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Nursing Practice

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December 6, 2020


Explain how the nursing practice has changed over time and how this evolution has changed the scope of practice and the approach to treating the individual.

Over time, the nursing profession has evolved to what it is presently viewed to be. Before nursing became a career, it all began with taking care of the families’ sick members. Those without adequate resources to provide care sought it from others outside their homes (Smith, 2017). One of the nurses’ initial tasks included serving Florence Nightingale during the Civil War. At that time, women mostly done by taking care of the wounded and the sick. At around 1870, formal education was introduced among nurses whereby students were trained for 2-3 years on patient care related topics with an apprenticeship in medical facilities. As years passed by, the nursing program became more structured as it is currently. During that period, nursing was limited to providing care among the wounded, and sickly soldiers injured from war. Presently, nurses are found in most outpatient and inpatient medical facilities or habilitation centers for the elderly. Nurses can also be found in corporates, schools, clinics, and communities.

Compare and contrast the differentiated practice competencies between an associate and baccalaureate education in nursing. Explain how the scope of practice changes between an associate and baccalaureate nurse.

Both baccalaureate and associate degree objectives in nursing are focused on preparing nurses in the provision of patient care, which meets the acceptable and general protocols. They vary in the duration of education and practice scope. A nursing associate degree focuses on enhancing the technical skills required for the proper functioning of a nurse. The program lasts for two years; then, a student can undertake a licensure examination to register as a professional nurse. A baccalaureate degree in nursing concentrates on management, leadership, medical skills training, and nursing research. The program lasts for four years and has a wider variety of medical experiences and nursing competencies that permit different specialties (Lovan, 2009).

Regarding professional skills, it can be concluded that a nurse prepared through an associate degree can be described as technical. In contrast, a nurse qualified through a baccalaureate degree is described as a professional. Nurses are ready to through any of the degrees, so nursing education is experienced in both BSN and ADN programs. In contrast, the latter concentrates more on preventing illnesses, research, advocacy, community health, and informatics for a better examination of information. It also facilitates the implementation of the best practices and obtains suitable solutions to patient results. As a baccalaureate nurse, a student will acquire a better comprehension of the economic, cultural, and social matters which influence patients and . In this manner, an individual can make him or herself open to rewarding opportunities and roles.

Identify a patient care situation and describe how nursing care or decision‐making approaches differ between the BSN‐prepared nurse and the ADN nurse.

A meningitis patient will serve as an excellent example of a patient care scenario. The associate nurse in charge of this meningitis patient is given simple nursing care assignments like recording signs and medication history of patients and training the patient on the preventive measures against meningitis and how to cope with the disease once infected. On the other hand, a baccalaureate nurse is assigned to be more involved in the decision-making process for detailed patient care. The nurse is also in charge of collaborating and coordinating with the doctor concerning the patient’s management and care provision.


Discuss the significance of applying evidence‐based practice to nursing care and explain how the academic preparation of the RN‐BSN nurse supports its application.

A nurse applies an as a basis for the practice and enhances health care. Nursing incorporates evidence-based practice whose objective is to attain quality medical care and improve clinical results. As mentioned above, even though BSN and ADN can exercise clinical practice, these studies developed quality patient care. The BSN educational preparation is structured so that research in nursing can be pursued as a result of their broader range of competencies and knowledge within the field. Evidence-based practice (EBP) is an essential tool in in major nursing careers. EBP allows nurses to come up with solutions backed with data that incorporate modern research and medical expertise into the procedure of decision-making. EBP syndicates scientific proof, clinical expertise, and the patient-proficient perspective to develop better medical care strategies to improve patient care delivery. The increased application of EBP has dramatically influenced considerable interest and emphasis on the nursing profession’s research.             Baccalaureate programs could have at least a single course that relates to nursing research. However, students are at the advantage of furthering their skills. Even though the study is not assigned frequently to nurses at the entry-level, it helps know more regarding emerging and new scientific information. It can directly impact future and current nursing practices compared to the past (Del,  2013).

Discuss how nurses today communicate and collaborate with interdisciplinary teams and support safer and more effective patient outcomes.

Currently, nurses work individually to achieve patient care and work in conjunction with other medical practitioners within the medical team, like physical therapists, doctors, pharmacists, health technologists, and radiologists. Nurses communicate and collaborate with other team members since everyone has their specialty, which helps diagnose and treat patients (Ruehter, 2020). Patient charts are one of how nurses can communicate. It has various interventions, information, and laboratories performed on the patient, which are overseen by the medical team in most cases. It is safer and more effective to work as a team since members can check and see if interventions performed on patients align with the intended patient results. When medical professionals work together, patient-centered and coordinated care is easily achieved. Reasonable medical practice involves many situations where crucial data ought to be communicated accurately. When medical professionals do not communicate effectively, patients’ safety is put at greater risk for several reasons, which include inadequate crucial information, data misinterpretation, unclear telephone orders, and disregarded status changes.



In Lewenson, S., In McAllister, A., & In Smith, K. M. (2017). Nursing history for contemporary role development.

Hoffmann, T., Bennett, S., & Del, M. C. (2013). Evidence-based practice across the health professions.

Lovan, S. R. (2009). Comparing Perceptions of the Nursing Profession Among Associate and Baccalaureate Nursing Students and Registered Nurses.

Ellison, S. R., Bartlett, C. L., & Ruehter, V. L. (January 01, 2020). How to Build Effective Interprofessional Healthcare Teams.



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