The nursing process is much like the scientific method, but they also have some distinct differences. The nursing process consists of five different steps. Step one being the assessment of the patients well being, anything from physically, psychologically as well as even emotionally. Step two would include a nursing diagnosis, which would require the nurse to use her clinical knowledge to make the basis to a patients’ health care plan. Step three would be planning and the outcomes of the patient’s diagnosis, the nurse must do some rapid changes in the patients care to make sure they get treated.
The nurse also has to treat the patient with dignity and aide in the healing process that is conducive to each individual. The scope of practice is a parameter set in place that defines the rolls, procedures, actions, and processes are permitted by a licensed professional. An example would be a RN administering medication to a patient or doing a care plan after patient check in and assessment. An advanced practice nurse has skills beyond the normal scope of practice of a RN. They generally have more knowledge and experience in a concentrated field of study with a complexity of skills and intervention practices.
They can ensure smooth handoffs as the patient transitions through the continuum. They often prevent medication errors, reduce infection rates and facilitate patient transitions from hospital to home. (Howell, 2013) Nurses at every level take a leadership role through knowledge and caring. Demonstrating understanding of the person, health and environment helps to drive nursing practice and patient care. (AONE, 2010) Leadership is not just managing but facilitating.
The question is what role do nurses play when it comes to medication safety? Nurses play many different roles in the world of medicine; however the most important role is to assure that patients are receiving their medication safely. One of the recommendations to reduce medication errors and harm is to use the “Five rights: the right patient, the right drug, the right dose, the right route, and the right time” (Choo, Hutchinson & Bucknall, 2010, p.854). Verifying the patient’s identity ensures that the correct patient is receiving the medication, confirming that the medication written on the order is the same medication being prepared, ensures the right drug, dose and route is given. Some medications must be given at specific time, so it imperative to provide the medication to the patient at the correct time.
The Nursing Process The nursing process is a five step process that helps nurses critically think and attain information that will help the nurse meet the patient’s agreed-on goals for better health. The steps involved in the nursing process include assessment, diagnosis, planning, implementation, and evaluation. The purpose of the nursing process is to diagnose and treat patient’s responses to actual or potential health problems. This five step process allows for flexibility in all clinical settings and makes it easier for the nurse to “think through” the patient’s clinical problems. Assessment The assessment portion of the nursing process is a way to gather as much information about the patient as possible.
By deciding to compare communication skills within the adult field to the child field this essay will be looking at similarities and differences between the two. During treatment, patients interact more with nurses than any other health care professional in the health care setting. (Cacolice-Hildebrand, 2008). Nurses communicate using a whole range of communication skills, this is vital because nursing/patient care and patient safety are what comes first when looking after a patient. Simple things such as answering questions and reassuring the patient can
It also contributes to patient care by classifying nursing phenomena and standardizing language among nurses. Nursing diagnoses are scientific interpretations of data that appeared and that are used to guide planning, implementation, and evaluation of nursing practice. The use of nursing diagnoses gives more visibility to nurses, whose caregiving has previously been invisible or unrecognized(20). Defining characteristics and factors are related to nursing diagnoses. Those characteristics are passible clues of observations and checks.
The original purpose of the model was to be an evaluation used throughout the nursing care, but it has become the standard in UK nursing to use it only as a checklist on admission The model is made up of five components: Activities daily living, lifespan, dependence or independence continuum, factors affecting activities of daily living and individual in living. These all components are as applicable to a model of living as they are to a model of nursing. Their work has applicability to a variety of clinical situations (Mooney& O’ Brien, 2006; Timmins, 2006). The model of activities livings should not be used as a checklist of patient admission. Instead, Roper pointed out they should be viewed "As a cognitive way to the assessment and care of the patient, not on paper as a checklist, but in the nurse's approach to and system of her care."
The five phase nursing process is a cyclical process which allows nurses to recognise the patient’s nursing diagnosis in order to plot appropriate care. These phases involve assessment, diagnosis, planning, implementation and evaluation (ADPIE). The assessment phase forms the foundation for appropriate diagnosis, planning and intervention (Ackley & Ladwig, 2014 p. 3). Evaluation of nursing care allows for reassessments, restructuring of priorities and continuing review of care plan if the needs of the patient are not met (Davies and Janosik, 1991 p99; Brooker and Waugh, 2013 p304). Nurses need to be able to document a complete, systematic, and precise
Unfortunately for the nursing profession, we have been plagued by similar vagueness in term of job description and definition. Professional boundaries separate therapeutic behaviour of any registered nurse from any behaviour which, well intentioned or not, could lessen the benefit of care to clients.1 However, as the role of nurses advances, so does the vagueness increase in terms of professional nursing boundaries. This is the result of nurses being able to adopt and perform roles and also skills that were previously found in other health personnel such as doctors, pharmacists, psychologist and also counsellors. This has resulted in a different scope of professional boundary issue which is outside from therapeutic relationship between nurses and clients; but in fact it involves other health personnel. Among others are relationship with any students, working with research personnel, management staff, and working relationship with other healthcare personnel such as doctors, psychologist, pharmacists and physiotherapist.