NRS 430 Topic 3 Discussion Question 1

NRS 430 Topic 3 Discussion Question 1

NRS 430 Topic 3 Discussion Question

How has nursing practice evolved over time? Discuss the key leaders and historical events that have influenced the advancement of nursing, nursing education, and nursing roles that are now part of the contemporary nursing profession.

The AACN Essentials of Baccalaureate Education for Professional Nursing Practice guides the curriculum for the baccalaureate program. The AACN’s The Essentials of Master’s Education for Advanced Nursing Practice, Advanced Nursing Practice: Curriculum Guidelines and Program Standards for Nurse Practitioner Education, NONPF and AACN Nursing Practitioner Primary Care Competencies in Specialty Areas, NONPF Domains and Competencies of Nurse Practitioner Practice, and NACNS Statement on Clinical Nurse Specialist Practice and incorporatesEducation provide structure for the curriculum content of the master’s program. The College of Nursing and Health Care Professions curriculum is designed to facilitate the students’ abilities to creatively respond to continuously changing health care systems throughout the world. Educational experiences are planned to meet the needs of and to empower both students and clients. Professionalism, ethical decision making, accountability, critical thinking, and effective communication are emphasized. This is achieved through the application of liberal arts constructs, science, health and nursing theories, and the values of the Christian faith within the scope of nursing knowledge and evidence-based practice. Nursing practice promotes human dignity through compassionate caring for all human beings, without consideration of their gender, age, color, creed, lifestyle, cultural background, and other visible or invisible boundaries between students, faculty, and clients.

Re: Topic 3 DQ 1
Nursing has been around even before the times of Christianity. Nursing has always been based on caring for the sick, bedside and healing. Back in those days the “medicine man” was the healer and took care of the people. Knowledge of illness and treatment for illness was provided on a trial and error basis, as science and research were not yet known, and evidence-based practice was yet to be acknowledged (Whitney, 2018). In the 1800s the work of Florence nightingale changed the world of nursing by establishing nurse education programs in British hospitals. It wasn’t until the 1960s when funding for nurses to conduct research and carry out studies that led to solving many health care problems and improve nursing services ( Whelan, 2017). Through centuries nursing has continued to evolve. Today nursing is a career, that offers extensive different levels of training, diverse staff, funding to conduct research that was not there before. Nursing is also guided based on Theories developed from the beginning of nursing. The theory maintains a central role in the evolution of the nursing discipline. It is something all nurses use in their daily practices, it is a structure of purposeful and systematic ideas that help to organize disciplinary thinking and influence practice. (Whitney, 2018) because of this, we have better hospitals, responsibility and focus on patient care that saves lives. The nursing field continues to be a growing field, changes in training, health care setting, growing responsibilities, research and evidence-based practices have saved many lives and helped nursing become the respected field it is today.


Whelan, J. C. (2017). American Nursing: An Introduction to the Past.

Whitney, S. (2018). History of professional nursing. In Grand Canyon University (Eds.), Dynamics in Nursing: Art and Science of Professional Practice.


Hello Bonnie,

I agree with you that nursing is the oldest caregiving activity. Nursing was created from the need of caring for the sick and bedridden. Also, nursing allows nurses to take care of the sick to facilitate their recovery. Although nursing has changed over time, wherein medicine men have been replaced by doctors, the foundation of nursing remains the same. The knowledge of illnesses and their treatment entails crucial details that enable nurses to take care of the sick. Some nurses have contributed to the nursing profession. Florence Nightingale’s contribution to nursing is still celebrated years after her death. Nightingale introduced nurse education programs in British hospitals in the 1800s (Allen, 2020).  The introduction of these education programs was meant to increase the accuracy of healthcare services provision. Nightingale’s input in nursing was appreciated in 1906 when various theories were developed based on Nightingale’s knowledge. The contribution of the nurses continues to shape nursing even today.


Allen, D. H. (2020). The Nightingale Legacy. Clinical Journal of Oncology Nursing24(5), 1-2. DOI: 10.1188/20.cjon.s2.5-6

Re: Topic 3 DQ 1

Nursing has evolved throughout the years from many standpoints. In its early stages, before 1800 it was merely a job let alone a career that we are all trying to pursue. When the Crimean war occured, so did the beginning of a more modernized way of nursing thanks to Florence Nightingale. So many changes have occured since then, along with the culture that has influenced it. The changes ranged anywhere from gender, social class status, uniforms, policies and procedures, pharmaceuticals, and education. At the beginning it was men who were the first nurses, which now progressed into a profession majority lead by women. Before nursing was a lower class job and now nurses get compensated well for their specialties. There really wasn’t any policy or procedure at first, until Florence Nightingale suggested a healthier environment to British Military officials. Education was based in the hospitals as diploma programs, which have now transformed into college degree programs. Pharmaceuticals played a part in the progression of nursing as stated in Dynamics of Nursing, “Pharmacological interventions in the form of antibiotics were one of the main impacts for nurses of the 20th century, making infection more easily treatable and diseases easier to control.” (Whitney, 2018 para. 11)

