Advanced Nursing Practices

Gerontology is the study that includes the social, cultural, behavioral, psychological, cognitive, physiological, and psychological aspects of older people and their aging. They are responsible for maintaining the health care of elderly patients in the hospital, home, or any rehabilitation facility/psychiatric facility. Nurses in the care of the elderly are responsible for detecting the disease in its early stages and preventing the progression of the disease by following the ethical rules related to geriatrics.

Adult nursing also known as General nursing, as described by the Nursing and Midwifery Council, they are responsible for maintaining the safety of adults ranging from 18 years old to elder people who are suffering from different ailments. They have the knowledge to meet the physical, psychological, holistic, and social needs, demands, and faiths of people from ethnically diverse communities.

Nursing is constantly changing from time to time. To accept new challenges and further your career, we need to make new developments such as improving ambulatory care, the importance of ethnic achievements, improving patient health, improving customer experience, and increasing data analysis skills among nurses.

Holistic Nursing Practice (HNP), The Science of Health and Healing, is a semi-monthly peer-reviewed journal that explores holistic models of nursing practice. Content emphasizes complementary traditional and holistic nursing and health care practices. Articles include theory-based interventions and their outcomes, including innovations in holistic nursing practice; research related to holistic nursing practice, health care and policy; and the values ​​and ethical and legal issues related to holistic nursing practices. The holistic approach is a worldview that emphasizes the potential for health and healing in human systems rather than disease process and deficit.

The primary goal of holistic nursing is to address the social, cognitive, emotional, and physical issues of the patient by understanding their spiritual and cultural beliefs. Holistic nurses learn the five core values ​​of caring, critical thinking, holism, expanding the nursing role, and accountability that focus on the health of patients, their families, and allied health practitioners involved in patient care.

Recently, innovative thinking and intelligences have driven all the companies to pave the way for the development of advanced technological systems and software in the form of e-health services towards the healthcare industries. This chapter mainly includes e-health services, modern technology and its influence on nursing education, innovative challenges in the fields of genetic engineering and genomics. Computer technology followed in the professional practices of nursing.

Legal Nursing is the legal licensing-based medical department that licenses the practice of nursing in accordance with state and federal laws. In legal nursing, there are mainly six ethical principles that constantly recur for nurses working in correctional settings with respect for people: beneficence, non-maleficence, justice, truthfulness, and fidelity. They usually do their job in legal matters by recording professional issues and understood the medical etymology by consulting them personally.

 Nursing informatics, a science of the 21st century, aims with many perspectives to improve the quality, safety and efficiency of health care. Nursing informatics offers an excellent chance to get the full potential of information organized and well managed by nursing staff.

Nursing informatics as a specialty consolidates nursing science, informatics, and knowledge to manage and communicate data, information, knowledge, and insight into nursing practice. Computing has gradually imposed itself in our profession, thanks to the rapid evolution of technologies. Health systems are integrating technology into daily practice at a rapid pace. Patient safety and privacy must be respected while achieving the goal of turning data into useful knowledge. Integrating informatics into evidence-based practice can only help advance the care we provide to our patients.

Nursing informatics engages nurses, consumers, patients, the interprofessional health care team, and other stakeholders in their decision-making in all roles and settings to achieve desired outcomes. This support is achieved through the use of information structures, information processes and information technologies.

This is a special category of nursing practice that is responsible for maintaining the health care of the patient during the surgical process which includes: pre-operative, intra-operative and post-operative. They play an important role in identifying the method of pathology required to perform surgery according to ethical principles. Surgical procedures can be categorized into different types based on the purpose, urgency, and intensity of risk.

Nurse Practitioners (NPs) are also considered Advanced Practice Registered Nurses (APRNs) who are authorized to impart evidence-based practice through the review and resolution of patients' dismal conditions. Adapting to the International Council of Nurses, an NP/APRN is "a registered medical assistant who has acquired the accomplished information base, developed basic leadership skills and clinical skills for long called honing, in which country they are accredited for Expert Nursing (NP) Nurse Practitioners are also considered Advanced Practice Registered Nurses (APRN) who are approved to give evidence-based practice through examination and solution to the dreary conditions of NP/APRN is a registered medical assistant who has acquired the accomplished information base, developed basic leadership skills and clinical skills for long called hone, in which country they are accredited to repeat.

