Professional Nursing Practice
The theory that is well represented as per this study’s nursing practice is Virginia Henderson’s need theory. According to this concept, an almost one hundred percent efficient nursing health care is achieved by teaching patients the act of self-care which they will implement upon being discharged. Research has shown that 90% of recurring cases of medical illnesses are caused as a result of the general lack of knowledge on how to better care of themselves (Atkins, Britton & Lacey, 2011)). In light of this fact, the need theory was implemented to help patients take better care of themselves during and prior to treatment. This prevents reoccurrences of complications that further adds to the burdens of medical personnel. In short, the theory emphasizes that awareness on proper means of self-care should be provided alongside the actual health care. The nurse’s job is hence split into two directives which all have to be achieved for good health care to be administered. The nursing theory can be used to predict excellent nursing practices. These are primarily the methods which incorporate awareness on self-care more so in medical conditions which warrant this (Atkins et al., 2011).
The theory is applicable to my practice since I always make sure to educate the patients on what they should do to enhance their recovery upon being discharged (Atkins et al., 2011). This is usually through handling of pamphlets or booklets that showcase all of the activities they would need to indulge in as they embark toward their recovery. I very much encourage asking questions regarding the topic, and I am willing to answer anyone thrown my way. Lastly, as a means of assessment, I ask the patients what they need to do to take proper care of themselves and judge their learnedness by the responses they give (Atkins et al., 2011). This constitutes the theory and how it relates overall to my practice as a nurse.
Two influential figures as per my nursing practice are Clara Barton and Florence Nightingale. These two are some of the best nurse’s history has to offer. They are primarily well known for contributions in the nursing field. Barton, for instance, was referred to as the “Angel of the Battlefield” during the civil war. This was attributed to the fact that she worked tirelessly to tend to the sick and the injured during the highly acclaimed Franco-Prussian War. Her hard work and commitment not only earned her the above mentioned honorary title, but she was also assigned special duties by President Lincoln himself (Butts & Rich, 2016).
Florence Nightingale also earned her mark in the nursing field by her sanitation improvements during the Crimean war (Grace, 2010). This, in turn, led to increased nursing and doctor training in order to deliver impeccable health care services to the casualties of war. Her efforts are solely attributed to the establishment of the Army Medical College and the Nightingale School for nurses. Her efforts also earned her an honorary title as she was now referred to as “The Lady of the Lamp.”
These two figures made significant contributions toward the healthcare of war casualties. Their sheer commitment and zeal to serve toward a time where health casualties were very many are the reasons as to why I term them as the two most prominent figures influencing my nursing practice since I wish to replicate such commitment in the process of administering health care (Grace, 2010). Although they both contributed to providing health care to the casualties of war, Nightingale’s efforts led to the establishment of awareness schools.
A board of nursing such as the state board of nursing is primarily charged with the task of regulating nursing practice (Grace, 2010). This can be achieved through a significant degree of acts such as controlling the designated working hours for each rank of the nursing practice, regulation of the pay which is dependent on the amount of work a nurse has been subjected to, the drugs used, the most appropriate measures to be employed, the hospitals which nurses are assigned to are just some of the roles the State Board of Nursing is involved with. Any activity which regulates nursing practices is all from the State board of nursing (Ulrich, 2012).
A professional nursing organization, on the other hand, works hand in hand to advocate for nurses. This shows that it shares some distinct similarities in terms of roles as a nursing board. An example of a professional nursing organization is the American Nursing Association (ANA) (Ulrich, 2012). It advocates grievances faced by nurses such as lack of proper and sufficient pay, being overworked, the increment of payment and so on. Any complaints are forwarded here.
These two nursing organizations influence my practice very much. Any ideas I have concerning how best a particular nursing practice may be improved will be transmitted to the first organization (State Board of Nursing) while any complaints I may have concerning the general state of the nursing practice will be directly sent to the ANA (Ulrich, 2012). Failure to maintain my license requirements would deem me unqualified for my line of work, and thus my license would be on the verge of revocation. The nursing license for a compact state allows one to be tied down exclusively to a single state while for a noncompact allows for movement.
Regulatory agencies play a significant role in influencing nursing practices. Examples of these agencies which will form an integral part of this discussion include the FDA (Food and Drug Administration Agency) and the Centers for Medicare and Medicare Services (CMS). They play the following roles in the overall administration of proper healthcare (Grossman, 2013).
The FDA, according to its profile, is involved in the promotion of public health through monitoring of food stuff consumed by individuals. They are also involved in monitoring some select drugs such as tobacco which people consume. They primarily work to ensure proper nutrition since a large portion of illnesses and infections which warrant nursing care are as a result of improper diet. This agency will very much influence my nursing practice (Grossman, 2013). The discussion above warranted proper health care through the teaching of patients on proper self-care techniques. In essence, the self-care techniques taught usually revolve around ensuring proper nutrition. The agency is hence very conversant with my nursing practices.
The second body, CMS plays a large role in fostering health insurance more so among children. Since insurance advocates for an uninterrupted medical care for the best results, this shows that the agency plays an important and integral part in influencing my overall nursing practice (Grossman, 2013). The implications which may be made in the event that a patient asks for an alternative therapy may be that the agencies are not as effective in the implementation of their services. For instance, a patient asking for alternative food therapy may be as a result of the FDA not providing essential food therapy while the implications made as a consequence of a patient asking for an alternative treatment in terms of the CMS may be due to the fact that the insurance money is not covering all that is intended to (Grossman, 2013).
