Posted: January 13th, 2023

NURS 3100 3101 Discussion: The Most Trusted Profession

Discussion – Week 2

For our second discussion, I went with option two, “Fitzpatrick (2015) describes how certain characteristics and competencies set nursing and nurses apart from other professions and practitioners. Describe how your nursing practice and ethical decision-making skills have furthered the quality and safety of patient care.”

Nursing is like an art to me. To be able to empathize with a stranger and show them that you only want the best for them is no easy task. Nurses must get to know their patients better than any other healthcare worker. We must learn about the patient’s values and what their life may look like outside of the healthcare system. Patients may face challenges after being hospitalized, and as nurses, it’s our job to advocate for the patient so they can continue to progress (Fitzpatrick, 2015). During these difficult times, when the family cannot be present, it is even more important to communicate with the patient and family to provide safe, individualized care. Without the support of family, nurses are also there to comfort the patient during what may be one of the most challenging times in their life. By using our knowledge and passion for caring, patients may look back on these hard times and feel grateful that a nurse was there to help them through.

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In today’s world, nurses cannot escape technology. While technology does help provide safer care, it can get in the way of the most fundamental parts of nursing care. Sometimes we get so caught up in the charting that we can forget the essential role of nursing (Fitzpatrick, 2015). As a new nurse, I was continually going directly to a computer as I entered a patient’s room. I observed a veteran nurse during one of my shifts, and I notice that she did not log into the computer unless necessary. NURS 3100 3101 Discussion: The Most Trusted Profession. I also saw that she was able to gain far more information on her patients by asking them questions rather than continually referring to their chart. I could also tell that the patient felt like the nurse could fully engage with the care, and it was more personal. After this observation, I made a promise to myself that I would go to my patient first when entering the room before even touching a computer and only login while in a patient’s room when necessary. Following this change in my practice, I notice higher patient satisfaction, and I was better able to focus on my assessments to pick up on any new changes. Through this simple change, I also rediscovered my passion for providing holistic patient care. NURS 3100 3101 Discussion: The Most Trusted Profession

References:

Fitzpatrick, M. A. (2015). The essence of nursing: It’s time to put basic nursing care back in the spotlight. American Nurse Today, 10(5). Retrieved from http://www.americannursetoday.com//wp-content/uploads/2015/05/Essence-Supplement_page-2.pdf

Discussion: The Most Trusted Profession

Nurses are the most honest and ethical professionals in America, according to Gallup polls for more than 12 years in a row. In 2014, 80 percent of Americans said that nurses have “very high” or “high” standards of honesty and ethics, compared with 7% and 8% ratings, respectively, for members of Congress and salespeople. According to Pamela Cipiriano, President of the 35th American Nurses Association (ANA) (2015, March 01), “The public places its faith in nurses to practice ethically.”

A patient’s health, autonomy, and even life or death can be affected by a nurse’s decisions and actions. The IOM’s recommendation to increase the role of nursing in both present and future health care practice underscores the nexus between the decisions and actions of nurses and the health and outcomes of the patients cared for by nurses.

The critical role of nurses in present and future health care makes it imperative that nurses be knowledgeable about the ANA’s Code of Ethics with Interpretive Statements (2015) (the “Code”). As the cornerstone document of the nursing profession, the Code reflects the evolution of health care and considers the most current ethical challenges nurses face in practice. The Codeupholds the best interests of patients, families, and communities. NURS 3100 3101 Discussion: The Most Trusted Profession

To prepare

Review the Discussion Rubric for Week 2, provided in the Course Information area or accessible through the link below.
Review this week’s Writing Resources and Program Success Tools, specifically:
- Academic Writing Expectations (AWE) Checklist, Weeks 1–3
- “Paragraphs: Overview” (Walden University, n.d.-h)
- “Using Evidence: Overview” (Walden University, n.d.-o)
- WriteCast Episode 3: Creating A Successful Paragraph Podcast (Walden University, 2013, July 3)
Read the following articles, provided in this week’s Learning Resources:
- “The Essence of Nursing: It’s Time to Put Basic Nursing Care Back in the Spotlight” (Fitzpatrick, 2015)
- The Future of Nursing: Leading Change, Advancing Health (Institute of Medicine, 2010)
Build on your own personal experience by thinking about how you might relate the information in the two articles to your own nursing experience. For example, pick out important points from the articles and connect them to your own work.

By Day 3

Post a 2-paragraph response (of at least 350 words) to one of the options below. Develop and post cohesive paragraphs and use evidence to support your ideas. The practice of writing paragraphs is essential to good writing. Focus each paragraph on one main idea or goal. Use the writing resources, writing samples, and Discussion Rubric to develop your post. NURS 3100 3101 Discussion: The Most Trusted Profession

Option 1

As a result of its deliberations, the IOM committee formulated four key messages to support efforts to improve the health of the U.S. population through the contributions nurses can make to the delivery of care. Provide one or more examples of how you or a colleague has practiced one or more of the IOM recommendations to take the lead effectively or be in charge of an issue or patient rather than just “being at the table.”

