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Nursing Essay

RUNNING HEAD: Nursing Essay 1
Nursing Essay
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Nursing Essay 2
Contents
Nursing Essay ................................................................................................................................. 3
Introduction ..................................................................................................................................... 3
Taking Blood Pressure ................................................................................................................ 4
Knowledge required in taking blood pressure and its importance .......................................... 5
Documenting blood pressure ................................................................................................... 7
Professional Values alongside taking blood pressure ................................................................. 8
How values and skills enhance patient care ............................................................................ 9
Linking knowledge, skills, and values to the concept of caring ............................................... 10
The Concept of caring ............................................................................................................... 11
Linking skills and values to caring and professional responsibility ......................................... 12
Conclusion .................................................................................................................................... 12
References ..................................................................................................................................... 13
Nursing Essay 3
Nursing Essay
Introduction
Nursing is one of the key professions around the globe, which need practitioners to have
passion and take it as a vocation. A nurse works long hours, at times they work on phone; much
is expected of them both in duty and off duty. I have chosen to discuss taking blood pressure
which is a crucial skill in the nursing practice. . I will start by outlining the knowledge required
to carry out taking blood pressure. I will then move on to describe why it is important to have
knowledge before carrying out taking blood pressure for clients. I will also explain how to
evaluate and document blood pressure data collected. Moreover, I will discuss the professional
values demonstrated alongside taking blood pressure. These professional values include respect,
promoting dignity, and promoting individualized care (Handley & Dodge, 2013). I will then
explain how these professional values link to taking blood pressure and how these values and
skills enhance patient care; nurses have to respect patients, as well as other members of the
profession, as this promotes dignity thus promoting individualized care. Towards the end of this
study, will discuss how the requirements of knowledge, skills, and values link to the concept of
caring and the professional regulation of nursing; the two are interlinked as there must be skills
and knowledge to meet the expected level of care among nurses. This will involve defining the
concept of caring and referring to what the department of health and the NMC say about caring
(Cook et al 2003). I will then conclude by linking the skills and values discussed to the caring
and the professional responsibility. The paper will seek to demonstrate the importance of having
the required knowledge and skill and professional responsibility when undertaking the nursing
Nursing Essay 4
skill; in this case, we will use measuring of blood pressure in displaying the concept of care. This
will be achieved through the knowledge and skills learnt by nurses in their training.
Taking Blood Pressure
Taking blood pressure is important because it is used to determine the pressure at which
blood is flowing in the blood vessels. Blood vessels act as the medium of transport; the heart
pumps the blood through these blood vessels. As blood moves through the vessels, the pressure
is exerted in the walls of these vessels, especially the arteries. Blood pressure varies throughout
the day as the human body carries out various activities. Factors that influence blood pressure
range from sleep, exercise, body position, emotions, and medication among others. However, if
the blood pressure remains high or low for a long time, it results in anomalies for the blood
circulatory system which later affect other body processes. In most cases patients may
experience headache, oedema, and high pulse rate among others.
Normal blood pressure is expected to be in the range between 120/80 mmHg and 140/90
mmHg. If the pressure exceeds the upper limit of 140/90mmHg, the patient is said to be
experiencing high blood pressure (hypertension). Consequently, if the blood pressure goes below
the lower limit of 100/60 mmHg, the patient is said to be experiencing low blood pressure
(hypotension). High blood pressure is the most common disorder that affects the functionality of
the blood circulatory system. A patient has to register more than one high blood pressure reading
before a nurse can confirm that the patient has high blood pressure. This is because there are
many daily activities that can cause an increase the blood pressure such as climbing stairs among
other vigorous activities.
Nursing Essay 5
Taking of the blood pressure is a simple task in my opinion. The nurse wraps the
sphygmomanometers cuff around the upper part of the arm; the cuff’s lower edge should be one
to two inches above the antecubital fossa (Hansten & Washburn, 2000, p.16). The cuff’s bladder
length should be about 80% of the arm’s circumference (this does not take place among all
patients as there are those patients with amputated arms, obese, patients with collapsed vessels
resulting from extremely low blood pressure, or hypovolumia (sphygmomanometer may be
used)). This is followed by inflating the cuff to about 180mmHg; release the air moderately at a
rate of about 3mm/sec. As the cuff is getting deflated, one has to listen to the heartbeat suing the
stethoscope. One will realize a knocking sound which is a subject of systolic pressure, which is
between 120mmHg to100mmHg; it is followed by a silent sound which indicates the diastolic
pressure which is normally between 80mmHg to 60mmHg. It is important to record the pressure
in both arms for precision purposes. Records should be made keenly, each result against its hand
and the subject’s position (supine). Blood pressure above the 140/100mmHg requires medical
attention; the same case as records below 100/60mmHg. An ideal example is where a pregnant
woman records a pressure of 140/100mmHg, which is a condition known as preeclampsia; the
condition should be managed to prevent it from getting to eclampsia (160/120mmHg) which in
most cases causes emergency delivery of the baby.