Many people are to give credit throughout the years of the everchanging nursing profession. Those people include Florence Nightingale, Lillian Wald, Mary Brewster, Lina Rogers, Clara Barton, Jane Delano, Linda Richards, and many more. Florence Nightingale is known as the founder of modern medicine due to her implementation of sanitation techniques. Lillian Wald and Mary Brewster helped immigrants in New York City along with organizing public school nursing- with their help Lina Rogers was named the first school nurse. Clara Barton and Jane Delano founded the American Red Cross and American Red Cross Nursing Service. Linda Richards was the first professionally trained American nurse.

Today’s nursing roles are shaped by one’s individual’s education and environment. Working with the patients interdisciplinary team, incorporation of teamwork, assuming the leadership role, and openly communicating can promote healing by providing a safe and caring environment for the patient.


Whitney, S. (2018). History of professional nursing. In Grand Canyon University (Eds.), Dynamics in
Nursing: Art and Science of Professional Practice.

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Hello Natalie,

I agree with you that indeed nursing has grown over time from a lower class job to a career that most people are willing to partake in

NRS 430 Topic 3 Discussion Question 1
NRS 430 Topic 3 Discussion Question 1

the higher learning levels.  However, the advancement of nursing as a career is as a result of a commitment of various individuals. Sadly, most pioneers of the career are dead.  Despite their deaths, contributions from Florence Nightingale, Lillian Wald, Mary Brewster, Lina Rogers, Clara Barton, Jane Delano, Linda Richards, and many more have dictated the current state of nursing.  These nurses contributed to their respective fields differently (Yuan, 2020).  Most of the ideas they generated have changed due to time and other aspects such as culture. Nonetheless, the skeleton of the current nursing is traced to these ancient nurses and their events during their times. The continuous research and scientific innovation in nursing have produced new ideas that have changed the career. Also, the roles of nursing in the current society that over-depend on healthcare services have dictated the increase in accuracy. As a result, nursing has been rapidly evolving.


Yuan, J. (2020). Florence Nightingale Tribute. Home Healthcare Now38(5), 238. doi: 10.1097/NHH.0000000000000911

Re: Topic 3 DQ 1

In the early days nursing was not a valuable career, women learned medical skills from their mothers or through the natural instinct of being caregivers. At that time women were not seen as a respectable gender either, history tells us that nursing originated in the mid-19th century. There are many pioneers in nursing like Clara Barton who founded the Red Cross, Dorothea Lynde Dix who advocated for the mentally ill and after hard work she created the first generation of American mental asylums, Florence Nightingale, who was the founder of modern nursing and many others. I will focus in Florence because I admire how she challenged social norms and her wealthy parents to becoming a nurse. At the time, the world refused the idea of women nursing strangers. But Florence “strongly believed that nurses should take a leadership role to improve health care” (Whitney, 2018, para. 4). She was a leader and strongly believed that becoming a nurse, a woman could gain personal independence and a status in society. During the Crimean War, Nightingale aided at a military hospital, within weeks of helping, the mortality rate of soldiers decreased dramatically. Nightingale’s accomplishments impressed the public and this helped to make significant changes in the hospital to improve patient care. Besides writing a book she founded a nursing school in 1860 that provided basic nursing education and instruction. We can see that through the years nursing education has become more formalized, now nursing schools are more complexed and offer an extensive training program that qualifies the nurses to work in any medical setting providing the best care in a safe environment.


Whitney, S. (2018). History of professional nursing. In Grand Canyon University (Eds.), Dynamics in Nursing: Art and Science of Professional Practice. Retrieved from: nursing-art-and-science-of-professional-practice/v1.1/#/chapter


Hello Monica,

I agree with you that in the early days, nursing was not a valuable career since women learned about taking care of their sick children from their mothers. Women spent most of their time around their families so they were wired to be caregivers. However, changes that have happened in the lower class profession, since women were perceived as caregivers, favored some women. Many nursing pioneers who are celebrated up to now are women. For example, Clara Barton, Dorothea Lynde Dix, and Florence Nightingale are all women. These pioneers played crucial roles in different obligations that directly impacted the contemporary nursing (Ayello, 2020). Nightingale worked under harsh situations during the Crimean War where she was attending to the wounded soldiers on the battlefield.  She was a bold nurse who also contributed to other crucial aspects apart from dressing wounded soldiers.  Although changes have happened due to time, contributions of the predecessors cannot be erased in the contemporary career.


Ayello, E. A. (2020). From bedsores to global health care: Insights from Nightingale’s: Notes on Nursing. Advances in Skin & Wound Care33(5), 237-238.  DOI: 10.1097/01.ASW.0000658604.86284.f2

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