Standards and nursing diagnosis

STANDARDS AND NURSING DIAGNOSIS

Scientific and social changes of the 21st century have brought a radical change in the Health care delivery system . Nursing is an important component of the health care delivery system and the Nursing profession has evolved through time to establish a firm role in the medical domain based on strong ethical , moral and professional principles . The nursing practice has undergone a positive shift from that of a vocation to a professional status today . That is to say , nursing has a more active role to play in the health

care delivery system than the past and nursing , as a profession is `accountable ' today

The definition of nursing offered by the American Nurses Association (ANA ) in fact stresses on the Nurse 's commitment to the diagnosis and treatment of human responses to illness (Patricia , 2005 . Nursing profession has defined standards of ethics , diagnosis and interventions based on strong moral principles . Critical care nursing deals specifically with the human response to life threatening conditions Nursing standards in Critical care nursing is challenging due to the nature of life-threatening health situations in the ICU as in case of a COPD patient with Cor Pulmonale . Nursing interventions here requires close and careful monitoring of the cardiac status and continuous positive airway pressure Oxygen therapy . Critical care nurses are often in high-stress situations , which demands complex assessments high-intensity therapies and interventions and continuous vigilance Nursing interventions here , should be based on evidence-based practice Nursing diagnosis is based on the assessment of the patient condition by a nurse based on physician decision . The nurse-physician collaborative model is a model , which shows a radical shift from the past (Patricia 2005 ) where the health care organizational structure is decentralized and the nurses and physicians function collaborately to make clinical decisions based on professional excellence and sound scientific evidence

REFERENCE

Patricia A Potter , Anne Griffin Perry , Fundamentals of Nursing , 6th edition , Mosby 2005

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