Knowledge required in taking blood pressure and its importance
In the nursing profession, it is important for the nurse to have the knowledge required in
taking blood pressure. As stated earlier, high blood pressure is the most common disorder among
human beings. Patients with high blood pressure are at a higher risk of heart disease, heart
failure, stroke, kidney failure, kidney disease, and eye problems among others (Boyer, 1990). It
is also important that the nurse has knowledge of the causes of high blood pressure so as to
Nursing Essay 6
manage the underlying problem. High blood pressure may result from, excessive salt intake,
kidney problems, smoking; high consumption of alcohol, overweight/obesity, and normal cases
such pregnancy and family medical history. An ideal example is an obese person; he/she has
constricted blood vessels due to the accumulation of cholesterol in the vessels. This cases the
blood to flow in high pressure.
The nurse should be able to communicate with the patient and establish these facts about
the patients life. The nurse should also have knowledge of methods of preventing and managing
blood pressure. This is important because the nurse should be able to advise the patient on how
to prevent or manage high blood pressure. Background information helps the nurse to give the
most appropriate advice to the patient depending on their background. Methods of preventing
blood pressure include eating healthy foods, increased physical activity, maintaining a healthy
weight, reduction of salt and alcohol intake, quitting smoking, taking medication, and monitoring
blood pressure regularly to ensure it is within normal range. This way, the nurse is able to help
the patient improve their quality of life. A good example is where an obese child is put under a
healthy diet as well as physical activities to enhance blood flow.
The nurse should also have knowledge of medication for high blood pressure patients.
This is because nurses are tasked with administering medication to patients during execution of
patient monitoring. Given that the nurse has proper background information. Administration of
medication is not only a task that nurses carry out daily; it requires thought and implementation
of professional judgment and knowledge. Administration of medication is conducted according
to the standards for medicines management for hypertensive patients. This applies in a case
where the nurse uses his/her knowledge and skill in determining whether to carry out an
emergency delivery or to administer fluids to control the high pressure in a pregnant woman.
Nursing Essay 7
Administration of medication for high blood pressure patients must be in line with
processes and methods of administration which include but not limited to medicine
administration charts, patient-specific/group direction, home remedies and prescription forms.
The nurse should check for directions on administration. Ensuring that the patient is not allergic
to the medication before administration is important as different people react different to
different chemical substances such as sulphur. The nurse should understand the therapeutic uses
of the medication and ensure that it is in line with the patient’s plan of care. This requires
background knowledge of all anomalies and trends related to high blood pressure patients.
Documenting blood pressure
Normal blood pressure is expected to be in the range between 120/80 mmHg and 100/60
mmHg. Documentation of blood pressure enables analysis of blood pressure by the doctor and
other medical practitioners working with the patient. Blood pressure measurement is one of the
first checks that a patient goes through especially in the emergency department. The nurse is
expected to document systolic and diastolic blood pressure. Measuring blood pressure also
requires precautions such as ensuring frequent calibration of aneroid and digital manometers.
This requires competence, commitment, integrity and caring skills (Boyer, 1990).
The nurse should use a functional and validated device and ensure that it is properly
calibrated. The high blood pressure reading should be recorded immediately. The value should
be to the nearest 2mmHg. Rounding off to the nearest 0 or 5 results is a common error in the
nursing profession. When reporting the results, they should be in the perspective of the patient’s
overall condition as well as other signs and symptoms observed. An ideal example is a diabetic
patient; they are more prone to hypertension. A nurse should consider all factors in such patients
Nursing Essay 8
as there may be other inputs leading the high blood pressure like in hypoglycaemia where there
is excessive sweating, convulsion and very high blood pressure.
Professional Values alongside taking blood pressure
Respect as a principle is enshrined in the universal declaration of human rights and which
proclaims basis for respect founded on the recognition of inherent dignity and equality of human
beings (Hansten & Washburn, 2000, p.16). Making patients feel respected during the taking of
blood pressure involves a multifaceted approach. Patients express important intuitions that may
be of substantial conceptual relevance. Nurses demonstrate respect by doing actions that are
good in nature; they should ask the patient for permission before performing any examination.
