Increasing Participation in Medical Nursing

The culture of a presents a complex and magnificent structure that impacts a lot in the conduct of nurses as they perform their duties. This culture increases the participation of nurses in healthcare practices. It assists much when it comes to spreading the implementation of the units innovation in diverse ways. Nursing culture comprises history, rituals, routines, traditions, and stories, all underpinning various values and regulations (Berta & Baker, 2004, p. 95). The nursing profession is paramount in ensuring effective healthcare by planning, managing, coordinating, and implementing healthcare practices for all community members. are responsible for providing high-quality patient care in medical institutions. When nurses understand the culture of their practices, they increase their participation in diverse activities in this profession. The developed cognitive style of decision-making aids in making quick and effective decisions in healthcare institutions. This culture also increases the willingness of nurses to report any errors that may occur while performing their duties. This leads to increased participation following the elimination of errors that result in many disruptions. Moreover, the culture of medical nursing units improves teamwork within the units that resulting in increased productivity due to active participation by all stakeholders. Through the effective organization of the culture of a medical nursing unit, nurses are able to realize their full potential by involving themselves in diverse medical activities, thus, seeking various opportunities for expansion and growth (Burns & Grove, 2009, p.34). As a result, the quality of outcomes, as well as patient care, increases. On the other hand, cultural elements such as values, beliefs, patterns, and normative practices including proper communication, developing healthy relationships, and proper coordination of health care aid in spreading the implementation of diverse innovations within the units. Empowering nurses to make all the necessary changes aids in achieving the desired outcomes through their unique innovations.

How research and evidence influence the independent practice of APNs in some states
Practices of Advanced Practice Nursing (APNs) in many states face a lot of influence from works published and supported by national organizations and forums. Every year, the emergence of evidence from diverse researches conducted in the nursing field occurs influencing many policies implemented by decision-makers. Nurses involved in advanced practices are vital, as they provide specialized care to patients who have undergone highly sensitive and technical procedures (Tucker, 2003, p.6). Thus, of APNs has a lot of impact in the delivery of advanced care in health institutions. Nursing research is paramount, as it aids in answering various questions that further help in solving the problems facing the nursing profession by utilizing various controlled methods (Burns & Grove, 2009, p. 43). However, research conducted, as well as evidence presented by various professionals, and supported by various national organizations, influences the critical areas of APNs independent practices. The research and evidence influence key decisions made by decision-makers in the nursing industry, which have a huge impact on APNs practices. Research published in nursing journals and supported by diverse forums and organizations creates a compelling platform for stakeholders to discuss diverse issues regarding nursing practices such as patient care, improved outcomes, and safe working conditions. The researchers provide diverse evidences in support of their research areas. When stakeholders adopt different researches, interruptions within the nursing unit emerge by disrupting the normal operations, as they do not execute activities, as planned. For instance, medical nursing units located in large hospitals require extensive discussions before the implementation of any new policies. If this is not done, many calamities emerge. Klein and Sorra (1996, p.1058) realized the need for ample time while experimenting with the efficacy of the new policy or technology in implementing policies or technology. Identifying the essence of various practices and policies will reduce many commotions. Moreover, seeking opinions from all stakeholders before adopting new recommendations from researchers is paramount.

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