With continued rise of overhead costs on an upward spiral, the nurse finds herself or himself caught in the midst of administrative decisions that involve staffing and direct care delivery decisions all the while providing quality of care to the patient. Additionally, the demands of technological advancement will directly affect the future delivery of care and how that care is delivered to those in need. So, where does nursing theory fit in the future of nursing and what theory is most applicable to usage by the professional nurse in this changing health care market? It appears little attention has been given to grand theory in recent years.
This trend is visible across all sectors of nursing, including practice, education, research, and administration. The rationale behind this trend is to improve client care by selecting best practice options grounded in viable research, and to expand the theoretical foundations of all health professions.
Most nursing programs have adopted these new approaches and technologies. The Advent of Evidence Based Practice Information technology breakthroughs have been a key factor in the development of evidence based practice EBP and has supported this growing trend to promote it in nursing and other health care disciplines such as medicine Georgiou.
This approach to knowledge development, and decision-making within practice is not a new one.
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The seeds of evidence-based practice were first sown in Newtonian times and further developed through the rise of positivism and scientism.
Early statisticians used and developed classification systems as repositories of knowledge established from data and information.
The use of information technologies has perpetuated this approach to clinical decision making through various applications. The astounding collection of statistics available electronically is one such application.
The development of digital nursing languages and nomenclatures are another important supportive application. The ability to use computers for every stage of the research process, both quantitative and qualitative is another key application. Modern health care administration is strongly focused on the incorporation of all three of these developments to shape the activities, mandate, and focus of contemporary nursing.
While EBP is promoted as the definitive way to boost nursing's credibility, respectability, and uniqueness, there is also an almost invisible undercurrent of control and conformity that may threaten the essence of genuine nursing care.
Still, much of the nursing literature, especially nursing administration literature supports this approach to planning routine care as well as advancing the nursing profession.
Systemwide data provides a means to analyze overall process effectiveness and to spot areas needing change. This type of information management is instrumental in analyzing indicators that correlate nursing actions--such as the percentage of R. Information processing has been a vital part of nursing, far longer than the availability of computers and ICTs.
ICT advancement has made it possible to utilize technology to quicken all of these activities, to access a digitally stored pool of literature, statistics, and research data to assist in decisions, and provide a language for nurses to use to record and plan individual client care. This advancement in access to quality data, information and knowledge can be a very valuable resource for practicing nurses, especially if they also have the time and technological support to gather, absorb, reflect on, and synthesize the information that they find within the digital collections.
However, the mechanistic daily operations of the health care system leave little time for this knowledge development and application to occur. In theory, evidenced based practice appears to support quality client care, but in reality, it often becomes a means to further the modernist focus on quality assurance, regulation, standardization, and accreditation: Maintaining the Organizational Machine Since practicing nurses have little time to actually engage in the process of applying research, statistics, and other data to their practice, the EBP movement is often put into motion under the command of nurse leaders Nurse Informatics Specialists, Nurse Managers, Clinical Nurse Specialists, Clinicians, and so on through the discerning application of technology to practice directives.
Likewise, the selection of nursing information systems is often done by administrative nurses, often through the lens of organizational operations rather than the actual needs of the nurses who use them or the clients they serve.The Associate in Applied Science degree program in Nursing offers a strong foundation in science and technology to prepare nurses who are proficient and meet the needs of the health care delivery system of the 21st century.
Program Description Nursing is a profession that provides opportunities for specialization, team work, leadership and personal growth. Nursing promotes partnerships with other health care professionals in caring for clients and families across the lifespan through a variety of health care settings.
Azure College is a private institution of higher learning based in Florida. We accept not only local students, but also international students. We are accredited by ABHES, Licenses by the Florida Department of Education Approved by the Veteran administration (VA) and the Department of Homeland Security to train international students.
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Nursing – today and beyond. October Vol. 1 Num. 1 Author: Cynthia L. Saver, RN, MS. Nursing is in the midst of revolutionary changes.
We also tuned into the “buzz” in the nursing profession and explored several innovative national programs. Another use of technology is to ensure that patients are informed of surgical risks.
The Master’s Degree Program in nursing, Post-Graduate APRN Certificate Program, and the Doctor of Nursing Practice Program are accredited by the Commission on Collegiate Nursing Education, K Street NW, Washington DC ; ()