Clinical Competence In Nursing Practice Free Essay

Nursing can be portrayed as both a craftsmanship and a science nurturing abilities with specific strengths, interests, and expertise. Ordinarily, health facilities have either licensed practical nurses (LPNs) and registered Nurses (RNs), as medical attendants with distinctive instruction planning and opportunity of drill duties to execute pharmaceutical resolution. Therefore, LPN’s and RNs fill a crucial part in present-day health care practices. Their essential work obligation is to supply schedule care, watch patients’ wellbeing, help specialists and registered medical attendants, and communicate facts to the sick regarding home-based precaution, medicine, and preventive way of life variations. Thus, a registered Nurse has different of roles that they have to be overseen on a day to day premise, such as being an advocate for their patients, a teacher, being a counselor, a consultant, researcher, collaborator, and indeed a chief depending on what kind of work precisely merely do and where. It is the nursing prepare and necessary considering that partitioned the RN from the unlicensed assistive staff or student nurses. It is important to evaluate the professional competency achieved by student nurses when they register as RN to the BSN program as defined by the Commission on Collegiate Nursing Education (CCNE) and the American Association of Colleges of Nursing (AACN).

The registered nursing acts effort in assessing the health status of individuals and groups. The legislation is established to meet established goals for identified healthcare needs, planning care strategy, and implementing corrective actions appropriate for strategic care. The Nurse Practice Act is the rulebook guiding practicing healthcare providers. Therefore, the nurse practice Act adopted in the USA strategies to reduce patient and care providers’ risk of harm. The Act outlines the rules and regulations that ensure patients receive quality care and promote patient safety (Cherry & Jacob, 2016). The Utah Nurse Practice Act offers guidelines of the education, examination, and experience requirement for licensed registered nurses (Utah Rule R156-31b, 2020). Through the Act, register nurses need to complete an approved entry program to acquire a practicing license. As registered nurses, student nurses have to understand and adhere to the Nurse Practice Act’s principles based on the program they are registered with, depending on the different states recommendations. The guidelines enhance the appropriate level of qualification and competence necessary for practicing registered nurses. Therefore, the Act requires that we, nurses, adhere to healthcare requirements, especially with the diversifying trends in global healthcare situations. Therefore, registered nurses are expected by the Nurse Practice Act to engage in life-long learning programs to increase their competency in care technologies.

Furthermore, the provision for qualification requirements, the Act have helped me to acquire relevant skills as a registered nurse to meet the requirement for the entry licensing program. The evaluation program needs registered nurses to partake in common education, examination, and experience requirement standards to ensure that health care is regulated in a standardized program (Utah Rule R156-31b, 2020). Through this entry program evaluation, student nurses gain confident that a registered nurse meets the care provision field’s requirement. The entry program also increases my knowledge and experience in the nursing career.

Judgments are based on prove instead of presumptions and negligible preparing. The LPN considers some time recently acting. Each nurse knows the esteem of appropriate quiet instruction. Care plans are made for the persistent arrange of care with objectives and results. Care plans have themes that require understanding guidance. The care plans can run from wound maintenance to quiet security to medical training. The situation is imperative to assess which learning style individual patients lean toward for them to get it best what should be done for the most extreme suitable result. Licensed practical medical caretakers are advocates, and that’s somebody who underpins and provisions of data to the patients. Support regularly encompasses upended bolster of persistent and human rights. This can be particularly genuine when patients are not able to secure and possess rights.

Furthermore, Licensed Practical Nurses (LPNs) execute task-based attention care beneath the heading of an enrolled caregiver. Individual assignments may incorporate regulating medicines, wound care, and compelling vital signs. Whereas considerable LPN obligations are nurturing assignments, there are authority openings accessible in a few societies. Practical medical attendants are presently taken note for their adaptability and versatility. In numerous states, LPN’s are authorized to manage solutions, care for patients who are ventilator subordinate, and indeed begin intravenous (IV) liquids. The part of a nurse appears the selflessness of the individual. It is choosing to put somebody else sometime recently one’s self. It is the act of changing from anything sort of individual they are on the exterior of the working environment, and getting to be somebody who is non-judgmental, hopeful, positive, caring, compassionate and has the understanding ability to be able to supply care whereas regarding the patient’s desires and convictions (Williams & Hopper, 2015). Some skills of BSN program nurses can be performed by the LPN in the event that, and as it was in the fact that, the manager has documentation of legitimate preparing, proceeding instructions courses, confirmation of aptitude competency by at slightest an RN, and visit assessment of the nurse’s competency of completion with the expertise being performed, on record (Silvestri & Silvestri 2016).

