Contemporary Nursing Practice
The field of nursing has changed over time. In a 750‐1,000-word paper, discuss nursing practice today by addressing the following:
- Explain how nursing practice has changed over time and how this evolution has changed the scope of practice and the approach to treating the individual.
- Compare the differentiated practice competencies between an associate (ADN) and baccalaureate (BSN) education in nursing. Explain how scope of practice changes between an associate and baccalaureate nurse.
- Identify a specific client care situation and describe how nursing care, or approaches to decision making, differ between the BSN‐prepared nurse and the ADN nurse.
- Discuss the significance of applying evidence‐based practice to nursing care and explain how the academic preparation of the RN‐BSN nurse supports its application.
- Discuss how nurses today communicate and collaborate with interdisciplinary teams and how this supports safer and more effective client outcomes.
Review the “APA Formatting Tutorial,” located in Class Resources. Utilize the APA paper template and the APA Style Guide, located in the Student Success Center, to ensure correct paper formatting when preparing applicable assignments.
You are required to cite a minimum of three sources to complete this assignment. Sources must be appropriate for the assignment and relevant to nursing practice.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.
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Criterion |
1. Unsatisfactory |
2. Insufficient |
3. Approaching |
4. Acceptable |
5. Target |
|---|---|---|---|---|---|
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Comparison of Differentiated Practice Competencies and Scope of Practice Comparison of Differentiated Practice Competencies and Scope of Practice |
0 points The comparison of the differentiated practice competencies between the ADN and BSN is not included. No explanation is provided for the scope of practice changes between an associate- and baccalaureate-prepared nurse. |
16.88 points The comparison of the differentiated practice competencies between the ADN and BSN is unclear. The explanation for how the scope of practice changes between an associate- and baccalaureate-prepared nurse is incomplete. |
17.78 points The comparison of the differentiated practice competencies between the ADN and BSN is included in a general manner. A basic explanation for how the scope of practice changes between an associate- and baccalaureate-prepared nurse is provided. |
20.03 points The comparison of the differentiated practice competencies between the ADN and BSN is clear. A clear explanation for how the scope of practice changes between an associate- and baccalaureate-prepared nurse is provided. |
22.5 points The comparison of the differentiated practice competencies between the ADN and BSN is comprehensive. A detailed and well thought out explanation for how the scope of practice changes between an associate- and baccalaureate-prepared nurse is provided. |
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Nursing Care or Approaches to Decision Making Regarding Client Care Differences Nursing Care or Approaches to Decision Making Regarding Client Care Differences |
0 points A specific client care situation is not included. There is no description of how nursing care or approaches to decision making differ between the BSN-prepared nurse and the ADN nurse. |
16.88 points A specific client care situation is not clearly identified, and a description of how nursing care or approaches to decision making differ between the BSN-prepared nurse and the ADN nurse is incomplete. |
17.78 points A specific client care situation is identified, and a basic description of how nursing care or approaches to decision making differ between the BSN-prepared nurse and the ADN nurse is provided. |
20.03 points A specific client care situation is identified, and a clear description of how nursing care or approaches to decision making differ between the BSN-prepared nurse and the ADN nurse is provided. |
22.5 points A specific client care situation is identified, and a comprehensive description of how nursing care or approaches to decision making differ between the BSN-prepared nurse and the ADN nurse is provided. |
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Nursing Communication and Collaboration with Interdisciplinary Teams to Support Client Outcomes Nursing Communication and Collaboration with Interdisciplinary Teams to Support Client Outcomes |
0 points The essay does not include a discussion about how nurses today communicate or collaborate with interdisciplinary teams. An explanation of how this would support safer and more effective client outcomes is not included. |
16.88 points The essay does not clearly discuss how nurses today communicate and collaborate with interdisciplinary teams. An explanation of how this would support safer and more effective client outcomes is incomplete. |
17.78 points The essay includes a basic discussion about how nurses today communicate and collaborate with interdisciplinary teams. A general explanation of how this would support safer and more effective client outcomes is included. |
20.03 points The essay includes a clear discussion about how nurses today communicate and collaborate with interdisciplinary teams. A concise explanation of how this would support safer and more effective client outcomes is included. |
22.5 points The essay includes a comprehensive discussion about how nurses today communicate and collaborate with interdisciplinary teams. A comprehensive explanation of how this would support safer and more effective client outcomes is included. |
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Nursing Practice Changes, Scope of Practice, and Approach to Client Care Nursing Practice Changes, Scope of Practice, and Approach to Client Care |
0 points The essay does not provide an explanation of how nursing practice has changed over time, information about how these changes have impacted the scope of practice, or the approach to treating the individual. |
11.25 points The essay does not clearly explain how nursing practice has changed over time and is lacking information about how these changes have impacted the scope of practice and the approach to treating the individual. |
11.85 points The essay provides a basic explanation of how nursing practice has changed over time, including how these changes have impacted the scope of practice and the approach to treating the individual. |
