patient experience a FSBS of 150mg/dL. In this case, the ADN nurse may give Eliquis which is an anticoagulant medication at 9pm since she may not be aware that research evidence shows that having anticoagulant medication 12 hours or more before surgery reduces the risk of fatal bleeding. The implication is that a BSN nurse is likely to handle the situation differently by not giving these medication and insulin because of the risk they portend for the patient.
Evidence-Based Practice
The deployment of evidence-based practice is important in delivery of quality health care to patients since it is founded on knowledge and research evidence as well as clinical trials. Through EBPs, hospitals offer more reliable and high-quality patient care. Nurses enhance their critical thinking skills, enhance their observation and procession of information while practicing and brainstorming ideas to make necessary improvements in care delivery (Verot et al., 2021). The academic preparation of the RN-BSN nurse supports the application of EBP as it prepares nurses to use evidence coming from research to make better care decisions and apply their critical thinking skills in different patient situations. The BSN also supports EBP in nursing by training nurses on leadership, management and effective communication as well as having scientific research skills.
Communication and Collaboration with Interdisciplinary Teams
Nurses are effective communicators and collaborators in care delivery. Nurses communicate and collaborate with interdisciplinary teams using different approaches. These include using electronic approaches, handwritten notes, texts and emails (McMenamin et al., 2019). Further, the integration of health information technologies has improved communication and collaboration among these teams as nurses can use electronic health records, telehealth and telemedicine means and teleconference to communicate not just with professionals but also patients and deliver quality care.
Conclusion
Nursing remains the foundation of patient care. The profession has transformed and continues its transformation for better care delivery. Nurses are at the forefront of care provision and advanced education allows them to be primary care providers in different care settings. ADNs and BSN-prepared nurses have different approaches to care provision for patients in diverse situations. therefore, by leveraging on EBP interventions, the contemporary nurse is well-positioned to offer quality care in a transforming healthcare system.
References
Graebe, J., & Chappell, K. (2019). Looking back and leaping forward—a reflection on the
evolution of nursing continuing professional development credentialing. The Journal of Continuing Education in Nursing, 50(12), 531-533. DOI: 10.3928/00220124-20191115-01.
McMenamin, A., Sun, C., Prufeta, P., & Raso, R. (2019). The evolution of evidence-based
practice. Nursing Management, 50(9), 14-19.
DOI: 10.1097/01.NUMA.0000579000.09987.b0.
Salmond, S. W., & Echevarria, M. (2017). Healthcare transformation and changing roles for
nursing. Orthopedic nursing, 36(1), 12. doi: 10.1097/NOR.0000000000000308
Salas, E., Zajac, S., & Marlow, S. L. (2018). Transforming health care one team at a time: ten
observations and the trail ahead. Group & Organization Management, 43(3), 357-381. https://doi.org/10.1177/1059601118756554
Verot, E., Denois, V. R., & Chauvin, F. (2021). Current perceptions of cancer nurses in France
about their role and the evolution of nursing practices: Findings and perspectives. Social Science & Medicine, 277, 113896. DOI: 10.1016/j.socscimed.2021.113896.
NRS 430 Professional Development of nursing Professionals
Professional Development of nursing Professionals
The nursing profession and the development of nurses are critical to the attainment of health equity as advanced by the report “The Future of Nursing Report, 2020-2030: Charting a Path to Achieve Health Equity,” of the National Academies of Sciences, Engineering and Medicine. The report outlines the significance of nurses and their critical role in meeting the society needs within a robust focus on social determinants of health. The purpose of this paper is to discuss the influence of this report on nursing practice.
Recommendations of the Report and Significance Health Equity
The report’s offers nine recommendations to implement changes at both individual and system levels, and a call for action to the largest health care workforce. The first recommendation is that nursing organizations need to initiate work aimed at development of a shared agenda to address social determinants of health and attaining health equity. Secondly, government agencies and all stakeholders at state and federal levels should initiate actions to allow the nursing workforce address social determinant of health and health equity (Maughan & Bergren, 2021). Thirdly, the report recommends the initiation and implementation of structure, systems, and evidence-based interventions to enhance nurses’ health and wellbeing, especially in new roles to advance equity. The fourth recommendation entails allowing nurses to practice to full level of their education and training by removing and reducing practice barriers while the fifth recommendation calls on establishment of sustainable and flexible payment models to support nurses in all areas of practice.
The sixth recommendation of the report is that health care systems should integrate nursing expertise in designing, generating and analyzing as well as using data to support initiatives on social determinants of health and health equity through diverse digital platforms, artificial intelligence and other innovative technologies (Wakefield et al., 2021). The seventh recommendation calls on having nursing programs to prepare nurses sufficiently to address social determinants of health and health equity. Recommendation eight calls on agencies to strengthen and protect the nursing workforce when responding to public health emergencies while the ninth recommendation implores all stakeholders and organizations to develop and support nursing research and use of evidence-based practice to influence nursing interventions.
