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Roles of the nurse as a professional
Exploring evidence based practice in nursing
Exploring evidence based practice in nursing
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Out of all of the members of the health care interdisciplinary team, nurses are the ones who spend the most time giving care to the patient. In order to give the greatest quality of care to a patient, it is important for nurses to “assume accountability and responsibility in fulfilling the role of the associate degree nurse, through personal and professional growth, integration of current evidence-based practice and understanding of multiple dimensions of patient-centered care” (Ivy Tech Community College, 2016). One of the most important parts of this is the nurse’s ability to take responsibility in patient care. Battié and Steelman (2014) notes that patients expect the best care from nurses, so it is only fair that nurses also expect themselves responsible for delivering the best care. Battié and Steelman (2014) also says that accountability relies on two parts: clinical expertise and effective communication. Nursing expertise can only be gained through personal growth that comes from practice or learning over time, while effective communication has been built into nursing through …show more content…
Evidence-based practices give reasons behind different aspects of patient care, and without them, the patient is possibly not receiving the best quality of care possible. It is the nurse’s own job to research these in order to witness the solid evidence reinforcing evidence-based care, and this could also increase the nurse’s compliance in performing the evidence-based care when they see it for themselves. White and Spruce (2015) give an example of evidence-based practice and perioperative nurses at one hospital, noting that the use of hand hygiene before patient care resulted in fewer infections. This is an example of a nurse’s responsibility that is back with evidence. The nurse should accountable for all his or her actions, though, whether backed by evidence or
It is the nurse’s duty to provide optimal care, take the right action, and deliver quality nursing care. Professional and ethical actions promote the best possible patient outcomes.
The implementation of evidence-based programs is generally quite new in the field of medicine, and it is even more recent in the social sciences field. One point of interest in the development towards evidence-based programs was the foundation of the Food and Drug Administration that is in charge of testing the security and safety of medicinal treatments (Leff, Conley, & Hennessey, 2006). Another point of interest was in the utilization of randomized control studies. It was in 1948 that the first study occurred – examining the adequacy of streptomycin in treating tuberculosis. By the 1960s the quantity of randomized control experiments reached into the hundreds, and in the last ten (10) years there are tens of thousands happening each day (Dodge, 2006). In the field of psychology, which does not have a legislative body inspecting the adequacy of treatments, it is the obligation of those in the field to examine effective and compelling programs. It truly was not until the 1990s that this concept started to expand. The Alcohol, Drug Abuse and Mental Health Reorganization Act of 1992 assisted with the creation of the Substance Abuse and Mental Health Services Administration (SAMHSA), whose part was to help in disseminating research and viable programs/services in regards to issue practices. In 1999, the American Psychological
Within this essay Evidence based Practice will be identified and the significant effect it has on the nursing profession, barriers will also be explored in the implementation of Evidence Based Practice.
In social work evidence based practice is considered to be a decision making process and practitioners rely on the evidence when working with clients. According to Aveyard and Sharp (2013), evidence based practice is not easy to put into practice and there are many barriers to evidence based practice such as lack of time, lack of awareness of research, lack of support and cooperation, and lack of authority and inadequate facilities (p. 145). Although there are challenges to implementing evidence base practice this is still a doable task in the field of social work. Therefore, practitioners need to explore the motivation, knowledge and skills needed by the individual, the organizational motivation, learning
We are not only responsible for patient care, but we are also included in many other roles. Before nursing school, I thought that the main responsibility of the nurse is to take care of patient. During nursing school, I learned that patient care was not the nurses known just for. We took many general courses and nursing course work to prepare ourselves to be an educated member. For example, it was required to us to take microbiology, anatomy, leadership, professionalisms, etc to help us to become a better nurse and have a foundation base of education. We give patient care in the hospital, but we are also provider of care. We use the nursing process to help and make decision for our patient. Our decisions are based on critical thinking, clinical reasoning, and accountability. We are hold accountable for everything we do and based on our judgment to provide care to the best of patient’s benefit. We are also known for our role as a manager, designer, and coordinator of patient care. I plan and coordinate patient’s care based on their health care needs. In clinical, my patient has a Foley catheter, I will know to plan and implement Foley care to help with personal hygiene and preventing infections. It is important to make decisions based on priorities, time, and resources. As nurses, we need to know how to delegate and ask for assistance when needed. For example, I needed help to ambulate my patient who has a total knee replacement, I then ask
The American Nurses Association (ANA) developed a foundation for which all nurses are expected to perform their basic duties in order to meet the needs of the society we serve. The ANA “has long been instrumental in the development of three foundational documents for professional nursing; its code of ethics, its scope and standards of practice, ands statement of social policy.” (ANA, 2010, p. 87) The ANA defined nursing as “the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations” and used to create the scope and standards of nursing practice. (ANA, 2010, p. 1) These “outline the steps that nurses must take to meet client healthcare needs.” () The nursing process, for example, is one of the things I use daily. Other examples include communicating and collaborating with my patient, their families, and my peers, and being a lifelong learner. I continually research new diagnoses, medications, and treatments for my patients. As a nurse of ...
From ancestral times to present, healer’s dedicated their life’s passion to exercise experienced medical techniques to improve a patient’s quality of life. As many techniques are passed from generation-to-generation they continue to evolve as research philosophers discover improved ways to enhance patient care through evidence-based practices (EBP). EBP has emerged through the years as an effective strategy to improve the quality clinical experience, implement best-researched practices, and tailor to patient values and preferences. The impact of EBP has echoed across the united states, as well as many countries, in transforming health care facilities by redesigning effective, safe, and efficient platforms. However, there has been much hardship for nurses to incorporate EBP into their daily nursing process. This paper will discus the common barriers nurses encounter when implementing evidence-based practices into the nursing process, and the effective workshop programs management has placed to overcome those barriers.
