Children’s Functional Health Pattern Assessment Essay

The U.S. health tending oral communication system has g maven through enormous and transformational changes in the past two decades. The traditional hospital-centered health c atomic number 18 delivery is no longer able to support the expanded demands of health c are services, especi aloney outside hospitals. In the same token, the traditional role of a nurse as bedside direct allotgiver is insufficient to meet the accelerating take of nurses in other areas, such as health promotion and illness prevention, case management, leadership and research.As a result of that, dressing of the entry-level of captain nurses requires a broader competencies so that nurses are educationally prepared to function with more(prenominal) independence in delivering diversified care. The American Association of Colleges of breast feeding (AACN) recognized the Bachelor of Science detail in nurse as the minimal educational requirement for overlord nursing practice (AACN, 2000).There are note worthy differences between partner course nursing programs and bachelors degree degree nursing programs. The baccalaureate program not only include all of curriculum in the associate degree programs, but also shows in-depth flying field in physical and social sciences, nursing research, leadership and management, community and everyday health nursing, unhurried education, and the humanities (Johnston, 2009). The broader and more in-depth education enhance professional development and critical thinking. The baccalaureate graduate is prepared to better see to it m whatsoever issues in culture, society, economy and politics. Such skills are essential for immediatelys nursing professionals.In clinical practice, associate degree nurses provide bedside care in less complex situation while baccalaureate degree nurses design and manage a comprehensive plan of care. They look more in patients signs and symptoms, supervise other nursing personnel, support staff, and guide patients t hrough the complicated health care resources in a community, and educate patients on health care options and advanced directives . over the past several years, researchers and policy haltrs have identified that educational preparation does make a huge difference in how nurses practice. Johnsons (1988) meta-analysis indicated that there weresignificant differences between professional (baccalaureate degree) and technical (associate degree and diploma) nurses on measures of nurse performance. Measures include communication skills, knowledge, problem-solving, and professional role. Pardue (1987) investigated the differences in critical thinking ability and decision-making skills among 121 associate degree, diploma, baccalaureate, and chastens prepared nurses. Results indicated that nurses with masters and baccalaureate degrees had the highest loads in critical thinking ability.In my hospital the ICU nurses are BSNs, and they are responsible for patient education in addition to provi ding bedside care. An representative of a patient care situation that was positively affected by having a BSN nurse available, recently occurred at the department where I work. A 37 year-old lady who is a post-liver transplant patient was admitted to the ICU for reed organ rejection and severe anemia. The medication compliance issue was brought up by the occupant doctors. The ICU nurse provided medication reconciliation and discovered that patient frequently missed Prednisone. The nurse therefore spent more time on educating post-transplant immunosuppressant medications and reinforcing the importance to be compliant with medication regimen.The patient in the end confessed that Prednisone made her gain lots of weight, which was the main reason why she did not take this medication. The nurse researched clinical evidence based on patients primary diagnosis and corresponded medical treatment options. She accomplished that patient has a diagnosis of recurrent autoimmune hepatitis an d Prednisone is one of medications that treat autoimmune disease.The ICU nurse called out a clashing with the multidisciplinary team included the transplant social worker, pharmacist, nutritionist, nurse practitioners and surgeons. Patient and her care giver husband were also invited to the discussion of the plan for her care. Because of the shared decision making, the transplant team agreed to lower her Prednisone dose to the minimum and add a small dose of diuretic to avoid body of water retention caused by Prednisone. Through social workers help, patient agreed to take Prednisone every day and her husband promised to motivate her to take the medication. Nutritionist provided consultation in fluid and salt restriction.This congresswoman exhibit that the baccalaureate degree nurse was well prepared to comprehend the pathophysiology and disease process. She conducted research study and obtained the best available evidence in reference to patients care. Finally she used her coo rdination and collaboration skills and pull together a meeting of the multidisciplinary team and patients family. She also demonstrated a strong leadership skill in case management.She situated patient at the center of the care and approached to a shared decision-making. Without any doubt, her performance is a result of the educational preparation she received from the baccalaureate nursing program. If this case was handled by an associated degree nurse, her educational skill sets business leader not have prepare her to fulfill the task.References-American Association of College of Nursing (2000). The baccalaureate degree in nursing as minimal preparation for professional practice. Retrieved from http//www.aacn.nche.edu/publications/position/bacc-degree-prep -Johnson, J. H. (1988). Differences in the performance of baccalaureate, associate degree, and diploma nurses A meta-analysis. Research in Nursing & Health, 11, 183 197. DOI 10.1002/nur.4770110307 -Johnston, K. A. (2009). Th e importance of the baccalaureate degree in nursing education. Retrieved from http//www.peoriamagazines.com/ibi/2009/apr/importance-baccalaureate-degree-nursing-education -Pardue, S. F. (1987). Decision-making skills and critical thinking ability among associate degree, diploma, baccalaureate, and masters-prepared nurses. Journal of Nursing Education, 26, 354-61.