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Clinical Nursing Practice in the 21st Century

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Clinical Nursing Practice in the 21st Century
Maryville University | Clinical Theory Practice of the 21st Century | Assignment 4.1 | | Sally Fandek | 9/1/2012 |

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In a world where there is constant change, and individuals are constantly attempting to adapt and cope with these changes, the human experiences and responses to this process is central to nursing interest, (Meleis, 2012). Today’s global health problems in addition to the politically volatile health care system, and the rising cost of health care seem insurmountable. As nurses, is it our responsibility to address these issues that confront us? Deva-Marie Beck, (2010) proposes that indeed it is, but that it will take a renewed vision and participation of the nurse in the active role of promoting the cause of human health, both locally and globally. While continuing the practices we have established, nurses can also create new, innovative and relevant practice, (Beck, 2010). Beck (2010) maintains that as nurses, we must focus on how to effectively promote health, and facilitate a healthy environment. Continuing with Florence Nightingales philosophies, she states that “we as nurses can assume as Nightingale did, that our knowledge and experience is valuable to the wider general public, as well as for individual patients and their families”, (2010). Ultimately, nurses are at the front lines of quality patient care, and the ones sustaining a culture of caring in health care. As the largest and most respected healthcare profession, it will be imperative that nurses take their place as leaders and reformers in developing new research frameworks that emphasize the value of what we do, and give credibility and respect to our profession in the 21st century.
According to Meleis (2012), in order for



References: Adam, E., (1983). Frontiers of nursing in the 21st century: development models and theories on the concept of nursing. Journal of Advanced Nursing, 8, 41-45. Beck, D. M., (2010). Expanding our Nightingale Horizon: Seven recommendations for 21st Century Nursing Practice. Journal of Holistic Nursing, 28(4), 317-326. Fawcett, J., (2001). The Nurse Theorist: 21st Century Updates-Rosemarie Rizzo Parse. Nursing Science Quarterly, 14(2), 126-131. Liehr, P., Smith, M. J., (1999). Middle Range Theory: Spinning Research and Practice to Create Knowledge for the New Millennium. Advances in Nursing Science, 21(4), 81-91. Meleis, A. I. (2012). Theoretical Nursing Development and Progress, (5th ed). Philadelphia, PA: Lippincott Williams & Wilkins. Smith, M. J., Liehr, P., (1999). Attentively Embracing Story: A Middle Range Theory with Practice and Research Implications. Scholarly Inquiry for Nursing Practice: An International Journal, 13(3), 187-202.

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