The Complex Nature Of The Nursing Profession

The purpose of this assignment is to critically appraise a selected research paper following a data extraction relevant to the field of nursing. Critical appraisal is the process of evaluating the strengths and weakness of research, to find out if it is valid, reliable and applicable (Moule and Goodman, 2009). The following article to be critiqued is “A Nutritional Formula Enriched with Arginine, Zinc, and Antioxidants for the Healing of Pressure Ulcers” by Cereda et al. (2015).

Changes in the Health Care System and the Practice of Nursing have become complex. Technological changes, complicated client needs, short hospital length of stay, and departure from acute care to community based care, all these changes have underscore the need for professional nurses to think critically in order to provide safe and effective client care. A better educated nursing workforce can provide good health education to patients and their families. The affordable care of 2010 has required the need for nurses to expand their role of practice to meet complicated patient demands. This has prompted the Institute Of Medicine to review the “Future of Nursing, Leading change and Advancing Health”. {Creasia & Fribery,2011}

Modern nursing is a rewarding, but challenging, career choice. The modern nurse's role is not limited only to assist the doctor in procedures, however. Instead, the contemporary nursing professional takes on a partnership role with both the doctor and patient as advocate caregiver, teacher, researcher, counselor, and case manager. The caregiver role includes those activities that assist the client physically, mentally, and emotionally, while still preserving the client's dignity. In order for a nurse to be an effective caregiver, the patient must be treated in a holistic manner. Within the subject of nursing, there are often times in which different aspects of the practice must be analyzed by using primary research from other scholars. Nursing scholarship is vital to the profession, as we have seen, in order for the modern nurse to remain current with scholarship and practice. At the very core of this paradigm, though, is the manner in which the blend of art and science in nursing will be expressed to others, to the next generation, and through pedagogical theory (Alligood & Tomey, 2002). To do this, however, requires a new approach to the paradigm of nursing leadership strategic thinking, planning and action and above all appropriate integration of a more holistic and multidisciplinary approach to professional nursing.

In a world where there is constant change, and individuals are constantly attempting to adapt and cope with these changes, the human experiences and responses to this process is central to nursing interest, (Meleis, 2012). Today’s global health problems in addition to the politically volatile health care system, and the rising cost of health care seem insurmountable. As nurses,

Nursing theory is the backbone of nursing. It is very important in the application of evidence-based practice (EBP). The functions of a theory are to narrow and provide specific information for the analysis of initially confusing behaviors, situations, and events (Fawcett & Madeya 2013). Moreover, nursing theory helps to improve not only the quality of care that we are providing to our patients but, they also help us make better clinical decisions. As a matter of fact, nursing theory gives the nurse a framework for organizing and analyzing information as well as a base for identifying with their patients throughout the nurse-patient relationship (Schick, 2015). I am very much interested in all the theories. The one that I relate to the most is Hildegard Peplau’s theory. It is a middle range theory that focuses on interpersonal relations. This theory teaches us about how to interact with our patients so that they feel more in control of their treatment. In this paper, I will be talking about the importance of nursing, the summary of Peplau's theory, and how as future nurse practitioners, we can apply it.

The term environment, as it relates to the metaparadigm perspective, is a multilayered view that can explain the understanding of an individual’s perspective (McEwen & Willis, 2011). More specifically, some may believe the environment related to the nursing profession encompasses any setting in which a therapeutic interaction can occur; that is, a hospital, clinic, nursing home, school, corporation, or home (Tourville & Ingalls, 2003). According to McEwen and Willis (2011), however, this perceived way of identifying the environment only limits its domain by making it fixed, uncompromising, and natural. Although the specific setting in which care disperses is vital to understand the nursing discipline, it is not the only factor influencing the phenomena. Internal and external circumstances are a part of one’s environment, and both play a vital role in identifying and altering one’s perspective and philosophy related to the nursing discipline (McEwen & Willis, 2011). Individuals, such as family members, significant others, and lifelong friends that one interacts with also influence

Nursing care incorporates not only a compassionate attitude but passion for care of patients. The caring component of nursing cannot be measured, rather dissected through theory within the clarification of what nurses do. Systemically this is all supported through abundant theories and theorist. The nursing profession emphasizes on holistic care which is defined as treatment of the whole person. Within this skill is the admittance of problems that are biomedical but also opportune clarification of the well-being and health of a human that introduces added indicators of disease that are non-visualized (Powers, 2011).

