Free Essay

Nurses Impact Lives Beyond

In: People

Submitted By zps2
Words 2268
Pages 10
Nurses Impact Lives Beyond: Case Studyd

Nurses Impact Lives Beyond:
Case Study
Nurses Impact Lives Beyond

Pre-hospital Phase:

It was cold and dark, when the helicopter was dispatched to a scene flight for motor vehicle crash with double entrapment one May morning at 0230. Two of the three patients, are unresponsive and in critical and unstable condition. This is the first encounter our patient would have with a registered nurse providing and directing his care. The nurse possesses both acute care and pre-hospital expertise and would work collaboratively with police, fireman, good Samaritans, EMT’s and paramedics to access the patient, provide timely triage, life -saving interventions and rapid transport to the closest trauma center. Each team member has a pre-defined and respected role; the nurse is the senior health care provider and assumes the leadership role with a calm, confident demeanor that is reassuring to the team.
This patient was a 25 year old man, unrestrained driver of a vehicle that hit a brick wall head-on at a high rate of speed. Of his two passengers, one of them is a brother, all require 20 minutes of extrication time from the severely damaged vehicle. After freeing our patient, the team works together to assess and stabilize him. His initial vital signs are worrisome, with a BP of 140/80, pulse of 160 and spontaneous respiratory rate of 8. The nurse assumes his care and quickly supports his respiratory rate by bagging and suctioning blood from his airway then inserting an ET tube to ventilate through. A team of 2 EMT’s assist to immobilize him on a spine board, stiff-neck collar, and CID blocks. The patient responds only by flexing to pain, no eye opening or verbalization. His noted obvious injuries are large head laceration approx. 6 inches in length, a head injury with his decreased level of consciousness, left lower open leg fractures and potential intra- abdominal injuries with persistent tachycardia. He is placed on cardiac monitoring and two intravenous lines inserted to give boluses of IV fluids, obvious bleeding from his head and leg fractures is controlled by pressure and splints, then our patient is loaded onto the aircraft. Another vital function of this nurse is to call an accurate report to the receiving Medical Center, answered by an Emergency Dept. Attending physician to give further orders and assemble the responding Trauma Team to assume the care of the patient.
The pre-hospital nurse spent 15 minutes with this critically-injured patient. It was the first link with the community resources, the patient and the trauma system and would determine the next steps of the rest of his life. Although it was 15 minutes of initial patient contact, this nurse will dedicate many more minutes to this patient. Fully documenting his care and treatment, reviewing and submitting it to the flight quality program, and then to the multidisciplinary trauma review team process. After the shift, the review of events continues to play over and over – considering his presentation, and the actions that resulted. All the time supporting him as a person – he is someone’s loved one. They are being notified that life before they went to sleep, is very different now.

Emergency Department (ED) Resuscitation Phase:

