Historical Perspective Essay Shanda M. Ramsey NUR/518 June 9, 2014 Cindy Boyer Historical Perspective Essay Nursing research is widely used to produce evidence-based practices for nurses to use in practice with caring for patients. It is a “systematic inquiry designed to develop trustworthy evidence about issues of importance to nursing” (Polit & Beck, 2012). Nursing theorists such as Florence Nightingale introduced research to the nursing field in the 1850’s with her publication Notes on Nursing. Over the years, contributions to nursing research continued to come forward helping to grow and develop nursing research to what it is today. Theorists are not the only contributors to the development of nursing research.
In this research project, the nurse’s proved that they lacked evidence in their practice. They chose to believe it was acceptable to have omissions of medication for certain medications and diagnosis in patients than with others. In nursing, if a medication is prescribed as an order, you are to give it. If the patient is having a change in medication that requires you not give that medication i.e. low blood pressure for an anti-hypertensive or patient is lethargic and unable to swallow medication, you should be communicating these findings with your physicians to receive further directions.
As nursing has progressed, theory has played a large role in defining the professional practice and identifying the standards to providing consistent, measurable practice among the profession. A basic definition of the term theory is given by Streubert & Carpenter (2011) as “a systematic explanation of an event in which constructs and concepts are identified and relationships are proposed and predictions made”. Nursing theories are the basic concepts that define nursing practice. It is why nurses do what we do. During any given shift, nurses are using several theories in ensuring that patients’ needs are being met and proper care is given to ensure the best possible outcomes.
Ms Orem began her career with a nursing diploma from the Providence Hospital School of Nursing in Washington D.C. sometime in the 1930’s. Ms Orem continued her education until she received her Master’s Degree in 1945. During this time she worked in the operating room, emergency room, private duty setting, pediatric and medical nursing units and eventually became a director. She became interested in improving the quality of nursing in general hospitals in her state and subsequently became a consultant to the office of education and it was during this time period that she developed and published Orem’s Self Care Deficit Theory for the first time in the “Guides for Developing Curricula for the Education of Practical Nurses”. In 1976 she received an Honorary Doctorate of Science from Georgetown University.
I will be describing the major concepts of Jean Watson’s theory and I will be applying Jean Watson’s theory to my own nurse/ patient relationships and describe the caring moments that took place. I will discuss Jean Watson’s major assumptions in relation to person, health, and nursing in the health care environment. I will also be discussing how Watson’s carative factors were used in a transpersonal relationship with my patient. I will be finalizing this paper with a reflection of myself in a carative moment with my patient. Jean Watson was born in West Virginia US.
In light of current policy developments, this essay examines how a community specialist practitioner can contribute in the evolving National Health Service (NHS). Due to its relevance to my practice, the essay will focus on district nursing and how distict nurses can contribute to adult services within primary care. District Nurses are at the heart of community care and play a leading role in the drive for quality, process of change and innovation. Using effective leadership and team approaches, district nurses have embraced the opportunities to flag up their role and the impact they have in providing health care for the population (Lawton, et al, 2006). District nursing teams provide services to patients who are housebound and unable to visit their GP or local health centre.
Master's Prepared Nurse Interview The purpose of this paper is to interview a master’s prepared nurse and get more knowledge of the role they play in their career. I chose this person because I work with her in the critical care setting where she is our clinical resource to go to when questions may arise. She portrays to have lots of knowledge and experience in the nursing profession to share with others. By working with this individual, I have learned that she is an exceptionally energetic and compassionate person, portrays excellent critical care thinking skills, and has a passion for being a nurse in general. After high school, she started her college career at Eastern Kentucky University where her major at this time was undecided.
Lastly, a reflection of findings will be discussed as to how nurses could contribute the information from the two interviews into their own professional growth and development. The first interview question pertained to the interviewee’s role in their current position and their educational preparation. The CRNA interviewed had an extensive emergency and critical care background, which applies greatly to his position today as he works in several areas, including the ICU, of the hospital where he is employed. The nurse educator was previously a nurse practitioner in a family practice office where she learned the patient teaching aspect that transitioned into her educational role today. Each interview participant explained the unique contributions they each made as nurses and brought to their interdisciplinary team.
Once completing my bachelors of science in nursing, I can continue my long-term goal of becoming a nurse practitioner. The skills required of a nurse practitioner are skills that I have been practicing throughout my career as a nurse. I will listen to my patient’s needs and concerns, and provide them with information in a way they can understand it. I will have better critical thinking and reasoning skills for when problems or situations arise. I will have the knowledge and information needed to diagnose and treat.
The BRN serves to protect patient. A PNO consist of groups of nurses that gather for the purpose of education, and overall growth of the nursing profession and the patients they serve. PNO’s give a nurse peer support and continuing education. Regulatory agencies’ primary role is to protect the public through the Board of Registered Nurses (BRN). It is responsible for the writing of the Nurse Practice Act, which governs the scope of practice for all levels of nursing (ANA, 2012).