According to Butts and Rich (2015), complexity science is a knowledge founded on physics and mathematics that operates using basic principles to elucidate the connection between variables. Butts and Rich add that complexity science is a developing field of interest that is catching the attention of scholars from different disciplines because it provides a different viewpoint on various phenomena of interest. According to Sturmberg and Martin (2009), although there has been an ongoing push for application of complexity science in health care, this is not an attempt to eradicate the reductionistic view. Complexity science only aims to fabricate a new and more comprehensive understanding of the world by unifying both the holistic and reductionist viewpoint (Sturmberg & Martin, 2009).

Everyone wants a sustainable well-functioning health system (Marshall, 2011 qdt Porter-O’Grady, 2016 et al p 325). When nursing and other healthcare managers (nurse leaders) focus on increasing connections, diversity, and interactions they increase information flow and promote creative adaptation referred to as self-organization. Complexity science builds on the rich tradition in nursing that views patients and nursing care from a systems perspective (Porter-O’Grady, 2016 et al p 324 and Holden

The empirical pattern of knowing encompasses “the science of nursing,” (Creasia, 2011). This draws upon scientific ideas that have been established, and seeks to apply them to practice or refine them by discovering more. For instance, nursing theory is deeply seeded in the science of nursing. Florence Nightingale, a renowned nurse and nursing theorist, placed a large emphasis on change within the patient’s environment to promote healing (Creasia, 2011). This can be applied in any nursing practice, whether it means providing for fresh air, cleanliness of the patient, or enough food to meet energy needs (Creasia, 2011). Knowing the importance of these and many other factors defines the parameters of empirics within nursing.

Nursing is a unique profession which is built upon theories that guide everyday nursing practice. According to Taylor, Lillis, & Lynn (2015), “Nursing theory differentiates nursing from other disciplines and activities in that it serves the purposes of describing, explaining, predicting, and controlling desired outcomes of nursing care practices” (p. 27). Many nurses may unknowingly apply a theory or a combination thereof, along with critical thinking to get the best outcome for a patient. Theories are used in practice today because they have been supported by research and help the profession uphold its boundaries. Most nursing theories consist of four concepts which are the patient, the environment, health, and nursing. Each patient is at the center of focus and they have the right to determine what care will be given to them using informed

Nursing is a complex and ever changing field full of new areas to advance, learn, and grow in. Some of the institutes available for nursing studies are Harkum College and West Chester University. Kristine Balay, the nurse I interviewed, attended Harkum College for her Associates degree in Nursing and she attended West Chester University for her Bachelors degree in Nursing. She has been practicing as a nurse for about 10 years now in various settings. When she was working on a trauma unit she was required to obtain an ALS certification, Kristine admits that she was grateful for obtaining this certification because it sets her apart from others in regards to job opportunities and promotions as well as gives her confidence in situations.

Through experience, it is recognizable that the focus of nursing is shifting as a result of cost-efficient care approach, increased workload, and time consumed by performing technical skills. As a consequence, research has shown poor patient outcomes as nurses are faced with decreased amount time to connect with their patients (Canadian Federation of Nurses Union [CFNU], 2012). Despite the tasks at hand, the nursing scope of practice (College of Registered Nurse British Columbia[CRNBC], 2016) is to support patients through all aspects of their health challenges. This means that nurses need to attend to any aspects such as

Nursing is a unique profession which is built upon theories that guide everyday nursing practice. According to Taylor, Lillis, & Lynn (2015), “Nursing theory differentiates nursing from other disciplines and activities in that it serves the purposes of describing, explaining, predicting, and controlling desired outcomes of nursing care practices” (p. 27). Many nurses may unknowingly apply a theory or a combination thereof, along with critical thinking to get the best outcome for a patient. Theories are used in practice today because they have been supported by research and help the profession uphold its boundaries. Most nursing theories consist of four concepts which are the patient, the environment, health, and nursing. Each patient is at the center of focus and they have the right to determine what care will be given to them using informed

Throughout history, society has considered women to be the natural caregivers of children, family, and community. Women were naturally thought of as nurses because the act was said to be an extension of their role in the home. They were called in to homes to help deliver babies or as wet nurses to breastfeed. In the 1800’s, women began taking care of soldiers. It was then that Florence Nightingale cared for soldiers in the Crimean War. During this time she revolutionized the role by setting standards of cleanliness and reducing infection. The legacy of nursing continues to be enriched by those who continue to follow the example of nursing pioneers. They refuse to be bound by others’ views