Posted: September 4th, 2023

Explain how nursing practice has changed over time and how this evolution

The field of nursing has changed over time. In a 750‐1,000-word paper, discuss nursing practice today by addressing the following:
1. Explain how nursing practice has changed over time and how this evolution has changed the scope of practice and the approach to treating the individual.
2. Compare the differentiated practice competencies between an associate (ADN) and baccalaureate (BSN) education in nursing. Explain how scope of practice changes between an associate and baccalaureate nurse.
3. Identify a specific client care situation and describe how nursing care, or approaches to decision making, differ between the BSN‐prepared nurse and the ADN nurse.
4. Discuss the significance of applying evidence‐based practice to nursing care and explain how the academic preparation of the RN‐BSN nurse supports its application.
5. Discuss how nurses today communicate and collaborate with interdisciplinary teams and how this supports safer and more effective client outcomes.
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Nursing Practice Today
Nursing is a profession that has evolved over time. In the past, nurses were primarily responsible for providing hands-on care to patients. However, as the healthcare field has become more complex, nurses have taken on more responsibility for patient care planning, coordination, and evaluation. They also play a vital role in educating patients and their families about their health conditions and how to manage them.

How Nursing Practice Has Changed Over Time
The evolution of nursing practice has been driven by a number of factors, including:

The development of new medical technologies and treatments
The increasing complexity of patient care needs
The growing emphasis on evidence-based practice
The demand for nurses with higher levels of education
As a result of these factors, nurses today are more educated and have a wider range of skills and responsibilities than ever before. They are also more involved in decision-making about patient care and are playing a leading role in improving the quality of care.

The Scope of Practice and Approach to Treating the Individual
The scope of practice for nurses varies depending on their level of education and experience. Nurses with an associate degree in nursing (ADN) can provide direct patient care, but they are not authorized to prescribe medications or order diagnostic tests. Nurses with a bachelor of science in nursing (BSN) degree have a broader scope of practice and can perform more advanced duties. They can also work in more specialized settings, such as critical care units or operating rooms.

The approach to treating the individual has also changed over time. In the past, nurses focused on providing physical care to patients. However, today, nurses are also focused on the emotional, social, and spiritual needs of their patients. They work with patients and their families to develop individualized care plans that address all of their needs.

Differentiated Practice Competencies
The American Association of Colleges of Nursing (AACN) has developed a set of differentiated practice competencies for BSN-prepared nurses. These competencies reflect the increased knowledge, skills, and abilities that BSN nurses have compared to ADN nurses. The competencies include:

Advanced critical thinking skills
Ability to apply evidence-based practice
Ability to lead and manage patient care
Ability to collaborate with other healthcare professionals
Ability to teach and educate patients and their families
Client Care Situation
A specific client care situation where the nursing care or approaches to decision making differ between the BSN-prepared nurse and the ADN nurse is the care of a patient with a complex chronic illness. BSN-prepared nurses have the knowledge and skills to manage the complex care needs of these patients, while ADN nurses may be limited in their ability to do so. For example, a BSN-prepared nurse may be able to develop a comprehensive care plan for a patient with diabetes, while an ADN nurse may only be able to provide basic diabetic care.

Evidence-Based Practice
Evidence-based practice (EBP) is the process of using the best available evidence to guide nursing practice. This evidence can come from a variety of sources, including research studies, clinical practice guidelines, and expert opinion. EBP is important because it helps nurses to provide the most effective care for their patients.

BSN-prepared nurses are more likely to use EBP than ADN nurses. This is because BSN programs typically include courses on EBP, while ADN programs do not. BSN-prepared nurses are also more likely to have access to resources that support EBP, such as electronic databases and clinical librarians.

Communication and Collaboration with Interdisciplinary Teams
Nurses today are more likely to work as part of interdisciplinary teams than ever before. These teams typically include physicians, pharmacists, social workers, and other healthcare professionals. Nurses play a key role in these teams by communicating with each team member and coordinating the care of the patient.

Communication and collaboration with interdisciplinary teams is important because it ensures that the patient receives the best possible care. It also helps to prevent errors and improve patient outcomes.

Conclusion
The field of nursing is constantly evolving. As the healthcare field becomes more complex, nurses are taking on more responsibility for patient care planning, coordination, and evaluation. They also play a vital role in educating patients and their families about their health conditions and how to manage them.

