NUR4169 Nursing Research And Evidence-Based Practice

How role of advanced registered nurse transformed over time

In early years, when nursing started it had very little to do with the formal clinical training as well as everything to do with your gender as well as willingness to carry out a job. In those early times of nursing, nurses got skills concerning medical from their mothers or those in the same job and it was not seen as the trusted profession, for women were not being respected. Women used to work as clinical officers, therefore nursing was an extension their duties (Lowe, Plummer, O’Brien, & Boyd 2012).

Nowadays, the nursing career has changed drastically. There are the comprehensive training program, more diversified clinical officer, and a level of dignity linked with this locality of the clinical field that was not in existence before. Time has brought a lot for career routes, but the nursing department has experienced drastic changes to aid the efficiency of health care. There are many training plans, improved hospitals, sense of family, more responsibility as well as focus on patient safety in the medical industry that has secured lives and produced a generation of committed medical professionals, (DeYoung, VanderKooi & Barletta 2009).

Training for clinical officers was very rudimentary at the start of the profession. Early times, training wa not even considered and coordinated training was not provided to caretakers. Many people who fell ill were taken care by mothers as well as family members, not outside medical providers. Florence Nightingale was one of the early medical officers providing some sort of education for nurses in the state of Britain at the end of 2000’s where she trained principals to women that were interested in giving care. In states like the United States of America, lectures, as well as the instruction manual, were given to women to understand how to offer care to women in the time of childbirth as well as postpartum time. The World war forced many more women to accompany the increasing number of medical institutions providing nurse training that was more of apprenticeship than the training plans we viewed earlier (Pulcini, Jelic, Gul, & Loke 2010).

Currently, the suitability for nurses are unique as well as in depth. There are various nursing plans, degrees, specialties, as well as certification for various categories of nursing, although all of them need learners to qualify in many certifications in order to provide medical care to victims.  In the half of 20^th century, clinical officers were educated on basic medical care skills and hospital etiquette which included how to address victim, how to dress, and to address victims like they are guests in their residents. Today, nursing education is aimed at the academic side but not on dressing stockings as well as handling victims by surname (Grove, Burns, & Gray 2012). Nursing obligations used to study more like a household chore list, come along way since. The transformation for clinical officer’s stem from changes in the clinical field, changing thinking of women, including more extensive education, as well as a need for clinical personnel growing faster. When education for nurses became more comprehensive and needed schooling, the learning system began teaching medical offers duties that were originally spared for physicians. This permitted physician concentrate on greater levels of education themselves and medical staff were permitted to decide for their victims.  The perspective of women when nursing began was that they were subservient caretakers, and the nursing world was not exactly viewed as a prestigious profession because of it. Women began to become more honored and were permitted to enter the labor force, pursue nursing degrees, as well as having more functions in the health industry, the nursing view started to change (Hamric, Hanson, Tracy, & O’Grady 2013).

Currently, the duty of the medical officer is not easy to define because various medical personnel takes on most tasks than they ever have earlier, and are viewed as the honored medical professional for of their compressive schooling as well as the real global deployment of skill. The health world is constantly changing as well as advancing which opens up the necessity for labor force in various hospitals continuously. With the increased number of patients in our medical facilities its significant that our nurses are aware of how to address health emergencies by questioning a physician for assistance so that our teachers are targeting. Nurses are not viewed as assistants of doctors, but a bit as their own personnel with health skill to back it up (Kutney-Lee, Sloane, & Aiken 2013).

Future of Nursing

The future of nursing examines how roles of nurses, education as well as responsibilities should adjust significantly to achieve rising demand for medical care that will be developed in medical care reform as well as enhance advancements in increasing complex medical system of America. Around 3 million nurses form a largets segment of medical care work force. They also consume a lot of time in providing patient care as a workforce. Nurses, therefore, own valuable insights as well as unique capabilities to give as partners with other medical care personnel in advancing the quality, as well as the security of care as anticipated in the Affordable Care Act (ACA), put in practice this year (Dogherty, Harrison, & Graham 2010).).

Nurses should totally engage with other medical officers and assume administrative duties in reforming care in the U.S. To ensure its members are appropriately prepared, the workforce should include home education for nurses, increase the number of nurses who pursue a bachelor’s degree up to 80 percent by the year 2020, as well as doubling the number that pursues doctorates. In addition, regulatory as well as institutional obstacles such as limits on the scope of nurses’ exercise which should be removed so that medical system can gain the total significance of training nurses, knowledge as well as skills in victim care. Due to the above recommendations, I do agree with the Institute of Medicine for it puts forward a recommendation for an action-oriented blueprint for the future of nursing (Andersen, Davidson, & Baumeister 2014). 

References

Andersen, R. M., Davidson, P. L., & Baumeister, S. E. (2014). Improving access to care. Changing the US health care system: key issues in health services policy and management. San Francisco: Jossey-Bass, 33-69.

DeYoung, J. L., VanderKooi, M. E., & Barletta, J. F. (2009). Effect of bar-code-assisted medication administration on medication error rates in an adult medical intensive care unit. American Journal of Health-System Pharmacy, 66(12), 1110-1115.

Dogherty, E. J., Harrison, M. B., & Graham, I. D. (2010). Facilitation as a role and process in achieving evidence?based practice in nursing: A focused review of concept and meaning. Worldviews on Evidence?Based Nursing, 7(2), 76-89.

Grove, S. K., Burns, N., & Gray, J. (2012). The practice of nursing research: Appraisal, synthesis, and generation of evidence. Elsevier Health Sciences.

Hamric, A. B., Hanson, C. M., Tracy, M. F., & O’Grady, E. T. (2013). Advanced Practice Nursing-E-Book: An Integrative Approach. Elsevier Health Sciences.

Kutney-Lee, A., Sloane, D. M., & Aiken, L. H. (2013). An increase in the number of nurses with baccalaureate degrees is linked to lower rates of postsurgery mortality. Health Affairs, 32(3), 579-586.

Lowe, G., Plummer, V., O’Brien, A. P., & Boyd, L. (2012). Time to clarify–the value of advanced practice nursing roles in health care. Journal of advanced nursing, 68(3), 677-685.

Pulcini, J., Jelic, M., Gul, R., & Loke, A. Y. (2010). An international survey on advanced practice nursing education, practice, and regulation. Journal of nursing scholarship, 42(1), 31-39.