...Nursing: A Concept Analysis Robin A. Jonas University of Phoenix Abstract The term ‘nursing’ appears left open to a wide array of definitions and interpretations. If the discipline of nursing is to develop, progress and take its place in society as a distinct and knowledgeable profession in all contexts, a clear analysis of the term must be undertaken. A summation of opinions gathered in personal interviews with nurse leaders specializing in education, research, and practice add a personal and emotional perspective to the analysis. Appendix A lists questions used in the interviews. A concept map serves as a visual result of this analysis. Clarity of the concept of nursing will add to its knowledge base and is important to future development of the discipline. Results suggest a need for the nursing discipline to adopt a concept that will explain the discipline given its presentation in any context. Keywords: art of nursing, science of nursing, concept analysis, knowing, relevant and irrelevant attributes of nursing Nursing: A Concept Analysis ...
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...It is true that Nursing is a practice discipline that incorporates scientific and nonscientific knowledge originating from scholarly inquiry. To understand nursing one must understand the concepts, theories, and laws that are ever constant and evolving at the same time (Kelly Patricia, 2012). This understanding will inform practice. According to Simpao, A. F. (2013) “The theory framework of nursing science is built in a dynamic process that arises from practice and is reproduced through research, mainly by analysis and development of concepts and theories” (p. 56). Therefore, theory, research, and practice affect each other reciprocally and continuously. A nursing theory is a set of concepts, definitions, relationships, and assumptions or propositions derived from nursing models or from other disciplines and project a purposive, systematic view of phenomena by designing specific inter-relationships among concepts for the purposes of describing, explaining, predicting, and /or prescribing. Theories as a set of interrelated concepts that give a systematic view of a phenomenon (an observable fact or event) that is explanatory and predictive in nature. Theories are composed of concepts, definitions, models, propositions and are based on assumptions. They are derived through two principal methods; Deductive reasoning and Inductive reasoning. According to Buchanan Ernestine, (2011) “Nursing has come a long way since the days of Florence Nightingale and her pioneering actions that...
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...ed based A Qualitative Study of Nursing Student Experiences of Clinical Practice Farkhondeh Sharif1 & Sara Masoumi2 1Psychiatric Nursing Department, Fatemeh (P.B.U.H) College of Nursing & Midwifery Shiraz University of Medical Sciences, Zand BlvD, Shiraz, Iran 2English Department, Shiraz University, Shiraz, Iran Published 9 November 2005 [pic] Abstract Background Nursing student's experiences of their clinical practice provide greater insight to develop an effective clinical teaching strategy in nursing education. The main objective of this study was to investigate student nurses' experience about their clinical practice. Methods Focus groups were used to obtain students' opinion and experiences about their clinical practice. 90 baccalaureate nursing students at Shiraz University of Medical Sciences (Faculty of Nursing and Midwifery) were selected randomly from two hundred students and were arranged in 9 groups of ten students. To analyze the data the method used to code and categories focus group data were adapted from approaches to qualitative data analysis. Results Four themes emerged from the focus group data. From the students' point of view," initial clinical anxiety", "theory-practice gap"," clinical supervision", professional role", were considered as important factors in clinical experience. Conclusion The result of this study showed that nursing students were not satisfied with the clinical component of their education. They experienced anxiety...
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...Desmond Mueller California State University, Fullerton School of Nursing Concepts of Professional Nursing Practice BSN 306, Section 05 Anne Johnston-Silverberg, MS, FNPc September 14, 2012 The Affordable Care Act: The Role of the Nurse Practitioner The recent implementation of the Affordable Care Act (ACA) has had a significant impact on the American health care delivery systems. The passage of this bill mandates that all Americans must have health care coverage and that insurance companies cannot disqualify applicants due to preexisting conditions (National Council of State Boards of Nursing, 2014). These changes will undoubtedly lead to an increase in the number of people seeking medical care, particularly those with chronic diseases. It is estimated that this influx in the number of patients will result in a primary care provider shortage of 20% by the year 2025 (Poghosyan, Boyd & Knutson, 2014). With many new physicians choosing to pursue specialties due to the promise of a larger salary, hospitals and clinics will need to start looking to other health care providers, such as nurse practitioners, to fill this role. The purpose of this paper is to discuss the role nurse practitioners play with regards to the Affordable Care Act by examining the history and qualifications of nurse practitioners, the current practice of nurse practitioners, the basics of the Affordable Care Act legislation, and potential nursing challenges. History of Nurse Practitioners The role of...
