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Identify at least three trends in nursing practice from the “Nursing Timeline of Historical Events” media piece.

Identify at least three trends in nursing practice from the “Nursing Timeline of Historical Events” media piece.

Topic 1: Discussion Question 1

Read Lake and von Baeyer’s article. “for Successful Students. “Also, review the characteristics of a successful student and as explained in the lecture.

As you consider these, which is your strongest characteristic, Why? How will this characteristic help you to become a successful student in your program of study?

The characteristic in which I profoundly use to guide myself through my program of study as expressed by the list provided in the “Tips for Successful Students” is responsible and active. These traits are the seed that have allowed me to create a successful path in my program of choice. By taking an active role in my education and holding myself responsible to my academic goals, I am pursuing the future I want ; outside of the academic community, these traits have helped me to partake in a healthy lifestyle that will not deter me from the main goals at hand. This foundation have help me to not only make it thus far in my studies, but have allow me to reflect on the struggles I under took to get to this point in my academic career. As I continue to advance myself, I continue to learn that these are not only traits, but are morals in which I have built my success on and will continue to follow throughout my life.

Topic 1: Discussion Question 2

What do you look forward to as you begin this educational experience and your personal search for purpose? What is your greatest fear? How can you overcome it? Write about one specific educational experience from your past in which you addressed a fear and overcame it and how you succeeded in this process.

The things I look forward to as I embark on this education experience is learning new things about how the human body function, and completing the requirements for the BSN program. My greatest fear is not being able to complete my assignments by the due date. It is very difficult to go to school and work a full time job, so I plan to complete all my assignments in a timely manner to overcome this fear. The feeling on uncertainty in mid semester of a class that started out informative and interactive can create a great deal of stress in addition to other course work. During the fall of my freshman year my anatomy and physiology class was one of my favorite classes until my professor shifted the direction in which he taught his class. The first few weeks he allow the students to be a part of his lecture with in class group activities and discussions that were directed to expanding upon the material he was teaching. As mid semester approached he slowly withdrew from group activities and limited the amount of in class discussion which served as my way to firmly grasp the material that was been taught. As his incentive to teach died down I slowly started to fail his class; as a freshman I learned that as a student there will be times in which you will have to take upon yourself play the role of your professor and teach yourself the material. While some professors are actively engaged in their students learning, some will slowly pull away providing room for failure. Everyone hate to fail, but sometimes a terrible experience with a professor will open your eyes to the importance of self-motivation and responsibility.

Topic 2: Discussion Question 1

How does knowledge of the foundations and history of nursing provide a context in which to understand current practice? Identify at least three trends in nursing practice from the “Nursing Timeline of Historical Events” media piece. How have these trends influenced your perspective on nursing practice?

The dominance of female presence in the nursing field directly reflect its history in terms of the role women play. Before nursing became a field of practice it started out as women providing care for the sick. Florence Nightingale was highly praised for her work in the nursing field because she saw the need for improvement; specifically her push for reform of sanitation method practiced by the British military heal care system was the introduction of change in the entire health care system. Her innovative implementation of change in the health care brought major recognition that the nursing field deserve. This recognition allowed for even more growth in nursing practices allowing growth in education drastically improving patient outcomes. The willingness of women from the start of patient care practice have allowed nursing to grow within the female population; this growth is not only reflective of its past, but goes to show that anyone can contribute to the movement of change. As advancements in the medical field continues to grow more extensive three that have influenced my perspective of nursing is my nursing practice is the x-ray machine, ultrasound technology, and the nursing uniform. The x-ray machine and ultrasound technology have allowed a way for physicians with and inside look of the human body and a way to analyze the normal and abnormal structure. This analysis enable physicians to prescribe proper course of treatment when there is abnormal finding, and the nurse carrying out the plan of treatment. For example, a chest x-ray can detect pneumonia and the nurse can administer antibiotic when prescribed by the doctor. The uniform has evolved from white caps, white shoes and all white uniform to colorful print scrubs and designer foot wear. The nursing field is continuously growing and it will continue to grow as the rears progress.

Topic 2: Discussion Question 2

Describe the definition of nursing as put forward by the American Nurses Association. How does it address the metaparadigm theories of nursing

The American Nurses Association definition of nursing is a reflection of the quality of care that all nurses are to provide to their patient. The field s not a practice that focus on one aspect of a patient, but their entire well-being. The metaparadigm theories of nursing list several entities which includes person, environment, nursing and health/illness. Nurses put these entities into practice by developing a care plan that includes both the patient and their family. This can include patient teaching on a healthy life style. The environment aspect includes providing safety while nursing care is being administered. The nursing aspect is providing optimum care to the patient, and the health/illness is attending to the emotional as well as the spiritual needs of the patient. Care that is provided should be extensive and viewed as long term allowing the road to recovery to be fulfilling.

Reference: Fiberg, Eliazabeth E, Creasia, Joan L. The Conceptual Foundation: The Bridge to professional Nursing Practice 6th edition.

Topic 3: Discussion Question 1

The media, and Hollywood in particular, represent one avenue in which the general public becomes familiar with the role of nurses. How does the media positively or negatively influence the public’s image of nursing? What other avenues may better educate the general public on the role and scope of nursing as well as the changing health care system?