One of the many challenges in being a nurse is demonstrating the professional responsibilities of ones own practice in order to provide proper care to the patients and their families. It is crucial that nurses are in a healthy mental and physical state in order to provide adequate care for the patient. An example of Standard 1, professional responsibility and accountability, Indicator
When looking after the well-being of others there are many factors that contribute to the satisfaction of patients. The nurse must ensure that they are providing appropriate care to the patient as well as reflecting on how their actions towards the patient can affect both the patient and themselves. Nurses are trusted professionals that must understand the definition of accountability and how this definition influences the way they perform nursing tasks. Accountability entails taking ownership for one’s actions, reporting these findings to a superior, and accepting the legal implications associated with the offense (Battié & Steelman 2014). The purpose of defining accountability
One feature of evidence based practice is a problem-solving approach that draws on nurses’ experience to identify a problem or potential diagnosis. After a problem is identified, evidence based practice can be used to come up with interventions and possible risks involved with each intervention. Next, nurses will use the knowledge and theory to do clinical research and decide on the appropriate intervention. Lastly, evidence base practice allows the patients to have a voice in their own care. Each patient brings their own preferences and ideas on how their care should be handled and the expectations that they have (Fain, 2017, pg.
Some of the roles the nurse takes on in patient care, including caregiver, decision maker, communicator, manager of care, patient advocate, and teacher, (Study.com). Furthermore, with dynamic nature of the healthcare over the last few decades, the role of a nurse has expanded even more in accordance with the changes in the healthcare. In the role of a caregivers, a nurse delivers hands-on knowledgeable and skilled care to patients in a variety of settings and ensures that patient's dignity is maintained. As a decision maker, the nurse uses critical thinking skills to make decisions, set goals, and promote outcomes for a patient. These skills include assessing the patient, identifying the problem, planning and implementing interventions, and evaluating the outcomes (National Career Service). Another important role of a nurse is to act as patients’ advocate. In this role the nurse's responsibility is to safeguard patient’s rights. The nurse acts on the patient's behalf and supports their decisions, standing up for his or her best interests at all times. This can empower a patient while recognizing that a patient's values supersede the health care providers'. As manager of care, the nurse ensures that the patient's care is cohesive and directs and coordinates care by both professionals and non-professionals to confirm that a patient's goals are being met (Study.com).
Nurses are the archeologists of the healthcare field. They research, examine, and resurrect the information needed to perform appropriate medical procedures on a daily basis. Refining that process helps utilize time to expedite sound knowledge into practice. Implementing this practice involves a community of nurses in order to keep the profession moving forward in a progressive, innovative, and improving manner. Imagine a ladder with all of its steps. Without each previous step we cannot climb any higher. If we choose to skip a step we may be missing valuable information that helped us get to that point. Every time we elevate to a new level of knowledge, we must consider the evidence that has built our foundation. It is an ongoing process. This is where evidence based nursing practices (EBNP) plays an intricate role. EBNP is a process nursing professionals use to evaluate medical evidence in order to provide quality patient care. It is an ongoing process that builds upon itself. EBNP occurs in five sequential steps that will be discussed further in this paper. The first step is the recognition of a problem and formulating a question that will result in a solution or improvement of that problem. The second step is to research evidence, based on that problem, that will guide in finding those supportive solutions. This can be the most intense and time consuming part of the process. In the third step, a collection and critique of all the evidence is completed for a qualitative approach to the appropriate solution. The fourth step involves implementation of the new solution into practice. Finally, a thorough evaluation is completed to find out if the solution worked, needs improvement, or raises new questions. This final step is...
Nurses have to be personally responsible for all of their actions. They must know exactly what they 're doing and within their scope and act in the patient 's best interest. Coming forward about a mistake that has been committed and take personal responsibility for what her/she has done, in respect of the patient, their license and nursing as a whole.
As healthcare workers, we hear phrases like professional accountability and lifelong learning every so often. Mostly, we hear it during in-services and a few other times a year while adhering to our facility's education policy. Unfortunately, when our work environment foster valuing accountability and lifelong learning once in awhile, we miss the importance of accountability and the value of learning in our everyday practice. Learning doesn't take place a few times a year. It is a continuous process. One that is never complete and should happen everyday. Similar to how accountability isn't something we think about twice a year. We should think about accountability with every action we take. Accountability impacts our practice and the care we provide for our patients. Measuring myself against an established truth of what is ethical and legal nursing practice allows me to be the type of nurse that is needed. To be accountable is to be responsible for my actions. It is to understand that what I do and say impact the lives of my residents.
At present a nurse is considered as a member of a profession, therefore they are held legally accountable and could be struck off the professional register for any unprofessional conduct (Tilley & Watson, 2008). Accountability in nursing practice come from within the practice itself. Nurses are expected to accept accountability and responsibility, during patient care, delegating tasks to staff, teaching, research and for own learning and development. Adaptability, problem solving skills and confidence lead to a sense of accountability in nurses which in turn will instigate, better patient outcomes (Ruhs, 2013). Literature review of Krautscheid states 19 of the cited articles looked at 4 main areas in accountability, these were nurses being accountable for their lifelong learning, upholding standards of the profession through good nursing practice, quality patient care and their omissions. Nursing Midwifery council of the United Kingdom describes good nursing practice as putting service users first and providing safe and effective care whilst promoting trust through professionalism (Nursing Midwifery Council, 2015) . If a nurse, state is unsure of their practice or is unable to control the results or outcome of his/her nursing practice or cannot fully commit to be accountable they demonstrate lack of accountability in their practice