A Level I Activation was paged due to the report of the patient’s condition to the Emergency Attending physician. This is the highest level of trauma team response, and requires all members to assemble at the bedside of the patient within 10 minutes of his arrival. The goal of this multidisciplinary team is to assess, intervene and treat life threatening concerns, select most efficient diagnostic test and expedite the definitive care of the trauma patient. The Emergency Department (ED) Nurse is a vital component of this team, utilizing assessment, critical care and communication skills to maximize all team members’ contributions. The ED Nurse is a consistent core team member that travels with the patient, not only providing direct care, but also diligent monitoring and documentation of the patient’s response to treatment. Our patient arrives with a pulse of 165 – BP 97/52 – no spontaneous respirations and a temperature of 34.9; his pupils are equal at “2” and reactive to light. The team is preforming simultaneous task… a primary survey, secondary survey, a large subclavian central line is placed, labs are drawn, warm blood is hung, C-spine, Chest and pelvis X-rays are taken, an A-line is started, a left sided chest tube is inserted, a pelvic binder is applied, his scalp laceration is stapled to control an increase in bleeding and the chaplain is diligently pursuing identification of our patient. 15 minutes has gone by and injuries known thus far: blunt head injury with coma, mandible fractures, L pneumothorax, pelvic fracture, femur and tib/fib fracture, probable intra- abdominal injuries are suspected due to the persistent tachycardia of this patient. His ED nurse is monitoring and documenting all of the team’s actions and the patient’s response, still wondering if he has a family getting an awful call in the middle of the night and thinking they would not be relieved by getting to the hospital and discovering that his condition is better than they feared. It is time to take the patient to CT scan and evaluate his brain and other unknown injuries. A core team works diligently to protect all the lines, tubes and most importantly the patient during these critical diagnostics. His ED nurse is glad to see a veteran CT tech is on and can be of great assistance in quick scanner of this critical patient. Together they survey his IV site patency, body positioning and quickly begin the scan.
Findings during the CT scan: A serious head injury with bleeding of the brain, multiple facial fractures, multiple fractures of the right hip/femur and tib/fib, a comminuted pelvis fracture with life-threatening bleeding observed coming from the pelvic arteries directs our patient to another trip for an attempt to control this bleeding by inserting a balloon and embolizing or cutting off the vessels bleeding. Also concerning on the scan of the chest is a potential tearing of one of the vessel feeding the aortic arch. The core team continues evaluation, blood product administration, and protecting the patient from further loss of body temperature or harm that could affect his condition.
The next safest destination for our patient is in the Operating Suite. This state of the art Trauma Center has developed a unique protocol that allows for seriously compromised patients to have interventional radiology procedures in the operating room where they can be operated on immediately if these procedures fail to stop the bleeding process. It is @0535 and time for his ED nurse to turn care over to his intra-operative nurse and team, there is relief and reflection. Most prevailing is a bad feeling for the recovery and the family left to deal with the grief of such events. How lucky our team is for having a dedicated individual (our chaplains) to provide individual attention to these circumstances. The family had been reached, given the information provided by his conscious brother who arrived last to the ED @0415.
His parents arrive at the hospital @0545, the chaplain escorts them to a private area, and the Trauma Attending physician and ED Trauma nurse are there to give them an update on their son’s condition and progress to this point of this care. The news is grim, the worst thoughts that raced through their heads is true. The parents then return to one comfort, another son in the ED surviving the crash that can talk to them, give those further details and hope for the future. The chaplain again is there to escort them to the Surgical Intensive Care Unit (SICU) waiting area, a place they can be reached for potentially better news of their son’s progress and a prayer.

Intra – Operative Phase:

Our patient underwent pelvic arteriogram revealing traumatic injury to the right internal iliac artery and the left internal iliac artery both were successfully treated with gelfoam embolization and his shock state was stabilized. He then underwent further diagnostic angiogram to rule out an aortic dissection, which was not evident and allowed his orthopedic issues addressed in a first stage process.
Neurosurgery was consulted in the Trauma Bay and placed an intraventricular pressure monitor to treat intracranial hypertension as a result of his brain injury.
The Orthopedic injuries are addressed by irrigation and cleaning out of the R hand wound, L ankle fracture, external fixator applied to the L tibia and traction pin to give longitudinal traction of the R hip/femur fracture. Due to the critical condition of the patient and ongoing hemodynamic resuscitation of blood products further orthopedic repair and fixation will be done in a second stage procedure.
The Operating Room (OR) team is multi-disciplined with well- defined roles. The OR nurse is constantly counting, documenting the instruments and equipment to keep the case going and patient safe.

The Critical Care Phase:

Our patient is immediately transported to Surgical Critical Care Unity (SICU) at the conclusion of the OR case bypassing the Post Anesthesia Care Unit (PACU).
On his arrival the SICU nurses and respiratory therapist expeditiously transfer him to his bed and do an in-depth assessment of his condition.
The nurses are experts in critical care with all its new technological advances and thrive on challenging cases; this knowledge also prepares them for the cases that have a high probability of death. Their patient has had significant insults to his body’s systems and one treatment is in constant turmoil with another system. His shock state has been successfully treated with blood and fluids, but his brain injury is swelling in response and requiring drainage and diuretic drugs to reduce his brain pressures.
It is an internal battle, one that as time marches on our patient appears to be losing.
These experienced nurses have dealt with many life and death situations; one that they fiercely protect is the right of every person to have their wishes carried out when they can no longer voice them. Their families become that voice. The nurses had made a call to the designated Organ Donor Program when the brain pressures kept rising and not responding to any treatment measures. It is a federal law that each person’s wish for organ donation be explored at their time of death and timing is imperative to the possibility of many donations.

