Art Science or Both? Keeping the Care in Nursing
By Anne Dabrow Forest, 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 health model of care finally places patients where they should exist—at the center of intendance. As current movements aim to elevate the patient experience, nurses play an important office as the front-line professionals who appoint with patients most frequently.
Nursing practice has always been an intricate balance of art and science—one that applies the latest healthcare evidence to care delivery in a meaningful style based on a holistic patient view. One of my contempo patient encounters illustrates how all nurses must always work to maintain this delicate equilibrium, requiring nurses to move outside the precise parameters of science 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 past machines—advanced engineering science that the industry relies on daily to save lives. Nonetheless, it was clear when I held her paw and spoke to her that she was prepare to give up and die peacefully. I relayed this information to the attending medico, and we then spoke with the patient and family. My patient was later transferred to an inpatient hospice unit that evening to live out her final wishes.
More than ever, nurses need to demonstrate noesis, confidence, competence, professionalism, empathy and kindness. Evidence-based exercise sits at the heart of quality care, although the break-neck pace at which new evidence is introduced into care creates challenges to optimally merging all these areas. Nurses are flooded with new information and often find that they are overwhelmed trying to follow new protocols and keep up with science. Consequently, the "fine art" of nursing tin sometimes become lost in the shuffle.
To elevate the nursing profession, the healthcare market place must reverberate on where it has been, how information technology has changed, and the importance of equipping nurses with the proper tools that can assistance them finer build needed competencies along with confidence 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 extraordinary rates, opening a multitude of opportunities to meliorate intendance delivery and outcomes. Nurses non only must cover the evolution of evidence discovery, but they must also translate and filter new prove down into practical application with patients. Foundationally, the distillation of new research and its application at the signal for intendance 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 comprehend technology as part of the science of practise and understand how to optimize utilise of advanced infrastructures to ameliorate practice and outcomes. In detail, nurse leaders must exist able to weed through the myriad of technology available to identify and deploy applied science that truly brings value to care delivery.
The science of nursing is also reflected in accustomed care delivery models and bookish theories, such every bit the Virginia Henderson'southward need theory which defines the function of nursing as one to help the individual to achieve wellness or recovery. As role of whatsoever nursing practice framework, nurses must understand how to properly assess patients, employ nursing-specific diagnoses and bug, determine appropriate interventions to these issues and measure the outcomes of care.
The Art of Nursing
In tandem with scientific discipline, nursing becomes an art-form where communication and critical thinking skills are paramount. The work of a nurse is very relational in nature, requiring that science is interpreted with the patient'southward best interests in listen. For example, it's how a nurse differentiates the needs of 92-twelvemonth-old myocardial infarction patient with a 52-year-former patient presenting with the same status. While the science may point to sure procedures as a all-time practice, the nurse must have the emotional intelligence to make up one's mind if a procedure would bring more detriment to the older patient than is warranted or desired.
The art of nursing is intuitive, creative and informed. It'southward about being able to read a room and interpret what is happening exterior the parameters of a clinical diagnosis. Nurses must strop skills related to agile listening, discernment and caring without judgement. The aftermath of the 2018 Pittsburgh synagogue shooting is a good example of the latter. Treated at Allegheny General Hospital for wounds post-obit the incident, the shooter afterward indicted on 44 counts, including xi counts of murder, was treated without judgement past a Jewish nurse.
Simply put, nurses must rise to a higher place whatever challenges present to exist the complete patient abet. Sometimes information technology might even mean bending the rules. For instance, when my 68-year-old neighbor establish her way to the critical intendance unit I managed, I knew few things would meliorate her emotional health more than a visit from her 10-year-old miniature poodle—an of import role of her social life post-obit the death of her husband two years earlier. The hospital at that time had no animal-assisted therapy and did not allow pet visitation. Yet, I was able to smuggle in her pooch only in time for a concluding visit earlier my neighbor passed away the post-obit twenty-four hour period.
Merging Fine art and Science in Today'southward Healthcare Environments
Critical thinking bridges the fine art and science of nursing. More than ever, nurses must rely on these skills to consider the biological, psycho/social and spiritual needs of the patient and make informed decisions.
In today'southward fast-paced healthcare environments, clinical leaders are wise to equip nurses with all the necessary tools needed to hone disquisitional thinking skills and help them effectively remainder fine art and science in practice. Supportive environments backed by a culture of learning assistance nurses stay abreast of rapidly-changing care delivery models. For example, nurse leaders can employ forrard-thinking techniques such as interactive instance studies and virtual simulation supported past a stiff preceptor program to improve a new nurse's ability to use new knowledge.
In addition, nurses demand efficient access to the latest evidence ("science") to ensure they can become back to the bedside to comprise the proper care ("fine art") into their nursing practice. Betoken-of-care clinical decision back up tools better efficiencies past providing firsthand guidance needed to eliminate care variability and bulldoze improved outcomes.
Healthcare is evolving, just the function of nursing stays the aforementioned equally the clinical professionals closest to the heartbeat of patients. Today'due south nurses must understand the delineation between science and fine art, too as how to optimally merge these areas to elevate value in healthcare and improve all patient outcomes.
Source: https://www.healthcarenowradio.com/nursing-practice-the-intersection-of-art-and-science/
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