Skills in Nursing Practice

Skills in Nursing Practice

Various clinical experiences offer nurses and other health scholars the opportunity to learn and improve their service delivery to the patients. Participating in patient care and working together with them gives them more information regarding the proper method in which to handle the cases they are presented with. Through analyzing critically and demonstrating some of the skills acquired in the process, one can be able to influence nursing practice leading to increased quality of care positively.

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Skills and Nursing Interventions

Registered nurses can apply many skills in a clinical setting. To begin with, critical thinking is an essential component of nursing practice. It enables one to readily identify problems and work towards their solution as soon as they present. In many scenarios in the healthcare environment, patients present with issues that require immediate interventions. In some of them, the responses have to be preceded by quick and careful assessment. Better critical thinking skills enable the care provider to capture all of the essential components of the patient’s situation before applying necessary therapeutic processes.

Comprehensive assessments need to be done at all times. This skill ensures that no determinants of a patient’s general health are ignored before decision making. A thorough evaluation focuses on all the aspects of health, ranging from physical to social. Considering that the patients are the most critical shareholders in the health industry, they have to be provided with a holistic kind of care. By offering this kind of attention, patients are at a reduced risk of readmission and have better chances of full recovery. When assessing patients at presentation, it is recommended that healthcare providers be aware of all the required components so that none is left out. Most failures in nursing interventions are caused by failure to consider some of the essential health components. It is, therefore, of much significance for this skill to be taught among nurses.

Inter-professional communications are utilized to improve the quality of care as input regarding service delivery is provided by health professionals from different speciality areas. With the rising advocacy for healthcare institutions to embrace multidisciplinary care, nurses’ relevance in the teams has become vivid. Nurses vastly execute direct communication and actions to patients. With the patients also being involved in the decision making process, interventions should be determined by the team. A multidisciplinary approach to various cases is often associated with better outcomes for patients as provider experiences and evidence-based practice influence a lot.

Links with Nursing and Midwifery Board of Australia (NMBA) Registered Nurses Standards

During the application of critical thinking, there is an ethical framework that is to be used by nurses (Cashin et al., 2017). It is to protect the patient and to ensure that the process yields useful results for the interventions to be offered. The procedures provided to the patient need to comply with the available policies, regulations and guidelines that govern healthcare delivery. When making these assessments, the registered nurses should ensure that all their findings are documented. By doing this, nurses can readily refer to their documentation to ensure that the right interventions are provided for each patient. The records made in the course of treatment can also be used to meet some research demands. Respect for cultures and social differences also need to be provided.

The assessments conducted on patients should be comprehensive. They should give the required details of every system that needs to be handled in the course of treatment. None of the vital signs should be left unchecked; they should also be measured regularly to ensure that they are within the normal range, or the patient is responding appropriately to the treatment being offered. In this process, the registered nurses should be well equipped with all techniques that are required to meet the standard assessment demands. The resources can also be assessed at this stage to determine the kind of care plan that will be developed for the patient.

Engagement in professional relationships in a healthcare setting offers a broader ground for nurses to expand their knowledge on health issues and how they need to be addressed. When health employees work as a team, patient outcomes are better. It is because the specific efforts exerted by each member of the team contribute to an extent the general health delivery process. It also enables nurses and other professionals to obtain useful information from different disciplines within the health market.

Inter-professional Team Members

When offering emergency nursing procedures, there are a lot of health professionals that need to assist the nurse. These health professionals need to be well versed with the components of their field and be ready to work with a team. Nurses often work together with doctors in these instances, as most of them are considered life-saving procedures.

In this case, numerous professional team members are needed to meet the demands of patients who are mentioned therein. The ideal ones include an emergency physician, cardiologist, pulmonologist, counsellor, psychiatrist, surgeon, nurses and a neurologist. An emergency physician would make inputs on how to promptly respond to presenting and new health concerns such as arrhythmias.  A cardiologist and pulmonologist are needed to enable proper assessment and management of the cardiopulmonary problems likely to be encountered. Having a psychiatrist is always helpful, especially among patients with altered mental status (Busari, Moll & Duits, 2017). A counsellor can also be beneficial to some extent. With the possibility of changes in consciousness levels, a neurologist should be part of the team members. A surgeon is required when surgical intervention is deemed necessary.

Gibbs’ Reflective Cycle


Patients were received in the facility following the usual channels and were assigned to respective clinical areas. The assessment was conducted and interventions executed; however, the responses were not ideal, and some of the patients deteriorated calling for the need to do further investigations and manage accordingly.


Incorporating theoretical aspects of healthcare into an actual clinical setup may be challenging. As nursing scholars, we often feel discouraged and challenged whenever we implement some of the knowledge we have into practice without success.


Such scenarios are often challenging as nurses find it not easy managing some of the cases they are presented with. It is an indication that elaborate patient assessment should precede nursing interventions to increase success rates


A thorough patient interview and examination should always precede any therapeutic measures to enable the nurses to be well aware of the condition they are managing (Koshy, Limb, Gundogan, Whitehurst & Jafree, 2017). In so doing, they stand a higher chance of providing ideal solutions to problems of the patients


There are various approaches to making appropriate and comprehensive assessments before giving nursing interventions. It is of highest recommendation that nurses make use of these approaches. They range from measuring of all vital signs to referring to the patient’s previous visits. It is only through this that important details cannot easily be missed

Action Plan

Patients should be considered an essential stakeholder in the healthcare industry; hence all interventions should focus on improving their health status. Nurses take part in this by positively interacting with the patient, participating in infection prevention measures and conducting a comprehensive assessment before interventions. Inter-professional input is required when providing holistic care to the patient. By utilizing information from members of different disciplines, nurses are bound to work with them as a team towards the betterment of healthcare delivery






Busari, J., Moll, F., & Duits, A. (2017). Understanding the impact of interprofessional collaboration on the quality of care: a case report from a small-scale resource-limited health care environment. Journal Of Multidisciplinary Healthcare, Volume 10, 227-234. doi: 10.2147/jmdh.s140042

Cashin, A., Heartfield, M., Bryce, J., Devey, L., Buckley, T., & Cox, D. et al. (2017). Standards for practice for registered nurses in Australia. Collegian, 24(3), 255-266. doi: 10.1016/j.colegn.2016.03.002

Koshy, K., Limb, C., Gundogan, B., Whitehurst, K., & Jafree, D. (2017). Reflective practice in health care and how to reflect effectively. International Journal Of Surgery Oncology, 2(6), e20. doi: 10.1097/ij9.0000000000000020

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