Nursing Practice Problems And Medical Practice

Articlealthough Nursing Practice Problems And Medical Practice Problem

Articlealthough Nursing Practice Problems And Medical Practice Problem

Article Although nursing practice problems and medical practice problems are both related to the patient and target positive patient outcomes, there are major differences between them and approaches in addressing the problems. While medical practice problems deal with disease pathology of patients, nursing practice problem encompasses issues identified with patients experiencing illness right from when nursing assessment is done and during nursing care as well as those problems discovered either through insight or intuition that will need nursing interventions (Helbig, 2018). Nursing practice problems range from patients’ reactions to illness, presenting signs and symptoms, the decline in activities of daily living and many more.

Nursing interventions to those patients’ problems is holistic in approach which focuses on their care, needs and support during and after recovery. For instance, when a patient presents with a stroke with paralysis, the physician will assess the cause of the stroke, diagnose, and treat it. Whereas, when the same patient presents with CVA, the nurse will review actual and potential problems such as the ability to perform activities of daily living, the risk for depression/ suicide/falls/pressure ulcer, pain management, need for support system and referrals. While both medical and nursing practice focuses on the patient and seeks evidence-based practice (EBP) to address the problems, nursing intervention is holistic and centers not only on the patient, but considers the physical, mental, spiritual, and social needs of the patients through problems discovered and anticipated during nursing care.

Evidence-based (EBP) care utilizes and applies the best clinical evidence, mostly from research findings and guidelines toward making patient-care decisions and ensuring positive outcomes (Dagne & Beshah, 2021). While nurses utilize EBP to address these patients’ problems, the application of PICOT (Problem/population, intervention, comparison, outcome, and time) is paramount to nursing practice problems and is effective in developing evidence-based interventions (Helbig, 2018). The PICOT question is the initial step in formulating evidence-based practice with the aim of providing safe, quality care and improving outcomes (Helbig, 2018). For example, developing a PICOT question is essential in studying the effectiveness of purposeful hourly rounding in preventing falls.

Asking these questions involves gathering relevant information, validating strategies and interventions which aid in answering questions and understanding the effectiveness of EBP in addressing nursing practice problems. RESPONSE NEEDED (Please write a response to the article above using words APA format with at least two references. Sources must be published within the last 5 years. There should be a mix between research and your reflections. Add critical thinking in the posts along with research. Apply the material in a substantial way.)

Paper For Above instruction

The article underscores the significant distinction between nursing practice problems and medical practice problems, emphasizing the holistic approach of nursing interventions, which consider the physical, mental, spiritual, and social aspects of patient care. This differentiation is crucial because it shapes how healthcare providers prioritize, assess, and intervene in patient care. While medical practice problems primarily focus on diagnosing and managing disease pathology, nursing practice problems extend beyond these boundaries to include the patient’s reactions, daily functioning, and psychosocial well-being—a comprehensive approach that supports the overall recovery and quality of life of the patient (Helbig, 2018).

In my reflection, I agree with the authors that the holistic approach intrinsic to nursing care is vital in achieving favorable patient outcomes. The example of stroke and CVA illustrates this point well; while the physician’s role centers on medical management, the nurse addresses the broader implications involving functional status, mental health, and social support. This comprehensive perspective is supported by research emphasizing the importance of patient-centered care, which leads to improved adherence to treatment plans and better health outcomes (Baxter et al., 2020). Moreover, incorporating evidence-based practice (EBP) and formulating PICOT questions enhances nursing practice’s scientific rigor, ensuring interventions are both effective and tailored to individual patient needs (Dagne & Beshah, 2021).

Critical thinking is essential in this context, especially when developing PICOT questions to improve care quality. For example, asking, “In elderly patients at risk for falls, how does hourly rounding compare to standard care in reducing fall incidence over a 3-month period?” not only guides research but also promotes continuous quality improvement. Additionally, validating interventions through current research fosters a dynamic and responsive nursing practice that aligns with the evolving healthcare landscape.

Nevertheless, challenges exist, such as ensuring that nurses have the necessary skills in research appraisal and application of EBP. Education and ongoing professional development are critical in bridging this gap, which in turn enhances patient outcomes. Furthermore, integrating nursing practice problems into broader healthcare policies requires collaboration among interdisciplinary teams, fostering an environment where holistic, evidence-based care thrives.

In conclusion, the distinction between nursing and medical practice problems is fundamental to advancing patient-centered care. Emphasizing holistic nursing interventions, supported by EBP and well-constructed PICOT questions, fosters more effective and individualized patient care strategies. As healthcare continues to evolve, so must nursing’s role in addressing complex practice problems through research, critical thinking, and continuous learning to optimize outcomes for diverse patient populations.

References

  • Baxter, S., Johnson, M., Chambers, D., Sutton, A., Goyder, E., & Trenaman, L. (2020). The clinical effectiveness and cost-effectiveness of collaborative care for depression in primary care: Systematic review and economic evaluation. Health Technology Assessment, 24(4), 1-232. https://doi.org/10.3310/hta24040
  • Dagne, T., & Beshah, T. (2021). Evidence-based nursing practices: Challenges and opportunities. Journal of Nursing Education and Practice, 11(3), 45-53. https://doi.org/10.5430/jnep.v11n3p45
  • Helbig, S. (2018). Utilizing PICOT questions to improve nursing practice. Journal of Nursing Care Quality, 33(2), 125-129. https://doi.org/10.1097/NCQ.0000000000000314

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