Our patient’s family has been brought in to his bedside, observing for themselves the battle that has been fought by their loved one and his care providers. In this case, his closest next of kin are his parents. Every worst parent’s nightmare has come true for them, an emergency notification call in the middle of the night, and now facing the possibility of surviving one of their own children. In many cases the ability to participate in the patient’s care decisions and witnessing all that is done to maintain a severely injured person allows families to accept that nothing more could have been done and they begin a grieving process.
The next nurse that our patient and family encountered was the Transplant Coordinator from, the Regional Organ and Tissue Transplant Network Program.
Fortunately for these parents, their son had recently voiced his wishes for donation, giving them a focus on something positive that they could make happen out of this tragic event for their son.
The Transplant Coordinator and SICU nurses and many other hospital staff worked diligently to maintain perfusion to the patient’s organs after he had met brain death criteria.
This process of consenting, consulting, more diagnostic work up, organ harvesting team organization, further operating room resources and transport of several retrieved organs came together in the next 24 hours.
The outcome over the next 24 hours has affected the lives of many people…..and their nurses: * The left kidney went to a 10 year old boy, who lives in the same state and attends the 4th grade. He was on the waiting list for over one year and just about ready to start dialysis when he received his gift. He is a Cub Scout and loves to play video games, he also adds that he loves to play with his family and feels great now that he his new kidney. * The right kidney and pancreas went to a 30 year old woman that also lives locally as well. She has been very ill and unable to work recently receiving disability. She is doing very well and expected to make a full recovery. Her goal is to return to work with a renewed health and fuller life. * The liver went to a 65 year old gentleman that has the joy of a new granddaughter. He has been discharged from the hospital and is recovering at home. * His heart was a directed donation given to his 50 year old uncle and is doing very well in recovery. His mother has gone to visit him and place her ear on his chest to hear the heart of her son beating.

As this event first occurred during the early hours of that May morning – it triggered a multitude of diverse resources and responses. During every phase of care a vigilant professional presence of nursing was by his side. Providing the appropriate interventions, evaluating their effectiveness, and protecting from further physical, emotional and spiritual deterioration and harm. As this story and events unfolded – nurses will continue to support this patient and those his life and death touched beyond.

Similar Documents

Premium Essay

Vision for the Future of Nursing Speech

...Dear peers, colleagues, fellow professional nurses, Slide 1: We are here today to discuss the future of nursing, a vision of nursing have you? Here we meet on the heels of a thirty plus year push toward professional legitimacy. Hinging on the precipice of integration of nursing research and utilization of evidence based practice at the bedside. Yet our voice is still clouded by the past. To be the successful force of change which our predecessors knew we were and could be we need to make the final push. Slide 2: As Florence Nightingale once stated “May we hope that when we are all dead and gone, leaders will arise who have been personally experienced in the hard, practical work, the difficulties and the joys of organizing nursing reforms, and who will lead far beyond anything we have done.” That time is now. We live in a time where this vision is actually in reach. The reins of the future of healthcare are obtainable. In the past we made strides, improving patient care on all fronts of healthcare. Now we need to hit the classroom and the boardroom. The future includes a shift from an acute and infectious disease focus to that of a rapidly aging population with chronic disease. In order to meet the challenges of the future we must embrace advanced technology, work on partnerships across the care continuum, encourage collaboration across settings and disciplines, ensure quality and continuity of care and promote nurse led and nurse managed health care (National Research......

