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
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Many would even say that they are the true backbone of the healthcare industry. Take a look into how nursing has changed over the years and why it is now an exciting time to be a nurse! Nursing education is much more formal and comprehensive than it once was. There are a few educational pathways to becoming a nurse, including earning an associate degree, a bachelor's degree, or a master's degree – all of which provide an intense science and practical skills-based education. The education process nurses have to go through now is drastically different than it was 100 years ago when nurse training was more focused on etiquette and how to address doctors, and looking the part. In addition, nowaday nurses have to pass a national exam, which is a fairly recent requirement for becoming a licensed RN. Today, aspiring nurses must pass the NCLEX, which is administered by the The National Council of State Boards of Nursing (NCSBN). That organization wasn't founded until 1978. The exam itself has even evolved, as the NCSBN and became the first major organization to utilize a computerized adaptive testing (CAT) model in 1994. With a stronger education foundation, nurses have gradually taken on more patient responsibility, especially advanced practice nurses. Depending on the situation and what the state allows, nurses can sometimes administer medication, make diagnoses, and work autonomously. Many nurses who work under a doctor's supervision still have a great deal of input in helping the team choose the best treatment options. Like most professions, technology has reshaped the way nurses do their jobs today. In many ways technology has helped nurses become more accurate, efficient, and also helps alleviate some of the physical demands. For example, patient records are almost completely digital today, not only allowing for less paperwork, but helping prevent human error on charts. With patient histories available in a digital file, it is easier for nurses to understand and assess a patient. Other technological advances include better monitoring devices, implantable devices for administering medication, mobile apps to look up any medical information on the go, and special beds and chairs so nurses don't have to do as much heavy lifting.
“They synthesize complex data to formulate decisions and plans that optimize health, promote wellness, manage illness, prevent complications and secondary disabilities, maximize function, and minimize disabilities” (ARN, 2012). The advanced practice nurses’ activity includes the combination of the knowledge, research, consultation, and practice. The nursing assistive personnel should provide the effective support of the patients in their everyday activities, to control the peculiarities of the patients’ hygiene and nutrition (including the control over the patient’s following the dietary restrictions). Nevertheless, there is a range of the specialized tasks which should be realized by the nursing assistive personnel. They are required to provide the mobility assistance, to fix the changes in the patients’ “temperature, pulse, respirations, and blood pressure and pain level” (ARN, 2012). The standards of the care also include the principles of the behavior management and monitoring the facts of the patients’ input and output.
Association of Rehabilitation Nurses. (2012). Retrieved from https://rehabnurse.org/