There is a need for professional development courses that raise awareness of the importance of a nursing culture that encourages a more open questioning attitude to decision-making. INTRODUCTION N urses work in many different roles and settings either directly or indirectly related to patient care. Care delivery has however changed with advances in technology, disease treatment and prevention and nurses need to become skilled in higher-level thinking if they are to effectively manage the complex changes resulting from the increasing demands and greater accountability required of the profession (Simpson and Courtney 2002). Nurses make decisions every day while planning and delivering
(Trisha, M., Shawna, D., Mary Ann A., & Pamela, H.) Education has very important role to update knowledge in nursing field and does affect the competency of the nurse clinician to provide care for the patients. Research has shown that lower mortality rates, fever medication errors and positive outcomes are all linked to nurses prepared at the BSN level and graduate level. (AACN, 2012) Nursing education is a continuous process, if she / he are working as a bed side nurse, or as an educator. To work as competent nurse knowledge in the nursing field is essential and has to update through ongoing education. BSN prepared nurse poses competency in providing direct care with different nursing diagnosis, practice with in structured or non- structured setting using independent nursing decisions.
Over the years, the nurse anesthesia specialty evolved to meet the demands of surgeons in quest of a solution to the high morbidity and mortality caused by anesthesia. As pioneers in anesthesia, nurse anesthetists actively participated in the fine-tuning of anesthesia delivery techniques and equipment improvement. The AANA (2009) recognizes Sister Mary Bernard as the first nurse who chose anesthesia as a specialty. She was a Catholic nun who entered St. Vincent's Hospital in Erie, Pennsylvania, to assume the duties of anesthetist in 1877 (AANA). At the end of the nineteenth century, the art of anesthesia improved greatly with the contribution of Alice Magaw.
My Contribution to the History of Nursing Throughout the history of nursing, there have been many remarkable individuals who have made great contributions to this field and profession. Some made vast differences in improving the work of nursing, while others made huge differences in the everyday lives of their patients, with their comforting and nurturing ways. So as I sit here and try to imagine my future ahead of me as a nurse, I can’t say for certain that I’m going to drastically change the nursing profession with some big contribution or development. I can say however, that I am going to put my heart and soul into being the kind of nurse who will be there for my patients, making contributions to better their lives every day. I made the decision to pursue the field of nursing because it embraces so many aspects of a career that I have been looking to be a part of.
The Impact of IOM On The Future Of Nursing The expansion of healthcare over the years, patients being more involved in their care and needs getting more complicated, nursing profession faces more challenges. On October 5th 2010 the Institute of Medicine (IOM) launched a report that made recommendations for action oriented blue print transforming the nursing profession to effectively meet the promise of a reformed healthcare system and the nation’s health needs. These recommendations are as follows: 1. Nurses should practice to the full extent of their education and training. 2.
So, it is very important for nurses to upgrade their knowledge level to comply with the requirements of changing health care system, which can be achieved by higher education and specialization. Due to advancement in the entire medical field, health care professionals are facing new challenges and problems, when compared to the previous era. So, the old educational system and the training, which was given to nursing students in previous years, is not adequate to fulfill the demands of modern era. The needs of the patients underwent a paradigm shift over the years,
Introduction As the contemporary society forges ahead amazingly, the public demand has become increasingly diversified. Advanced Practice Nursing (APN) has been particularly prominent in health care discourse since the 20th century (Brown, 1998). As many of APN’s job scope are overlapping with the traditional medical role, frequently, they are struggled to articulate what it is as nursing-based care providers that they uniquely bring to their patients (Dunphy & Winland-Brown, 2006). Caring is a word often associated with nursing, and it is one of the symbolic characters to differentiate APN from medical team. A transformation conceptual model, the Circle of Caring (Figure 1) is developed by Dunphy and Winland-Brown in year 1998 especially for APN in North America (Dunphy & Winland-Brown, 2006).
Armed with the latest in EBP, the most recent nursing knowledge, and freshly learned skills, the new nurse is expected, by some, to function at the same level as every other experienced nurse on their unit. The members of this committee understand this is an unrealistic expectation, however, just how long should it take for the new graduate nurse to function as an independent staff nurse? Dr. Patricia Benner, one of nursing’s Grand Theorists, has addressed this very question. In her book, From Novice to Expert: Excellence and Power in Clinical Nursing Practice, Dr. Benner describes that much of the knowledge learned in nursing is obtained at the bedside, and new nurses will only become expert nurses through time and experience. Dr. Benner based her work on the Dreyfus Model of Skill Acquisition (2001).
Nursing What nurses do on a day to day basis have been changing and evolving for many years now. There is so much more that they have to do and have such a wide range of responsibilities. Today nurses are not just caring for sick patients; they are doing much, much more because the field has grown more stressful and strenuous. But to be a great nurse they must have had a greater education. They take what they have learned and use that information every day to make difficult decisions in life and death situations (Tiffin).
The knowledge of foundations and history of nursing provide a way to show just how important change and evolving something for the better can be. Nursing has come a long way and change is important to better the career and the outcomes for patients. The dynamics of the workplace and nursing staff have since evolved from the foundation. The education involved in nursing has made major changes. The treatments, equipment, and technology used from the beginning to present day has also changed and improved.