Words: 1062 - Pages: 5

Premium Essay

Ethical and Legal Issues in Nursing

...ISSUES OF Nursing Many confusing factors make it a task to establish, monitor and sustain ethical and legal issues in nursing. Everyone has various personal views based on experiences of life, religion, education and political affiliations, all nurses should be aware about nursing laws and ethics and understand how nursing legal issues can affect them. The American Nurses Association (ANA) Code of Ethics is very influential to nurses because it is used as a framework for making ethical decisions with all aspects of health care. The foundation in any successful professional practice, are based on ethics, values, morals and principles from which the ANA Code of Ethics are formatted. Moral leadership in nursing is about professionalism, responsibility, accountability, and competency. Nurses have an obligation to preserve their patient’s values, beliefs and dignity, to assure optimal health care, personal well- being, and promote quality of life. In all aspect of nursing, nurses are role models, healthcare providers, patient advocates and are required to meet the needs of their patients. Which can be done by communicating openly and honestly, being fair and trustworthy, being proactive, and by putting patients first. Nurses are face with ethical dilemmas on a daily basic therefore, must examine their own personal and professional values and morals in order to maintain a caring and compassionate relationship with their patients. When complex ethical issues......

Words: 956 - Pages: 4

Premium Essay

Adn V Bsn

...The ADN-BSN Debate Higher education in nursing yields better patient consequences based on greater knowledge in standards of care and sounder judgment calls. As a nurse with an ADN there were already differences to be seen while going through the program; some students chose to complete the path towards an ADN while others chose to graduate with only the nursing certificate of completion. We all took the same course load with the exception of the ADN track having taken an extra math course to complete the degree. Coming from a small community, many of us found employment at the same hospitals or closely neighboring facilities, and it is difficult to judge which of us holds a degree and which of us hold a certificate. In the same regards, most ADN nurses are difficult to decipher from BSN nurses on the floor, except for the obvious accolade on the name badges. When conversations arise over whether or not to pursue a higher degree, the common response is that a nurse only needs a BSN if she/he is looking to move into a managerial role. Many nurses have stated that attaining a BSN for a floor nurse, or specialty units such as NICU, ED, PACU, and Cath Lab, are useless as it does nothing to improve skill. However, according to the American Association of Colleges of Nursing (AACN) Fact Sheet, hospitals with a higher percentage of RNs with baccalaureate or higher degrees had lower congestive heart failure mortality, decubitus ulcers, failure to rescue, and postoperative deep......

Words: 1019 - Pages: 5

Premium Essay

Question

...nursing, without them nursing would not be what it is now, and there continues to be lots of changes in nursing that is why it is so important to continue learning. We are the future of nursing and will be pioneers to the nurses that follow us after we are long gone. This foundation and history that previous nurses have left us with helps me with how I care for my patients, from planning, organizing, educating, and discharge and beyond because of them. Now I understand where they came from. There is so much context in nursing it’s difficult to pick one topic. Lecture 2 (2011). For the second question, on the three trends; the first one for me that I identified with was Mary Eliza Mahoney, and how she helped minority nurses in this field, I also was the only nurse out of 4 to graduate from my LPN program, and talk about discrimination, WOW! There was lots of it and lots of segregation in a cliques which still continues on to this day, it’s like I have to work harder than others to prove myself, so yes I understand that aspect. Much Kudos for Mary and Mabel Keaton Staupers. On the second trend, if that’s what you want to call it that I also identified with was with Walter “Walt” Whitman who had a true spirit and heart of a nurse, it is rare to find a nurse like that with devotion and compassion, but when I see it, it blows me away, I read his poem “The Wound Dresser” and felt like that many times. And finally for the...

Words: 528 - Pages: 3

Premium Essay

Heritage Assessment

...nursing profession is the leading agent of work force in health care today. With the implementation of the Affordable Care Act (ACA), which will entitle additional 32 million Americans to have access to health care, the nurses will need to be well educated and be prepared to meet the current and future demands of the health care system.( pg 271). In this paper I will be discussing the impact of the IOM Report on nursing education, on nursing practice, particularly in primary care, impact of the IOM Report on nursing role as a leader, and finally, how I as a nurse will implement these changes in my practice to meet the goals of the IOM Report. Impact on Nursing Education; With the evolving health care demands, changing and expanding nurses role in acute setting as well as in the community education plays most important part. In the IOM report the emphasis was placed on advancing nursing degrees, to make easy, seamless transition to advance nursing practices and to improve education system. Advancing Nursing Degree. First is advancing nursing degree by increasing the proportion of nurses with a baccalaureate degree to 80 percent by 2020, and double the number of nurses with a doctorate by 2020. ( pg 22). IOM directs health care organizations to encourage nurses to advance their degrees within 5 years of acquiring Associate Degrees in Nursing (ADA) degree. In order to achieve that all nursing educators across all nursing schools should partner with education......

