Talking About What It Means to Be Successfully Guided Through the Healing Process: Nursing Theory

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Nursing Theory

The need theory of nursing emphasizes the importance of enhanced patient’s independence in ensuring that the healing process goes on even after hospitalization. This concept asserts that the primary responsibility of a nurse is to assist a patient move through the health recovery process swiftly (Alligood, 2014). The principles in the theory can help in the execution of nursing duties geared to ensuring proper practice in the profession. The theory is consistent with the objectives of the healthcare industry in regard to promoting total well-being. The model was developed by Virginia Henderson to ensure that patients were able to recover promptly after being hospitalized. The focus of this approach is to satisfy individual needs as a measure of ensuring self-monitored care. In the model, Henderson suggests that nurses have an obligation of providing care to patients until their health conditions improve to a level they can take care of themselves (Alligood, 2014). The theory suggests that all the components of a healthcare system should be considered to ensure that nurses succeed in their endeavors.

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Contributions of Florence Nightingale and Margret Sanger

Florence Nightingale and Margaret Sanger were two distinguished nurses who contributed significantly to the growth of the profession. Nightingale practiced her career in England and was well known for training volunteers who served in the Crimean war (Alligood, 2014). She ensured that only clean equipment was used to offer first aid to wounded soldiers with an aim of preventing infections. However, her efforts were limited in scope and most soldiers were dying as a consequence of unhygienic healthcare services. Sanger was known for family planning and she was the pioneer of the Health Movement for Women (Sanger, 2016). During her nursing practice, she distributed pamphlets that addressed related to female sexuality.

Florence Nightingale focused on issues improving sanitary conditions for wounded soldiers while Margaret educated women on birth control measures. These two historical figures significantly influence my work as a nurse since through them I can conceptualize on the importance of effective sanitation in healthcare and also the need for specialized care for women during delivery.

The Functional Differences between the State Board of Nursing (SBN) and the American Nursing Association (ANA)

ANA protects the nursing career through promotion, protection, and optimization of the ability to prevent illnesses and injuries in practice. The association represents registered nurses and establishes the standards that are adopted in practice. It also protects its members and ensures that their rights are well represented and that they have favorable working conditions. SBN is a state governmental agency that regulates individuals in the nursing practice (Zahedi, Sanjari, Aala, Peymani, Aramesh, Parsapour, & Dastgerdi, 2014). The boards of nursing in different states in the United States of America have the primary responsibility for ensuring that medical care practices are conducted in a safe manner (Harding & Batista, 2016). SBN monitors licenses issued to nurses to ensure that each medical care practitioner complies with state laws. For instance, if a nurse fails to adhere to the requirements of their licenses, an investigation is usually conducted and disciplinary measures taken according to the set rules (Harding & Batista, 2016). The main reason why licensing is allowed in compact states is to enable the patients to enjoy a wider range of services. The requirements for the licenses in non-compacts states are more firm since the individuals must meet the highly qualified and competent in a myriad of disciplines.

How Regulatory Agencies Define the Nursing Practice

Various regulatory agencies are involved in the nursing practice with an objective of ensuring that the safety of all patients is upheld. This is accomplished through set rules and regulations which govern the manner in which healthcare services are provided. The implication of regulatory agencies in the profession is to ensure that incidences of patient negligence are minimized (Walker, Barton-Burke, Saria, Gosselin, Ireland, Norton, & Newton, 2015). The Food and Drug Administration (FDA) controls the pharmaceutical products produced by making sure that these medical products are safe.

The Center for Medicare and Medic-aid services ensures that insurance programs are availed to children and the underprivileged. These government agencies dictate the amount of insurance cover that each individual can access and the medical centers which can be consulted (Robert, Califf, & Food, 2016). If a patient asks for alternative therapy, the nurse has to ensure that the requested treatment is provided for by the Center for Medicare and Medic-aid services.

Comparison of the Nurse Practice Act (NPA) in Two States

The NPA in the state of New York is different from that in Arizona. It requires that all individuals in the profession be properly trained to ensure that they have specialized knowledge, skills, and ability to make decisions. The training varies depending on the area of specialization to ensure that the potential risk posed to the public is reduced significantly (Cherry & Jacob, 2016).The NPA of New York is implemented by the legislature of the state to ensure that guidance and governance are provided. The similarities between Arizona and New York NPA is in the authority and the composition of the board of nursing, the required education standard, the criteria for licensing, and the rules governing violations and disciplinary action in the profession (Harding & Batista, 2016).