Cardiac nursing focuses on the prevention and treatment of heart-related conditions. Nurses in the cardiology department work in inpatient or outpatient settings, caring for medical or surgical patients, and understanding patients with acute illnesses or helping them manage chronic illnesses. Cardiac nurses help treat conditions such as unstable angina, coronary artery disease, congestive coronary insufficiency, myocardial infarction, and cardiac dysrhythmia under the guidance of a cardiologist. They perform excellent care on a surgical unit; analyze assessments, cardiac monitoring, vascular monitoring, and health assessments. Cardiac nurses have primary Life Support and Advanced Cardiac Life Support certification. Additionally, cardiac nurses have specific skills, including EKG monitoring, defibrillation, and continuous drip medication administration. Cardiac nurses work in a variety of settings including coronary care units, cardiac catheterization, medical care units, operating theaters, cardiac rehabilitation centers, clinical research, cardiac surgery wards, intensive care units cardiovascular and cardiac medicine services.

Typical Cardiac Nurse responsibilities include:

·         Assess and treat patients.

·         Provide postoperative care.

·         Monitor stress test evaluations.

·         Monitor heart and vascular readings.

·         Educate patients and their families.

·         Support and motivate patient lifestyle changes.

Nursing management includes the management of cases and disorders within the care organization taking on all employees working there. It also focused on patient admission and discharge criteria, particularly for progressive patient care. The nursing management process guides the legal aspects of appointment, supervision, and assignment of acceptance criteria. It encourages the employee to do more with fewer resources.

A surgical nurse is a nurse who specializes in perioperative care, which is the care provided to surgical patients before, during, and after surgery. There are different types of surgical nurses, and surgical nursing as a career can be very demanding. Compensation in this field differs depending on where a nurse works. Some surgical nurses earn salaries comparable to doctors, while others struggle to get by on much less. Surgical nurses can practice in different types of surgery. General Surgery, Vascular Surgery, Colorectal surgery, Surgical Oncology, Orthopedic surgery, Urological surgery.

The pediatric nurse provides health and medical care to infants, children, and adolescents. The pediatric nurse can talk to children and ask questions about their health, especially when children are scared and cannot express their problems clearly. Pediatric nurses should be kind, compassionate, and caring towards children. Pediatric care begins with newborn assessment and vaccination at birth and extends to patients transferred from a pediatrician to a general practitioner until after adolescence. Pediatric care includes annual vaccinations and checkups, as well as any minor illnesses or injuries. The demand for pediatric nurse practitioners in acute care settings is expected to be extremely high over the next few years. Nurses are retiring at a high rate and very few new nurses choose this specialty.

Work areas:

Private doctors' offices, Hospitals, Clinics, Schools, Community organizations, Surgical centers etc.

A Women's Health Nurse Practitioner (WHNP) is a qualified and professional nurse practitioner who provides primary care to women of all ages. Originally, the WHNP focused on family planning but has evolved to include obstetric, reproductive, and gynecological health. WHNPs are well-educated and therefore can teach patients and their families about actions, treatments, and elimination of the disease in addition to distinguishing critical health issues.

Skills required

• Ability to perform a well-woman assessment

• Information on breast self-examination and breast health education

• Knowledge of women's health

• Patient education

• Ability to provide care to women across populations, social classes, socioeconomic and age groups, and in urban, suburban, and rural settings

A surgical nurse is a nurse who specializes in perioperative care, which is the care provided to surgical patients before, during, and after surgery. There are different types of surgical nurses, and surgical nursing as a career can be very demanding. Compensation in this field differs depending on where a nurse works. Some surgical nurses earn salaries comparable to doctors, while others struggle to get by on much less. Surgical nurses can practice in different types of surgery. General Surgery, Vascular Surgery, Colorectal surgery, Surgical Oncology, Orthopedic surgery, Urological surgery.

Cardiac nursing focuses on the prevention and treatment of heart-related conditions. Nurses in the cardiology department work in inpatient or outpatient settings, caring for medical or surgical patients, and understanding patients with acute illnesses or helping them manage chronic illnesses. Cardiac nurses help treat conditions such as unstable angina, coronary artery disease, congestive coronary insufficiency, myocardial infarction, and cardiac dysrhythmia under the guidance of a cardiologist. They perform excellent care on a surgical unit; analyze assessments, cardiac monitoring, vascular monitoring, and health assessments. Cardiac nurses have primary Life Support and Advanced Cardiac Life Support certification. Additionally, cardiac nurses have specific skills, including EKG monitoring, defibrillation, and continuous drip medication administration. Cardiac nurses work in a variety of settings including coronary care units, cardiac catheterization, medical care units, operating theaters, cardiac rehabilitation centers, clinical research, cardiac surgery wards, intensive care units cardiovascular and cardiac medicine services.

Typical Cardiac Nurse responsibilities include:

·         Assess and treat patients.

·         Provide postoperative care.

·         Monitor stress test evaluations.

·         Monitor heart and vascular readings.

·         Educate patients and their families.

·         Support and motivate patient lifestyle changes.