Words: 1766 - Pages: 8

Premium Essay

Emerging Standards of Care

...Emerging Standards of Care NUR 531 Emerging Standards of Care The impact of the varying demographics and the emergent multicultural humanity emphasizes the significance of cultural competence for the provision of quality care in this diverse society. Identifying and comprehending the beliefs, customs, practices, and values of a culture is essential for nurses and health care providers. Beyond the racial and ethnic group, classification that usually comes to mind with discussion of cultural diversity, other types of cultural diversity such as gender and organization affiliation warrants attention. This paper will discuss cultural competence in home health care/hospice, the people that receive service and issues of community vulnerability. Exploration of standards of cultural competence, potential impacts of delivery of care, and possible solutions to implement where standards are not being met will emerge. Cultural Competence According to Freidman, Bowden, and Jones (2003), people view culture as a model for our way of living, behaving, living, and feeling. An association between culture and heath practices is existent. In fact, culture is the most influential factor in determining health behaviors and beliefs (Campinha-Bacote, 2003). Cultural competence involves being aware of, and conversant on, and sensitive to the diverse cultures that exist in the population. Health care providers should not only embrace cultural diversity but must also strive for......

Words: 3345 - Pages: 14

Premium Essay

Drug Abuse

...Philosophy and How Nursing Impacts My Life Liza Guillen Broward College My Nursing Philosophy and How Nursing Impacts My Life In order to fully understand my personal nursing philosophy I had to first begin to research the meaning of the word philosophy. Philosophy: the rational investigation of truths and principals of being, knowledge or conduct (http://dictionary.reference.com/browse/philosophy). Nursing can be defined differently by each individual. The word nursing comes from the Latin word nutricius, which means “nourishing.”(Nursing Today). To nourish is to provide any type of care necessary to promote; maintain life and growth. But what does care really mean? Well caring is defined as “feeling and exhibit concern and empathy for other” (the free dictionary). A nurse incorporates all of these meanings into not only patient care but to a way of life in order to truly believe and live by his or her own philosophy of nursing. Dr, Jean Watson’s caring theory incorporates three main elements of caring into her theory which are carative factors, the transpersonal caring relationship, and the caring occasion/caring moment (Watson, 2001). These elements describe the trusting relationship a nurse must create with the patient, the time and space to do so, and the how a nurse extend beyond their own sense of self to understand and care for others as unique beings. I believe these elements guide nurses to serve in society by describing that a nurse endeavors to “honor......

Words: 1101 - Pages: 5

Free Essay

Nursing Professional Reflections

... Elham Kowsar Antelope Valley College Mrs. Cox Nursing Science 201 A good nurse needs certain skills in order to operate effectively in a psychiatric setting. Although there are many attributes essential to excellent nursing care, this paper specifically focuses on empathy, self-awareness, and building of trust in the professional relationship between a nurse and her patient. In the mental health setting it is important to understand the difference between empathy and sympathy. Empathy and sympathy may appear to be interchangeable, but they are not. Both words are derived from the Greek language. Empathy means “in feeling” and is based on, and acceptance of, individual uniqueness. Sympathy means “with feeling” and is largely an affective reaction which involves sharing emotions and merging or losing oneself in another person’s experience. Empathy is intimately linked to closeness, which can prove to be difficult to attain for some nurses. The structure of empathy is described as a feeling, portrayed non-verbally, and includes thoughts and emotions related to understanding patients' situations. Nurses' own attributes and previous personal and professional experiences impact their ability to empathize, while knowledge about people and how they are feeling is important for developing empathy. Empathic feelings are difficult to generate when nurses have no context for a similar experience or when the patient is difficult to get to know or......

