NRS 430 Contemporary Nursing Practice

Sample Answer for NRS 430 Contemporary Nursing Practice Included After Question

Assessment Description

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 and contrast the differentiated practice competencies between an associate and baccalaureate education in nursing. Explain how scope of practice changes between an associate and baccalaureate nurse.
  3. Identify a patient 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 patient outcomes.

You are required to cite a minimum of three sources to complete this assignment. Sources must be appropriate for the assignment and relevant to nursing practice.  

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

A Sample Answer For the Assignment: NRS 430 Contemporary Nursing Practice

Title: NRS 430 Contemporary Nursing Practice

To excel in their professional roles, nurses should acquire diverse skills and comprehensively understand practice problems and solutions. Basic clinical skills can be acquired through certificates, diplomas, or degrees. A nurse’s competence is typically higher when they acquire the highest education possible, making nurses perceive continued education positively (Thielmann et al., 2019). As nurses continue to implement their roles, the nursing practice evolves in multiple dimensions.

This evolution impacts patient care outcomes, communication strategies, and care models, among other critical aspects. Nurses should understand this evolution and adapt effectively. The purpose of this paper is to describe nursing practice today while primarily focusing on its evolution and differences between associate (ADN) and baccalaureate (BSN) education in nursing.

Nursing Practice Changes, Scope of Practice, and Approach to Client Care

Nursing has evolved in many aspects, profoundly impacting nursing scope and patient care approaches. One of the many changes characterizing modern practice is the evolution of care delivery models. Undeniably, remote care is increasingly dominant in the current practice as providers strive to improve access to care and reduce costs (Snoswell et al., 2020).

Besides, there is an increased focus on value-based care in an attempt to improve care quality and patient satisfaction. Another significant change defining the current practice is the broadened scope of nursing. Nurses’ role is not limited to clinical care; nurses can effectively perform other roles that optimize health outcomes, including policymaking, advocacy, and health education.

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The progressive changes in nursing practice have broadened nursing practice not to be limited to patient care. As the push for higher patient outcomes continues, nurses are currently playing a pivotal role in creating safer environments and promoting patient rights. This role typifies patient advocacy, where nurses serve as the voice of patients (Nsiah et al., 2019). Regarding the approach to treating the individual, there is an increased focus on patient-centeredness and patient engagement. In such approaches, healthcare providers are not the sole decision-makers. Patients should understand the treatment processes and consent to them as nurses tailor care according to patient needs.

Comparison of Practice Competencies and Scope of Practice

Nurses’ competencies impact their ability to implement comprehensive patient care and other roles. An ADN is a two-year degree that prepares students to be registered nurses (RNs). However, since it takes a short time, an ADN focuses primarily on the technical skills that prepare nurses as clinicians. As Deering (2023) stated, BSN-prepared nurses are more skilled in clinical roles and other practice areas such as research, nursing leadership, and public health. The four-year program provides BSN nurses with a larger base of knowledge than AND-prepared nurses.

The BSN further provides expanded skills in critical thinking and administration. Regarding the scope of practice, BSN nurses have broader roles than ADN nurses due to more competence and a more comprehensive understanding of patient care. Research further confirms a positive link between BSN nurses’ expanded skills and higher patient outcomes, which underlines the need for more such nursing professionals (Anbari, 2019; American Association of Colleges of Nursing, n.d.). As ADN nurses concentrate on the clinical role, BSN nurses conduct research, engage in leadership, and implement change in routine practice. Importantly, BSN nurses also enjoy more independence in decision-making than ADN nurses.

Nursing Care or Approaches to Decision Making

The differences in skills level between ADN and BSN-prepared nurses affect how they approach client care situations. A suitable scenario is where a patient presents to the healthcare setting with a persistent headache. An ADN will likely have a somatic approach to relieve symptoms while trying to calm and comfort the patient. The genesis of the headache could be established through a routine diagnosis to determine an effective treatment.

