The role of nurse practitioners has extended in practice to provide comprehensive care. However, as the nurse transitions he or she must adapt to new ways of thinking, and change behavior patterns to facilitate the transition (Meleis, 2010, p. 431). The nurse must work collaboratively with physicians to solve patient problems and care for the patient effectively due to the rise in complex patient
Advanced Practice Competencies There are many roles and areas of practice available to graduates with a master’s degree in nursing. Changes in healthcare resulting from the passage of the Affordable Care Act offer new and innovative roles for nurses. Among these roles are direct care practice roles as a Nurse Practitioner (NP) in family care, gerontology or adult health. Indirect care roles as a Nurse Educator, Nurse Administrator, or Nurse Informaticist are also options graduates of master’s program may choose. Regardless of the path chosen, there are core competencies that must be met for each, in addition to specific competencies related to the area of practice chosen.
Considering the changes that continue to arise in the healthcare environment, the nursing profession can make a profound contribution if it embraces nursing leadership. Especially to limit failure in care provision, strengthening nursing leadership continues to be fronted as the basis of care provision. Consequently, I view that nursing leadership ought to be central to the nursing professional goals. In this paper, I will reflect on my values and beliefs in nursing leadership and my future expectations from a perspective of a nurse leader in a manner that is consistent to what I would desire in nursing leadership. I believe that progress has been made, but some areas still need to be given more weight.
Both terms are powerful terms and these terms explain the mental processes nurses use to make certain that they are doing their most excellent thinking and decision making for their patient’s better outcomes. Nursing practice requires both critical thinking and clinical reasoning. Critical thinking is the process of deliberate higher level thinking to define a patient’s problem, examine the evidence-based practice in caring for the patient’s, and make options in the delivery of optimal care. Critical thinking involves the demarcation of statements of fact, judgment, and opinion. The progression of critical thinking requires the nurse to think imaginatively, use reflection, and engage in logical thinking (Alfaro-LeFevre, 2013).
Critical Evaluation: 1- Transformational leadership In Nursing: personal life: Due to the continually metamorphic nature of this country's healthcare system, it's imperative for nurse managers to employ a transformational leadership style, which encourages adaptation to change. The transformational leadership style allows for the recognition of areas in which change is needed and guides change by inspiring followers and creating a sense of commitment. Adopting the qualities of a transformational leader will allow nurse managers to feel more comfortable and confident when engaging in the development of healthcare policies, the ever-changing components of healthcare technology, and the mentorship of new graduate nurses. Transformational leadership is also one of the five Magnet(R) components social life: A
According to Barrett, when attempting to define what nursing science is, it remains quite a mystery. With various different worldviews, with wide range of theoretical and practical knowledge evolving over time, has made it a challenge to come with a universal definition. To ensure that nurses are current with the best practical and evidence based practices, it is important to focus on nursing-discipline-specific knowledge. Fawcett stresses the importance of using nursing discipline-specific knowledge in the form of explicit nursing conceptual models, because it governs the foundation of what and why nurses do what they do. Fawcett makes it clear that nurses must develop adequate knowledge in order to apply new evidence based treatments and
In our thesis we have treated the nurse profession as internally heterogeneous, but we accept that the values of care, loyalty, and altruism, which is generally associated with the nurse profession, may be a way to legitimize the nurse profession rather than illustrate an actual ‘truth’. Also, the actual values of the managers may be different from the values expressed during the
be highly effective for improving clinical outcomes and reducing cost. Teaching methods that incorporate opportunities for interdisciplinary education and collaborative practice are required to prepare nurses for their unique professional role and to understand the role of other disciplines in the care of patients. Nursing shortages have a negative impact on patient care and are costly to the health care industry. A significant nursing shortage exists today, particularly in acute and long-term care settings. It results from many factors.
Virginia Henderson Theory used Today Virginia Henderson is one of many nursing theorists who changed the nursing profession. Henderson’s theory was considered a “needs” theory (Ahtisham& Jacoline, 2015). It was considered a needs theory because the primary focus was on the patient and the 14 fundamentals needs of the patient to aid in recovery. A nurse taking care of a patient with dementia will utilize Virginia Henderson’s theory in his or her practice by assessing the patient while making a connection with that patient, involving the patient and family to help maintain current health status, providing an environment that will provide safety and security, and using the 14 fundamental needs to guide the nursing process that is being
The advancement in medical science, technology and complexity of the current patient care, demands the nurses to be prepared with the knowledge and skills in Assessment and Intervention, Effective Communication, Critical Thinking, Patient Relationship, Leadership, Management and Teaching. As the required competency increases, the curriculum needs to prepare the nursing graduates to have these core competencies as outlined by COPA model (Competency Outcomes and Performance Assessment)” (Lenburg, 1999 a, b). The BSN curriculum is tailored to accommodate these professional development requirements, the modern era demands that incorporate a broad scope of practice, giving a better edge in competency compared to an ADN, especially in Critical Thinking. A noteworthy point is that the differences in clinical competencies of a BSN and ADN are few compared to management, leadership, decision making and communication competencies. The BSN course gives the students more exposure in nursing practices than an ADN.
The field of nursing science has been evolving with great speed and nursing knowledge has been transforming into clinical practice. However, Stevens (2013) indicated for meaningful impact on performance and better patient health outcomes, new knowledge must be implemented effectively across the entire care team within a systems context, and measurable terms. Furthermore, the Future of Nursing report from the IOM, 2011a, recommended that nurses lead interprofessional teams in improving delivery systems and care brings to the fore the necessity for new competencies, beyond evidence-based practice (EBP), that are requisite as nurses transform healthcare ( as cited in Stevens, 2013). Evidence-based practice has been and will continue to be one of the most important method that will shape advanced practice nursing environment. Knowledge translation has been facilitating the effective and timely incorporation of evidence-based information into the practices of health professionals in a way as to effect optimal health care outcomes and maximize the potential of the health care system ( as cited in Sudsawad, 2007).
Touch “can be used as a means of reassuring and/ or breaking down barriers between nurse and client” (Gleeson and Higgins, 2009). In mental health nursing touch is either helpful or technical in addition it can be compulsory or deliberate which has to dealt with care and respect as with all other communication skills. In the contemporary before attempting this skill a mental nurse has to take into consideration that offering touch has to be related to client’s needs. A nurse has to respect client’s culture their age, ethnicity and the gender as it is not acceptable in some cultures to touch someone who is not closer to them. Therefore, a nurse has to be mindful that a client’s response may not be predicted when touching them in a