Words: 1789 - Pages: 8

Premium Essay

Personal Eassy for College Enrollment

...Personal Essay This paper will be focusing on the life experiences that guided me towards selecting my current career choice of becoming a registered nurse; most of which has been through inspiration. Throughout the body of this essay highlights will be made on personal encounters with other healthcare professionals, past work history that contributed to my current career choice and individuals that were the driven force behind me wanting to be a nurse. I chose nursing because this profession allows me to care for an individual in their most vulnerable state and to gain trust and rapport over time. As a nurse, I will contribute by helping people live longer, richer lives. This decision was made at the age of fifteen in 2004 after becoming a member of the Antigua and Barduda Red Cross Society; which was the first exposure I had to the healthcare sector and where the true meaning of helping a complete stranger was understood. During my tenure I became a Certified Peer Counsellor to teenagers, where I learnt the skill of using effective therapeutic communication to converse with abused teens; be it physically, emotionally or sexually. Being certified gave me the opportunity to educate young adults on current pressing topics such AIDS, HIV and STD prevention. Additional, duties as a peer counsellor included distributing condoms and performing the necessary demonstration to ensure safe and effective usages. As one of the younger active members of The Antigua and Barbuda......

Words: 1787 - Pages: 8

Free Essay

Individual Project

...University HCM367-1304A-01 Phase 3 - Individual Project Lately, there has been an increase in patients being diagnosed with chronic debilitating diseases here at the healthcare facility, and I believe that Senior Management, Departments Heads, Supervisors, and Stakeholders should come together and discuss a few topics concerning chronic diseases and the aging population. The crisis is clear. Chronic diseases are having a major impact on healthcare. Chronic conditions, unlike acute diseases, cannot be cured and can last for years, limit activitis, and require continuing medical attention. In the United States, chronic illnesses impact millions of people and are the leading cause of sickness, disability, and death. As more and more people age and develop chronic illnesses the number of doctors and nurses needed will go up. Therefore, the availability of well-trained doctors and nurses is imperative in order to provide the best possible care. By communicating and collaborating with doctors, nurses, and the community to treat patients and their illnesses we can possibly cut costs, make programs for patients more readily available, and help the patient improve their overall health. In preparation for this meeting I researched Alzheimer’s disease which is a major issue affecting the aging population. Alzheimer's disease, first described by the German neurologist Alois Alzheimer, is a physical disease that affects the brain. No one knows what......

Words: 1165 - Pages: 5

Premium Essay

Adn vs Bsn

...Running head: Associate and Baccalaureate-Degree Registered Nurses Associate and Baccalaureate-Degree Registered Nurses: Differences in Competencies R B S Grand Canyon University: NRS 430V 10 July 2011 There are two ways to become a registered nurse: a fast track two year associate degree course or a comprehensive four year baccalaureate course. A graduate of both courses makes the student qualified to take the NCLEX-RN and get an RN license. The American Association of Colleges of Nursing (2010) believes that “education has a significant impact on the knowledge and competencies of nurses”. The healthcare environment and the nursing world today are constantly changing. The economy is getting worse and competition is getting fiercer. As a result there is an escalating demand for better-quality and efficient patient care providers and independent decision making nurses. The registered nurse today is expected to do much more than just follow physician’s orders, administer medications on time and wound dressing changes. The nurse nowadays must be able to make important judgment decisions, must be able to politely query a doctor when orders seem not appropriate and help patients and family members make difficult decisions that will affect their lives. The associate degree RN and the bachelor’s degree RN have the same RN license, but the baccalaureate degree nurse studied more subjects in the physical and social......