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NRS 430 Contemporary Nursing Practice
NRS 430 Contemporary Nursing Practice

On the other hand, as Kim and Sim (2020) suggested, BSN-prepared nurses are more skilled in critical thinking, communication, and decision-making. Therefore, they will likely take a more holistic approach in the assessment process to determine the potential cause of the illness. Their higher communication and assessment skills would enable them to communicate with the patient, establish a healthy nurse-patient relationship, and develop a treatment plan that integrates the patient to foster adherence.

Significance of Applying Evidence-Based Practice to Nursing Care

The current nursing practice stresses evidence-based practice (EBP) and encourages nurses to apply it to address simple and complex health matters. EBP is primarily about blending current research evidence with clinical expertise and patient values for higher patient outcomes (Abu-Baker et al., 2021). It ensures that multiple components are considered during decision-making to address patient needs comprehensively.

The academic preparation of the RN-BSN nurse supports EBP application by expanding nurses’ research and leadership skills. Research skills enable nurses to explore, analyze, and critique current, peer-reviewed research. Leadership skills prepare nurses to lead change whose positive outcomes are achieved by implementing EBP.

Nursing Communication and Collaboration

Nurses work in different settings and need a shared approach to decision-making to achieve enhanced, consistent outcomes. They communicate and collaborate with interdisciplinary teams by sharing information and approaching common issues as a team. Technologies have also allowed timely data sharing and analysis for better communication and collaboration.

According to Walton et al. (2019), collaboration across disciplines supports safer and more effective practices by reducing errors and improving care coordination. Health care practitioners within the interdisciplinary team benefit from shared roles and diverse perspectives that enhance their understanding of patient care and interventions as situations obligate.

Conclusion

Nursing is an evolving practice characterized by many changes in patient care approaches occurring over time. Nurses should be competent multi-dimensionally to address patient needs comprehensively and adapt as the practice evolves. As discussed in this paper, the competency differences between ADN and BSN-prepared nurses affect how they respond to situations. Although both sets of nurses are skilled in clinical roles, BSN nurses have expanded knowledge of research, leadership, and critical thinking skills. Research skills prepare BSN nurses for a higher role in implementing evidence-based practice.

References

Abu-Baker, N. N., AbuAlrub, S., Obeidat, R. F., & Assmairan, K. (2021). Evidence-based practice beliefs and implementations: a cross-sectional study among undergraduate nursing students. BMC Nursing20(1), 1-8. https://doi.org/10.1186/s12912-020-00522-x

Anbari, A. B. (2019). What makes a BSN a BSN? Western Journal of Nursing Research, 41(2), 167–170. https://doi.org/10.1177/0193945918803683

American Association of Colleges of Nursing. (n.d.). Fact sheet: the impact of education on

nursing practice. https://www.aacnnursing.org/Portals/42/News/Factsheets/Education-Impact-Fact-Sheet.pdf

Deering, M. (2023). RN Diploma vs. ADN vs. BSN degree: what’s the difference? NurseJournal. https://nursejournal.org/degrees/bsn/rn-and-bsn-degree-differences/#:~:text=A%20BSN%20degree%20and%20an,school%20and%20your%20career%20goals.

Kim, A. Y., & Sim, I. O. (2020). Communication skills, problem-solving ability, understanding of patients’ conditions, and nurse’s perception of professionalism among clinical nurses: a structural equation model analysis. International Journal of Environmental Research and Public Health17(13), 4896. https://doi.org/10.3390/ijerph17134896

Nsiah, C., Siakwa, M., & Ninnoni, J. P. K. (2019). Registered Nurses’ description of patient advocacy in the clinical setting. Nursing Open6(3), 1124–1132. https://doi.org/10.1002/nop2.307

Snoswell, C. L., Taylor, M. L., Comans, T. A., Smith, A. C., Gray, L. C., & Caffery, L. J. (2020). Determining if telehealth can reduce health system costs: Scoping review. Journal of Medical Internet Research22(10), e17298. https://doi.org/10.2196/17298

Thielmann, B., Parker, K., Post, J., & Abraham, S. (2019). Factors influencing nurses’ perceptions of the Baccalaureate Degree in Nursing as minimum requirement for Professional Practice. Nursing Education Perspectives, 40 (1), 25-29. doi: 10.1097/01.NEP.0000000000000391.

