Discussion of Evidenced-Based Practice as a Science The science of nursing is based on evidence-based practices and constitutes the core of nursing. What is wrong with the patient? Why are they here? What information do you have to support your care plan? What subtle changes in their condition are important? When do you respond to or call a doctor to intervene in their condition? Can you anticipate the coming needs of your patient based on the numbers and the results given to you? Can you correctly calculate a medication dosage? All of these questions are based on physical signs and personal intuition and are aspects of the science of nursing. According to William Holzemer, nursing is a profession, and an academic discipline, and a science …show more content…
Unfortunately, many tend to think about the art and science of nursing to be two distinct components of practice. However, thousands of years ago during Aristotle’s time, art and science were combined within the general concept of philosophy of science (Holzemer 2006). The science of nursing includes theoretical concepts, scientific research and the application of this with skills and critical thinking. The art of nursing is complex and requires a conscious commitment to purposeful efforts to include caring behaviors during each nurse-patient interaction (Jasmine 2009). Both are required for effective and safe nursing. Evidence-based practice is centered on science and research. The science of nursing is easily noticeable and is very critical for nurses to know. Nurses are required to know diseases mechanisms of hundreds of diseases, medications, side effects and interactions of drugs, policies, practices, procedures and proper use of equipment. Healthcare is moving more and more into the future and technological advancements are now a daily occurrence. Nurses must complete continuing education to stay informed and competent in current practices. However, as the science of nursing is clearly advancing rapidly, some feel like the art of nursing is falling by the wayside (Scala 2017). Given the growing emphasis on the current healthcare …show more content…
Healthcare workers have the unique challenge of providing safe and effective care to individuals who generally judge and base personal options on the emotional care aspects of nursing. The profession of nursing is more multifaceted and stimulated than ever before. Uncertainties and changes in the healthcare world contribute to the complexity of practical knowledge and technical expertise required of modern nurses. American Nurses Association (ANA) defined professional nursing as "the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations" (ANA, 2010 p. 8). Equally embedded in this definition is the need to regard nursing as both a science and an art, which is a source of continual debate among nurses who may stress one attribute over another. Nurses should strive to achieve relative balance between administering care based on evidence and science and the art of professional nursing. Competent nurses are those who can appreciate the value of achieving a balance between the science and art of nursing (Palos, 2014). The unique challenge for
The purpose of this paper is to describe how nursing’s philosophical foundations influence nursing practice and my personal philosophy. My Philosophy I have always viewed nursing as an art; throughout history, nurses have derived conceptual models and theories from other disciplines to create nursing theories and apply them to clinical practice. “As nursing theoretical thinking has evolved, there has been a need to embrace both the practical aspects of practice while dealing with those questions that have classically been the purview of philosophy” (Pesut & Johnson, 2007, p. 116).
A family nurse practitioner could apply theory, information from research, and knowledge learned in class to formulate patient education strategies as well as to create patient education material. The nursing profession advocates for evidence-based practice. This requires the nurse to know, in order to provide proper care. Therefore, it is important to link research to nursing practice because the data collected through research makes it easier to make clinical decisions (Pipe, Wellik, Buchda, Hansen, & Martyn, 2005). An understanding of nursing theory would also prove important in handling nursing dilemmas by offering a systematic guide for handling nursing issues.
Nursing research is providing evidence used to support nursing practices, generate new knowledge, and promote evidenced-based nursing practice, ensure credibility of nursing profession, provide accountability for nursing practice and document effectiveness of nursing care. Nursing research also focuses on the understanding and relieving of the symptoms
Philosophy of Nursing Everyone’s values and beliefs about the profession of nursing are all different. The four concepts of nursing are interrelated and all mean something different to every person, too. Throughout this paper, I will be reflecting on my values and beliefs about nursing through the four concepts while comparing them to a nursing theorist with views that are most similar to my own.