The media portrays nurses in both a negative and a positive manner. I opt to watch shows that are filmed in the ER setting and has a lot of trauma, by watching these shows I am able to sharpen my critical thinking skill and my assessment skills. I viewed one episode where a patient was allergic to peanuts and had an anaplastic reaction because his girlfriend did not brush her teeth after eating a peanut butter sandwich. This episode taught me to be mindful of my contact with latex when handing a patient who has latex listed as an allergy. Possible avenues that can better the public’s image of nursing is schools. The media will always find creative ways to negatively attest to a particular field however, by nursing programs advertising their success with their students and developing a strong relationship within the communities they are located. They are able to show that changes within the health care system can be done simply by better educating the future workforce.

Topic 3: Discussion Question 2

What factors need to be considered when determining whether or not identified action are within the domain of nursing practice? Be sure to cite current literature in your response.

The factors that are considered within the domain of nursing are defining the issue, reviewing of laws and standards, and finally decision making. As stated by Lanetee Anderson in ”Understanding the Different Scopes of Nursing Practice,” clarity is the key to understanding what a problem might be. If you’re in the position of questioning your responsibilities then you must seek guidance from a fellow nurse or practitioner in charge (Anderson). Furthermore the laws and standards hold a very high importance because some practices that are expect at one job might not be at another, and example outline in the article pointed out LPNs in a facility may do independent assessments and care planning without collaboration with the RNs and may have done so for years. In some jurisdictions, this would be beyond the scope of practice for LPNs (Anderson). In the end after the issue is defined and the laws and standards continue to keep nurses within regulation, the decision making process will test the true ability of a nurse. I highly recommend that all RNs examine the scope of practice for the jurisdiction that they live in and use it as a guiding force while performing their duties.


Anderson, L (2013, February 10). Understanding the Different Scopes of Nursing Practice

Retrieved August 10, 2015, from <htt://www.nursetogether.com/understanding-the different-scopes-nursing-practice>.

Topic 4: Discussion Question 1

You have been asked to investigate a new procedure that physicians would like nurses to adopt in the hospital. Discuss the process you would apply to determine whether the procedure falls within the RN scope of practice and how you would go about introducing the new procedure with physicians and fellow nurses.

While the process of creating an overall analysis for an entire procedure can range in difficulty, the best way to properly investigate any procedure is through the steps created by the American Nurses Association. In a brief article published on their website “Scope and Standards of Practice” emphases “scope and standards of practice, state law and regulation, institutional policies and procedures, self -determination and finally professional liability and risk management concerns”. Indeptly these steps ensure that all aspects of the procedure from efficiency to flaws that can potentially cause harm are brought to light. For example state laws and regulation will ensure that all the paper work that have any concern with patient, nurses or doctors involved with the procedure is properly documented. Another example is professional liability and risk management concerns; the nursing professional is a field of decision making that can change the course of a nurse’s career however, if a nurse is fully trained then he/she can lower the risk management concerns. These are proven effective if used adequately when adopted to the procedure. To implement the procedure I would form a team that consist of lawyers, doctors, nurses, and administrators to review the procedure. I would have minimal of 3 in-service with doctors and nurses to introduce the procedure and how to safely perform it. I would create another set of team that would go out to different organization and implement workshops within these organization on the procedure. After providing trainings externally, I would then move on to in house training. From start to finish, data will be collected on how nursed and doctors responded to the training on the procedure. No plan in the medical field can be 100% effective however, when the test of each step is administered there should be more benefit than risks.


Scope and Standards of Practice. n.d. Retrieved August 17 2015, fromhtt://www.nursingworls.org/scopeandstandarsodpractice

Topic 4: Discussion Question 2

Outline the process for developing nursing standards of practice, and identify the different entities that might be involved in developing a standard of practice.

The care that nurses provide should be within Standards of Practice. The different entities that are involved in developing a standard of practice include assessment, diagnosis/analysis, planning, implementation, and evaluation.

Assessment – The nurse gathers objective data through physical assessment and subjective data through the patient about the health problems and factors that affect the patient’s health.

Analysis– after data gathering is completed; the nurse analyzes it to discern the health issues that needs to be addressed.

Planning- upon identification of health issues, immediate, intermediate, and long term goals are set.

Implementation- The nurse carries out the developed plan hoping to resolve the health issues such as administering medication, monitoring vital signs and reporting changes in the patient’s condition.

Evaluation– Finally, the nurse examines the care delivered and determines it is effective. If care is not effective, the nurse revises the plan and sets new goals.

“Registered professional nursing practice” is a scientific process founded on a professional body of knowledge; it is a learned profession based on the understanding of the human condition across the life span and environment and includes all nursing specialties and means the performance of any nursing act based upon professional knowledge, judgment, and skills acquired by means of completion of an approved professional nursing education program. A registered professional nurse provides holistic nursing care through the nursing process to individuals, groups, families, or communities, that includes but is not limited to: (1) the assessment of healthcare needs, nursing diagnosis, planning, implementation, and nursing evaluation; (2) the promotion, maintenance, and restoration of health; (3) counseling, patient education, health education, and patient advocacy; (4) the administration of medications and treatments as prescribed by a physician licensed to practice medicine in all of its branches, a licensed dentist, a licensed podiatric physician, or a licensed optometrist or as prescribed by a physician assistant or by an advanced practice nurse; (5) the coordination and management of the nursing plan of care; (6) the delegation to and supervision of individuals who assist the registered professional nurse implementing the plan of care; and (7) teaching nursing students. The foregoing shall not be deemed to include those acts of medical diagnosis or prescription of therapeutic or corrective measures