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Importance of biochemistry
in nursing
Prepared by: Ahmad Fadhil
Nursing is a career that involves more than taking care of sick patients, especially when working in health institutions (e.g. Clinics and Hospitals). According to the current curriculum guidelines for nurse graduation, it is necessary for this professional to develop different skills to work in several health care environments, including decision-making, communication, leadership, among others. Therefore, our objective was to plan a strategy to approximate Nursing freshmen students to their professional environment already in the very beginning of their graduate course. On that purpose biochemsistry is one of the most important course that must be taken for nursing student. Biochemistry is the study of chemical processes within and relating to living organisms. This field of knowledge is considered one of the most difficult disciplines for students in the Higher Education Area. Most of the Degrees and Bachelors programs related to Biology, Chemistry, Medicine, Biotechnology, and Chemical Engineering contain at least one course focused on Biochemistry. During the last few years, new Degree programmes focused on Nursing or Human Nutrition have been designed and implemented in most of countries and in most cases, those programs have been improved with the addition of courses related to Biochemistry, mainly applied Biochemistry. In general, professors have really appreciated this change, because Biochemistry offers the required knowledge to properly understand important processes such as metabolic disorders, the theoretical principle under some health care techniques, the assimilation of the nutrients, etc. However, Nursing students have a negative perception about Biochemistry and most of them consider that this subject is not necessary to become a qualified Nursing professional. Biochemistry is crucial to nurses in understanding how the human body functions in both normal and various disease states. The Krebs Cycle, for example, is a multi-step biochemical process by which the human body (and many other living organisms) produce energy as part of aerobic metabolism. If BSN programs omitted key fundamentals like this, nurses would have no understanding of how such common things as acute and critical illness, trauma, surgery, cardiac arrest, fever, infection, hyperglycemia, or starvation, for example, affected their patients. Nursing interventions are based on this understanding. In critical care, for instance, nurses learn how to preserve patients' energy by spreading cares throughout the day and night. Blood gasses are performed to ensure that patients’ acid- base balance and oxygenation levels are maintained to promote aerobic metabolism. How medications work is directly related to biochemistry. Antibiotics, for example, work on the various microorganisms differently. Some antibiotics kill bacteria outright, by making holes in their cell walls. Others keep bacteria from replicating by disrupting intracellular processes. Many medications given to patients behave differently if blood sugar is grossly elevated or the patient is septic and dependent on anaerobic-- rather than aerobic--metabolism. Nurses work as part of patient care teams and closely with families. Nurses wouldn't be able to help non- medical team and family members understand what is going on with their patients if they didn't have a thorough understanding of biochemical processes and principles. Biochemistry course is an interesting and necessary course, it improves their skills related to the field, it is a course they like, and they do not want the theoretical course hours to increase. Since biochemistry is a course that is at the core of the humanities and addresses the application areas of health professionals in diagnosis and treatment, the education of this course should be interactive and practical. Self- evaluation, reorganization and feedback should be taken into account in providing continuous and accurate biochemistry education. The biochemistry course was found to be interesting and significant among nursing and midwifery students in favor of nursing students.