Their responsibilities include prioritizing the care by the seriousness of the condition also known as triage, but not limited to exceeding their scope of practice. They have a “responsible” role where they have to use judgment and knowledge from what they have been taught. The nurse will also delegate, direct and supervise. The nurse will have knowledge in relation the health issue with the patient; he/she will educate and inform the individual and immediate family coinciding with the HIPAA law. The nurse will also know the review of body systems.
Kozier and Erb (2007) defined nursing theory as providing direction and guidance in structuring profession nursing practice, education, and research while providing differentiation from other disciplines and serving as a template for the assessment, intervention, and evaluation of nursing care [ (Kozier, Erb, Snyder, & Berman, 2007) ]. The spectrum of nursing theory encompasses four metaparadigms consisting of the patient, environment, health, and nursing, with the focus of nursing centering on the patient [ (Kozier, Erb, Snyder, & Berman, 2007) ]. Nursing theory can be divided into a series of specific philosophy, each addressing a different aspect of nursing care with a common end result – enhanced patient care. The theories involve include – needs theory (centered around assisting the individual achieve his/her maximum functional potential), interaction theory (involve the relationship between the nurse and the patient), outcome theory (the nurse is a change force who guides the patient to adapt to illness), and caring/becoming theory (the patient and the nurse are brought together due to the fundamental act of caring) [ (Meleis, 2012) ]. The purpose of this paper is to compare and contrast a nursing theorist from each of the aforementioned nursing categories.
* Interpret & prioritize data utilizing critical thinking to prioritize information collected. * May require immediate nursing intervention. DIAGNOSIS DIAGNOSIS POTENTIAL * Clinical judgment about possible problems that may arise from actual problems. * Includes a label and etiology. * Must have knowledge base in physiological and psychosocial human response to actual problems POTENTIAL * Clinical judgment about possible problems that may arise from actual problems.
Strategic planning includes six steps: prepare, assess, create, communicate, implement, and evaluate (Hebda & Czar, 2013). In the other hand, nursing process provides an organizing framework for the practice of nursing and knowledge, judgment, and actions that nurses bring to patient care. It consists of five phases: assessment, diagnosis, planning, implementation and evaluation. (Lewis, Heitkemper, Dirksen, & O'brien, 2007). Therefore, the nursing process is in the context of nurses planning the care of specific patients, but strategic planning is on the future direction of the agency in the context of their internal and external environments.
The diagnoses must be based on the case study, be appropriate, be prioritized, and be formatted correctly. For each nursing diagnosis, state two desired outcomes using NOC criteria. Desired outcomes must be patient-centered and measurable within an identified timeframe. For each outcome, state two nursing interventions using NIC criteria as well as one evaluation method. Interventions and the evaluation method must be appropriate to the desired outcomes.
At my level of education, having an Associate’s Degree in nursing, “I help identify clinical problems in nursing practice, assist in the collection of data within a structured format, and in conjunction with nurses holding more advanced credentials, [I] appropriately use research findings in clinical practice” (Blais & Hayes, 2011, p. 187). Using nursing research and incorporating nursing theories into practice, makes nursing a well-rounded profession. Nursing research, practice, and theories are interconnected. In my own area of practice, the nurses as well as I apply nursing theory to everyday practice. I use Orem’s self-care deficient theory to establish my patient’s self care needs, and through assessments I plan a care plan to help maintain optimal level of functioning by promoting self-care activities.
Patient education should be personalized and suitable to the educational level of the patient, treatment, and management requirements of the diagnosed disease to promote active involvement from the patient in their plan of care. Together, the nursing process and Bloom’s taxonomy help with the development of educational plans to stimulate patient participation. Cognitive Domain A nurse must first assess the patient’s intellectual aptitude to effectively allocate medical knowledge. Clark (2013) stated, “Cognitive domain is the recall or recognition of specific facts, procedural patterns, and concepts that serve in the development of intellectual abilities and skills” (2). The cognitive domain includes six categories that must follow sequential order before moving to the next stage.
INTRODUCTION A nursing information system supports the use and documentation of nursing processes and activities and provides tools for managing the delivery or nursing care. For an effective nursing information system two goals must be accomplished. * The system must support the way that nurses function, allowing them to view data, collect necessary information provide quality client care, and document the client’s condition and the care that was given. * It also must support and enhance nursing practice through improved access to information and tools such as online literature databases, drug information and hospital policy and procedure guidelines. Our system ADPIE (assessing, diagnosing, planning, implementing and evaluation) took these goals into consideration in order to develop the system for the benefit of nurses.
Indicators of structure are measures by the supply and skill level of nursing staff as well and the education and certifications of the nursing staff. Indicators of the nursing process are nursing assessments, interventions and RN job satisfaction. Patient outcomes that are determined to be nursing sensitive are those that improve if there is a greater quantity or quality of nursing care (e.g., pressure ulcers, falls, and intravenous infiltrations). (American Nurses Association, 2014) NDNQI: National Database of Nursing Quality Indicators. There are some patient quality and safety measures which have been shown through research to be significantly affected by nursing care or “nurse-sensitive” measures.
Collaborative Agreement Sample E 1. The undersigned nurse practitioner and physician agree to the following collaborative practice agreement for provision of health care services to clients at (location, address). Care services provided by the nurse practitioner will include health maintenance, management of acute/episodic illnesses and management of stable chronic illnesses. (Doctor) and (nurse practitioner) agree that the Protocols for Nursing Practice as mutually developed will be the guide to define advanced practice including consultation and referral criteria. 2.