Nurses play a crucial and essential role in delivering patient’s quality of care, being the most direct caregivers for many of them. Nurses like Florence Nightingale, Isabel Hampton, and Lilian Wald were heroes who provided a tremendous knowledge that nowadays we are still using, and made a profound difference in the quality of care of patients, being their legacies followed today (Black, 2017, p. 324). Nursing has evolved in various aspects meaning that many changes have occurred in ways that are responsive to changes in the environment we are surrounded for. One of the changes we can observe in which this nursing field has evolved is gender equality knowing that in previous decades, and when Florence Nightingale started her nursing profession was a female dominated career where only women were the ones who provided care for patient, but today many males’ candidates are practicing the profession and are involved in patient’s care.

  The way they used to dress was totally different and not the same we use to wear today, they worn long white dresses, white hats, and white stockings, and nowadays nurses wear comfortable and beautiful scrubs, no hats, no dresses, and appropriate shoes and socks as well. As time has passed nurses have grown into highly specialized, and respected members of health care teams being a key element of the healthcare industry. Nursing education 100 years ago was a more direct training on how to address doctors, while nursing education today is more complex, formal, and comprehensive than it was before. Actually, today we as nurses need to take a complex and national exam as a requirement for becoming a licensed RN. While we get more knowledge and foundation of a stronger education we take into consideration the patient’s responsibility in our shoulders, and especially when we become advanced practice nurses.

  The impact of technology has allowed nurses become more precise, and efficient, alleviating some of the physical demands. The way nurses do their job today is easier than before keeping in mind that patient’s records are digital helping us with less paperwork, and preventing human mistakes on charts, that way is easier for us while doing an assessment on a patient. Another advantage we have with technology use is using the mobile apps to look up any medical information, as well as the special beds and chairs providing us a more comfortable environment as we don’t have to do so much heavy lifting (Dawn, 2016).

 Today, Nursing is what I expected when I entered this education. Although I never imagined being a nurse, I’m more than happy and proud of myself for having chosen this beautiful career. This teaches me every day to be a better person and value the love and care I provide to people who really need my help. I always thought about the tremendous responsibility I would have while dealing with real people who are really sick, but I’m always eager to learn new things and expand my knowledge to be more successful in my life and be the great nurse I always dreamt of when I decided to get into this field.

 References:

Black, B. P. (2017). Professional nursing: concepts & challenges. 8th ed. St. Louis, Mo.:

Saunders/Elsevier.

Dawn, P. (2016, August 3). Nursing is in transformation, and that’s good for nurses. Retrieved  

from http://blog.nurse.org/2016/08/03/

REPLY 2

Nursing is one of the fields that require much attention, dedication, and passion concerning how nurses treat patients under their care. Nursing program entails taking care of patients, this involves giving them guidelines on various issues such as medication, feeding and dietary habits as well as offering assistance to patients with various medical challenges to ensure their good stay while at the health care facility. Nurses plays a pivotal role of assisting doctors identify the best care plan for patients. They are also involved in executing the care plan offered by doctors and can sometimes advice doctors more about the health condition of patients since they spent most of the time with the patients (Ronquillo, Currie & Rodney, 2016). While most people enter the nursing profession with the wrong mental perspective that nursing is a simple duty, some of them drop out during the training program as the task requires much dedication and perseverance as one interacts with diverse people with different health complications. While the different people may have various personalities, the nurse is expected to display high level of professionalism and care to patients, which calls for ethical values as a nurse (Clavijo, de Julián Romero & Paniagua, 2016). Although I expected nursing to be quite challenging while I was taking my nursing program, I never thought it would be that hard. The modern evolution trends have drastically changed the nursing roles unlike in the past.
During my studies as a nurse, I thought the nursing profession would be hard since I could see various nurses doing their duties with ease. When I visited the some of the healthcare facilities within my locality, I would see nurses doing their work perfectly and enjoying interacting with different patients and examining their medical conditions. For me, I was passionate about the profession since I like assisting people who are suffering from various conditions. Therefore, nursing was a good choice for me since I was able to identify the various people with different medical conditions and assist them to recover. However, I never thought that the task would be that difficult. I thought the task was easy while I was taking the nursing program in college until I entered the actual profession. I realized that the task was not as easy as I thought since most of the times, I found myself interacting with different patients with various medical conditions and who have different medical illnesses.
Working at the ICU was challenging for me since I found myself working with patients who were facing different critical issues. When I entered the nursing profession, I thought that nursing involved taking care of patients and giving them directions on how they would take their drugs as well as assisting doctors in treatment of patients. I never imagined that nurses play a more involving and critical role than the doctors assigned to treat the patients. I found myself working for more hours in a day than I expected. At times, I would work both day and night taking care of different patients since the nurses in my healthcare facility was limited. I realized that nursing has greatly changed and the profession has become more involving since nurses perform some of the task that doctors do not do.
Arguably, the nursing role has changed drastically since I have been using most of my time in the hospital taking care of patients, giving them directions on dietary habits and offering emotional support to different patients. This is one of the aspects that have drastically changed since I left my nursing program from college.
 

References
Clavijo, M. C., de Julián Romero, F. J., & Paniagua, M. V. (2016). Evolution of education in nursing. Medwave, 16(6), e6505-e6505.
Ronquillo, C., Currie, L. M., & Rodney, P. (2016). The evolution of data-information-knowledge-wisdom in nursing informatics. Advances in nursing science, 39(1), E1-E18.