The education and experience of nurses play a significant role in the quality of care that they can provide. BSN-prepared nurses have the knowledge, skills, and abilities to provide more advanced care than ADN nurses. They are also more likely to use evidence-based practice and to communicate and collaborate with interdisciplinary teams.

As the healthcare field continues to evolve, the demand for BSN-prepared nurses will continue to grow. BSN-prepared nurses are in high demand and can expect to earn higher salaries than ADN nurses. They also have more opportunities for advancement and leadership roles.

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Nursing Practice Today

Nursing is a profession that has evolved over time. In the past, nurses were primarily responsible for providing hands-on care to patients. However, as the healthcare field has become more complex, nurses have taken on more responsibility for patient care planning, coordination, and evaluation. They also play a vital role in educating patients and their families about their health conditions and how to manage them.
How Nursing Practice Has Changed Over Time

The evolution of nursing practice has been driven by a number of factors, including:

The development of new medical technologies and treatments
The increasing complexity of patient care needs
The growing emphasis on evidence-based practice
The demand for nurses with higher levels of education

As a result of these factors, nurses today are more educated and have a wider range of skills and responsibilities than ever before. They are also more involved in decision-making about patient care and are playing a leading role in improving the quality of care.
The Scope of Practice and Approach to Treating the Individual

The scope of practice for nurses varies depending on their level of education and experience. Nurses with an associate degree in nursing (ADN) can provide direct patient care, but they are not authorized to prescribe medications or order diagnostic tests. Nurses with a bachelor of science in nursing (BSN) degree have a broader scope of practice and can perform more advanced duties. They can also work in more specialized settings, such as critical care units or operating rooms.

The approach to treating the individual has also changed over time. In the past, nurses focused on providing physical care to patients. However, today, nurses are also focused on the emotional, social, and spiritual needs of their patients. They work with patients and their families to develop individualized care plans that address all of their needs.
Differentiated Practice Competencies

The American Association of Colleges of Nursing (AACN) has developed a set of differentiated practice competencies for BSN-prepared nurses. These competencies reflect the increased knowledge, skills, and abilities that BSN nurses have compared to ADN nurses. The competencies include:

Advanced critical thinking skills
Ability to apply evidence-based practice
Ability to lead and manage patient care
Ability to collaborate with other healthcare professionals
Ability to teach and educate patients and their families

Client Care Situation

A specific client care situation where the nursing care or approaches to decision making differ between the BSN-prepared nurse and the ADN nurse is the care of a patient with a complex chronic illness. BSN-prepared nurses have the knowledge and skills to manage the complex care needs of these patients, while ADN nurses may be limited in their ability to do so. For example, a BSN-prepared nurse may be able to develop a comprehensive care plan for a patient with diabetes, while an ADN nurse may only be able to provide basic diabetic care.
Evidence-Based Practice

Evidence-based practice (EBP) is the process of using the best available evidence to guide nursing practice. This evidence can come from a variety of sources, including research studies, clinical practice guidelines, and expert opinion. EBP is important because it helps nurses to provide the most effective care for their patients.

BSN-prepared nurses are more likely to use EBP than ADN nurses. This is because BSN programs typically include courses on EBP, while ADN programs do not. BSN-prepared nurses are also more likely to have access to resources that support EBP, such as electronic databases and clinical librarians.
Communication and Collaboration with Interdisciplinary Teams

Nurses today are more likely to work as part of interdisciplinary teams than ever before. These teams typically include physicians, pharmacists, social workers, and other healthcare professionals. Nurses play a key role in these teams by communicating with each team member and coordinating the care of the patient.

Communication and collaboration with interdisciplinary teams is important because it ensures that the patient receives the best possible care. It also helps to prevent errors and improve patient outcomes.
Conclusion

The field of nursing is constantly evolving. As the healthcare field becomes more complex, nurses are taking on more responsibility for patient care planning, coordination, and evaluation. They also play a vital role in educating patients and their families about their health conditions and how to manage them.

The education and experience of nurses play a significant role in the quality of care that they can provide. BSN-prepared nurses have the knowledge, skills, and abilities to provide more advanced care than ADN nurses. They are also more likely to use evidence-based practice and to communicate and collaborate with interdisciplinary teams.

As the healthcare field continues to evolve, the demand for BSN-prepared nurses will continue to grow. BSN-prepared nurses are in high demand and can expect to earn higher salaries than ADN nurses. They also have more opportunities for advancement

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