13.35 points The essay clearly explains how nursing practice has changed over time, including how these changes have impacted the scope of practice and the approach to treating the individual. |
15 points The essay comprehensively explains how nursing practice has changed over time, including how these changes have impacted the scope of practice and the approach to treating the individual. |
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Thesis, Position, or Purpose Communicates reason for writing and demonstrates awareness of audience. |
0 points The thesis, position, or purpose is not discernible. No awareness of the appropriate audience is evident. |
7.88 points The thesis, position, or purpose is discernable in most aspects but is occasionally weak or unclear. There is limited awareness of the appropriate audience. |
8.3 points The thesis, position, or purpose is adequately developed. An awareness of the appropriate audience is demonstrated. |
9.35 points The thesis, position, or purpose is clearly communicated throughout and clearly directed to a specific audience. |
10.5 points The thesis, position, or purpose is persuasively developed throughout and skillfully directed to a specific audience. |
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Format/Documentation Uses appropriate style, such as APA, MLA, etc., for college, subject, and level; documents sources using citations, footnotes, references, bibliography, etc., appropriate to assignment and discipline. |
0 points Appropriate format is not used. No documentation of sources is provided. |
4.5 points Appropriate format is attempted, but some elements are missing. Frequent errors in documentation of sources are evident. |
4.74 points Appropriate format and documentation are used, although there are some obvious errors. |
5.34 points Appropriate format and documentation are used with only minor errors. |
6 points No errors in formatting or documentation are present. Selectivity in the use of direct quotations and synthesis of sources is demonstrated. |
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Development, Structure, and Conclusion Advances position or purpose throughout writing; conclusion aligns to and evolves from development. |
0 points No advancement of the thesis, position, or purpose is evident. Connections between paragraphs are missing or inappropriate. No conclusion is offered. |
7.88 points Limited advancement of thesis, position, or purpose is discernable. There are inconsistencies in organization or the relationship of ideas. Conclusion is simplistic and not fully aligned to the development of the purpose. |
8.3 points The thesis, position, or purpose is advanced in most aspects. Ideas clearly build on each other. Conclusion aligns to the development of the purpose. |
9.35 points The thesis, position, or purpose is logically advanced throughout. The progression of ideas is coherent and unified. A clear and plausible conclusion aligns to the development of the purpose. |
10.5 points The thesis, position, or purpose is coherently and cohesively advanced throughout. The progression of ideas is coherent and unified. A convincing and unambiguous conclusion aligns to the development of the purpose. |
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Mechanics of Writing Includes spelling, capitalization, punctuation, grammar, language use, sentence structure, etc. |
0 points Errors in grammar or syntax are pervasive and impede meaning. Incorrect language choice or sentence structure errors are found throughout. |
6.75 points Frequent and repetitive mechanical errors are present. Inconsistencies in language choice or sentence structure are recurrent. |
7.11 points Occasional mechanical errors are present. Language choice is generally appropriate. Varied sentence structure is attempted. |
8.01 points Few mechanical errors are present. Suitable language choice and sentence structure are used. |
9 points No mechanical errors are present. Skilled control of language choice and sentence structure are used throughout. |
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The Significance of Applying Evidence-Based Practice to Nursing Care and the RN-BSN-Prepared Nurse The Significance of Applying Evidence-Based Practice to Nursing Care and the RN-BSN-Prepared Nurse |
0 points The discussion about the significance of applying evidence-based practice to nursing care and the explanation of how the academic preparation of the RN-BSN nurse supports its application are not included. |
16.88 points The discussion about the significance of applying evidence-based practice to nursing care is unclear, and the explanation of how the academic preparation of the RN-BSN nurse supports its application is incomplete. |
17.78 points There is a basic discussion about the significance of applying evidence-based practice to nursing care and a general explanation of how the academic preparation of the RN-BSN nurse supports its application. |
20.03 points There is a clear discussion about the significance of applying evidence-based practice to nursing care and a concise explanation of how the academic preparation of the RN-BSN nurse supports its application. |
22.5 points There is a comprehensive discussion about the significance of applying evidence-based practice to nursing care and a detailed explanation of how the academic preparation of the RN-BSN nurse supports its application. |
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Evidence Selects and integrates evidence to support and advance position/purpose; considers other perspectives. |
0 points Evidence to support the thesis, position, or purpose is absent. The writing relies entirely on the perspective of the writer. |
6.75 points Evidence is used but is insufficient or of limited relevance. Simplistic explanation or integration of other perspectives is present. |
7.11 points Relevant evidence that includes other perspectives is used. |
8.01 points Specific and appropriate evidence is included. Other perspectives are integrated. |
9 points Comprehensive and compelling evidence is included. Multiple other perspectives are integrated effectively. |
Over time, the nursing profession has witnessed a major change in functionality, operations, and scope of practice. These changes can be attribute to the changing dynamics of health care as well as the complexity of diseases and illnesses (Krepia et al., 2018). A nurse must ensure that they conform to these changes leading to diverse application of nursing services and changing the outlook of the nursing industry as a whole.