Walton, V., Hogden, A., Long, J. C., Johnson, J. K., & Greenfield, D. (2019). How do interprofessional healthcare teams perceive the benefits and challenges of interdisciplinary ward rounds. Journal of Multidisciplinary Healthcare12, 1023–1032. https://doi.org/10.2147/JMDH.S226330

A Sample Answer 2 For the Assignment: NRS 430 Contemporary Nursing Practice

Title: NRS 430 Contemporary Nursing Practice

The practice of nursing has evolved over years from the early times of Florence Nightingale. Nursing theories, practice models, and scientific frameworks used have also improved. The need for quality and improved care access has changed nursing training and education over time. Nursing education has produced various cadres of nurses with different scopes of practice. Models for nursing decision-making have changed as evidence-based practice has replaced older decision-making models in nursing practice. The need for nurses’ interactions with other nurses and other professionals has led to improvements in nursing communication and collaboration techniques and strategies. Therefore, the purpose of this paper is to describe the evolution of nursing, compare associate (ADN) and baccalaureate (BSN) education in nursing competencies, illustrate how decision-making differs between ADN and BSN nurses, discuss the significance of applying evidence-based practice, and finally describe the current nursing collaboration and communication strategies.

Evolution of Nursing Practice

The nursing practice has evolved with the creation of various nurse cadres and levels of training. For example, nurse practitioner cadres did not exist in many countries until two decades ago. The learning and training of nurses have evolved over the last century (the University of Pennsylvania, n.d.). Before the error of theoretical nursing, a nurse would learn the art and science through apprenticeship and there were no formal schools. Theoretical and scholarly works of famous nurses in history such as Florence Nightingale changed the face of nursing through the introduction of formal learning with certifications (UCSF School of Nursing, n.d.). The introduction of degrees and master’s degrees in nursing followed these educational and professional advancements. More than seven decades ago courses such as associated degree in nursing (ADN) programs were introduced by the American Nurses Association.

The baccalaureate degree in nursing was introduced much earlier than ADN. Postgraduate and doctorate education in nursing have also evolved with nurses graduating with different cadres of competencies. These evolutions have impacted the scope of practice in nursing. For example, a degree-prepared nurse cannot prescribe medication while a master’s in science, MSN-prepared nurse has the prescriptive authority in many states. Therefore, this advancement in the scope of practice is created by the variation in levels of education, training, and practice. The BSN degree in nursing has become the new standard in nursing education and practice today. BSN-prepared nurses train longer that ADN-prepared nurses.

Practice Competencies between an ADN and BSN Education in Nursing

BSN training is longer and prepares the nurse with more focus on nursing research evidence-based practice, leadership, and management, in addition to clinical skills. In most institutions, the BSN program runs for about three to four years while the ADN program runs for two years. ADN-prepared nurses are trained with more focus on clinical skills than other nursing competencies earlier mentioned for BSN-prepared nurses (Brusie, 2021). Therefore, these competencies confer BSN nurses with more advantages because they have room for professional advancement. These competencies define their roles and abilities to fulfill these roles in nursing practice (Fukada, 2018). The current nursing practice is multifaceted and is not limited to the clinical setting. More emphasis has been put on community health and nursing management that require extra-clinical competencies

Decision Making between ADN and BSN-prepared Nurses

In a hypothetical situation, an 84-year-old male was diagnosed with Alzheimer’s disease and has been stabilized clinically by the hospital clinical team. A recent hospital policy requires that all clinical care providers should minimize unplanned patient readmission and has thus focused on patient discharge and health prevention to achieve the objectives of this policy. The patient is to be discharged home after patient education. An ADN nurse will educate the patient on safety with more emphasis on safety issues such as medication adverse effects, risk of falls, and adherence to medications.

