3 Strategies to Balance Art and Science of Nursing
By Anne Dabrow Woods, DNP, RN, CRNP, ANP-BC, AGACNP-BC, FAAN, Chief Nurse of Health, Learning, Research and Practice, Wolters Kluwer
Twitter: @wkhealth
Healthcare's shift from an episodic to a wellness model of intendance finally places patients where they should be—at the eye of care. As current movements aim to drag the patient feel, nurses play an of import office as the forepart-line professionals who engage with patients about oft.
Nursing practice has always been an intricate balance of art and science—i that applies the latest healthcare evidence to care delivery in a meaningful style based on a holistic patient view. 1 of my recent patient encounters illustrates how all nurses must always work to maintain this fragile equilibrium, requiring nurses to move exterior the precise parameters of scientific discipline and consider the collective needs of our patients. Admitted for an exacerbation of pneumonia, an elderly patient with stage four chronic obstructive pulmonary disease lay in a tangle of tubing supported by machines—advanced engineering science that the industry relies on daily to save lives. Yet, it was articulate when I held her manus and spoke to her that she was ready to requite up and die peacefully. I relayed this information to the attention md, and we and so spoke with the patient and family unit. My patient was later transferred to an inpatient hospice unit that evening to live out her final wishes.
More always, nurses demand to demonstrate knowledge, conviction, competence, professionalism, empathy and kindness. Testify-based practice sits at the heart of quality care, although the intermission-neck pace at which new bear witness is introduced into intendance creates challenges to optimally merging all these areas. Nurses are flooded with new data and oft find that they are overwhelmed trying to follow new protocols and keep upwards with science. Consequently, the "fine art" of nursing tin sometimes go lost in the shuffle.
To elevate the nursing profession, the healthcare marketplace must reflect on where information technology has been, how it has changed, and the importance of equipping nurses with the proper tools that can help them effectively build needed competencies along with conviction at the bedside–this while also simultaneously staying focused on the patient and their overall experience.
The Science of Nursing
Healthcare advances and best practices in care delivery are expanding at boggling rates, opening a multitude of opportunities to improve care delivery and outcomes. Nurses not only must comprehend the evolution of evidence discovery, but they must also interpret and filter new bear witness down into applied application with patients. Foundationally, the distillation of new research and its application at the point for care forms the basis of nursing "science."
Technology plays an important role in the science of nursing as an enabler of workflow efficiencies and care best practices. Nurses increasingly must embrace technology every bit part of the science of practice and understand how to optimize apply of avant-garde infrastructures to improve exercise and outcomes. In particular, nurse leaders must be able to weed through the myriad of technology available to place and deploy technology that truly brings value to care delivery.
The science of nursing is as well reflected in accepted care commitment models and academic theories, such as the Virginia Henderson's need theory which defines the function of nursing as one to assist the individual to accomplish health or recovery. Every bit part of whatsoever nursing practice framework, nurses must empathise how to properly assess patients, apply nursing-specific diagnoses and bug, make up one's mind advisable interventions to these problems and measure the outcomes of care.
The Art of Nursing
In tandem with scientific discipline, nursing becomes an art-course where communication and critical thinking skills are paramount. The work of a nurse is very relational in nature, requiring that scientific discipline is interpreted with the patient'southward best interests in mind. For example, it's how a nurse differentiates the needs of 92-year-old myocardial infarction patient with a 52-year-old patient presenting with the same status. While the science may point to sure procedures as a all-time practice, the nurse must accept the emotional intelligence to determine if a procedure would bring more detriment to the older patient than is warranted or desired.
The fine art of nursing is intuitive, creative and informed. It's nearly beingness able to read a room and translate what is happening outside the parameters of a clinical diagnosis. Nurses must strop skills related to active listening, discernment and caring without judgement. The aftermath of the 2018 Pittsburgh synagogue shooting is a skilful instance of the latter. Treated at Allegheny General Hospital for wounds following the incident, the shooter later indicted on 44 counts, including xi counts of murder, was treated without judgement by a Jewish nurse.
Simply put, nurses must rise above any challenges present to be the consummate patient abet. Sometimes it might even hateful bending the rules. For instance, when my 68-year-old neighbor found her way to the disquisitional intendance unit I managed, I knew few things would improve her emotional health more than a visit from her x-year-old miniature poodle—an important part of her social life post-obit the death of her married man two years earlier. The hospital at that time had no creature-assisted therapy and did not allow pet visitation. All the same, I was able to smuggle in her pooch merely in time for a final visit before my neighbor passed away the following twenty-four hours.
Merging Art and Science in Today's Healthcare Environments
Critical thinking bridges the art and science of nursing. More always, nurses must rely on these skills to consider the biological, psycho/social and spiritual needs of the patient and make informed decisions.
In today's fast-paced healthcare environments, clinical leaders are wise to equip nurses with all the necessary tools needed to hone critical thinking skills and help them effectively rest art and science in practice. Supportive environments backed by a culture of learning help nurses stay beside of rapidly-irresolute care delivery models. For instance, nurse leaders tin use forward-thinking techniques such as interactive case studies and virtual simulation supported by a potent preceptor plan to improve a new nurse's power to utilise new noesis.
In addition, nurses need efficient access to the latest evidence ("science") to ensure they can get back to the bedside to comprise the proper care ("art") into their nursing exercise. Point-of-intendance clinical determination support tools improve efficiencies past providing immediate guidance needed to eliminate care variability and bulldoze improved outcomes.
Healthcare is evolving, simply the role of nursing stays the same every bit the clinical professionals closest to the heartbeat of patients. Today's nurses must empathize the delineation betwixt science and art, every bit well as how to optimally merge these areas to drag value in healthcare and ameliorate all patient outcomes.
Source: https://www.healthcarenowradio.com/nursing-practice-the-intersection-of-art-and-science/
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