All replies must be constructive and use literature where possible

Your assignment will be graded according to the grading rubric.

two page paper

apa format

references from the last 5 years

Discussion Question:

Reflecting on what you have learned about the social determinants of health, SDOH, how can nurses work collaboratively with physicians and other health care professionals to improve primary care, reduce overutilization and improve underutilization of healthcare services? Include in your response how fostering an environment of diversity and cultural awareness among healthcare providers builds a stronger healthcare team and improves care delivery to healthcare consumers. 400 words.

Select either EBP, research, or QI and identify how the selected approach is implemented to improve outcomes at your workplace.

            Nursing practice involves three inquiries that are significant to healthcare outcomes.  Since the inception of the nursing profession, many advancements have occurred.  Healthcare will continue to evolve through research leading to evidence-based practice (EBP), and consistently including quality improvement (QI).  Nurses are particularly instrumental with their knowledge base and skills learned.  Quality improvement (QI), research, and evidence-based practice (EBP) each have a role in nursing.  Although their aims, methods, and outcomes differ, the common goal is to promote optimal outcomes.   

            Quality improvement (QI) is a model implementing change.  When problems are identified, the process for quality improvement is executed (Zaccagnini & White, 2017).  QI is utilized in identifying performance gaps within nursing practice, process, or systems.  It is applied throughout units, departments, and organizations.  The Quality Improvement Model (QIM) contains four phases: Plan, Do, Study, and Act [PDSA] (Joyce, et al., 2019).  Working in the public/community health setting, nursing care is directed towards prevention.  The key is to educate patients and ensure their competency with their healthcare.  The QIM is implemented at my workplace from evaluating the patients’ behaviors based on their understanding of preventive care and continuing regularly scheduled appointments.  Typically, in public/community health facilities, monthly meetings are held with the providers to review measures defined by the Uniform Data System (UDS).  Facilities receive standardized reporting for review to compare to other facilities, then establish goals to increase the patients’ outcomes. 

How do you know this approach is utilized?

             QI is the approach utilized because it is referenced at every provider meeting.  On a smaller comparison, quality improvement is separated into the different departments and for each provider.  QI is a huge component considered in bonus compensation as well. 

Is this selected approach used apart from or in conjunction with the other approaches?

 Quality improvement (QI) is used in conjunction with research and evidence-based practice (EBP).  Meetings also consist of providing feedback relating to research and EBP.

Can one approach be effectively applied without the others? Why or why not?

 Although each inquiry is aimed to promoting optimal outcomes in healthcare, one approach can effectively be applied without the use of another in some instances.  They can be applied separately because there are differences in their aims, methods, and outcomes.  Each inquiry has a unique process yet complement one another for best practice (Mick, 2015). QI identifies the problem using an active approach for ideal results.  Research uses a scientific approach and in turn produces new education.  EBP tests the research to create new practice.  On other occasions, one approach may not be as effective without the other because each has an added value in some form.   

Hello I need a comment for this post at least 2 paragraphs and the sources no later than 5 years. 

• What are the predisposing factors that lead to domestic abuse? What is the role of the public health nurse to prevent domestic abuse?
• 1page

Assignment 2 (15%): Process Mapping of a Quality Improvement Initiative

Process Mapping: Students are required to research an existing health care organization of their choice. In your research, you should identify a quality improvement (QI) initiative that will improve the way patient care is delivered at the facility. The QI can be the result of organizational need, accreditation standards, and/or regulatory requirements.

Instructions: Clearly state the specific QI objective. Provide a brief description articulating why the QI is important and how the quality of patient care will be improved as a result of the QI. In addition, identify an executive, team lead, and staff member as the stakeholders who are responsible for the implementation of the QI and explain what roles they play in the implementation of the objective. It will be necessary to generate a flow chart that specifically emphasizes the steps necessary for implementing the QI as well as the position that is most appropriate for performing the tasks and exact duties of the step.

Formatting:

• Title Page
• 1 page (double spaced) Page should include QI objective and description.
• 1 page Page should include the flow chart illustrating the required steps necessary to implement the QI.
• Reference Page (2 references minimum)
• Written document should conform to American Psychological Association (APA) 6th Edition

The grading rubric for this assignment appears below, if you opened the Assignment in the Assignment Folder, or can be opened by clicking on the ‘Written Assignment Rubric’ tab in the lower right corner of the screen, if you opened the Assignment in Content.

 strength and one weakness  

Why is understanding the health care system at the local level important to consider when planning an EBP implementation? Conduct research and solicit anecdotal evidence from your course preceptor that you will take into consideration for your own change project.

Please see attached the instructions .

Evidence-Based Capstone Project, Part 6: Disseminating Results

The dissemination of EBP results serves multiple important roles. Sharing results makes the case for your decisions. It also adds to the body of knowledge, which creates opportunities for future practitioners. By presenting results, you also become an advocate for EBP, creating a culture within your organization or beyond that informs, educates, and promotes the effective use of EBP.

To Prepare:

• Review the final PowerPoint presentation you submitted in Module 5, and make any necessary changes based on the feedback you have received and on lessons you have learned throughout the course.
• Consider the best method of disseminating the results of your presentation to an audience.

To Complete:

Create a 5-minute, 5- to 6-slide narrated PowerPoint presentation of your Evidence-Based Project.

• Be sure to incorporate any feedback or changes from your presentation submission in Module 5.
• Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy