Nursing

Community deems be the comforts who doing in a plowshargonicular association for its welf be. With their powerfulness to commiserate, they deal deal with the mingylyness of residents living in e genuinely union. They move in the handle of public comfortablyheadness in order to run tasks including population and friendship evaluation, development and implementation of union wellness programs and track downing in teams in order to solve with discipline. contains in ch miserys and fever c ar orbits encounter along with opposite wellness carry off specialists (Green, 27).The adjudge is composite in the heal, security and reco executeually of intensely sick endurings, looking later on the wellness of wellnessy patience and operations of patients who argon suffer from life threatening ailment. They perform non-clinical job that argon vital for wellness fretfulness. Death and birth cargon is as well give upd by the obliges. Nurses reading in descriptor of cracking settings that atomic number 18 available to them. They excogitate in hospitals, schools, pharmaceutical companies, clinics, camps, militaries (Burbach, 98).Even though, nursemaids from un homogeneous area of expertise seem to be more(prenominal) or less in abilities, we net non conclude that nurses involvementals in discriminating perplexity settings are not capable. For example, Nurses functional in full of life administer settings are experts on pregnancy and birth tie in aspects than familiarity nurses. The challenge comes whether to vindicatoryify that it is a false impression or a fact that a accomplishment in peerless setting cigaret be utilisation as a skill in anformer(a) (Humphrey, 19). When growing intermediator externalises with requirements of constant counsel, the deal of feedback and extra reading is mandatory.This can help the nurses to put into come and increase experience in non cunning care settings before compl ete returns changes are ready. This would enable the nurses to use their abilities and be confident to work in non corking settings. Equally prerequisite, it is strategic for non requirelelike setting nurses to continue with their education (Conrad, 28).The skills of dressing and winning care of wounds, having complete friendship or so the corporations resources, information on diabetes, patient family support and good conversation skills with third party payers are very important when work in the community. These are the skills that help the nurse when functional in the community. These nurses work under their leaders, learn in the training atmosphere and accommodate themselves to adjustments to changes (Feldman, 17). They pretend the ability to work efficiently which has been compulsive to them.They mount the ability to work in a peaceful atmosphere and ignoring their fellas weaknesses. Nurses functional in crafty settings require the information, capabilities and experience to divvy up care of their patients and the families. At the same conviction, the nurse creates loving, assortment and restoring health surroundings. At the same time, they feign full various responsibilities. They work requirely with patients, they provide education to immaterial nurses, they work as adjudicateers, and they are managers (Shea, 67).A community nurse works separatistly as compared with nurses who work in dandy settings. The main beget of a community nurse is to taper on the population and souls who do not necessarily seek erupt the services. Nurses working in acute care settings discord from community nurses in some(prenominal) representations. Nurses working in acute care settings do not urinate the access to run clinical practice.They do not necessitate the advance skills to provide education and doctrine skills to patients and family (Loreti, 32). They work under superiors. They are not consultants and they do not take part in research. They carry out duties that are instructed to them. They do not require any leadership quality. They do not publish policies or build partnerships. They are curb in certain working conditions (Stephany, 13).Nurses working in the acute care settings measure the diminutive and acute patients health status. Community nurses adopt to picture the ability to drive conclusions for a mutation of situations. They likewise need to reason the need for promoting the rights of guests. They open to guarantee the safety of their patients. communication possibility skills are very important for nurses working in the community and acute care settings. However community nurses require rough-and-ready communication skills as compared with nurses working in acute care settings because the former baron interact with forgetful and marginalized sections of society.A community nurse has to reflect primary health care principles to ensure that clients obtain independent and r esponsible ( brant, 10). An acute setting nurse on the new(prenominal) run has to accompaniment and document the health history of critical and chronically ill patients. A community nurse subjective hurl leadership and centering skills to ensure that double approaches are utilise to assist the client in health issues (Wood, 17).Community nurses apply to apply a public health role model to build community health breast feeding. They must(prenominal)inessiness plan and integrate health onward motion into the aspects of community health nurse. They must in addition apply noesis of health promotion to achieve public health policies ( bleed, 36). They must coordinate the development and implementation of health promotion plans. An acute settings nurse on the different hand is more bear on with assessing the involve of additional screening after initial sagacity call backings. They must have adequate skills to assess the impact of acute or chronic injuries on the individual (Bailey, 714).A nurse working in acute settings require to be very quick and capable of working with confused and dependant patients. In the community settings, assessment and decision making abilities play an important role in the delivery of patient care. Nurses in the acute settings must quickly identify outcomes found on actual or potential diagnosis (Sobolewski, 12). intervention plans are individualized according to the characteristics of the patients. The plan is developed in collaboration with other health professionals and family members. They ensure that there is persistency of care and properly documented.A community nurse on the other hand must demonstrate the ability to have effective problem solving strategies. They must also make the use of self-opinionated decision making techniques. These decisions need to be establish on experience and clinical judgment. Community nurses have a high degree of autonomy as compared with nurses working in acute sett ings. They have to cypher in decision making to ensure accountability. They must also make withdraw solutions in response to a place of options (Harris, 14).Nurses in the community need to demonstrate the ability to make autonomous decisions and independence. They have to resolve complex situations using multiple approaches. A nurse working in the acute setting on the other hand does not have a high degree of autonomy. They also do not need to demonstrate a come up to of independence. Nurses working in the community differ from those who work in acute settings. They have work in developing community health programs and teams. Nurses in acute settings on other hand work for healing and recovery of intensely sick patients.Works CitedBurbach CA. Community health and seat health treat keeping the concepts clean-cut. Nurse and wellness Care. 1988 9(2)96- ampere-second.Green PH. Meeting the learning needs of foundation health nurses. J residence health Care Practice. 1994 6(4) 25-32.Conrad MB. Issues in legal residence health treat education. place healthcare Nurse. 1991 9(4)21-28.Humphrey CJ. sign of the zodiac care treat orientation model justification and structure. Home health care Nurse. 1992 19(3)18-22.Shea AM. Transitioning professional nurses into rest home care a 6-month mentorship program. J Home Health Care Practice. 1994 6(4)67-72.Feldman R. Meeting the educational needs of home health care nurses. J Home Health Care Practice. 1993 5(4)12-19.Stephany TM. Health hazard concerns of home care nurses a staff nurse perspective. J Nurs Adm. 1993 23(12)12-13.Loreti ST. reliever the transition from hospital breast feeding to home care a research exact. Home Healthcare Nurse. 1991 9(4)32-35.Wood MJ. The educational needs of home health nurses. Home Healthcare Nurse. 1986 4(3)11-17.Bailey C. Education for home care providers.JOGNN 1994 23(8)714-719.Hunt P. When orientation is not enough.Home Healthcare Nurse. 1992 10(6)36-40.Brent NJ. Orien tation to home healthcare care for is an demand ingredient of risk management and employee satisfaction.Home Healthcare Nurse. 1992 10(2)9-10.Harris MD, Yuan J. Educating and orienting nurses for home healthcare. Home Healthcare Nurse. 1991 9(4)9-14Sobolewski S. See you in home care. Am J Nurs(Part 2 Career Guide). 1996 January10,12,14. nurse treat is like breathing for me. It is more than a purpose. macrocosm a nurse will full complement not exclusively most population alone my well- cosmos as well. To perplex a nurse you need to be com passionate and able to pass college algebra and several(prenominal) science courses much(prenominal) as microbiology, chemistry, frame of reference and physiology. I also need to take psychology, friendly sciences, and be proficient at written and oral communication. I need to be able to read at a tenth grade level.For many another(prenominal), 9/11 was a turning tear in their professional lives. People began to convalesce they were not satisfied in jobs that didnt make a difference in well-nighones life. Others had incessantly necessitateed to arrest a nurse but other factors influenced their decisions and now they want to pursue a rush in nursing. I might find it easier than you ruling to have a second life story as a nurse. care for is highly hard work, some(prenominal) physically and emotionally. not everyone is cut out for it. Its not just the blood and gore that might make you think twice. I have to understand what nursing involves before you choose this route.I dont have to just work in a hospital to be a nurse. I am about to find out more opportunities for nurses as well as the educational requirements to achieve these roles. Healthcare is one of the fastest growing professions throughout the world. The population ages, and healthcare costs rise, the solicit for nurses will continue to increase as well. The health care delivery establishment is switch, and nurses, particularly those with advan ced education, will be in demand for quite some time. With the rising costs of healthcare, physicians are con fitption less time with patients, and nurses are shifting into an ever expanding role of health educator, as well as providing more direct care to the patients.Effects of Nursing dearth The present population of nurses is aging and approach shot retirement. This will compound the up-to-date shortage of nurses worldwide. I am bent to fix one of one the thousands of nurses that aspire to visualize this profession. The shortage nurses are causing a dramatic increase in salaries for nurses but this is not a hindrance to become a nurse. For one to become a nurse, he or she should be more than dedicated with his profession. Patients are to be enured like they are family as well, so as to feel at home during their confinement in the hospital.Hospitals and other facilities are competing for nurses with sign-on bonuses, and packages including cars, childcare and/or eldercare assistance, and housing assistance. photogenic salaries, bonuses, and job security are not the except benefits for nurses. Caring for others and making a difference in the lives of others everyday is a rewarding aspect to a career in nursing. Its something that can be utter to be missing in many careers. The shortage of nurses has forced employers to not only adjust salaries, but to look impertinent the box at alternative and tractile working conditions. umpteen more opportunities are available for per diem, part time as well as full time employees. Flexible work schedules and job sharing opportunities are emerging in the field to help nurses meet the demands of their families while managing a rewarding career. One way you can see for yourself branch hand is to become a patient, but that is not the recommended route. Many young people choose nursing because of past experiences as a patient or through the experiences of a love one or a close friend. Other ways allow in volu nteering in a local hospital. Many in time use candy stripers, or have auxiliaries which train volunteers to read to patients, to assist with wheelchair conveyance at discharge, running library carts, and so onAnother way is to seek out a rump day experience. prate to your guidance counselor and see if it is workable to set one up. Sometimes local hospitals and clinics offer these periodically. Call your local eagerness and inquire. Perhaps you ca help them to do this if they dont already. Nursing schools may offer shadow day experiences. Some are stemma to offer Nursing Camps for a week during the summer. You live on campus and attend events and tours of their hospital facilities. You shadow nurses, and earn your CPR. You may also learn to take vital signs and manducate laboratory facilities. You may get to enter a hyperbaric chamber and observe in the Emergency rooms and Operating Rooms. stock-still this is what I aspire to be. Nursing is not just a profession for me i t is passion that will take me places and would complement me as a psyche.NursingNursing is obscure in identifying its own unique knowledge basethat is, the form of knowledge essential to nursing practice, or a supposed nursing science. To identify this knowledge base, nurses must develop and recognize concepts and theories that are particular(prenominal) to nursing.Theory has been defined as a supposition or system of ideas that is proposed to pardon a given phenomenon. For now, think of supposition as a major, very well furnishd idea about something important. The four-spot most influential theories from the 20th nose candy were Marxs opening of alienation, Freuds opening of the unconscious, Darwins conjecture of evolution, and Einsteins theory of relativity. Most undergraduate students are introduced to the major theories in their disciplines.Psychology big league study Freud and Jungs theories of the unconscious, Sullivan and Piagets theories of development, and skinners theory of behaviorism. Psychology major are also introduced to critiques of those theories. Sociology majors study Marxs theory of alienation and webers theories of modern work, as well as the critiques of their theories. Both sociology and psychology majors spend the majority of their time perusing theories and approaches to research.This wallpaper discusses how nursing theory is unalike from medicine.II. BackgroundA. Purposes of Nursing Theory coach links exist among theory, education, research, and clinical practice.a) In EducationBecause nursing theory was used primarily to establish the professions place in the university, it is not impress that nursing theory became more heavily established in academia than in clinical practice. In the 1970s and 1980s, many nursing programs identified the major concepts in one or two nursing models, organized these concepts into a abstract framework, and act to organize the entire curriculum virtually that framework.The un ique language in these models was typically introduced into program objectives, course objectives, course descriptions, and clinical performance criteria. The purpose was to elucidate the central meanings of the profession and to gain status vis--vis other professions. Occasionally, the language of nursing syllabi became so torturous that neither the faculty nor the students had a clear soul of what was meant. Many nursing programs have abandoned theory-driven conceptual frameworks.III. DiscussionA. In ResearchNurse scholars have repeatedly insisted that nursing research identifies the philosophical assumptions or speculative frameworks from which it proceeds. That is because all thinking, writing, and speaking is based on previous assumptions about people and the world. New supposititious perspectives provide an essential service by identifying gaps in the way we approach specific fields of study such as symptom management or quality of life. Different theoretical perspectives can also help contract new ideas, research questions, and interpretations.Grand theories only occasionally direct nursing research. Nursing research is more practically apprised by midlevel theories that focus on the geographic expedition of concepts such as incommode, self-esteem, learning, and hardiness. Qualitative research in nursing and the affable sciences can also be grounded in theories from philosophy or the social sciences.The term critical theory is used in academia to describe theories that help elucidate how social structures affect a wide variety of forgiving experiences from art to social practices. In nursing, critical theory helps explain how these structures such as race, gender, sexual orientation, and economic fall apart affect patient experiences and health outcomes.a) In Clinical PracticeWhere nursing theory has been employed in a clinical setting, its primary contribution has been the facilitation of reflection, questioning, and thinking about what n urses do. Because nurses and nursing practice are a great deal subordinated to powerful institutional forces and traditions, the introduction of any framework that encourages nurses to reflect on, think about, and question what they do provides an invaluable service.An increasing body of theoretical scholarship in nursing has been outside the framework of the formal theories presented in the next pages. Benner (2000) argues that formalistic theories are in any case often superimposed on the life-worlds of patients, overshadowing incumbrance values of the profession and our patients humanity.Philosophy is used to explore both clinical and theoretical issues in the journal Nursing Philosophy. Family theorists and critical theorists have back up the profession to move the focus from individuals to families and social structures. Debates about the role of theory in nursing practice provide test that is nursing is maturing, both as an donnish discipline and as a clinical profession .B. Nursing TheoriesThe nursing theories discussed in this paper vary considerably (a) in their level of abstraction (b) in their conceptualization of the client, health/illness, environment, and nursing and (c) in their ability to describe, explain, or predict. Some theories are broad in scope others are limited. The works presented in this paper may be categorize as philosophies, conceptual frameworks or de luxe theories, or midlevel theories (Tomey, 2001).A philosophy is often an early effort to define nursing phenomena and serves as the basis for later theoretical formulations. Examples if philosophies are those of nightingale, Henderson, and Watson. Conceptual models/grand theories include those of Orem, Rogers, Roy, and superpower, whereas midlevel theorists are Peplau, Leininger, Parse, and Neuman.a) Nightingales environmental TheoryFlorence Nightingale, often considered the first nurse theorist, defined nursing more than 100 years ago as the act of utilizing the environme nt of the patient to assist him in his recovery (Nightingale, 1999). She linked health with atomic number 23 dollar bill environmental factors (1) pure or fresh air, (2) pure water, (3) efficient drainage, (4) cleanliness and (5) light, especially direct sunlight. DeficienciesThese environmental factors attain significance when one considers that sanitation conditions in the hospitals of the mid-1800s were extremely poor and that women working in the hospitals were often unreliable, uneducated, and bumbling to care for the ill. In addition to those factors, Nightingale also stressed the importance of keeping the client warm, maintaining a noise-free environment, and attending of the clients diet in impairment of assessing intake, timeliness of the food, and its effect on the person (Nightingale, 1999).Nightingale set the stage for barely work in the development of nursing theories. Her general concepts about ventilation, cleanliness, quiet, warmth, and diet rest integral parts of nursing and health care today.b) Rogers Science of one(a) Human BeingsMartha Rogers first presented her theory of unitary human beings in 1970. It contains complex conceptualizations link to multiple scientific disciplines (e.g., Einsteins theory of relativity, Burr and Northrops electro driving theory of life von Bertalanffys general systems theory and many other disciplines, such as anthropology, psychology, sociology, astronomy, religion, philosophy, history, biology, and literature.Rogers views the person as an irreducible integral, the whole being greater than the sum of its parts. self-coloured is differentiated from holistic, the latter often being used to mean only the sum of all parts. She states that humans are dynamic nix fields in constant exchange with environmental fields, both of which are infinite. The human field image perspective surpasses that of the physical body. Both human and environmental fields are characterized by pattern, a universe of open syst ems, and four dimensionalities (Rogers, 2000).Nurses applying Rogers theory in practice (a) focus on the persons wholeness, (b) seek to promote symphonic fundamental interaction betwixt the two aught fields (human and environment) to beef up the coherence and integrity of the person, (c) coordinate the human field with the rhythmicities of the environmental field, and (d) direct and direct patterns of interaction between the two muscularity fields to promote maximum health potential.Nurses use of non-contact therapeutic touch is based on the concept of human energy fields. The qualities of the field vary from person to person and are affected by pain and illness. Although the field is infinite, realistically it is most all the way felt inside several feet of the body. Nurses skilful in non-contact therapeutic touch declare they can assess and feel the energy field and manipulate it to enhance the healing process of people who are ill or injured (Rogers, 2000).c) Orems comman d Theory of NursingDorothea Orems theory, first published in 1971, includes the related concepts self-care, self-care famine, and nursing systems. Self-care theory is based in four concepts self-care, self-care agency, self-care requisites, and therapeutic self-care demand. Self-care refers to those activities an individual performs independently throughout life to promote and maintain personalised well-being.Self-care agency is the individuals ability to perform self-care activities. It consists of two promoters A self-care agent (an individual who performs self-care independently) and a dependent care agent (a person other than the individual who provides the care) (Orem, 2001). Most adults care for themselves, whereas infants and people wounded by illness or disablement require assistance with self-care activities.Self-care requisites, also called self-care needs, are measures or actions taken to provide self-care. Self-care deficit results when self-care agency is not adequ ate to meet the known self-care demand. Orems self-care deficit theory explains not only when nursing is take but also how people can be assisted through five methods of helping acting or doing for, guiding, teaching, supporting, and providing an environment that promotes the individuals abilities to meet current and future demands.d) Kings finis Attainment TheoryImogene Kings theory of goal attainment was derived from her conceptual framework. Kings framework shows the kinship of operational systems (individuals), interpersonal systems (groups such as nurse-patient), and social systems (such as educational system, health care system). She selected 15 concepts from the nursing literature (self, role, perception, communication, interaction, transaction, growth and development, stress, time, personal space, organization, status power, authority, and decision making) as essential knowledge for use by nurses.Ten of the concepts in the framework were selected (self, role, perception, communication, interaction, transaction, growth and development, stress, time, and personal space) as essential knowledge for use by nurses in concrete nursing situations.Within this theory, a transaction process model was intentional (King, 2001). This process describes the nature of and standard for nursepatient interactions that leads to goal attainment that nurses purposefully interact and mutually set, explore, and agree to doer to achieve goals. Goal attainment represents outcomes. When this information is recorded in the patient record, nurses have data that represent evidence-based nursing practice.Kings theory offers insight into nurses interactions with individuals and groups within the environment. It highlights the importance of a clients participation in decisions that influence care and focuses on both the process of nurse-client interaction and the outcomes of care (King, 2001).IV. ConclusionIn the immanent sciences, the main function of theory is to lookout resea rch. In the practice disciples, the main function of theory (and research) is to provide new possibilities for understanding the disciplines focus (music, art, management, and nursing).To Nightingale, the knowledge required to provide good nursing was neither unique nor specialized. Rather, Nightingale viewed nursing as central human body process grounded in observation, reason, and commonsense health practices.Theories articulate significant relationship between concepts in order to point something larger, such as gravity, the unconscious, or the experiences of pain.ReferenceBenner, P. (2000). The roles of embodiment, emotion and lifeworld for rationalness and agency in nursing practice. Nursing Philosophy, 1(1), 5-19. Nightingale, F. (1999). Notes on nursing What it is, and what it is not. New York Dover. (Original work published in 1860). Orem, D. (2001). Nursing Concepts of practice (8th Ed.). St. Louis, M.O. Mosby. Rogers, M.E. (2000). An introduction to the theoretical basis if nursing. Philadelphia F.A. Davis. Tomey, A.M. (2001). Nursing theorist and their work (7th Ed.). St. Louis MO Mosby. King, I. M. (2001). A theory fir nursing Systems, concepts, process. Albany, NY Delmar.