Children’s Functional Health Pattern Assessment Essay

The U.S. health c atomic number 18 preservation dodging has gvirtuoso through enormous and transformational changes in the past two decades. The traditional hospital-centered health keeping delivery is no longer able to support the expanded demands of health care services, especially outside hospitals. In the same token, the traditional role of a concur as bedside direct caregiver is insufficient to outfit the accelerating needs of take fors in other areas, such as health promotion and disease prevention, mooring management, leading and research.As a result of that, prep of the entry-level of nonrecreational nurses requires a broader competencies so that nurses are pedagogicsally inclined(p) to function with more independence in delivering diversified care. The American Association of Colleges of Nursing (AACN) recognized the unmarried man of Science distributor point in nurse as the minimum educational requirement for professional nursing practice (AACN, 2000).There are significant differences between swain stratum nursing programs and bachelors degree degree nursing programs. The baccalaureate program not only include all of curriculum in the associate degree programs, but also provides in-depth study in physical and social sciences, nursing research, leadership and management, familiarity and public health nursing, patient education, and the humanities (Johnston, 2009). The broader and more in-depth education enhance professional development and decisive view. The baccalaureate graduate is prepared to better understand many issues in culture, society, economy and politics. Such skills are essential for todays 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 understand more in patients signs and symptoms, supervise other nursing personnel, support staff, and guide patients through the comp licated health care resources in a community, and educate patients on health care options and advanced directives .Over the past several years, researchers and policymakers 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 consummation. Measures included 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 masters prepared nurses. Results indicated that nurses with masters and baccalaureate degrees had the highest scores in critical thinking ability.In my hospital the ICU nurses are BSNs, and they are responsible for patient education in addition to providing bedside care . An example 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 bribery patient was admitted to the ICU for organ rejection and severe anemia. The medicament compliance issue was brought up by the resident doctors. The ICU nurse provided medication reconciliation and discovered that patient often 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 finally confessed that Prednisone made her gain lots of weight, which was the main reason why she did not organise this medication. The nurse researched clinical evidence based on patients primary diagnosing and corresponded medical treatment options. She realized that patient has a diagnosis of recurrent autoimmune hepatitis and Prednisone is one of medications that tr eat autoimmune disease.The ICU nurse called out a meeting with the multidisciplinary police squad included the transplant social thespian, 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 overlap decision making, the transplant team agreed to lower her Prednisone dose to the minimum and add a small dose of diuretic to avoid water retention caused by Prednisone. Through social workers help, patient agreed to take Prednisone every day and her husband promised to remind her to take the medication. Nutritionist provided consultation in fluid and salt restriction.This example demonstrated that the baccalaureate degree nurse was well prepared to understand the pathophysiology and disease process. She conducted research study and obtained the best available evidence in reference to patients care. Finally she used her coordination and collaboration skills and gathere d a meeting of the multidisciplinary team and patients family. She also demonstrated a strong leadership skill in case management.She placed 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 might 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). The importance of the baccalaureate degree in nursing education. Ret rieved 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.