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Knowledge underpins nursing practice
Role development of the nurse practitioner
Role development of the nurse practitioner
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Hi Freylen, as you discussed the Consensus Model allow APRNs to practice to the full scope of their education, able to move to different states, providing quality care. My new role as a primary care NP I agree with the continuity of care and follow patients into acute or long-term care facility to help them through their ongoing health issues and managing their chronic diseases(Stanley,2012).
The perception that “little things can make a big difference” motivated this reader to study Malcolm Gladwell’s “The Tipping Point”. As a future advanced practice nurse, considering all options regarding quality care and safety for patients, whether big or small, can mean the difference between a healthy life or one that is limited. Intrigued by his metaphorical language, Gladwell compares variations to contagions and explains how ideas, manufactured goods, trends, and behaviors can thrive and grow like viruses as soon as it reaches its “Tipping Point”. Questions are scattered throughout this book, encouraging the reader to reflect and apply this same concept to personal circumstances.
The nurse manager needs to understand the different scopes of practice of their employees. This is very important for patient safety, determining assignments, and delegating responsibilities to others. By knowing the different scopes of practice they nurse manager can make sure the unit runs smoothly without any
My knowledge in the Doctor of Nursing Practice (DNP) continues to expand as I progress through the DNP program. The knowledge I have attained while in the study of the DNP I and DNP II is priceless. For example, recognizing stakeholders and utilizing networking has helped me to progress on my DNP project (Gokenbach, 2012). I also have a better understanding as well as the purpose of a DNP project. My mentors have been great in directing me in remaining on the right track.
The nursing process also called the problem-solving approach originated in 1967 and consists of four stages; assessment, planning, implementation and evaluation (APIE) (Yura and Walsh, 1967). However, Barrett et al (2012) reasons, two further stages need to be considered within the problem-solving approach meaning APIE becomes ASPIRE, the systematic nursing diagnosis and recheck complete the acronym ASPIRE. Barrett et al (2012) also states, to be fully successful in meeting the needs of the individual a nursing model needs to be incorporated in to the process to ensure every aspect of information is considered. McKenna (2006) indicates there are numerous nursing models that are used
Theoretical Analysis of Orem’s Self-Care Deficit Nursing Theory Self-Care Deficit Nursing Theory, Part II Dorothea Orem’s Self Care Deficit Nursing Theory (SCDNT) published in 1971 has been studied by numerous nursing students and continues to be used as a base for nursing care today (McEwen & Wills, 2014). Are concepts theoretically and operationally defined?
The guidelines set by the NP’s Core competencies involves educational programs for nurse practitioner and are referred to as essentials behaviors for all NPs (The National Organization of Nurse Practitioner, ([NONPF],2017). As a future NP, this course has echoed the importance to critically examine information given by finding evidence to support and manage care for the individual or the population, which I will apply to my practice. This, in turn, will offer better treatment plan and optimize better patient outcome. Using the differential diagnosis to pinpoint the best possible diagnosis for individuals has helped me to use critical thinking about my patient and to find the appropriate plan of care.
Maville and Huerta (2013) state that Fawcett’s metaparadigm is often used to define and delineate the scope of nursing. Masters stated the purpose of one’s personal philosophy is to define how he or she finds truth. As a result each individual philosophy purported will be unique. This paper will seek to define, describe and explain my thoughts, feelings and belief regarding the four concepts of nursing metaparadigm and their interrelationship as well as their influence on my current nursing practice. Masters (2017) states that our philosophy is derived from a process of lifelong learning which allows us to find the truth.
Nursing Metaparadigm Alligood (2014b) explains metaparadigms in nursing knowledge are human beings, environment, health, and nursing (p. 42). These perceptions are exemplified in each philosophy and conceptual model (Alligood, 2014b, p. 42). Nursing Philosophy The practice of nursing evolves daily from
As assessment is integral to the nursing process it is also incorporated into nursing models. Assessment is necessary during all nursing activities e.g. assisting an individual with their hygiene needs, taking observations or during repositioning/manual handling techniques. Orem’s model is a particularly effective tool in carrying out assessment as it has a practical approach in identifying patients’ needs by encompassing their universal, developmental and health deviation self-care deficits. ‘’Having a conceptual nursing model to practice may enable nurses to gather a detailed database that identifies actual and potential healthcare problems’’ (Capers, 1986). The grid, checklist format is a simple, fast and straightforward assessment guide and can be very useful in practice.
The practice of nursing evolves daily from theories and philosophies that are proven by researchers, resulting in growth of the medical profession and advanced evidence based knowledge. Philosophies According to Alligood (2014b), philosophies are specific theories that focus on one or more metaparadigm concepts in a wide spectrum philosophical way (p. 43). For a person to understand philosophies it is required to understand the knowledge type, metaparadigms. Metaparadigm Metaparadigm is the vast perspective of a discipline and a way to describe a concern specifically to a profession or department (Alligood, 2014b, p.42).
(2018). Nursing theorists and their work (9th ed.). St. Louis, Missouri: Elsevier. British Broadcasting Corporation. (n.d.).
According to Patricia Benner, one of the nursing theorists, the five-step nursing model determines excellence, and power in clinical nursing practice. Dr. Patricia initially introduced the concept that expert nurses develop intellectual skills and patients understanding through a sound and stable educational base in addition to work experience. The theory is one of the essential frameworks for assessing the crucial nurse needs at the various level of professional development (Bezuidenhouk, 1982). Most importantly the argument does not include an emphasis on how to be a nurse instead it emphasizes on how nurses acquire relevant knowledge through experience and hard work. As argued by Benner the best form of learning is through experience as well as situation bases.
Nursing theories have an impact on nursing practice as they
Through this initial assessment, the nurse can obtain information that is crucial in providing the client with effective holistic care. Nursing assessment framework tools are used to help the nurse obtain accurate information about the patient’s wants and needs. This initial assessment based on subjective and objective data, helps to determine the patient’s actual problems and potential problems (Weber & Kelley, 2013). An assessment is carried out to obtain objective data and a physical baseline of the patient on admission.
