NRS 430 Contemporary Nursing Discussion

NRS 430 Contemporary Nursing Discussion

NRS 430 Contemporary Nursing Discussion

Nursing practice has changed over the decades from when nurses had minimal education to having complex nursing training programs and when nurses provided basic care to performing complex medical and nursing procedures. Nursing was initially a woman’s work where women cared for the sick at home in the era where there were no hospitals (Egenes, 2017). Modern nursing is attributed to Florence Nightingale, who developed nursing practices that created new standards for nursing practice.  In this regard, this paper will discuss the evolution of nursing practice, the differences between ADN and BSN nurses, and the significance of evidence-based practice in nursing.

Evolution of Nursing Practice

Nurses were formerly not provided formal nursing education but were instead given on-job training on how to provide basic care such as clean and dress wounds. They did not have autonomy and received instructions from physicians. As the nursing practice evolved and more hospitals were established, women began receiving nursing training in small to medium-size hospital systems (Egenes, 2017). However, the training was observation-based, taking two to three years, and the scientific rationale for interventions was not emphasized.

Advances in medicine and technology created a need for complex and specialized nursing education. As a result, nursing training shifted from hospital observation to the classroom.  Certification programs have been created, changing the scope of nursing practice (Egenes, 2017). Nurses also have Master’s and Doctorate levels, which increase a nurse’s scope of practice to include duties similar to physicians such as taking history and physical exams, making diagnoses, interpreting diagnostic results, and initiating treatment plans.  Furthermore, standards of nursing practice have been created to ensure quality nursing care, and nurses are educated on ethical practice and providing culturally sensitive care.

Nurses with an Associate Degree in Nursing (ADN) and with a Baccalaureate Degree (BSN) are both registered nurses (RNs). Both BSN and ADN programs prepare nursing students to deliver patient care that meets the set standards. Besides, both programs equip the future RN with nursing skills and ensure they attain the clinical practice competencies necessary for nursing practice (Northrup-Snyder et al., 2017). However, the BSN program emphasizes more on areas of informatics and research. It also has courses not offered in the ADN program, such as nursing theories, social sciences, public health, leadership, and management. The differences in the ADN and BSN training result in differences in the scope of practice. ADN RNs are generally more focused on technical, clinical duties and everyday direct patient care, including monitoring patients, administering treatment, performing basic nursing procedures, and updating charts (Ghaffari, 2017). On the other hand, the scope of BSN nurses includes nursing educator, research, public health, administrative, leadership, management roles, and direct patient care.

Nurses are on the front lines of change within the healthcare system, and change is happening quickly. New regulations that boost access to care and improve outcomes without compromising quality have expanded nursing roles. A paradigm shift in nursing education has encouraged greater critical-thinking and problem-solving skills. The increased use of technology and informatics has changed how nurses function on a clinical level.

. Overall, the profession has been working to collaborate with patients and families in order to provide culturally competent care and optimize the continuum of care. According to Orthopedic Nursing researchers, nurses must be full partners in ongoing efforts to improve patient outcomes.

According to the article “Healthcare Transformation and Changing Roles for Nursing,” written by Susan W. Salmond and Mercedes Echevarria, “there are transformative changes occurring in healthcare that nurses are well positioned to contribute to and lead because of their role, education, and the respect they have earned.”

Topic 4 DQ 2

Outline the concept of professional accountability as it pertains to nursing. Provide examples of how a nurse demonstrates professional accountability in clinical expertise, the nursing process, and evidence-based practice. How do you incorporate self-care that includes mental health and spiritual well-being for you and your clients? What does the Bible say about self-care?

As a nurse we must do certain things to maintain our licensure. Depending on the state we are licensed in there are different requirements for renewing our licenses. If we have certifications we have things we must do to maintain those certifications.

In our nursing practice we will have education that maybe required to do as part of our employment. Hospitals frequently have yearly education that must be done by employees. There may be new education that comes up based on unit needs or new policies and protocols. As a professional nurse we must meet these requirements and do them in a timely manner.

