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Furthermore, "nurses use clinical judgment to protect, promote, and optimize health, prevent illness and injury, alleviate

suffering, and advocate in health care for individuals, families, communities, and populations" (Thinking like a nurse: a research based model of clinical judgment in nursing). As a nurse use clinical judgment he or she is putting their experience, knowledge, and heart into what they are doing in order for the patient to be cared for the way they should. In the medical profession, I feel clinical judgment is very important because it allows not only a nurse but a doctor as well to make a life or death decision. Therefore, having clinical judgment triggers what is best for the patient through the knowledge and advances of the level of a nurse or doctor. For example, if a person doesn't think he or she is going to make it through life because their blood pressure keeps fluctuating without the person knowing, the doctor has to put his knowledge to affect. The doctor has to determine what medications to put the patient on, how many different medications the patient needs, which medication is going to have the least amount of side effects, etc. Making clinical judgments are one of the central reasons why nurses are responsible for taking care of the dying and disabled patients. As a nurse, it is necessary to provide a safe environment, conduct accurate research one will be responsible for, present good characteristics to shape the health policy in patient and health systems management. "In most health care settings, nurses are responsible for assisting individuals, such as the doctor, in performing tasks and activities that contribute to health, recovery, or peaceful deaths, in which the patients would perform if they had the strength, will, or knowledge required" (Nursing Careers: General Nursing Skills). When a nurse is on duty in a health care setting within the United States, the patient benefits from the nurse because one of the nurses responsibility is "to assess and monitor the patient, administer medication, provide personal care, document all patient records, provide the patient with education"(American

Nurses Association: What Nurses Do). For example, nurses have the opportunity to recommend healthful lifestyle changes, and perform medical procedures such as starting IVs. The patient benefits from the nurse in previous ways also because the patient trusts the nurse to take care of them and help them have a successful stay in a health care setting. In regards of the hospital division labor, the making of nurse professionals is a transformational and ethical approach. What is the nature of a profession and of nurse professionals? The sociological paradigm has not always held supreme status in nursing education and professional nursing in the United States. By sociological paradigm, I mean an interpretation or status of a nurse being a person who gives and serves their community as a whole. In other words, nurses are examples in society due to their care for others around them. Therefore, earlier education and writings in nursing stress the importance of development of character and good qualities in the individual nurse due to different aspects evolving around sociological paradigms. Nightingale, for example, spoke of character development of the nurse, the nurse's commitment to seek personal moral excellence and to live a life of purity to show how important a nurses status is. In conclusion, "nurses are expected to recognize and respond to a plethora of new demands arising from an ever-changing and increasingly complex healthcare system". This includes multiple regulations as well as accreditations. Nurses of course have to show the need for professional standards and accountabilities. Nurses have always been more than just educators and health care providers, they "emphasize safety, quality, efficiency, and effectiveness of practice while rapidly transitioning diverse generations of nurses into practice" (Nursing: Medical Profession).

Reflection: For this activity, I focused more on the use of quotes and putting things in my voice simply because it's a major weakness. I feel as though the edited piece is more thought out and allowed me to go back over my work and see my thought-out process as well as focus on a particular concept of my paper I needed to work on. Changing the level of formality affected my message because now I feel it's direct and people will know exactly what I'm talking about. In other words, the message is more clear of the role of a professional nurse. I will definitely incorporate this strategy in my actual essay, from the insertions to deletions, because it sounds better and is clearer than the original copy. This strategy has really helped me and I will use the strategy in other classes for the majority of my papers.

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