The Evolution of Nursing Practice
The nursing industry is one of the rapidly changing over time leading to the massive scale of practice and additional complexities of care. The key function of a nurse is to offer medical health care services to patients until they recover or regain the ability to be self-dependent. With the changes in the nursing industry, the attribute of care provider is still maintained but the nursing profession has been categorized into different subgroups depending on one’s specialty (Krepia et al., 2018). The nursing industry of the past was mainly focused on the provision of care and attention for patients and was obligated to women who were considered to be caring and empathetic. The nurses in the past did not have any form of education of training as their tasks did not require professional conduct but the ability to take care of the patient in terms of administering prescribed medication, providing food and ensure the patient needs are met, and notifying the doctor if the condition persists. The informal nature of contemporary nursing did not have an elaborate structure of seniority or governance.
With the advancement in technology and the complexity of illnesses and disease, there was a need to shift from the rudimentary nursing education to a more formal and organized model of nursing education. The changes created a foundation for modern-day nursing which depends on a highly-skilled professional with a key understanding of the medical world and how it should be conducted to improve the satisfaction of the patient. Based on the current era, burses have to attain education, practical knowledge, and basic medical expertise that are specific to their major or specialization (Krepia et al., 2018). Nursing has also become more mainstream with the industry having various nursing programs, certifications, and specialization. Nurses have to complete formal education, pursue an intensive nursing training that will equip them with the knowledge to practice in their respective specialization. Nurses are informed not only on the provision of quality care, but also the need to understanding technologies, leadership strategies, being good advocates, and incorporating spirituality in care.
ADN and BSN Practice Competencies
Nurses have different scopes of practice, roles, and positions depending on the level of education attained by the nurse. More complex roles and positions are given to more advanced nurses with better skills and expertise to make essential decisions and functional operations. For instance, the practice models between holders of Associate Degree in Nursing (ADN) and the Bachelor of Science in Nursing (BSN) tend to differ while in practice (Jeffreys, 2020). The ADN educational training is limited to 2 years where the nurses are taught on care and dealing with patients at the bedside. Their roles are mainly to offer care and report to the supervising physician on any complications required. ADN nurses are more of technical assistants and accountability for patient’s recovery. As an ADN the main functions include the offering of proper planning, medical care, and implementation of effective patient care throughout the stay of the patient at the facility (Jeffreys, 2020). Concerning the BSN, the training takes four years and besides patient care, it is also focused on leadership styles, management, decision-making, and problem-solving within a healthcare organization.
BSN and ADN Decision-Making
While providing care for patients with cancer, there would be different models and approaches from BSN and ADN nurses (Jeffreys, 2020). For instance, and ADN nurse will make sure to follow the guidelines provided by the lead doctor, offer medication of pain management, and report the patient’s progress according to the policies. The model of decision-making for an ADN is predetermined and rules oriented (Mackey, & Bassendowski, 2017). Concerning a BSN, the decision to attend to the nurse will be based on nurse-patient interaction, incorporation of spirituality, and using evidence to offer holistic care.
Evidence-Based Practice in Nursing
EBP is significant to nursing practice as it offers a basis for informed decision-making strategies. Nurses can make use of EBP to identify patterns and evidence that can be used to offer medical intervention to a patient and improve their overall standpoint (Warren et al., 2016). As a nurse being informed on best practices is important for quality care dissemination. RN preparation supports EBP implementation by equipping nurses with the technological know-how and expertise to synthesize data and apply it in a practical world.
Communication and Collaboration
Interdisciplinary teams within a health care organization require them to communicate and effectively collaborate. Today, nurses make use of technology to facilitate collaboration and communication (Tuckson, Edmunds, & Hodgkins, 2017). For instance, the use of forums, telehealth technology, and EMR systems is effective for interdisciplinary collaboration. The ability to offer real-time communication and assistance with other teams of medical professional aids providing safer and more effective patient outcomes.
Conclusion
The nursing profession has undergone numerous changes over time and it has created a platform within which modern medicine thrives. Nurses a more than just care providers but can also be included in leadership positions, and even policymaking. Nursing education has played a key role in the advancement and improved the perception of the nursing industry.
References
Jeffreys, M. R. (2020). ADN-to-BSN articulation, academic progression, and transition: A proactive, holistic approach. Nurse Educator, 45(3), 155-159.
Krepia, V., Katsaragakis, S., Kaitelidou, D., & Prezerakos, P. (2018). Transformational leadership and its evolution in nursing. Progress in Health Sciences, 8(1).
Mackey, A., & Bassendowski, S. (2017). The history of evidence-based practice in nursing education and practice. Journal of Professional Nursing, 33(1), 51-55.
Tuckson, R. V., Edmunds, M., & Hodgkins, M. L. (2017). Telehealth. New England Journal Of Medicine, 377(16), 1585-1592.
Warren, J. I., Mclaughlin, M., Bardsley, J., Eich, J., Esche, C. A., Kropkowski, L., & Risch, S. (2016). The Strengths And Challenges Of Implementing Ebp In Healthcare Systems. Worldviews On Evidence‐Based Nursing, 13(1), 15-24.
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