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...Clinical reasoning, evidenced based practice and my application of both in nursing practice Clinical reasoning, evidenced based practice and my application of both in nursing practice Simmons (2009) states “clinical reasoning guides nurses in assessing, assimilating, retrieving, and/or discarding components of information that affect patient care” (p. 1151). I feel that without clinical reasoning nurses would just be going through the motion of caring for a patient with no specific outcome in mind. Because of the autonomous work of the nurse in many settings clinical reasoning is a skill that must be fine-tuned. There will not always be others to collaborate with on the care of patients and therefore the practicing nurse must feel confident in her decision of what type of care to provide, this is where her skills of clinical reasoning (cognitive process) come in and she is able to decide on the type of care to be given based off of her skills alone. The following are some of the different types of clinical reasoning out there. 1. Subjective expected utility theory, which explains how, decisions ‘ought’ to be made using mathematical estimation of highest probability. (Simmons, 2009, p. 1153). 2. Information processing theory, which focuses on how decisions are made, not how they should be made. (Simmons, 2009, p. 1153). 3. Hypothetico-deductive method which is a medical descriptive model based on information processing. (Simmons, 2009, p. 1153)...
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...Advanced search Home Articles Authors Reviewers About this journal My BMC Nursing [pic] Top Abstract Background Methods Results Discussion Conclusion Competing interests Authors' contributions Acknowledgements References Pre-publication history [pic][pic] < dl class="google-ad noscript"> Advertisement < /dl> BMC Nursing Volume 4 Viewing options Abstract Full text PDF (253KB) Associated material PubMed record About this article Readers' comments Pre-publication history Related literature Cited by on Google blog search Other articles by authors on Google Scholar Sharif F Masoumi S on PubMed Sharif F Masoumi S Related articles/pages on Google on Google Scholar on PubMed Tools Download references Download XML Email to a friend Order reprints Post a comment Share this article More options... Citeulike Connotea Del.icio.us Email Facebook Google+ Mendeley Twitter [pic][pic]Research article A qualitative study of nursing student experiences of clinical practice Farkhondeh Sharif1* and Sara Masoumi2 * Corresponding author: Farkhondeh Sharif shariffarkhondeh@hotmail.com Author Affiliations 1 Psychiatric Nursing Department, Fatemeh (P.B.U.H) College of Nursing and Midwifery Shiraz University of Medical Sciences, Zand BlvD, Shiraz, Iran 2 English Department, Shiraz University, Shiraz, Iran For all author emails, please log on. BMC Nursing 2005, 4:6 doi:10.1186/1472-6955-4-6 The...
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...through critical reflection, evaluate my performance as a mentor to a student nurse I have been working with on the ward. According to the Nursing and Midwifery Council (NMC) (2006) the term mentor is used to denote the role of a registered nurse who facilitates learning and supervises and assesses students in the practice place. They furthermore identify the eight mandatory standards that must be achieved to become a mentor, and within the assignment I shall be referring to the Standards to Support Learning and Assessment in Practice; NMC standards for mentors, practice teachers and teachers, and identifying the standards for mentors required (SM). This assignment will first look at the personal and professional reasons why I wanted to undertake the mentorship module. It will also discuss the importance of a supportive learning environment in the workplace, and how essential it is. My role as a mentor to a nursing student will be evaluated, looking at the way in which I supported her on the ward and how I facilitated this. In conclusion, I will identify my own personal development in undertaking and completing this module. As a registered nurse on a busy Paediatric ward I always enjoy supporting student nurses whilst they are on placement with us. There is an apparent shortage of qualified mentors on the ward, and within my last personal development review with my line manager I identified a need to attain the mentorship qualification. The Nursing and Midwifery Council (NMC) (2004)...
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...replication study. Nursing Ethics, 18(1), 54-63. doi: 10.1177/0969733010386162 The authors of this article were one Shelia Catlett of Western Kentucky University and Fairview Community Clinic, USA and one Sherry R Lovan also from Western Kentucky University, USA. Both authors conducted a qualitative research study, which was also a replication of a study published in 2002, investigating the qualities of a good nurse and the role ethics plays in decision making. Ethics refers to the moral code for nursing and is based on obligation to service and respect for human life. Ethical Knowledge occurs as moral dilemmas arise in situations of ambiguity and uncertainty, and when consequences are difficult to predict (McEwen Wills, 2011). Ethics in nursing is used to guide and direct nurses conduct and practices. It requires experiential of social values and ethical reasoning. Its main focus is on matters of obligation, what ought to be done, what is right, wrong and responsible. The study implemented modification related to the research questions, sample selection, data collection and Atlas.ti software for qualitative data for the purpose of providing ease of coding, viewing, mapping and storing the data for retrieval analysis. The main focus of this replication study was to understand what it means to be a good nurse and do the right thing. This research provided current and allied literature to the relationship between ethics and good nursing practice. They study was carried out...
