Conceptual Framework: The Nursing Profession

For centuries the development of nursing knowledge has been influenced by numerous theorists and their respective theories. These theories have influenced, and continue to influence, nursing education, practice and research. (Johnson & Webber, 2005)

Wilkinson, J. M., & Treas, L. S. (2016). Fundamentals of Nursing (3rd ed., Vol. 1). Philadelphia, PA: F.A.

Nursing is a dynamic profession and life long learning is essential for nurses to stay current with the increased complexity of the healthcare needs of today and into the future. In other words, the needs of our patients are changing, as we must change in order to be prepared to better serve that need.

Nursing is a field that demands for an individual is willing to go beyond professional boundaries when necessary. In the present age, the nursing profession needs to compete to develop themselves and the profession to be able to gain respect and higher level of standard for the profession. Responsibility and role of nursing professionals becoming highly challenging and more refined because of the global health care is evolved rapidly thus nursing professionals have to be more accountable and indirectly involved in the process of decision making ( Holder and Schenthal 2007 ). Therefore it is very important for nurses nowadays to continue to learn in the latest health care knowledge and technology. Holder and Schenthal (2007) also described

Nursing research is a systematic process of inquiry that uses rigorous guidelines to produce unbiased, trustworthy answers to questions about nursing practice. Original nursing research targets new knowledge to educate nurses on the practice of nursing. Nurses also use research to describe issues that affect health, find solutions to existing and emerging problems, test traditional approaches to patient care for continued importance and effectiveness, and to synthesize the findings of others into an understandable guide for practice. Without nursing research knowledge could not be applied to improve nursing

This enhancement is necessary since the needs of patients and the technology used in hospitals are changing; therefore, nurses have to keep their practice updated to maintain high-quality care. The report also advocates the inclusion of training on leadership, research and evidence-based treatment, teamwork, and specialization in the areas such as community and public health (Puetz, 2013). In general, educated nurses provide well-informed care to patients and their families. The aim of the IOM report is to transform the nursing profession.

Health care throughout the history has shown many changes. Every change brings in challenges in a workplace because change is more often met with resistance. It also brings in innovative ideas that steers the organization’s advancement and performance. The major motivation of change in this organization is to sustain a successful future in its continuum. For change to succeed, brilliant strategy, and clever implementation are necessary (Gandossy and Sonnenfield, 2004).

Throughout history , nursing has existed for a long time and is continuously changing through time. It is one of the more important occupation worldwide and has a wide range of occupational duties. In modern times, nursing is known as one of the largest health professions with more than 3 million nurses from registered nurses to nurse practitioners nationwide. It is a profession that focuses on the care of individuals as well as families to help maintain and recover optimal health and quality of life. In the career field, nursing has a significant outlook in the future years as its growth is expected to increase tremendously. Without nurses, people around the world wouldn’t get the proper care they would desperately need if they were injured,

Research is important for the improvement to further the knowledge in nursing providing evidence based practice nursing theory. Models such as the RAM have significiantaly contributed to the discipline of evidenced based practice in

Filling the gaps between research and practice is very important. This issue has always existed and this is one of biggest challenges facing nursing students. The availability of information is increasing. However, it is difficult to find evidence and apply it to nursing practice. The results of research should be feasible and a higher level of evidence should be provided to bridge the research-practice gap. It will require two-way communication between researchers and practitioners, or education for both researchers and practitioners. Through communication or education, researchers can develop more feasible interventions and provide more scientific evidence. Providers should be able to identify the best

With healthcare continually changing, does one ever stop to think why changes are being made, or if changes made are necessity? Wouldn’t it be easier to continue nursing the way everyone is used to? The answer is, no! Changes in health care are brought upon with the idea of implementing safer, more efficient, and patient friendly techniques. This is all due to research that is done and then introduced into clinical practice. Where does the research come from? The answer is, through research utilization. This process consists of five steps before reaching the final step of introing the new research into clinical practice. (Zerwekh & Garneau, 2015).

The nursing practice is directed to provide qualified and safe care, and remarkable is the fact that the skills and abilities of the nurses have their foundational basis in strong scientific knowledge as a standard for the purposes of care of the patients. Nurses are committed to the best care and responding to the challenges of the actual healthcare system, “Nurses are increasingly engaged in evidence-based practice (EBP) processes to answer significant questions and guide nursing practice” (Lee, 2013).

It is been a practice for nurses to use Evidence Based Research in every procedure to be performed in patients. In short, it is been the first thing to do in every procedure. This paper will discuss two beliefs that a nursing profession should be aware of. First, is “evidenced based practice” if nurses do apply all research upon providing care to residents. Secondly, is “Therapeutic Nurse and Patient relationship”, if nurses is using such evidence practice when interacting with patients.

Nursing needs to describe exactly the scope of practice and measure its contribution to patient care. Without trusted and acceptable clinical data, no one would think that nurses make a difference. Using standardized language for nursing diagnosis and nursing interventions allows nurses ' activities to be described next to medical diagnoses and medical interventions, and their impact is measured in relation to patient outcomes. For example, chronic renal failure is a medical diagnosis identified by ICD-9 code #585 (CMS.GOV, 2012). Chronic renal failure is linked with the following nursing diagnoses: activity intolerance, decreased cardiac output, excess fluid volume, fatigue, imbalanced nutrition, impaired comfort, impaired urinary elimination, ineffective coping, the risk for infection, the risk for injury and the risk for noncompliance (CMS.GOV, 2012). Each North American Nursing Diagnosis Association nursing diagnosis can be connected to a series of Nursing Interventions Classification (NIC) nursing interventions. Each nursing intervention can be evaluated based on the available evidence and its appropriateness to the

Nursing is a complicated profession requiring a broad knowledge base, discipline, and a deep desire to understand and interpret scientific data with a goal of obtaining the best possible patient outcomes. This can be very difficult to achieve, requiring the nurse to process a variety of information, prioritize, and problem solve at a critical level (Wilkinson, Treas, Barnett, Smith, 2016). The nursing process is a scientific approach, utilized by nurses to systematically improve patient care by following five steps: assessment, diagnosis, planning, implementation, and evaluation (Wilkinson et al., 2016). A good nurse is someone who understands these phases, continues to build on them, and uses the information to create the best possible, individualized, healthcare plan for the patient. It is a mastery of art to find a way to include all of these concepts with so many diverse medical diagnoses. Having a structural way, such as the nursing process, paves a strong foundation for the nurse to maintain a patient centered approach to implement exceptional nursing care (Goncalves, Spiri, Ortolan, 2017).