Introduction

The Healthcare system has come a long way, and there is always a need to restructure the plan to remain relevant. In this field, the nursing practice should always be geared towards the required standard quality. It is quite evident that professional nursing is a crucial element of excellent patient care and healthcare practices generally. Nursing as a profession is guided by its code of conduct, philosophical ideas; it’s setting in the health care system, and its own license. It makes professional nurses responsible for their work, their values, their communication, and decision making. Ideal conceptual framework describes nursing in different ways, and it influences the critical thinking and decision making in nursing and beliefs/values and communication.

Conceptual Framework Describing Nursing and its Utilization

The utilization of a conceptual and theoretical framework to establish the educational curriculum of nursing activities is crucial to protecting and preserving the nursing contribution to health systems. Conceptual nursing frameworks as a profession provide a way to view nursing concerning external factors, thus assigning meaning to the practice (Wilson et al., 2015). Graduate-level nursing education in the preparation of Nurse Practitioners and Advance Practice Nurse is compromised by the idea to conceptualize the learning in these complex programs as being related to skills-based tasks and competence alone.



The ideal best conceptual model to go with is the harmonized nursing model at the graduate level. It ensures that students have a deep understanding of what nursing is and what it entails. Regardless of any education level, this education framework should enable nurse educators to acquire enough guidelines to construct a curriculum and determine the knowledge and skills needed by the nursing students (Wilson et al., 2015). There is also a need for the Advanced Practice Nursing curricula to be innovative and critically reflective. It is to prepare students to be able to adapt to challenges in the work stations. The curriculum to deliver content has to rely on an interdisciplinary framework. The frameworks help to establish a relationship between education, objectives, and nurse content in the clinical field. It facilitates the grounding of a nurse lens in the education field of advanced practice nursing activities (Wilson et al., 2015).

Decision-making in nursing requires a lot of professionalism. The conceptual framework of the harmonized nursing model is crucial decision-making. It provides knowledge on the role of awareness in practicing nursing and the ethics necessary to incorporate it. The framework guides the development and implementation of interprofessional education and collaborative practice curricula for nurse practitioners, which generally influence how nurses make work decisions and practices (Wilson et al., 2015). The use of education knowledge will provide the primary basis for various theories to use as a nurse in clinical practice. Without the education framework and understanding the concepts deeply, it will be hard for me to practice nursing, and result in making poor decisions.



Nursing is a professional carrier, and it requires formal education and good practice to be a qualified and efficient nurse. Nursing is an art, and not everyone can master and execute it. It requires a heart, care, and a lot of time, and it is always changing with time depending on the health requirements and standardization. As a nursing person, there is a need to be well educated, have social ethics, and be professional. A nurse should be nonjudgmental and always open-minded. At personal levels, a nurse should have a good partnership with other health specialists like doctors in the work environment. Environmental factors have an effect on the way nursing activities are executed. There is always pressure and a lot of workloads. Physical and mental strength and good health will help nurses carry out the task efficiently and be organized in managing time and activities. Good health and favorable working conditions will boost a nurse’s working ability and accomplish multiple complex tasks under various environmental constraints. Professional nursing should alleviate patients suffering and foster the right working environmental conditions with various people in the related field.

A person’s values and beliefs are significant as it provides a basis for decision making. They shape the way we behave as individuals and in groups. Excellent professional values in nursing provide a foundation to ensure excellence in the nursing field for the benefit of the public and personal benefits. Nursing is a profession full of professional ethics and ethical values that determine nursing performance (Poorchangizi, 2019). Personally, as an individual, some of the core values that guide my nursing practice include human dignity, integrity, hardworking, and social justice.  There is a need to have integrity at the workplace, which provides strong moral principles to adhere to. Integrity will ensure my work standards and determination remain professional and at the required level. Human dignity is essential in ensuring respect and order are maintained at the workplace. It helps to support human rights, and it will assist me in serving everyone fairly without discrimination or favoring others.  There is also a need to be hardworking rather than been lazy as hard work pays. Hardworking is a value that will ensure I am always working towards achieving the health sector’s goals and visions.



Efficient communication is crucial to the quality of care. The communication between nursing staff and other specialists is paramount in the health sector (Hughes, 2019). There is a need always to provide accurate patient information to each staff to ensure that a patient can receive proper and sufficient care and treatment. Many communication tools are usually used in health environments for nursing staff to communicate efficiently. One primary communication tool that influences my communication is the SBAR (situation, background, assessment, and recommendation). It is an efficient tool for me to pass information to other staff without including unnecessary details. It is possible for me to quickly and efficiently describe changes in patient status, how the situation started, my opinion of harmful factors, and a possible solution to be approved. Due to the standardized prompt questions in sections, the tool enables me to share concise and focused relevant information within a short time. It will help to reduce repetition and the likelihood of various errors. The structure will allow other staff to anticipate the information and encourage assessment skills. The tool provides a base for the staff to formulate information that has the right level of detail.

SBAR (situation, background, assessment, and recommendation) communication is a powerful tool. Some of its strengths include taking uncertainty out of important communication in that it prevents the use of assumptions and vagueness that sometimes occur. The tool also prevents breakdown in verbal and written communication. It creates a shared mental model around patient handovers and situations that require a critical exchange of information. SBAR also helps make handovers quick and effective, and this saves time, and the clinical workers can have more time for clinical activities. The tool also levels the traditional hierarchy between doctors and other specialists as it builds a common communication language. It reduces communication barriers between different healthcare professionals and accessible communication of critical events. It is also easy to remember, and it encourages nurses always to think and prepare before communicating any information. Even though the SBAR tool is powerful, some weaknesses usually arise. The tool will be useless if the person has not been trained on how to use the tool. There is a need to teach all the nurses and other staff, and specialists on using the communication tool. There is also a need to provide funding for the tool as it requires forms with structured details. Also, different departments will need different detail settings and formats. Also, due to changes in the health sector with time, the communication tool will need to be revised and restructured to remain relevant. It consumes the resources and time of the organization.



Communication is a crucial tool to enable the passage of information from one party to another. In the nursing field, there will always be interaction with other health practitioners and staff members. The communication style at hand will impact the information I will pass to my team, and collaborate well with them. My communication style of using the SBAR tool can help in an interdisciplinary team meeting. The presence of various members of the team can help to formulate the appropriate ways to present current situations and the relevant background. The assessment will include a discussion with the team to clarify the findings and a joint review of the results and finally agree on recommendations to document in the patient’s notes. It is an effective communication strategy and provides views of the whole team.



Conclusion

Professional nursing is an art and practice that requires a standard learning process and professional guidelines. A nurse should be of good health and sound mind, physically and spiritually fit to carry out the various health practices. Education and conceptual nursing frameworks ensure that a nurse learns and understands the principles and concepts of this field. There is a need to have core values and personal beliefs that provide guidance on how a nurse behaves in performing health duties. Communication skills are essential as it provides a way to pass information between educators, nurse, patients, and other medical practitioners. The use of communication tools also offer a medium to exchange information effectively


References
Hughes, L. (2019). Nursing communication tools.
Poorchangizi, B., Borhani, F., Abbaszadeh, A., Mirzaee, M., & Farokhzadian, J. (2019). The importance of professional values from nursing students’ perspectives. BMC nursing, 18(1), 26.
Wilson, R., Godfrey, C. M., Sears, K., Medves, J., Ross-White, A., & Lambert, N. (2015). Exploring conceptual and theoretical frameworks for nurse practitioner education: a scoping review protocol. JBI database of systematic reviews and implementation reports, 13(10), 146-155.