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...Gibbs Reflective Assignment On Non-Verbal Communication With A Patient With Demenita Introduction This assignment is a reflective account of my first experience when assisting a patient to eat lunch. For the purpose of this assignment I will refer to this patient as Mrs C to maintain confidentiality and comply with the NMC code (2008). It will discuss the importance of non-verbal communication when providing effective nursing care to the elderly. Description Thoughts and Feelings Evaluation I felt this first experience was very rewarding and a big learning curve for me in caring for others. I was delighted that I had been able to support Mrs C to eat nearly all of her meal which she clearly enjoyed. The ‘protected mealtime’ policy ensured that I had time to dedicate to assist her and as she did not have the ability to feed herself, without my help she would have eaten very little or nothing at all. In order to communicate with Mrs C, I modified the usual rules of communication. I did not speak to Mrs C in an inappropriate way or use elder talk which may have damaged her self esteem and confidence (Argle 1994). I talked to her as I would address any adult but put more emphasis on non-verbal communication which according to Caris Verhallen (1999) is the main way in which humans communicate, in order for her to receive my message, extract the meaning and give me feedback. By holding Mrs C’ gaze I was maintaining communication and encouraging engagement and interaction...
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...Future Trends in Nursing Kareen Whyte Hope Care College Looking at the future of nursing throughout the 21st century seems exhilarating but on the other hand challenging. With the frequent expansion of the function of nurses, the current healthcare climate, education, and research, nurses will play a key role in the transformation of the world’s health and healthcare as a whole. The patient care delivery systems of the future will be significantly influenced by the industry trends that are impacting the healthcare industry today. Nursing as a profession will continue to evolve pass the year 2025. Since the inception of a college education for introductory nursing, advanced degrees are now required for specialized practice and there is a push for more doctoral educated nurses. Moreover, hospitals in their effort to acquire magnet status are requiring their nurses to possess a minimum of a Bachelor’s degree to be employed. This trend is mentioned in the article –Visioning the Future of Nursing: Analysis of the IOM/RWJ Foundation Report which made recommendations for an 80 percent increase in nurses with a baccalaureate degree by 2020 ("Visioning the future of nursing," 2011). Master’s and doctoral educated nurses have specialized knowledge and skills to make not only a significant impact on the profession of nursing, but also on the discipline and science of nursing. Nurses continue to engage in research and incorporate theory into their models so that new insights can...
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...Individual Analysis Standards of Nursing Nursing is a multi-faceted and evolving profession defined by the American Nurses Association (ANA) as, “The protection, promotion, and optimization of suffering through the diagnosis and treatment of human responses, and advocacy in the care of individuals, families, communities and population” (ANA, 2010, p.1). Standards of nursing care set by the ANA include standards of care, code of ethics, and professional standards. The standards set forth by the ANA help to define the scope of nursing practice. For the purpose of this paper, I will further detail how these standards affect my professional nursing care. Nursing professionals are obligated and expected to practice within the scope and standards of nursing care. Within my own scope of practice, I follow the standards of care on a daily basis. I am assessing patients, planning patient care, implementing, and evaluating the outcomes of patient care. My facility has outlined standards of care. By following these policies and procedures, I can commit to safe nursing practice. Nursing professionals are also obligated and expected to adhere to the standards of professional performance. Within my own nursing practice, I am expected to provide nonjudgmental care, therefore I must disrequard my own prejudices and be an advocate for the patient no matter the patient’s race, economic status, disease process, or chosen lifestyle. The nursing professional is also responsible to...
