“The first half of the nineteenth century saw nursing conditions at their worst. Nursing had become a job for the “undesirables” in society — the immoral, the alcoholic, and the illiterate. The pay for nursing care was poor and was frequently supplemented in any way possible. There was little organization associated with nursing and certainly no social standing. No one would enter nursing who could possibly earn a living in some other way. Through the work of early nursing figures, nursing gained the respect of the military and the government, ushering the birth of what is now considered modern nursing.”(Nursing Timeline)The hospitals were so disgraceful, dirty contaminated with infections. There was no proper ventilation in hospital rooms that’s increase risk of dying.

“Florence Nightingale1820 – 1910

Widely recognized as the founding mother of modern nursing, Florence Nightingale’s work led to the reform of sanitary conditions in military hospitals, the organization and advancement of nursing education and the development of measures to analyze disease and morality rates using statistical methods. Her observations and writings contributed to the development of an applied theory of communicable disease. Her seminal work, Notes on Nursing: What it is and What it is Not has, for centuries, formally defined the work of nursing as unique and separate from that of medicine and the social sciences.”(Nursing Timeline) She provided clean dressings, clean bed, well cooked food, proper sanitation and fresh air to patients and do her rounds with a lamp. “The profession of nursing was strengthened by the development of nursing training and degree programs that would adhere to standards of care and regulations developed by nursing associations and nurse licensure. Fewer than twenty nurses attended the first convention in 1896 of the Nurses Associated Alumnae of the United States and Canada which became in 1911 the American Nurses Association.”(Nursing Timeline)Big hospitals start their own nursing schools to produce more qualified and educated nurses to help community. Because in back days there was only lay people who work as nurses without proper education and knowledge. With education nursing profession changed a lot with new ways of thinking and knowledge specific to nursing. Nursing theory is essential to continuing evolution of the discipline of nursing. The use of nursing theory in research is very important. Nurses often use theories from other disciplines instead of their own and this expands the knowledge of another discipline.(Marlaine.S &Marilyn.P 2010)

 

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Patients who are ill depend on nurses to help them return to an optimum healthy state.Utilizing the nursing process allows nurses to take an active role in a patient’s care.According to Oliveira and Tariman (2017), nurses spend more contact hours with the patient than any other member of the healthcare team. Therefore, nurses have an important role as a patient advocate.It is the duty of a nurse to speak up on behalf of a patient to protect their basic rights and safeguard their safety (Oliveira and Tariman, 2017). Advocating for patients may be difficult for some nurses because the patient may want or decline treatment and it is the nurse’s responsibility to make sure their wishes are met. Patient advocacy also entails speaking to other members of the healthcare team to maintain the best interests of the patient. Standing up for patient’s rights, no matter how difficult it is, is a nurse’s responsibility (Grand Canyon University, 2018). Barriers that nurses may encounter are lack of support from administrators, acuity of patients, not using evidence-based practice, lack of assertiveness or confidence (Oliveira and Tariman, 2017). It is important for nurses to remember that one must practice according to the guidelines set by the nursing practice act of their state and advocate for their patient within their scope and standards of practice.

In my experience as a labor and delivery nurse I have had several opportunities to advocate for my patients. In one instance I had a laboring patient who was very adamant that she did not want an epidural. She wanted to experience a labor with minimal interventions. When her physician came to evaluate her, he was upset that she did not have an epidural. He started to try to intimidate and scare her into getting one.There was no medical necessity for it and she looked at me and started to cry. I verbalized to the physician that she did not want an epidural and I was going to be sure that whatever her wishes were, we were going to respect them, no matter how inconvenient he felt it was for him, as long as there was no medical contraindication. My patient delivered with no epidural and was so thankful and appreciative that I helped her not get bullied into an unnecessary procedure when there was no medical indication for it.

 

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 Nationwide there is different kind of professional nursing organizations are working for nurses to provide them safety in the health care system. The ANA (American Nurses Association) is the only full- service professional organization representing the nation’s 2.9 million registered nurses through its 54 constituent member associations. The ANA advances the nursing profession by fostering high standards of nursing practice, promoting the rights of nurses in the workplace, a positive view of nursing. As a value professional nursing organization the help to let regulatory agencies know about public health issues that affect the nursing profession. (Kathleen .2014) Every day nurses are facing new challenges in the health care system. So these nursing organizations support the rights of nurses and the public. From advocating at the highest levels of policymaking to setting the optimum credentialing standards to funding the best nursing research – with the ANA Enterprise championing nursing interests across the board, every nurse is encouraged to become the best nurse that they can be. (ANA Website) These nursing organizations work as an advocate for nurses and patients according to their needs. I think we all nurses nation wise need to join nursing organizations to get more benefits like continuing education, certification, educational conferences 

 

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Please see the attached assignment and article. 

 

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Plagiarising as a nursing student, goes beyond the academics. It reaches to the core and very foundation of trust, and integrity upon which the profession of nursing was built, and affects the very care we give to our most trusting clients, our patients. It attempts to uproot and, make a mockery of it all by taking away the trust the public has in our profession. As students, if we do not carefully research the topics and issues before us, and discover the best way to address and get it under control through proper data collection, giving credit to where it is due, we will not be able to carry these out as nurses. This is exactly what we are going to do for every patients concern. We will have to research or investigate the problem, collect data, analyze it, plan, while advocating for the patient as we present our findings to the physicians. Our implementation of the prescribed care will focus on the patient’s safety, and we will patiently and together with the physician evaluate the outcome of the whole process. This will aid to enhance a much better outcome for these patients.Their trust in the profession of nursing will be strengthened. The issue here is about honesty and integrity in our work as nurses. We are expected to research enough materials and get an excellent  grasp of the researched topic while giving credit to the sources of our acquired wisdom. As we practice doing this at this level of our education, we will easily transfer it to our professions as nurses. As we ethically practice this, we will be able to stand with those great giants in healthcare, and deliver the best possible care with integrity to those that have come to us with trust in their time of illness or trauma. 

The public has great trust in our profession, and believes that we will be there to help them alleviate their greatest fears during a time of illness.The only way we can deliver this care is by diligently studying and gaining an up-to-date understanding through research and the application of this knowledge to our patients conditions. This will help to optimize these patients outcomes ( Brower & Nemec, 2017). Our critical thinking skills, our careful observations and the analysis of these informations takes us from being task oriented nurses to educated scientists who are able to enhance their patients lives by making discoveries with solid evidence from our varied data collections and analysis, and implementing those plans for a better outcome for our patients.This process further solves problems and impacts our clients or patients  by improving their outcomes ( Brower & Nemec, 2017).

In order to ensure academic integrity in my work, I will thoroughly research materials on a given subject and gain a good understanding of it (Eberle, 2013). I will carefully study and ask questions to gain the understanding needed to become a safe nurse.

I will be very careful to give credit to each source I use by citing it authors and the dates of its publications.

 

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