The attainment of health equity is essential in this report to address the systemic and persistent health disparities that exist and affect millions of individuals and families across the health continuum in the country. health inequities are systematic differences in opportunities that exist and limit groups abilities to attain optimal health. These situations lead to unfair and inevitable differences in health outcomes among these groups (Maughan & Bergren, 2021). Therefore, addressing these inequities is important and nurses are strategically positioned to help tackle the disparities and lead to quality care. Health inequities disproportionately impact minority and marginalized groups like the LGBQT community, people of color, people living with disabilities and those in rural areas as well as those with low income.
Social Determinants of Health & Impact on Health Equity
Social determinants of health (SDOH) are environmental conditions where one lives, work, learns, plays and worships and ages that affect a host of health, functioning, and quality of life. These conditions also affect health outcomes and risk of getting diseases. SDOH entail both positive and negative aspects. They include education, employment, health systems and services, housing and income and wealth, physical environment, public safety and security and the social environment. The health system and services provided to individuals affect health equity and social needs (Wakefield et al., 2021). Health equity means equal access and opportunities to health care services. As such, limited access to health system and services affect individuals and leads to health disparities, especially among the minority groups and communities like the LGBTQ.
Role of Nurses in Improving Health Equity and Impacting Social Needs
The report by the National Academies of Sciences, Engineering, and Medicine on future of nursing asserts that health is essential to all aspects of life, especially the interaction between social determinants of health (SDOH), health equity, and patient health outcomes. The report advances that the coming ten years will require a stronger, more diversified nursing workforce prepared to meet care needs, promote health and wellbeing among the practitioners, individuals and communities while addressing the systemic inequities that have led to wide and persistent health disparities. The report asserts that the country’s health system can attain health equity by building on strengthened nursing capacity and expertise aimed at delivery of quality care.
The report observes that the nation requires nurses to help people live healthier life as they work to address the root causes of poor health. Nurses have an obligation to integrate social justice principles into nursing and health policy to meet social needs of patients and communities (Wakefield et al., 2021). The implication is that as leading healthcare providers, they are the first contact with people from diverse backgrounds seeking care interventions as a social need. They manage team and link clinical care to public health and social services of patients and health populations.
Significance of Self-Care to Decrease Nursing Burnout
Nursing burnout is a serious issue that impacts nurses and leads to increased rates of turnover, poor patient outcomes, and adverse events like medication errors. Nurses need self-care interventions to help them deal with burnout and associated fatigue. Studies show that close to 80% of nurses at increased risk for stress in the workplace and require self-care. Nurses encounter stressful days, long hours as well as unpredictable schedules (Chipu & Downing, 2020). Therefore, they need self-care which entails acts of caring for one’s self in a holistic, intentional and important way. This means that nurses should meet their needs intellectually, emotionally, physically, spiritually, and through their interactions.
Self-care reduces nursing burnout as nurses develop interventions to improve their sustenance and ability to meet patient needs. Nurses can maintain personal and spiritual health using physical activities like yoga and meditation. Squellati and Zangaro (2022) assert that nurses can use different ways to manage burnouts and have a support environment to meet patient needs. These include a strong work-life balance, health lifestyle away from work, and decreasing stress. The study notes that brain chemicals can assist nurses to relax and attain wellness. Mindfulness-based interventions are also effective in reducing burnout and levels of stress among nurses. The implication is that self-care is essential for nurses to be prepared to offer health interventions, address health inequities and reduce the current disparities.
Conclusion
The need to prepare nurses in the next decade requires implementation of the recommendations by the National Academies report on nursing of 2021. Nurses will continue to play a significant role in care provision and should be supported through strengthening their abilities. Through a strong workforce in nursing, the nation can attain health equity and improve the wellness of its people.
References
Chipu, M., & Downing, C. (2020). Professional nurses’ facilitation of self-care in intensive care
units: A concept analysis. International journal of nursing sciences, 7(4), 446-452. DOI: 10.1016/j.ijnss.2020.08.002
Maughan, E. D., & Bergren, M. D. (2021). Future of nursing 2030: The future is bright for
school nursing. NASN School Nurse, 36(5), 248-251. https://doi.org/10.1177/1942602X21103491
National Academies of Sciences, Engineering, and Medicine. 2021. The future of nursing 2020–
2030: Charting a path to achieve health equity. Washington, DC: The National Academies Press. https://doi.org/10.17226/25982
Squellati, R., & Zangaro, G. A. (2022). Eight Ways Nurses Can Manage a Burnt-Out Leader.
Nursing Clinics, 57(1), 67-78. DOI: 10.1016/j.cnur.2021.11.005
Wakefield, M., Williams, D. R., & Le Menestrel, S. (2021). The future of nursing 2020-2030:
Charting a path to achieve health equity. National Academy of Sciences.