Nursing Role In Nursing

We often hear that nursing is an art and a science, and I firmly believe that. The way a nurse blends those aspects of care defines the nurse. As nurses, our roles in our patients’ lives vary depending on their needs. We are teachers as well as technical experts, and our ultimate goal is to ensure our patients and families are ready to take over when the

Nursing is one of the most intimate health care professions. They are connected to their patients as soon as they are admitted into their care right through until they are discharged into someone else’s care. With this, nurses have a strict professional identity and scope of practice to prevent a nurse from over stepping their professional boundaries. A nurses’ duty of care does go beyond the average healthcare professional but still does not impair the

The evidence-based practice model has considerably impacted the nursing industry. The stakeholders expect the practitioners to deliver quality services that would transform the industry beyond the reproach. According to Stevens (2013), the national healthcare professionals have recommended improvements for the nurses working environment. Their valuable contributions will depend on the redesigned healthcare model. The evidence-based practice model offers the opportunity for nurses to incessantly improve on their performance. It involves the introduction of multiple practice adoptions and realignment of the education curriculum to help the nurses meet the dynamic demand in the health care industry.

Nurses and physicians would get no input from the patient on their wishes for treatment and care (Giddens, 2016). Health Care has recently advanced by adopting the patient and family centered care model which was designed to “recognize the patient or designee as the source of control and full partner in providing compassionate and coordinated care based on respects for the patient’s preferences, values, and needs” (Knuths, 2017). This model allows patients to have a voice on what happens to their bodies and allows them to actively participate in their care. It has also allowed the patient’s family and loved ones to be involved. This involvement has given the patient a strong support system with their best interest in mind. Moving towards this concept has made nurses more aware of patient’s cultural differences, spiritual differences, family preferences, and personal values. This system has lead to better overall care and patient satisfaction. Care has become about the patient and not the provider (Knuths, 2017).

When people think about nurses, many ideas come to mind. They think of the hideous old starched, white uniforms, a doctor’s handmaiden, the sexy or naughty nurse, or a torturer. The media and society have manipulated the identity and role of nurses. None of these ideas truly portray nurses and what they do. Nurses are with the patients more than the doctors. People do not realize how little they will encounter the doctor in the hospital until they are actually in the hospital. People quickly realize how important nurses are. Because nurses interact with their patients constantly, nurses are the ones who know the patients best.

It is not only concerns the patient’s physical well-being, but also involves the patient’s emotional, spiritual, and mental wellness. Nursing is not bound by the walls of the institution in which you are employed, but a basis to provide individualized patient care across the lifespan. The American Nurses Association defines nursing as, “protection, promotion and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of the individuals, families, communities, and populations.” (American Nurses Association, 2004, p. 7)  Nursing is a “calling”

As I begin my career as an advanced practice registered nurse (APRN), I will have to decide what philosophies I will incorporate into my practice. I believe that holistic care is an effective way to manage the care of a patient. It will also help me learn more about my patients. This concept looks beyond a person’s physical disease, and it includes all aspects of their health and well-being. It requires a provider to consider the patient’s spiritual beliefs, mental needs, emotional status, and environmental influences. I believe that spiritual healing is a major component of physical healing. By incorporating holistic care into my practice, I believe I will provide the patient with the best care available. According to Joel (2013), APRNs that

The health system has experienced rapid changes and multifaceted shift in patient care and leadership– business concepts, administrative roles, and patient care continuum. As a result, changes have greatly influenced the role assumed by nursing leaders in the past 10 years. Subsequently, nurse leaders redefined their roles in the nursing field and executive arena, moving away from traditional nursing roles in the organizational chart to equal roles in the Chief suites (C-suites). Therefore, as nurse leaders move from clinical units to the boardrooms, their imprints leave a mark to all nurses reporting to them. In 2010, the Institute of Medicine (IOM) report, “The Future of Nursing,” discusses vital concepts on nursing leaderships. As based from the same report, three fundamental concepts of how the roles of Chief Nurse Officers impact nurses can be identified - Executive Role Definitions, Expertise and Knowledge Transformation, and Leadership Representation and Networking.

