Nursing Minimum Data Set Summary

Provides comprehensive safe, quality practice to achieve agreed goals and outcomes that are responsive to the nursing needs of people

Nursing theory has three distinct categories to describe the level of abstraction: Grand, Middle-Range, and Situation-Specific (Meleis, 2012, p. 33). Hugh McKenna (1997) defined these three categories, stating:

“Nursing encompasses autonomous and collaborative care of individuals of all ages, families, groups and communities, sick or well and in all settings. Nursing includes the promotion of health, prevention of illness, and the care of ill, disabled and dying people. Advocacy, promotion of a safe environment, research, participation in shaping health policy and in patient and health systems management, and education are also key nursing roles” (ICN 2010)

In 2008 the Alliance for Advanced Practice Credentialing and the National Council of State Board of Nursing published specific masters educational, accreditation, licensure, credentialing, certification processes. The masters educational, accreditation, licensure, credentialing, certifications are based on a set of values steps to practice will ensure that NPs have the skills training to place themselves to serve an fundamental role in national health care reform (Graduate NursingEDU,

Shared governance empowers nurses by recognizing that nurses, as front line staff, are in a position to have a unique understanding of the complexities of daily patient care. Utilization of unit-based councils made up of staff nurses to solve problems and evaluate procedures ensures that evidence-based best practices are implemented (Fray, 2011). Shared decision making in nursing units increases the use of best practices through process development, sharing of successes across multi-unit areas and in the development of new nurse leaders. Unit-based councils are often chaired by younger nursing staff and nursing leaders act more as facilitators allowing these young new nurses to be

Advanced practice nurses have core competencies that are similar or are specific to each specialization defined as an advanced practice. The profession of nursing presents favorable circumstances for nurses to specialize in roles with distinct responsibilities and opportunities to contribute to the function of a health care industry with growing demands and complexity. The profession of nursing continues to debate to whom the title advanced practice nurse applies to. Examination of the core concept frame works described by nurse leaders and professional organizations tend to either support or refute the argument related to the use of the term, advanced practice nurse for nursing administrators and educators. For the purpose of this paper the author will explore the core competency similarities and differences of a nurse practitioner and a nurse educator. Nurse educators and nurse practitioners are registered nurses that possess advanced education, skills, and experience. Each specialty nurse has defined scopes of practice with distinct sets of responsibilities, requirements, and skills. Each role represents distinct educational requirements and activities that contribute to the complex and diverse health care industry.

* Reduction of medication errors- Barcode medication administration safeguards against wrong pt/wrong med/wrong dose errors and alerts to potential medication interactions (Goth, 2006).

A1. The nursing profession has evolved significantly over the decades. One of the factors that have greatly influenced these changes has been the involvement of nurses in the development of theories and data base needed to support the advancement of our profession. In the last half of the twentieth century, nurse researchers (1950s) and nurse theorists (1960s and 1970s) greatly contributed to the expanding body of nursing knowledge with their studies of nursing practice and the development of nursing models and theories (American Nurses Association, 2010, p. 16). Like in any other research activity, a special set of

The success of NPs depends on practicing evidence-based care with competency in assessment, diagnosing, managing patients, and maintaining a caring practice. The nursing component of the NP role continues to be challenged from within nursing, as well as by large national physician organizations. NPs are extensions of nursing practice who are guided by nursing theory. The transformation from nurse to the advanced practice role of NP involves development of advanced knowledge and skills for listening, knowing, being with patients, connecting patients to their communities, promoting health,

Nursing care is focused on the assessment, nursing diagnoses, planning, implementation, and evaluation of patients. This nursing process can also be implemented in aspects outside of nursing and on the nursing field as a collective group. The nursing role is evolving, following the process the outcomes have to be evaluated and put into perspective. Research is being completed the conclusions are all the same, the higher education of nursing care the better the patient outcomes.

In other words, implications are recommendations derived from the findings of an EBP project or study for future research and for advancement of nursing practice. To meet the challenges of health care, patient safety issues, health professions education, and leadership for nursing practice, the American Association of Colleges of Nursing (AACN) established the Doctor of Nursing Practice (DNP) as the terminal degree (AACN, 2006). In addition, the AACN recognized that nurses at the DNP level were adept in leadership, clinical practice, information technology and healthcare policy; the challenge was synthesizing nurses’ current expertise with new knowledge gained from DNP programs (Chism, 2016). As a result, the AACN presented the Essentials of Doctoral Education for Advanced Nursing Practice, which, are the “foundational competencies that are core to all advanced nursing practice roles” and required for all graduates of a DNP program regardless of the specialty or area of focus (AACN, 2016, p.8; Chism, 2016). To that end, the PI discussed the eight DNP essentials to make evident its relationship to the EBP change project as well as practice implications for future

Nursing practice is also one of the key messages addressed in the IOM report. The report suggests that “nurses should practice to full extent of their education and training”. Furthermore, “nurses should be full partners with physicians and other health professionals, in redesigning health care in the United States. This report has a great impact on nursing practice. The IOM report suggests that greater focus on managing the transition from nursing to practice. It recommends that regulatory reforms must be made to allow nurses to expand their scope of practice (IOM report, 2010).

The standards of practice describe a competent level of nursing care as exhibited by the critical thinking model known as the nursing process. This practice includes the areas of assessment, diagnosis, outcome identification, planning, implementation, and evaluation. The nursing process includes significant actions taken by registered nurses (RN) and forms the foundation of the nurse’s decision-making (“American Nurses Association,” 2010).

As healthcare moves from the Industrial Age to the Information Age, a new role for nurses as knowledge workers comes in its wake (McGonigle & Mastrians, 2015). In his definition of a knowledge worker, O’Grady cited “that the knowledge worker is someone who synthesizes a broad array of information and knowledge from a wide variety of sources and brings that synthesis to bear on nursing work” (O’Grady & Malloch, 2003, para. 2). Thus, a knowledge worker is one who translates and integrates information that would eventually be applied in the context of patient care (O’Grady & Malloch, 2003). Nurses, as knowledge workers, therefore, have moved “from the process and function orientation to that of outcome and evidence-based direction” (O’Grady & Malloch, 2015, para. 1).

This means people from different disciplines all working together with the same goal or interest, it involves doctors, nurses, physios, occupational therapists, social workers and many other agencies working in the best interest of the patient. This ensures that continuing care is a smooth process from hospital admission and beyond. Respecting work colleagues and working as a team, listening to their contributions and sharing your knowledge will have an important impact on the patients care, maintain their dignity and respecting this will give the best outcome for them. This aspect of the NMC code sets good standards and guidelines for understanding the principles when providing nursing care, nurses have a responsibility to deliver safe and effective care for the best interest of the patient, which is