For nurses to be truly effective in the 21st century, nurses must support expanded access to wellness promotion strategies, like having affordable and nutritious food in low-income community, more movement-friendly urban design, and expanded access to healthcare and health insurance for individuals in all locations, and in all demographic segments of America.
As nurses face increasingly cost-conscious environments, the ethical issues related to providing care for all will become even more manifest, and in promoting improved healthcare knowledge nurses must acknowledge the economic and political impact of decisions that are made outside of their immediate nursing environment.
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The concept of ways of knowing, particularly aesthetic ways of knowing, is an important component of understanding why more experienced nurses seem to have additional advantages that new nurses, regardless of their technical qualifications, do not posses. I believe this is for two reasons: one, an older nurse has more hands-on and empirical knowledge based upon personal experience and practice. But this phenomenon is also due to the aesthetic or 'art-based' elements of nursing, which encompasses nursing instincts about patient needs and what is troubling the patient. The ethical component or the striving of the nurse to become a morally sound professional is also a continual negotiation or struggle. Mentorship is thus a vital component of nursing education, to maximize the possibilities...
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