The profession of nursing has embraced evidence based practice (EBP) as evidence based care combines evidence from research, clinical experience, and patient preferences that help us to ensure that patient care is effective, considerate, and cost effective for facilities and the population served, while meeting the specific needs of each patient Research that leads to EBP tells nurses and health care providers what practices/treatments that work, what does not work, and with whom and where they work best. An example of EBP is that the Affordable Car Act requires that all reimbursable treatments follow the guidelines and recommendations made by the U.S. Preventative Services Task Force (USPSTF). The USPSTF recommendations are derived from
Integrating humanities and sciences in nursing is important and allow individuals to enhance their knowledge and critical thinking skills in their nursing practice. The information I learn in this course has taught me that evidence-based research findings can be used to shape future practice settings going forward. As a change agent, I will change and implement new evidence-based care to my practice to deliver high-quality
Evidence-based nursing practice help to improve individual bedside practice because nurses work in the ward based on knowledge they obtained from previous research. It can also answer problematic clinical practice issue since it aim at solving problem, it improves nurse’s quality and reduces variations in care. Nurses are also confident in their decisions due to the fact that they know what they’re doing and can as well prove it because every patient deserves care that is based on the best scientific knowledge and ensures high quality and are cost-
In the clinical setting, the nurses’ expertise can be used to make clinical assessments and recommendations for routine care at a lower cost than a physician visit. This would increase the number of patients seen and increase the quality of the care provided. The advance practice nurse would be able to hone in on preventative measures and increase patient education. The advance practice nurse can also make recommendations about practice changes needed to facilitate better health outcomes through the use of evidence-based practice. Nursing leaders are aware of how important nursing science is to provide needed evidence to transform practice, even though, finding the time and resources to support any research activity is often challenging (Stone, 2017).
The practice of nursing evolves daily from theories and philosophies that are proven by researchers, resulting in growth of the medical profession and advanced evidence based knowledge. Philosophies According to Alligood (2014b), philosophies are specific theories that focus on one or more metaparadigm concepts in a wide spectrum philosophical way (p. 43). For a person to understand philosophies it is required to understand the knowledge type, metaparadigms. Metaparadigm Metaparadigm is the vast perspective of a discipline and a way to describe a concern specifically to a profession or department (Alligood, 2014b, p.42).
Nursing, and everything that it entails, cannot be easily described in just one simple word or phrase. It goes beyond the meaning of a profession and the stereotypical definition of treating the ill. Nursing is the “protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations” (American Nurses Association, 2010, p. 1). Therefore, it is a career that requires dedication, passion, critical thinking, and knowledge. It demands commitment and an understanding of its core values and concepts, as well as the nurse’s own personal philosophy and principles.
It’s important to use evidence based practices in nursing because it creates solutions to the patient’s needs, it improves the overall care of the patients, reduces harm and helps support nurse’s actions and clinical judgments. Sackett (2000) says that evidence based practice is looking at the best evidence along with using your clinic expertise in helping you to make a decision about the patient’s individuals care. Outline the process undertaken when searching for credible and relevant evidence to support Part 2 of the workbook. (Justify and support answers with credible and relevant evidence whilst adhering to UWS referencing guidance). The first element of finding credible and relevant evidence would be to research journals and articles, as
The field of nursing has greatly evolved over the years; the Nightingale era of nursing in the 19th century looks vastly different when compared to the current nursing era that is guided by scientific knowledge and factual principles. Understanding the patterns and structures of modern nursing knowledge is fundamental to the discipline of nursing (Carper, 1978). As defined by Carper (1978), the current field of nursing is guided by four patterns of knowing: (a) empirics, (b) esthetics, (c) personal knowledge, and (d) ethics. Empirical knowledge, also known as “nursing
Since the spread of formal schooling and education in human societies, fostering cognitive abilities, such as understanding, reasoning, critical thinking, creativity, problem-solving and judgment has been highlighted [1]. Problem-solving is an essential skill in today’s life [2]. Problem-solving is a goal-directed thinking [3]. It is a mental process, some logical, orderly, intellectual thinking that helps cope with problems, search several solutions and choose the best solution [4]. According to Moshirabadi, problem-solving is a systematic process and a problem-focused situation analysis that indicates the ability of individuals to overcome obstacles and to achieve goals.
Giving care to a patient is not a straightforward process because a patient is made up of advanced systems. Symptoms and the severity of a disease process are dependent on a particular patient, and it may not always be uniform from patient to patient. Because of this, nurses must be able to use their knowledge appropriately to help a patient. Nurses use techniques, such as Evidence Based Practice, in order to integrate new and advanced knowledge into their patient care (Canada, 2016). By exercising evidence based practice, nurses effectively seek knowledge, take experience from past situations, and apply this intelligence to best give patient care (Canada, 2016).
My simple definition of nursing is someone who helps heal and care for their patients. Being a nurse involves being able to adapt and honing a wide range of skills in order to provide the best care for their patient possible. Nursing is most definitely a healthy combination of both art and science. Medication requires specific scientific measurement, a scientific diagnosis is important for treatment. At the same time there’s many responsibilities and traits a nurse should have that isn’t considered scientific: compassion, knowing how to talk to a patient, figuring out what a patient might need that is something that can’t be “prescribed”, and much more.