INTRODUCTION to the Nurse Manager Inventory Tool The critical influence of nurse managers in shaping healthy work environments is undeniable. Of every leadership role in health care today, a nurse manager has the most direct impact on the care and services that patients and families require throughout their health care experience. Theirs is a far-reaching role with particular impact on achieving a professional culture that successfully recruits and retains expert nurses. In today’s dynamic and complex health care environments, safe and effective care will only be assured when health care leaders can make their optimal contribution to the effort. Nurse managers must not only fulfill their daily responsibilities, they must lead the change demanded that will secure a bright future for American health care.
The theory has undergone evolution for several years, but its root principal remains outstanding. The theory stresses on the concept of humanistic issue of nursing in conjunction to scientific knowledge. She modeled the theory in a way that it clearly brings out the implication and focus to nursing as a different health line of work. She believed that caring is a backing and support of the identity of nurses (Delaune, 2002). She added on that the identity of medicine is that of caring because nurses deal with patients and medicines; the same should describe their character.
Within each of the roles of scholarship are the nursing core values of caring, integrity, diversity, and excellence (NLN). The scholarship of knowing seeks to build on the current foundation of nursing knowledge through the identification and research of health issues. Empirical and historical research, theory development, and methodological studies, generate new knowledge that forms the basis for new nursing theories and evidence-based practice. The APN scholarship of teaching assimilates new and existing knowledge, and transfers this information from expert to novice, teacher to student, and healthcare provider to the patient. The APN may teach by role modeling, or mentoring of students and new nurses.
Bringing together education and healing was a life-changing experience that made me realize that nursing is my true calling. Traditionally, nurses were viewed as caregivers. In today’s world, image of nursing profession changes as nurses play many other roles such as patient’s advocates, educators, managers, team members, facilitators, and experts. (Zerwekh, 2006). As I read the entries from my reflective journal, I could see how my focus shifted from assisting patient with his basic needs at the beginning of the nursing school to more comprehensive nursing care today.
INTRODUCTION Nurses worldwide need to continually look for “solutions, choices and outcomes for patients that represent the best available knowledge internationally” (Hamer and Collinson 1999 p.4) to constantly improve and validate nursing care. The Nurses and Midwives Board New South Wales (NMB NSW) Strategic Plan 2004 to 2007 includes an objective to promote education and research related to contemporary practice and educational programs leading to registration, enrolment and authorisation (NMB NSW 2006 clause 2). The United Kingdom Nursing and Midwifery Council (UK NMC 2002 clause 6.5) require a registered nurse or midwife to maintain their professional knowledge and competence by delivering care based on current evidence, best practice and, where applicable and available, validated research. Such an objective can be achieved if nurses and midwives develop an understanding of the research process and demonstrate an ability to retrieve and critically assess research findings. Critical awareness is crucial to being a registered nurse or midwife.
Research is the systematic investigation into and study of materials and sources in order to establish facts and reach new conclusions (Oxford Dictionary 2011). The ultimate goal of research is to develop, refine and expand upon a body of knowledge providing evidence to either support or reject clinical practice (Polit and Beck 2004). Evidence based practice is broadly defined as the use of the best clinical evidence in making client care decisions (Polit and Beck 2004), and is agreed to ensure safe practice (Sackett 1996). By giving care based on evidence, a nurse acts as an advocate, working to their Code (NMC 2008a), helping clients to access relevant health and social care. In this essay the author looks at the role of the nurse in managing the safe withdrawal of clients detoxifying from alcohol on an inpatient unit.
Historical Development of Nursing Timeline Nursing theory has played an integral part in the development of nursing science and ultimately the practice of nursing as a profession. Nursing as a profession is still young in many aspects in its development and refinement, continuing to evolve with the addition of current research and the ever-changing field of health care. Study of the history of nursing theory is essential to help guide current day research, theory, and nursing practice. This paper will address the historical development of nursing science, its relationship to the profession, and the influences felt on nursing science by other disciplines. Historical Development Florence Nightingale is best known as the major founder of modern nursing, stemming from her contributions to nursing theory and science during the Crimean War in the 1850’s.
Therefore with the knowledge nurses receive from the research will become the new recommendations and standards for nurses to practice on patients in the future. In research, nurses have different roles in providing evidence on improving the outcome of patient care in the nursing profession. For example, “Some nurses are developers of research and conduct studies to generate and refine the knowledge needed for practice” (Burns & Grove, 2011, p. 27) While other nurses use the evidence from research to improve the quality of care for the patients (Burns & Grove, 2011). Consequently all nurses from any field of the nursing profession will participate in one aspect or another regarding research since nursing is an ever continuing improvement
Nursing assessment skills are essential in prevention, early diagnosis and treatment. Regardless of how one defines nursing, it is certain that nursing encompasses a vast body of knowledge and requires a great deal of competency and skill. It is also a demanding profession that involves cultural competency and a high level of interactions with patients. According to Sweet, “Nurses serving in primary care roles could expand access to care, educate people about health risks, promote healthy lifestyles and behaviors to prevent disease, manage chronic, diseases, and coordinate care” (2010, p. 28). It is important to educate public about nursing profession and move away from the stereotypes that nurse’s job is to follow doctor’s orders.
By the middle of the twentieth century, it became clear that effective nursing proactive required a distinctive body of knowledge. Nursing intervention had gradually become independent of the physicians orders, and nursing required integrated knowledge of the physiological, psychological, and social dimensions of the patient. By developing programs of research, nurses asserted ownership over the knowledge required for practice and this is the reason I am returning to school. With this advanced degree, I hope to increase my knowledge of nursing practice