Option 2

Fitzpatrick (2015) describes how certain characteristics and competencies set nursing and nurses apart from other professions and practitioners. Describe how your nursing practice and ethical decision-making skills have furthered the quality and safety of patient care.

By Day 7

Read two or more of your colleagues’ postings for the Discussion question.

Respond with suggestions to two or more of your colleagues by confirming their critical role in the health care system.

Return to this Discussion in a few days to read the responses to your initial posting. Note what you have learned and/or any insights you have gained as a result of the comments your classmates made. NURS 3100 3101 Discussion: The Most Trusted Profession

Post a discussion entry on 3 different days of the week.

NURS_3100_Week2_Discussion_Rubric

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	Excellent	Proficient	Basic	Needs Improvement
Required Content “Option 1 Provided one or more examples one or more of the IOM recommendations have been used to change nursing practice. OR Option 2 Described how nursing practice and ethical decision-making skills have furthered the quality and safety of patient care. “	18 (36%) – 20 (40%) Initial post contains well developed and insightful analysis and brings new insight into the discussion .	16 (32%) – 17 (34%) Initial post contains reasonable analysis that is focused and brings insight into the discussion. NURS 3100 3101 Discussion: The Most Trusted Profession	14 (28%) – 15 (30%) Initial post contains minimal analysis that is somewhat focused and brings limited insight into the discussion.	0 (0%) – 13 (26%) Initial post lacks analysis and/or is not focused and brings little or no insight into the discussion.
Response Posts “Entered the discussion thread on 3 separate days. Wrote at least two posts to two separate peers. Responses are appropriate to the topic, substantive, and promoted discussion by one or more of the following: • contributing insight to move the discussion forward. • offering substantial and/or different points of view and asks questions to add to discussion • including extra references or websites for peers to consider • relating discussion to different areas of practice and applying concepts to practice **Additional points may be deducted for late posting per the University late policy.”	14 (28%) – 15 (30%) Response posts add substantial ideas and perspectives that invite further analysis and discussion. Participated 3 or more days in the classroom and responded to more than 2 classmates.	12 (24%) – 13 (26%) Response posts proficient and provide adequate analysis and discussion. Participated 3 days in the classroom and responds to at least two classmates.	11 (22%) – 11 (22%) Response posts are limited and provide minimal analysis and discussion. Participated less than 3 days in the classroom and/or responds to less than two classmates.	0 (0%) – 10 (20%) Response posts are inadequate and provide no analysis of discussion and/ or there is no participation in the classroom. NURS 3100 3101 Discussion: The Most Trusted Profession
Format and Writing 15 points AWE 1000 Level. Displays sentence and paragraph level skills. Uses evidence from research to support a claim and give credit to the source.	14 (28%) – 15 (30%) Discussion posts demonstrate excellence in meeting the 1000 Academic Writing Expectations for this level.	12 (24%) – 13 (26%) Discussion posts demonstrate proficiency in meeting the 1000 Academic Writing Expectations for this level.	11 (22%) – 11 (22%) Discussion posts demonstrate minimal skill in meeting the 1000 Academic Writing Expectations for this level.	0 (0%) – 10 (20%) Discussion posts demonstrate inadequate skill in meeting the 1000 Academic Writing Expectations for this level.

Total Points: 50

Name: NURS_3100_Week2_Discussion_Rubric

For the week 2 discussion, I chose option one, “As a result of its deliberations, the IOM committee formulated four key messages to support efforts to improve the health of the U.S. population through the contributions nurses can make to the delivery of care. Provide one or more examples of how you or a colleague has practiced one or more of the IOM recommendations to take the lead effectively or be in charge of an issue or patient rather than just “being at the table.” NURS 3100 3101 Discussion: The Most Trusted Profession

One personal experience example I can give on the recommendation “nurses should practice to the full extent of their education and training” would be the role I played in managing post cardiac arrest therapeutic hypothermia patients in the Cardiac Intensive Care Unit. This multidisciplinary protocol was developed by critical care physicians, cardiologists and nursing to improve the outcome of post cardiac arrest patients who achieved return of spontaneous circulation. The main objective of the protocol was to place patients in a hypothermic state to improve neurological functioning and to achieve best patient outcomes. In order to achieve this required careful management in the cooling process to make sure patients were not cooling too quickly. If it were not managed carefully, it could lead to shivering which causes more oxygen consumption in the patient. I would also have to titrate numerous infusions including sedation, pressors, and inotropic medications along with managing the cooling process. This had me functioning to the full extent of my training in the Cardiac Intensive Care Unit.

The next recommendation from the IOM committee I would like to elaborate on is “Nurses should achieve higher levels of education through an improved education system that promotes seamless academic progression.” I am making an example to this by being enrolled in The Adult Gerontology Acute Care Nurse Practitioner program at Walden. I chose to do this due to seeing the increased need for providers in the rural area I live in. By working in home health now, I collaborate with providers daily when patients are out of the hospital or long-term care facilities. I want to make a difference within my community by furthering my education to achieve a higher level of nursing. NURS 3100 3101 Discussion: The Most Trusted Profession

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