The state legislations of Arizona are unique in they allow nurse practitioners to work as independent professionals and thus, differentiating the act from that adopted in New York. Consequently, these healthcare providers can work without supervision. In this regard, the nurses have the authority to practice on a particular population dictated by their licenses (Harding & Batista, 2016). Moreover, the nurses can treat and manage chronic health problems. In New York, nursing services are only provided by registered professionals. To be licensed as a nurse in this state, an individual must be of a good moral character, meet the set education requirements, pass the professional examination, and be at least seventeen years of age. Nursing school graduates are not allowed to practice in New York before being licensed and registered.

The state of New York allows effective delegation of nursing services when the task being passed on to another individual lies within the professional training of that person. In Arizona, the delegation of tasks is determined by the job description and the hospital policies. The individual delegating the tasks should ensure that the person executing them has a clear understanding of the expectations to ensure that nurses only perform the duties that they are competent in.

Safe practice in Arizona is guaranteed by regulations and policies set by the state. These rules govern the process of obtaining licenses and general nursing conduct. In both Arizona and New York, nurses are required to diagnose patients, interpret diagnostic tests, and manage treatments (Nettina, Msn, & Nettina, 2013). They are also allowed to recommend medication on the basis of their issued licenses. Collaborative efforts within the health department are authorized to ensure that the patients get proper medical care.

Distinction of Advocacies

The advocacy of a nursing assistant, a registered nurse, and a licensed practical nurse differs in the context of them being scientists, detectives, and healing environment managers. As scientists, registered nurses can conduct research and give recommendations for challenges affecting patients. Vocational nurses work under professional nurses in scientific processes (Harding & Batista, 2016). Unlicensed assistant personnel are limited in their capabilities to discharge scientific related duties. A licensed practical nurse and a registered nurse have the required training to act as detectives in performing diagnostic tests and reviewing the condition of the individuals under medical examination (Walker et al. 2015). Nursing assistants and licensed vocational nurses are responsible for managing the healing environment since they are always in touch with the patients. A registered nurse may play a supervisory role from time to time.

Provisions from the American Nurses Association Code of Ethics

The American Nurses Association (ANA) has a code of ethics which guides the behavior of the healthcare practitioners. The first provision of the code requires the nurses to practice their profession in a way that ensures respect, compassion, worth and upholds the dignity of the patient. The second canon states that the primary responsibility of a nurse is to their patients who can be a population, community, an individual, a group or a family (Zahedi et al. 2013). These provisions positively affect the nursing practice since they ensure that each is treated uniquely and with dignity. Furthermore, the requirement keeps the nurses focused on their commitment to providing quality services.

The provisions of the ANA can be applied in determining the course of action in case of a wrong judgment of laboratory results (Harding & Batista, 2016). For instance, I made an error in interpreting lab results which resulted in a wrong judgment. The fourth provision of the ANA code of ethics requires nurses to take accountability and responsibility for their decisions and that their actions should be consistent with the requirements for the provision of optimal healthcare (Cherry & Jacob, 2016). In this light, I applied the guidelines in this provision to correct my error that resulted from a poor judgment as a consequence of misinterpreted lab results.

Leadership Qualities

Leadership skills are critical in the nursing profession; it is imperative for a leader in the healthcare industry to have good decision-making skills, the ability to prioritize duties, the capacity to delegate, and ability to cope with change. As a leader, the most important trait will be the ability to make decisions on the best course of action on various critical issues affecting patients (Huber, 2013). Within the nursing team, a leader needs to have the capacity to delegate duties effectively. In the interdisciplinary team, a leader should be able to make the right decisions. Organization structures have an impact on nursing leadership, professional development, and decision making. Nursing leadership is dictated by the vision, the mission and the regulations that are set by the medical care organization (Huber, 2013). Decision-making within organizations is guided by the set policies and framework. Professional development is dependent on then opportunities available in the organization.

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