What are some things that you have to do to remain accountable in your practice?

Tajinder Singh

replied toDana McKay

Sep 18, 2022, 4:01 PM

  • I think continuous education is super important to keep us in the healthcare field up to date and in the loop of latest practices and such. We are in such a ever evolving field that we have to stay up to date to keep our skills relevant. In my practice we have to keep up to date on oncology nursing via continuous education certificates or attending workshops. I usually attend classes or seminars online there are alot of resources on which is where i did most of my education for this year. in addition getting new certifications such as ACLS, PALS, etc. are immensely helpful in staying accountable in your practice.

The American Nurse Association (ANA) code of ethics defines nurse accountability as stated, “to be answerable to oneself and others for one’s own action” This means that nurses are required to follow an ethical conduct code based on the principles of fidelity and respect for the dignity, Nurses can display their professional accountability by taking responsibility for their own judgment and clinical decision they may make (Arkansas 20117). One way a nurse can show professional accountability is early recognition of an ischemic stroke patient, facial drooping, slurred speech, confusion, paralysis, and so forth. That nurse has a responsibility to that patient by acknowledging and alerting the proper clinicians to the situation based on his or her judgment. Because ischemic strokes are time-sensitive, early recognition and treatment can minimize brain damage and improve outcomes (Harvard 2017) It is important for nurses to practice good self-care and prioritize their own mental health and well-being which could directly improve the quality of care that they give their patients. Nurses can incorporate mental self-care just by coming up with a realistic individualized plan that they could do daily and/or every couple of days (Haughey 2022). The bible doesn’t speak directly about self-care but do provide some direction on how to establish,and maintain it. Jesus spoke about and gave direction and instruction to his disciples to care for their physical and mental health Jesus recognized that we cannot function and live sufficiently without rest (Liu 2022).

Arkansas State University (2017) Accountability in Nursing Retrieved September 16, 2022 from ~:text=%20Although%20definitions%20of%20accountability%20vary%2C%20Marcia%20M.,having%20power%20or%20control%20over%20something

Harvard Health Publishing (2017) Recognizing Strokes Early Retrieved September 16, 2022 from

Haughley, C. (2022) Why Self Care is Essential for Nurses and How to Practice It. Retrieved September 16, 2022 from Practicing good self-care and prioritizing your own mental health and well-being directly improves the quality of care you give your patients.

Liu,G (2019) What Does The Bible Say About The Self Care Movement? Retrieved September 16, 2022, from,for%20the%20care%20of%20our%20bodies%20and%20minds.

Oluchi Osueke

Sep 16, 2022, 8:46 PM

Professional accountability for nurses is very important. Nurses are expected to be accountable for their actions, practice, and safety of those they care for. In 2016, for the 15th year in a row, nursing was voted the most trusted profession, and it’s paramount that they maintain that same level of trust in all that they do. Nurses are expected to behave a certain way, conduct themselves with some level of respect and professionalism in the workplace. The American Nursing Association’s Code of Ethics defines professional accountability as being “answerable to oneself and others for one’s own actions.” Not only do we hold high clinical practice and ethical standards for ourselves, but we must also be willing to accept professional responsibility when or if deviations from care standards occur. A nurse is responsible and accountable for the patients assigned to her during her shift.  A culture of accountability in healthcare helps improve doctor-patient relationship, helps hospitals provide better care and prevent misuse of hospital resources. Accountability ensures nurses always put patient’s interest first and always to justify their actions, also it ensures patient’s rights, confidentiality and safety are protected.

It’s important to always ensure we as nurses are in the best optimal state of mind in other to give the best care that we can give. When a person is stressed or suffering from anxiety or other problems and isn’t taking care of themselves, it spills into their work, and they sometimes make mistakes. When Jesus was teaching the disciples and the multitudes, he would sometimes take some time away to rest or spend time alone with the Father. Therefore, it’s important that we take care of ourselves, so we are able to take care of our patients.



Lippincott. Nursing made incredibly easy: Importance of professional accountability. November/December 2017 – Volume 15 – Issue 6

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