Practical medical attendants are presently taken note for their adaptability and flexibility. In numerous states, LPN’s are authorized to manage solutions, care for patients who are ventilator subordinate, and indeed begin intravenous (IV) liquids. The part of a Nurse appears the self-sacrifice of the individual. It is choosing to put somebody else sometime recently one’s self. It is the act of changing from anything individual they are on the exterior of the work set and getting to be somebody who is open-minded, idealistic, optimistic, compassionate, compassionate and has the considerate ability to supply care whereas regarding the patient’s needs and convictions. The nurse must be prepared on how to do this aptitude, but unless she is taught, at that point, the ability is futile.

The RN can perform a few abilities of BSN program medical caretakers in case, and as it was in the event that, the boss has documentation of appropriate preparing, proceeding instructions courses, confirmation of ability proficiency by at slightest an RN, and visit assessment of the nurse’s aptitude of accomplishment with the fitness being achieved, on record. Authorized Viable Medical attendants are permitted to help in delivering the initial appraisal; on the other hand, they are not allowed to form nursing analyze. They mutually authorize the LPN to confirm blood by an RN, but LPNs are not permitted to drape blood, do any aspiratory course weight or articulate passing. In an observational review of pharmaceutical compromise in a nursing domestic, BSN program establishes that RNs are dependable to identify and convey pharmaceutical arrange disparities to doctors when inhabitants move to the nursing home.

In any case, personalized nurse experiences with genuine time inhabitant exchanges, coordinate comparisons may not be made. Hence, nurses or medical attendants at all levels require substantial authority aptitudes to contribute to understanding security and quality of care. However, the history as a calling ruled by females can make it less demanding for arrangement producers, other wellbeing experts, and the open to see medical caretakers as “practical doers”—those who carry out the informational of others—rather than “thoughtful strategists”—those who are educated choice creators and whose free activities are based on instruction, prove, and involvement. Nursing Administration distinguish medical attendants as the foremost trusted sources of wellbeing data. Medical attendants act as the wellbeing experts that ought to have a more noteworthy impact than they as of now do within the primary ranges of quality of understanding care and security. The pioneers overviewed accepted that major deterrents avoid medical caretakers from being more compelling in wellbeing approach choice making.

Subsequently, to be more viable leaders and full accomplices, medical attendants ought to have two primary sets of competencies: a standard set that can serve as the establishment for any authority opportunity and a more particular set custom-made to a specific setting, time, and input. The previous collection incorporates, among others, information of the care conveyance framework, how to work in teams, how to collaborate successfully inside and over disciplines, the essential fundamentals of proper care, how to be a successful understanding advocate, hypotheses of advancement, and the establishments for quality and security change.

In Conclusions, in health facilities, registered nurses are in a critical position to recognize inconsistencies that may cause inhabitant hurt. LPNs and RNs are valuable resources to residential nursing care and protection inhabitants secure — however, RNs deal with a particular commitment to compound forms, including pharmaceutical compromise. Nursing domestic pioneers must recognize the RN commitments and sort individual medical caretakers within the most qualified part are allotted to guarantee inhabitants stay secure. Although collaboration is, for the most part, a prime objective, there are numerous times when medical caretakers, to convey excellent understanding and family care, must step into an advocate part with a single voice. At the same time, compelling authority moreover requires acknowledgment of circumstances in which it is more vital to intercede, collaborate, or take after others who are acting in authority parts. Medical caretakers must get it that their authority is as critical to giving quality care as is their functional capacity to convey concern at the bedside in a secure and prosperous way.


Cherry, B., & Jacob, S. R. (2016). Contemporary nursing: Issues, trends, & management. Elsevier Health Sciences.

Rule R156-31b. Nurse Practice Act Rule. As in effect on January 1, 2020, Utah Administrative Code.

The Ronald Coase Theorem Free Sample

The Coase theorem comes from the idea that firms exist to reduce costs due to transactions because of exchange and production. This thereby creates efficiency, which individuals cannot capture. In his article about the Federal Communications Commission, he states that without transaction expenses, initial property rights arrangements result I outcomes that are effective economically. This is the Coase Theorem.

Coase therefore provides an alternative to regulation and provision of services by the government by; first illustrating that market on its own can create economically efficient outcomes. He methodically explains that intervention through regulation can sometimes or under certain conditions result in lesser economically effective outcomes. Sometimes these outcomes are actually lesser than the markets can create on their own without government involvement.

Firms are profitable to put up since the price mechanism is expensive. Costs due to the price mechanism can be reduced but cannot be done with totally. This is because of the presence of specialists who sell information. One can also note the expenses of starting and finishing a separate contract. In some markets for example produce exchanges, these expenses are minimal but still present. Firms do not do away with contracts but at least help reduce.

In short, this can be explained as: market operations incur expenses. Organizations enable entrepreneurs to take charge of resources and this thereby helps avoid some costs. This is because the entrepreneur has to do his work at minimal expenses or may obtain factors of production at cheaper prices than the market transactions displaced. The entrepreneur has an option to return to the open market if he or she cannot operate at a lesser cost.