The heat rose from my stomach to my chest as the tension of the unexpected grew. Behind the half-drawn curtain, I could see the anxious feet of pacing providers working around the patient. The beeping of the cardiac monitor grew louder as I walked towards the room. I first noticed his wife standing nearby, looking helpless and vulnerable. Then I glimpsed the patient. His face was pale and his hands hung from the stretcher as the nurse performed chest compressions. I walked into the room and for the first time said, “I will take over chest compressions next.” Although I was only a few days into my role as an emergency department technician (ED tech), I felt confident in my ability to serve as an asset to the team. In that moment I was no

Ms. Gillooly practices from a holistic point of view, considering the complex needs of the dialysis dependent patient. She employs critical thinking skills and keen assessments to develop the best plan of care for her patients. Also, she understands the range of emotional and spiritual needs of the chronically ill population. Melissa’s goal for taking care of her patients’ is that she wants to make the difficulty of coming in for dialysis three times weekly, a little easier. She is able to strike a balance of comforting support and sharp nursing skills. She functions in the charge nurse role, whereby she independently seeks out and assumes additional responsibilities and takes a leadership role in identifying, developing, and implementing plans to resolve identified problems. In addition to the charge role she is a preceptor for nursing students and a mentor for her colleagues as she demonstrates leadership in these roles. Her assessment and careful evaluations of her patients’ estimated dry weights has led to a decrease in cardiac risk factors associated with episodes of fluid overload. Of her 6 primary patients, none have been admitted into the hospital for any cardiac and or fluid overload episodes, which is often associated with ESRD patients.

The responsibilities of nurses are numerous and diverse. Nurses have a duty of care and a professional responsibility for the treatment of the sick and injured patients and are accountable for their actions. Nurses asses and treat patients, promote and restore health, provides education, prevent illness and reduce the suffering for the patients. This reflective case study will provide a written account of the nursing care delivered to two patients Claire and Justin.

Holistic care is the hallmark of nursing practice.  It is said that to treat disease we must look at the whole person, spiritually, physically and psychologically. The classical definition of holism is that people are multidimensional. They are interacting wholes and more than the sum of their parts (Hancock, 2000). Focusing on holistic care when planning new developments and writing guidelines or policies is all to the good but is only meaningful if patients perceive that they receive holistic care from the staff with whom they have contact (Willis, 2002). Patients who receive holistic care may respond better to treatment because they perceive their whole being as being cared for.

Many years ago, the nurse job was viewed merely as the bedside care nurse, the physician assistant. If you want to be a nurse, you need to feel the passion for helping others because the core of nursing is caring. Nowadays, the nursing profession and the role of the nurse as a caregiver is broad, with a holistic approach; the nurse is now an educated nurse, autonomous, and responsible in the promotion of quality care. The nursing profession has developed along with the social, economic and technological progress. The nurse as a caregiver provides interventions to meet physical, psychological, spiritual, and environmental needs of clients and families using the nursing process and critical thinking skills. The nurse establishes partnership with clients, families, support systems and other providers in order to deliver effective care.

The younger of two, my very different Chinese immigrant parents were from different generations, one a Chinese thoracic surgeon who regarded his patients’ wellbeing as he would family, the other an adoptee who uniquely managed her life through elite schools on scholarships to create her own travel agency. Our lives were an endlessly detailed conglomeration of family, medicine, and business conversations in English and Chinese. Despite knowing physicians do not have anything remotely resembling a 9 - 5 job, I decided to emulate my father’s ability to heal by choosing a Bowdoin biochemistry/premed major over my mother’s passion: business.

Similarly, nurses can holistically care for patients, i.e. nurses can also address developmental, cultural, psychosocial, and spiritual requirements of patients (Balas & Boren, 2013). Nonetheless, the type of care provided by nurses depends on the requirements and needs of a patient (Perry et al., 2013) since patients are at various different stages of illness. For that reason, some patients need extra attention as well as care relative to others.