A BSN nurse, on the other hand, will provide this clinical patient education in addition to care coordination will include interprofessional teams and utilization of community resources to prevent unplanned readmissions. Therefore, the BSN nurse will require nursing leadership, collaboration, and communication skills to identify the pertinent shareholders, communicate with them about the patient by sharing the pertinent patient informs ton and plan the remote care collaboratively. While both the ADN and BSN nurses would have achieved the goals, their focus would be varied and the scopes of their patient education and discharge strategies would be different.

Evidence-based Practice and BSN Nursing

Evidence-based practice in nursing involves the adoption of the best available evidence in nursing decision-making to improve the quality of care for patients (Abu-Baker et al., 2021). Safety in nursing involves safety, patient-centeredness, care efficiency, effectiveness, equity, and timeliness. To enhance these outcomes nurses are required to systematically implement evidence-based practice. This implementation provides the scientific basis for nurses to make quality decisions and provide effective efficient care (Li et al., 2019). For example, nurses during the nursing process are faced with a decision to make regarding diagnostic tests to support their clinical assessments, rule out differentials, and make care plans.

EBP will enable them to understand the best, currently available tests to make the process more efficient and cost-effective. Academically, BSN nurses are prepared by learning and applying various EBP models to answer clinical problems. Through nursing research, BSN nurses during their education and training identify nursing care problems and seek evidence-based answers through EBP projects. This is relevant in their practice because the nursing practice keeps on improving and new interventions, tests, and care techniques are developed that confer more quality benefits to patient care.

Communication and Collaboration in Nursing Today

The provision of holistic care requires the inspiration of various professionals in patient care thus the need for an interprofessional approach. Interprofessional collaboration ensures that various professionals offer their complementary roles to achieve common patient outcomes. In nursing today, communication and collaboration are achieved through technology and nursing leadership (Rosen et al., 2018). Nursing leadership ensures that the care for the patient among different professionals is carefully coordinated. Nursing leadership also improves team trust and respect through various leadership styles. Therefore, teamwork is an implant product of successful collaboration and communication today.

Conclusion

Advancements in nursing education, training, and practice have led to the introduction of various nurse cadres, competencies, and nursing models. ADN nurses have similar clinical competencies as BSN nurses but BSN training focuses additionally on nursing leadership, management, and research. BSN nurses can, therefore, use EBP to enhance quality and safety in their nursing care.  BSN nurses can use the best available clinical evidence through EBP to provide safe and quality care based on nursing research and best practices. Leadership competencies on the other hand will require nursing communication and collaboration to enhance care coordination. Today, technology has enhanced these activities in nursing practice.

References

Abu-Baker, N. N., AbuAlrub, S., Obeidat, R. F., & Assmairan, K. (2021). Evidence-based practice beliefs and implementations: a cross-sectional study among undergraduate nursing students. BMC Nursing20(1), 13. https://doi.org/10.1186/s12912-020-00522-x

Brusie, C. (2021, September 1). RN vs BSN: What’s the Difference and Which is Right for You? Nurse.org. https://nurse.org/education/adn-vs-bsn-degree/

Fukada, M. (2018). Nursing competency: Definition, structure, and development. Yonago Acta Medica61(1), 1–7. https://doi.org/10.33160/yam.2018.03.001

Li, S., Cao, M., & Zhu, X. (2019). Evidence-based practice: Knowledge, attitudes, implementation, facilitators, and barriers among community nurses—a systematic review. Medicine98(39), e17209. https://doi.org/10.1097/md.0000000000017209

Rosen, M. A., DiazGranados, D., Dietz, A. S., Benishek, L. E., Thompson, D., Pronovost, P. J., & Weaver, S. J. (2018). Teamwork in healthcare: Key discoveries enabling safer, high-quality care. The American Psychologist73(4), 433–450. https://doi.org/10.1037/amp0000298

UCSF School of Nursing. (n.d.). History. UCSF School of Nursing. Retrieved September 3, 2022, from https://nursing.ucsf.edu/about/our-organization/history

The University of Pennsylvania. (n.d.). American Nursing: An Introduction to the Past. Upenn.edu. Retrieved September 3, 2022, from https://www.nursing.upenn.edu/nhhc/american-nursing-an-introduction-to-the-past/