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...This assignment will evaluate and explore the experience of mentoring a student in practice, critically analysing topics that will reflect on the role of the mentor, within the context of the nursing profession. The placement area concerned is a 14 bedded acute elderly assessment ward, which caters for both male and female patients. Several students have been placed on our ward over the years, it is the mentors responsibility to provide students with appropriate support, guidance and supervision within the clinical environment, Myall 2008. One of the key issues that need to be considered in preparation for an effective learning environment would be making sure the student is aware of the situations that could arise on the ward, discussing typical events that could happen on a daily basis. clinical experience can be a stressful part of the nursing program, working in a unfamiliar area, working with difficult patients and the fear of making mistakes. Hutchinson (2003) believes that a teacher should aim to provide an environment in which learners feel safe to experiment, voice their concerns, identify their lack of knowledge and stretch their limits. One of the major factors affecting learning is the environment in which it takes place. It is the responsibility of professional staff to create and develop an environment conductive to learning (Price, 2004). This implies that the environment should be continually monitored...
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...NURSING AND HEALTH CARE MANAGEMENT ISSUES Time management strategies in nursing practice Susan Waterworth New Zealand MSc RGN RNT Senior Lecturer, School of Nursing, Faculty of Medical and Health Sciences, University of Auckland, Auckland, Submitted for publication 24 July 2002 Accepted for publication 20 April 2003 Correspondence: Susan Waterworth, School of Nursing, Faculty of Medical and Health Sciences, University of Auckland, Private Bag 92019, 85 Park Road, Grafton, Auckland, New Zealand. E-mail: susanpw@xtra.co.nz W A T E R W O R T H S . ( 2 0 0 3 ) Journal of Advanced Nursing 43(5), 432–440 Time management strategies in nursing practice Background. With the increasing emphasis on efficiency and effectiveness in health care, how a nurse manages her time is an important consideration. Whilst time management is recognized as an important component of work performance and professional nursing practice, the reality of this process in nursing practice has been subject to scant empirical investigation. Aim. To explore how nurses organize and manage their time. Methods. A qualitative study was carried out, incorporating narratives (22 nurses), focus groups (24 nurses) and semi-structured interviews (22 nurses). In my role as practitioner researcher I undertook observation and had informal conversations, which provided further data. Study sites were five health care organizations in the United Kingdom during 1995–1999. Findings. Time management is complex, with...
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...Philosophy of Nursing 12-5-09 A philosophy is the study of general and fundamental problems concerning matters such as existence, knowledge, values, reason, mind, and language (Wikipedia,2009) and nursing philosophy is a conceptual model put in place to serve as guide for nurses or references for nurses during their thoughts, observation, analysis, and practices (Seedhouse,2009). My personal philosophy of nursing is founded on the believe that nursing is a combination of the art of caring and a broad scientific knowledge base to provide care, promote wellness, and improve the lives of patients it is in accord with the model of (Chitty, &Black, 2007). Nursing as a profession is based on human connections and its practice is strengthened by knowledge, skills, and science. Highlighting my personal nursing values, and believes have contributed to the development of my own practice. Nursing philosophies like the profession haves evolved over the years expanding nursing practice. While diverse each nursing philosophy is geared toward promoting health, educating patients and families while striving to eliminate pain and suffering. However my personal philosophy is based not only on caring for the patient but also in cooperating the patient and collaborating with the other members of the health care team to develop and implement the plan of care to achieve maximum results. I view nursing not...
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...Concept Analysis: Caring Nursing 18200 Purdue University Calumet Leslie Rittenmeyer, PsyD, CS, RN, CNE Professor 1 & 2. I chose to present a concept analysis on caring because according to Watson (2005), caring is the core of nursing. When consulting with my 20-year old son on which concept to analyze, he responded, “Caring, because that is what nursing is about”. 3. But defining caring proved to be tricky because, according to Sargent (2011), caring is subjective and contextual. A review of three dictionaries (Oxford English Dictionary, Mosby’s Dictionary of Medicine, Nursing & Health Professions, and The Free Dictionary) explains caring as, to feel concern for and to show compassion for. The Oxford Historical thesaurus describes caring as “looking after, attention to, compassion for, and concerned with”. Sargent (2011) stated that attributes identified as “being a part of caring (compassion, interpersonal skill, technical skill, moral imperative, and therapeutic intervention) stand alone as critical components of the nurses’ professional role in their own right”. Sourial (1997) found eight uses of the concept ‘caring’: “Ethics, instrumental and affective; traits; patients’ and nurses’ perceptions of caring; holism; humanism; organizational; and quality”. Quality can be understood to be patient outcomes. Buckley (2014 discussed the connection between independent caring actions of the nurse and “the cost of adverse events (outcomes) when intentional...
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