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Identify a Patient Care Situation and Describe How Nursing Care, or Approaches to Decision‐Making, Differ Between the BSN‐Prepared Nurse and the ADN Nurse

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The American Association of Colleges of Nursing (AACN), the national voice for academic nursing, believes that education has a significant impact on the knowledge and competencies of the nurse clinician, as it does for all healthcare providers. Clinicians with Bachelor of Science in Nursing (BSN) degrees are well-prepared to meet the demands placed on today's nurse. BSN nurses are prized for their skills in critical thinking, leadership, case management, and health promotion, and for their ability to practice across a variety of inpatient and outpatient settings. Nurse executives, federal agencies, the military, leading nursing organizations, healthcare foundations, magnet hospitals, and minority nurse advocacy groups all recognize the unique value that baccalaureate-prepared nurses bring to the practice setting.

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Although there are many opinions about what offering well-rounded patient care services may entail, the reality is that proper patient care should not be a term that is left for interpretation. Proper care refers to going above and beyond to make your patients and their families feel comfortable, to inform them about every step that is taken for their treatment, and to administer fast and efficient procedures whenever needed. According to the Institute of Medicine, the term is defined as “providing care that is respectful of, and responsive to, individual patient preferences, needs and values, and ensuring that patient values guide all clinical decisions.” Other studies, however, go one step further in order to prove that compassion is the foundation of patient-centered care. To set a clear view on patient care fundamentals needed for patient satisfaction, Picker Institute has outlined the eight principles of patient care. To successfully check off all of the above requirements, each hospital has to have the necessary staff and enough registered nurses to ensure a prompt response when needed. It has already been proven that there is a strong connection between the number of RNs working in the hospital, their qualifications and experience to the outcomes of patient care. For example, the National Institute for Health and Care Excellence explains that if the threshold of 8 patients per nurse is surpassed, the hospital is exposed to major risks, while the mandatory staffing policies in the U.S. set a limit of 4 to 7 patients per nurse in acute wards

These limits are to ensure that prompt response is possible, but the abilities of the nurse, once attending on a patient in need, are also vital to the overall outcome. The more training nurses have, the more they can respond to complex situations, without wasting time by waiting for other qualified medical physicians. For this reason, continuous efforts are in place to increase the number of RNs with BSN qualifications in hospitals from 50% to 80% by 2020.

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Major changes in the U.S

health care system and practice environments will require equally profound changes in the education of nurses both before and after they receive their licenses. Nursing education at all levels needs to provide a better understanding of and experience in care management, quality improvement methods, systems-level change management, and the reconceptualized roles of nurses in a reformed health care system. Nursing education should serve as a platform for continued lifelong learning and include opportunities for seamless transition to higher degree programs. Accrediting, licensing, and certifying organizations need to mandate demonstrated mastery of core skills and competencies to complement the completion of degree programs and written board examinations. To respond to the underrepresentation of racial and ethnic minority groups and men in the nursing workforce, the nursing student body must become more diverse. Finally, nurses should be educated with physicians and other health professionals as students and throughout their careers.

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Summing up, in conclusion, think that with the e5tensive education of theory based nursing, with moree5posure to various aspects of nursing along with the emphasis on critical thinking the )'" wasable to give care that is more complete. 'he was not only thinking about the issues with the patient at present but their long term security and confidence. 'he implemented plans for further nursing care and understood the patient%s treatment, symptoms and dangers if notimplemented. This is where nursing needs to be and we need to continue to focus on the total being and their environment.

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Tourangeau, A. E., D. M. Doran, L. McGillis Hall, L. O’Brien Pallas, D. Pringle, J. V. Tu, and L. A. Cranley. 2007. Impact of hospital nursing care on 30-day mortality for acute medical patients. Journal of Advanced Nursing 57(1):32-44.

Udlis, K. A. 2006. Preceptorship in undergraduate nursing education: An intergrative review. Journal of Nursing Education 47(1):20-29.

Valberg, L. S., M. A. Gonyea, D. G. Sinclair, and J. Wade. 1994.

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