While taking blood pressure, nurses encounter patients who are disrespectful and ill-mannered
should be handled with patience (Henderson, 1991, p.34). Patient dignity is central towards
enhancing patient care. Maintaining dignity is important in cultivating a good relationship
between nurses and patients to promote their wellbeing during treatment, as it boost service
delivery (Burn & Grove, 2009, p.11). A nurse can achieve patient’s dignity by allowing them
time to prepare themselves for any procedure in private.
Hasten & Washburn suggest that one way of enhancing health care is by having a written
policy/guidance on the patient (2000). Nurses should abide and practice these procedures and
practices for treating patients with respect when taking blood pressure (Cook et al., 2003, p.12).
In an attempt to improve patient care, nurses should undergo periodical training to ensure they
are taught on how to handle matters related to dignity. Dignity should be expressed by how
nurses handle a conversation with patients as well as their colleagues (Henderson, 1991, p.23).
Individualized care is a crucial indicator of quality patient care. Through understanding patient
Nursing Essay 9
experience, behaviors, feelings and perception a nurse is able to offer personalized care (Boyer,
1990, p.19).
Family, nurses, and patients consider nursing to be an important feature of individualized
care. Nurses devise various health care plan based on this personalized health care so that they
can treat each patient uniquely. Promoting individualized care takes the form of respecting
people’s values and putting patients at the center of care (Burns & Grove, 2009, p.11). In
addition to that, the 6Cs of the nursing profession emphasize compassion in practice (Cipriano,
2007). The 6Cs are care, commitment, compassion, competence, communication, and courage.
My professional values as a nurse are necessary for taking blood pressure. This involves
ensuring that I show the patients the utmost level of respect, by asking questions with patience; a
nurse should also have a good choice of words to avoid conflicting with the patient. This enables
me to promote their dignity and promote individualized care to the patient.
How values and skills enhance patient care
There are a number of reasons why professional values and skills are advocated in the
nursing fraternity. In this century, professional values form the bedrock of modern healthcare.
Adhering to professional values and skills come with a lot of benefits for nurses. By offering
individualized care nurses are able to forge a relationship with the patient and their families. This
is particularly important as it eases the tension and both parties are able to communicate freely.
By forging respect, dignity and emphasizing with the patient, they feel that their concern is being
genuinely addressed and they are receiving value for their money. This makes them more
comfortable and open to sharing their stories and their insecurities (Cook et al, 2003, p.34).
Nursing Essay 10
Linking knowledge, skills, and values to the concept of caring
Taking blood pressure is one of the exciting tasks that I enjoy in practice. However,
before I take the blood pressure of patients, it is important to collect basic patients’ information
such as weight, age, and marital status (it enhances practitioner’s understanding; married people
undergo violence, there are also cases of pregnancy, among others). This is because the results of
the blood pressure may be dependent of the above personal information. It requires the concept
of caring, as it is important to identify the root cause of the problem other than just identifying
and treating the abnormality. The most accurate and reliable method of taking blood pressure is
using a sphygmomanometer. In many in cases, when I want to acquire accurate measurement, I
use this method. This is compared to digital methods, the traditional method is dependable and
chances of failure are minimal.
Before the procedure of taking the reading, I request my patients to straighten their arms,
and I personally ensure they are relaxed as I fit them with the cuff. Then, I turn on
sphygmomanometer air inflate valve and then reduce the inflation concurrently. Afterwards, I
locate the patient's pulse by using my index finger. Later I release the air by flipping it
counterclockwise. At this point, the pressure turns to 2 to 3 millimeters per second. This is the
last stage, in which I take patient systolic and diastolic pressure. The sound that goes through the
earpiece resembles a slight tapping sound. Documenting blood pressure is very important
because it provides the basis for doing blood analysis and screening. However, taking blood
pressure require precautions and the only the highly qualified, committed and competent are the
necessary skills required. Only a trained nurse is able to detect the systolic and the diastolic
blood pressure when using a mercury sphygmomanometer.
Nursing Essay 11
The Concept of caring
Caring as a concept is linked to the requirements of knowledge, skills, and value that
provide a professional guideline for regulating nursing. Application of knowledge and skills to
nursing practice is crucial in building a credible nursing practice (Handley & Dodge, 2013, p.19).
This is possible by integrating knowledge, simulation, and practice, which are the fundamentals
in achieving inherent value and work of nursing. Simulation enhances and improves nursing
skills and knowledge through integrating the two (Handley & Dodge, 2013, p.18). Dyad for
nursing is built on a strong foundation of knowledge and care that is critical in providing safe
and quality care to the patients. In nursing, concepts are perceived to be specific to a certain body
of knowledge while caring is seen as a concept that encompasses compassion, and respect.