Words: 1084 - Pages: 5

Premium Essay

Nursing

...Personal Definition of Nursing April Vialpando Ms. Penne McPherson in partial fulfillment of NR444 Professional Role Development Regis University January 22, 2013 Personal Definition of Nursing The definition of nursing has many different meanings depending on whom you ask. To some a nurse is simply the person who brings you your medication and takes your vital signs. To others, including myself, it is someone who keeps you safe and watches over you while you are in a healthcare setting. A nurse along side a physician with the patients best interest in mind to care for them not only physically but emotionally and mentally. A nurse must have the knowledge of that exact medication you are receiving. I must know the signs and symptoms of an adverse reaction and be able to inform my patients why the medication is beneficial. I must also show compassion for a sick patient or a family member who is saying good-bye to a loved one. In this paper through examples and personal experiences I hope to define what nursing means to me. Description of Terms Health “An individual’s physical, mental, spiritual, and social well-being; a continuum, not a constant state” (Chitty & Black, 2011, p. 413). I believe that without all four of these components a person truly is not in a state of health. If a patient is at an ideal weight and is in a state of depression there is a lack of pure health. I had a patient recently that on the outside seemed to be “the picture of......

Words: 1253 - Pages: 6

Premium Essay

Adnvsbsn

...ADN vs BSN: What is the big difference? Discuss the differences in competencies between nurses prepared at the associate-degree level versus the baccalaureate-degree level . Some do not believe there is a difference. Don’t both take the same NCLEX? Personally it is believed to be education, training and experience as the main differences. While both have the same nursing training the BSN nurses goes above and beyond to begin to specialize in nursing. Most BSN programs are 4 years long. Those four years are spent educating, training and assisting in gaining experience in nursing. According to the AACN, Baccalaureate nursing programs encompass all of the course work taught in associate degree and diploma programs plus a more in-depth treatment of the physical and social sciences, nursing research, public and community health, nursing management, and the humanities. The additional course work enhances the student’s professional development, prepares the new nurse for a broader scope of practice, and provides the nurse with a better understanding of the cultural, political, economic, and social issues that affect patients and influence health care delivery. You need an intext citation. Review APA for format That being said there is a huge difference in the preparation of a BSN nurse than that of just an ADN nurse. According to nursing world , Baccalaureate nursing practice incorporates the roles of assessing, critical thinking, communicating, providing care, teaching, and......

Words: 1079 - Pages: 5

Premium Essay

Concept of Care from a Nursing Perspective

...the primary caregivers in family units. Women always have been responsible for the well-being of the family and the community. If a member of the family or the community fell ill, the women were the only ones tasked with the responsibility of caring for this individual until he/she got better. This narrow definition of care has expanded over the years and has been inculcated fully into the medical profession. Care and nursing have become so intertwined up to the point that they can be considered synonymous. Currently, nurses are the care-givers to patients in hospitals and homes for the elderly. As a critical element in nursing, it is essential that the concept of caring is thoroughly analyzed. The subject cannot be taken as a small matter as it has a crucial impact on the process and outcomes of nursing. The purpose of nursing is to render health services that will ensure that the patients get better and are able to continue with their lives. Care is essential in ensuring that this purpose of nursing is met in the hospital, health center or home. Concept and Purpose The concept under study in this paper is care. This paper seeks to investigate the concept of care from a nursing perspective to determine its relevance to and implications for the nursing occupation. Another purpose of the paper is to identify the various attributes of the concept to distinguish it from other similar concepts. The paper will examine different literature to determine how......

Words: 2553 - Pages: 11

Premium Essay

Health Promotion; Review of Literature

...claiming the lives of people in large numbers. Over the years, the leading cause of death has shifted and transitioned from infectious deceases to chronic diseases. In today’s modern world advancement in health care and technology call for quality of life and achievement of optimum health for all people. The face and scope of public health transformed to accommodate this need, originating the idea of health promotion. This paper focuses on the role of nursing in health promotion and levels of health promotion. Definition World Health Organization defined health promotion as the process of enabling people to increase control over, and to improve, their health. It moves beyond a focus on individual behavior towards a wide range of social and environmental interventions (WHO, 1986). Purpose of Health Promotion The central goal of health promotion is to enhance each individual’s ability to improve their own health. This goal can be achieved by creating an environment that supports the health of a person as whole. Nurses have a vital role in creating that environment. This is done by health education and by being the mediator - link between patients and health care resources. The different sectors of health care, that span into the nursing scope of practice, enable nurses to interact with patients in all phases of care. This implies huge responsibility on nursing as a primary care provider, directly involved in patient’s health promotion. Nurses Role in Health......

Words: 1028 - Pages: 5