However, the Coase theorem is contrary to the Pigouvian concept that the government increases efficiency by making up for deficits called market failures. Pigou reasons that one party harms a second party by engaging with a third or another party. However, according to Coase, an infringement occurs because of disputes over the use of resources. Thus, preventing one party from harming another is similar to harming the first party.

According to Coase, allocation of property rights is not important as far as efficient economic outcomes are concerned. This is because eventually parties will have a way of obtaining similar outcomes irrespective of how the property rights are assigned, that is irrespective of who gets to sue whom. Coase’s understanding of torts and his explanation of the assumptions or expectations of what legal systems should do during conflicts – increase economic efficiency rather than penalize specific conduct – was a big boost to the field of economics.

Coase’s keen interaction and close study of positive transaction expenses in economic exchange enabled him to make a remarkable conclusion (which he wrote in his article – “The Problem of Social Cost, 1960) that what is transacted on the market is rights to do certain actions and not physical entities, as most economists believe. The legal system is responsible for the rights that individuals possess. This is how definition of private property is a critical part of this analysis.

Conclusively, Ronald Coase has thus helped expand our understanding of why firms exist or why organizations have changed as they have. He has also contributed a lot to understanding how this has shaped public policy.


Coase R., The Nature of Firms and Their CostsThe Problem of Social Cost, 1960

Common Mental Health Issues Among Teenagers Sample Assignment

Today, children and teenagers face influences and pressures that could significantly affect their mental health. Although parents may frequently perceive their children as moody or going through a growth stage, strange behaviour could be ascribed to a mental health issue. Most mental health practitioners confirm that anxiety and depression are major health issues affecting the growing number of teenagers (Anniko et al., 2019). Adolescents often explain Irritability and mood swings and the changes that children and teenagers go through as they mature up. Unfortunately, these changes are also common signs of anxiety and depression that parents ignore or underestimate when they happen to their children (Anniko et al., 2019). In most cases, parents don’t understand what is happening with their children when such changes occur and usually tell their teens to snap out of such behaviors. However, depending on the severity of the condition, it could be impossible for the teens to stop the signs suddenly.

Many psychological and behavioral factors increase the risk of triggering teen depression. For example, teenagers may have psychological issues such as obesity, long-term bullying, peer problems, and academic challenges that adversely affect their self-esteem (Price et al., 2016). Also, issues like witnessing or being a victim of physical violence or sexual abuse may lead to depression among teenagers. The most common behavioral factors that may increase the risk of children being depressed include changes in appetite — poor appetite and weight loss, or weight gain and increased cravings for food (Anniko et al., 2019). Also, the use of drugs, agitation, or restlessness— for example, a teenager’s inability to sit still may contribute to depression.

Most studies show that depression among teens is significantly affecting today’s society. It is the leading global contributor world’s problem of diseases. The number of teenagers who commit suicide due to depression has increased every year after the decline in the 1990s (Price et al., 2016). Although researchers cannot explain this trend, most experts argue that teenagers today face a lot of pressure at home or school. The experts also say that the teens worry so much about the financial difficulties in their families and use more drugs and alcohol. Depression may develop into a severe health condition in the community, especially when it is recurrent and severe among teenagers (Price et al., 2016). It can cause the affected teen to suffer greatly and perform poorly at school and in the family. Sadly, if it is not managed in its early stages, it can also lead to suicide. Generally, depression is a kind of stress that affects teens’ academic performance and socializing with others. As a result, fear of its consequences prevents most teenagers from pursuing a dream outside societal norms and expectations.

Clinical depression isn’t a health issue that can get resolved independently. It requires mental health professionals, usually psychiatrists, to assess the patients thoroughly. Such checks would be carried out to help choose a therapeutic approach for delivering the best clinical outcomes. According to the Institute of Mental Health in Singapore, the report shows that depression is the most common psychological issue among teenagers (Anniko et al., 2019). Therefore, psychiatrists and healthcare providers may offer psychological treatment to the affected teens depending on the pattern of the depressive episodes or severity of the condition. Some of these psychological treatments programs may include interpersonal psychotherapy or antidepressants such as tricyclic antidepressants (TCAs), behavioral activation, and cognitive behavioral therapy (Anniko et al., 2019). Due to the increasing cases of depression amongst young people, various resources have also been set up to treat mental disorders relating to depression. An example of such resources is the Center for Young Women’s Health and Young Men’s Health. This website offers guidelines on teens’ emotional health, including testing eating disorders, bullying, and anxiety.


Anniko, M. K., Boersma, K., & Tillfors, M. (2019). Sources of stress and worry in the development of stress-related mental health problems: A longitudinal investigation from early-to mid-adolescence. Anxiety, Stress, & Coping, 32(2), 155-167.

Price, M., Hides, L., Cockshaw, W., Staneva, A. A., & Stoyanov, S. R. (2016). Young love: Romantic concerns and associated mental health issues among adolescent help-seekers. Behavioral Sciences, 6(2), 9.