Nursing Care Essay Example

  • Category:
  • Document type:
  • Level:
  • Page:
  • Words:


Topic: Nursing Care

Nursing care is vital in patient management promoting wholesome care. It is important for the nurse to understand patients’ needs to enable formulation of a specific plan for the patient. The emergency department nurse must be knowledgeable and able to perform lifesaving procedures. Furthermore he must involve the patient’s family and other health care providers in addition to visiting patient’s homes (Meyer and O’Brien-Pallas 2010, 2828).

Patients present variedly; others with life threatening conditions while others with mild conditions. Therefore the nurse must identify priority cases and offer appropriate intervention (Meyer and O’Brien-Pallas 2010, 2830).

Nursing care can be systematized as primary, progressive or team nursing depending on facility preference, adequacy of staff, complexity of patients and cost of maintaining the system (Curstis and Ramsden 2011, p. 22).

In primary nursing care, a nurse offers all the care to a patient collaborating with other healthcare givers as needed. For instance, for the patient with exacerbated COPD a physician may be called to review her. Furthermore family must be involvement for support and to help allay any fears (Curstis and Ramsden 2011, p. 22). Primary nursing ensures provision of complete care giving the nurse independence in decision making. Further, trust can easily be established allowing confidential issues to be addressed since patients meet fewer attendants. In addition the nurse feels entirely responsible hence offering the best (Jost and Bonnel 2010, p. 210).

In progressive patient care, patients are stratified according to degree of care needed based on disease severity placing patients into units from which care is administered e.g. placing the critically ill in the intensive care unit for life support (Curstis and Ramsden 2011, p. 22). In progressive patient care the nurse must be competent, able to assess a patient, prioritize care and initiate relevant interventions e.g. starting intravenous fluids for the patient with laceration or nebulizing the patient with exacerbated COPD (Curstis and Ramsden 2011, p. 22).

Exacerbated COPD may be life threatening when presenting with respiratory failure. The nurse must be able to perform respiratory exam and stratify the patient accordingly. Milder exacerbation warrants admission to general ward or day care treatment (Fernandez and Johnson 2012, p.325). Scalp laceration may cause hypovolemic shock; a potential killer due to multiple organ failure hence the nurse must decide to take the patient for specialized care (Meyer and O’Brien-Pallas 2010, 2830).

The final nursing care system is team nursing where nurses are organized into a team constituted of members possessing different skills and experience with one leader. Team nursing has better outcome with fewer mistakes. It exhibits group work since members are assigned roles they perform simultaneously. For instance for patient with head laceration controlling bleeding, cardiovascular assessment and giving intravenous fluids would be done simultaneously (Jost and Bonnel 2010, p. 210).

In conclusion nursing care is rapidly becoming complex as nurses assume more advanced practices. It is therefore important to promote adequate training to impart relevant knowledge and skills.


Fernandez, R., Johnson, M., 2012. Models of care in nursing: a systematic review. International Journal of Evidence-Based Healthcare, Vol 10 issue4, p. 324-337.

Curtis, K., & Ramsden, C., 2011. Emergency and Trauma Care forNurses and Paramedics. Elsevier Health Sciences.

Meyer, R., O’Brien-Pallas, L., 2010. Nursing Services Delivery: an open system approach. Journal of Advanced Nursing. December 2010; 66(120: 2828-2838.

Jost, G., Bonnell, M., 2010. Integrated primary nursing: a care delivery model for the 21st century knowledge worker, Nursing Administration Quarterly Jul-Sep 2010; 34(3): 208-216.