However, nursing practice goes over and above basic knowledge and ability to care (Cook et al
2003, p.11). The profession also requires some personal sacrifice and successful nurses are those
whose aspect of caring is from within. This is because nursing is a vocation; they should operate
all around the clock and should be available on call.
Two years ago NMC introduces a new code of professional standards for nurses and
midwives (Nursing and Midwifery Council). This code of professionalism places the user and the
patient at the fore. In an attempt to decode caring, NMC structured four main points that
encompass caring. They include prioritizing people, trust, professionalism and practicing
effectively. The department has been running seminars and workshop to rubber stamp caring as a
virtual that needs to be depicted by all nursing practitioners. This code places emphasis more on
compassionate care, trust and teamwork (Bastable, 2017). To uphold the dignity of the patient, the
code of ethics has included a requirement to deliver fundamental care to the patients.
Nursing Essay 12
Linking skills and values to caring and professional responsibility
There is a big link between professional responsibilities and nursing care in a nursing
fraternity. Professional values and core values work together and they complement each other in
the service delivery to the patient (Zerwekh & Claborn, 2006, p.12). The relevance of caring and
different core values of professional nursing practices are crucial in providing necessary support
for the patients. Caring is very important in nursing and as a concept, it has led to the
development of various theories. In an attempt to elaborate term care, various theories have been
put forward to explain. This means that skills and values go hand-in-hand with caring and
professional resposbility. In any nursing institution around the globle, the main objective is to
instill the nursing knowledge, which in its defult carries the concept of care. This means that a
nurse should combine his/her nursing skills and knowledge so as to achive the profession’s
objective.
Conclusion
Taking blood pressure is a task undertaken to identify the most common disorder in the
circulatory system. Taking blood pressure requires implementation of professional skills, values,
and knowledge. It also requires implementation of the 6Cs and the concept of caring. The
concept of caring and professional values is critical in providing necessary support for the
patients in general. Knowledge and skills are important aspects of effective nursing as indicated
in this research (Westberg & Jason, 2011, p.21). To pursue this profession, respect and dignity
are crucial for success. Personal success calls for patience, diligence, and care. From the above
literature review and a case of this study, we can conclude that knowledge, skills, and values are
inter-linked.
Nursing Essay 13
References
Benner, P. (2001). From novice to expert: Excellence and power in clinical nursing practice
(Commemorative e.d.). Upper Saddle River, NJ: Prentice Hall.
Boyer, E. (1990). Scholarship reconsidered: Priorities for the professionate. Princeton, NJ:
Carnegie Foundation for the Advancement of Teaching.
Burns N, & Grove S.K. (2009). The practice of nursing research: appraisal, synthesis, and
Generation of Evidence.st Louis: Saunders Elsevier.
Cook, T., Gilmer, M., & Bess, C. (2003). Beginning students’ definitions of nursing: an
Inductive framework of Professional Identity. Journal of Nursing Education, 42(7),
311317
Cipriano, P. (2007). Celebrating the art and science of nursing. American Nurse Today, 2(5),
8.
Hansten, R., & Washburn, M. (2000). Intuition in professional practice: Executive and staff
Perceptions. Journal of Nursing Administration, 30, 185189.
Henderson, V. (1991). The nature of nursing: Reflections after 25 years. Geneva,
Switzerland: International Council of Nurses.
Jerlock, M., Falk, K., & Severinsson, E. 2003. Academic nursing education guidelines: A
Tool for bridging the gap between theory, research, and practice. Nursing and Health
Sciences, 5(2), 219-228
Nursing Essay 14
Paul, R. (1995). Critical thinking: How to prepare students for a rapidly changing world.
Santa Rosa, CA: Midwest Publishing.
Weis, D. and Schank, M. J., (2000). An instrument to measure professional nursing values.
Journal of Nursing Scholarship, 32(2), pp.201-204
Wolfgram, L. J., and Quinn, A.O.L., (2012). Integrating Simulation Innovatively: Evidence
in Teaching in Nursing Education. Clinical Simulation in Nursing, 8(5), pp.e169-
e175.
Westberg, J., & Jason, H. (2001). Fostering reflection and providing feedback. New York,
NY: Springer.
Zerwekh, J., & Claborn, J. (2006). Nursing today: Transition and trends. St. Louis, MO:
Saunders.
Nursing and Midwifery Council (Great Britain). (n.d.). Nursing and Midwifery Council: NMC. Place of
publication not identified: Nursing and Midwifery Council.
Bastable, S. B. (2017). Nurse as educator: principles of teaching and learning for nursing practice.
Jones & Bartlett Learning.

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