The states chosen as per this discussion are Kentucky and Ohio. These two states share some common similarities. In both states, the nursing practice hinges on private-not-for -profit and for profit purposes. Research has also indicated that these two states perform the exact same recruitment and staffing techniques. This is basically in terms of the qualifications and the hospital being recruited to upon being signed. The one major disparity which exists as per these states is solely that Kentucky requires a nurse to securely verify whether a performance act is within the scope of practice for a designated system (Grossman, 2013). Ohio does not
Registered Nurses, (RN), Registered Practice Nurses (RPN) and Licensed Vocational Nurses (LVN) all have similar job descriptions as per their practices (Ulrich, 2012) The only real difference is in the degree of qualifications. Kentucky views an RPN practice as a practice heavily based on knowledge acquired from school while Ohio has a somewhat different view on this. Ohio sees RPN practice to be heavily influenced by experience as well as education. In terms of Registrar Nurses, the only real difference between the two states is the fact that practice in Kentucky is heavily tied down to the concept of authorities and ranks while Ohio does not dwell very much on this. Finally, in terms of the LVN, Kentucky views its scope of practice to be heavily tied down to the professional organizations such as ANA (Grossman, 2013).
The two states are very similar in terms of their rules of delegation. This can be attributed to the closeness in terms of the geographic position of the two states. This is solely responsible for the borrowing of ideas between the two states. The only difference lies in the structure of the delegations themselves since they are based off from the constitution of the two states (Grossman, 2013). The rules for safe practice as per this discussion are very similar for the two states. The rules dictate that the nursing practice should work hand in hand to reflect the safety standards which are designated as per the hospital’s policies. Any act found to contravene this law is very punishable by license revocation.
The following distinctions exist as per the discussion of the different nursing ranks under the following subheadings. A scientist, in general terms, is involved in testing various scientific phenomena and finding a marked relationship between them (Grossman, 2013). In essence, all of the three categories are comprised of nurses. An RN’s job is more essential, scope-wise when compared to that of an LPN. This is in terms of scientific work. An LPN can expand the grounds of research far beyond that permitted for an RN. An RN, for instance, cannot be allowed to conduct experiments on human test subjects. An unlicensed nurse is only subject to instruction and cannot be allowed to partake any serious research activity (Ulrich, 2012).
A detective is involved in putting pieces of evidence together in order to solve a case. Since investigative processes correspond very well with scientific investigations, the scope for a scientist mentioned above very well corresponds to that of a detective (Ulrich, 2012). All three nurses are allowed to investigate, although there are limits pertaining to the seriousness of the case in question. An assistant is subject to instruction. However, she or he is allowed to provide some meaningful insight based on their understanding of the case in question. An environmental health manager has a job description that is well suited to an LPN. This is mainly because the job involves a lot of practical work which is the job description of an LPN. An assistant is subject to instruction as always, and an RN can also pose as an assistant to an LPN as per this job description (Ulrich, 2012).
The provisions chosen are as follows:
The nurse, in all professional relationships, practices with compassion and respect for the inherent dignity, worth, and uniqueness of every individual, unrestricted by considerations of social or economic status, personal attributes, or the nature of health problems.
To fight for the rights, respect, and dignity of the patient.
These two would help in the process of delivering excellent health care to individuals. The first one expresses passion in nursing practice. Doing one’s work with passion is the basis of achieving one hundred percent efficiency. In short, the first provision influences nursing practice since it advocates for passion while performing the various nursing practices. The second provision allows for giving the patient respect. This is vital for productive relations which may promote adequate nursing care. The major error made includes a mix up in prescription medicine. The patient given the wrong medication showed a marked decline in health standards as time went by. It was by chance that this was discovered just in time and proper medication administered. The ANA provisions, as already seen above, advocate for the patients being the top most priority when delivering medical care. This does not allow for any margin of error to be made in accordance with their treatment. The ANA fights against errors such as this which may put the patient’s life in danger.
The four leadership qualities which may be applied to represent sheer excellence in nursing include the following.
- Passion Toward one’s line of work
A leader at the bed side interacts more with the patient. Trustworthiness would allow for gaining approval and trust of the patients. As a result, they may share some crucial and valuable information which may accelerate the rate of their recovery. Being a leader of a large nursing team warrants the use of all of the above-mentioned values. Respectfulness goes both ways hence I would earn their respect by giving them theirs. Trustworthiness will make me become reliable, and they can also share some of their pressing matters to me. Passion and commitment will make me lead effectively. The interdisciplinary team is charged with offering penalties in the event rules and regulations are violated. This is usually done prior to amid investigations and a mini hearing. The above four qualities would allow me to testify in most of the cases. The organization has a comprehensive structure with a firm Constitution which advocates for ethical nursing practices.
Atkins, K., Britton, B. & Lacey, S. (2011). Ethics and law for Australian nurses. Cambridge Port Melbourne: Cambridge University Press.
Butts, J. & Rich, K. (2016). Nursing ethics: across the curriculum and into practice. Burlington, MA: Jones & Bartlett Learning.
Grace, P. (2010). Nursing ethics and professional responsibility in advanced practice. Burlington, Massachusetts: Jones & Bartlett Learning.
Ulrich, C. (2012). Nursing ethics in everyday practice. Indianapolis, Ind: Sigma Theta Tau International.
Grossman, S. (2013). Mentoring in Nursing: A Dynamic and Collaborative Process. New York: Springer Publishing Co.