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Reflection for clinical practice
The importance of reflection in healthcare
Advantages of reflection in nursing
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Recommended: Reflection for clinical practice
My first week of clinical definitely had its strengths and weaknesses. For weakness, I felt overwhelmed both days because I have not yet developed a routine in regards to assessments, care plans, and developing an order for medication administration. I also had difficulty understanding certain orders from providers. However, my nurse was very helpful in explaining every situation and reassuring me that it takes time to develop a system. One thing I did to understand orders better was to write down what the order meant, so when I had another patient I could look up what the steps were to collect the specimen. Another point I must remember is that I will always have the resources to figure out what the orders mean, such as asking the charge nurse. I should never feel like I cannot share my concerns. In addition, I also had a difficult time developing a routine because I had two different nurses. This was due to the situation where my original nurse had an accident and could no longer teach. Although the nurses I had were very helpful and experienced, having two different styles of teaching made it difficult for me to keep a certain routine in mind. However, this experience also taught me that there is not one distinct routine for a nurse to follow. In fact, each nurse has an …show more content…
I also had the chance to watch Palliative care team communicate with one of my patients and their family. The discussion between Palliative care team and the family was very interesting to watch. The communication techniques used during the discussion was silence, open-ended questions, and summarization. The team allowed the family to discuss and provided details and information on the family's questions and concerns. At the end of the discussion, the family said thank you and stated how much relief they
Charalambous, A. (2010). Good communication in end of life care. Journal of Community Nursing, 24(6), 12-14. Retrieved from EBSCOhost.
As a nurse, it is important to address the needs of a patient during care. These needs are unique to each individual and personalizing it, enable the patients to feel truly cared about. It is important to be educated about these needs as the patients and their families look to you as a guide; therefore, education on things w...
Today’s clinical experience truly affected me in multiple ways. I went into this day with an open mind, and was pleased with the patients and the way I was able to conduct myself. This clinical affected me because throughout the day I felt that I experienced many emotions. A few times during my day I did have to fight back tears. I felt I had this emotion because some of the individuals expressed how they wanted to get better in order to get home to their families.
A registered nurses job is to take care of the patients and give the patients support (“Registered Nurses” para.1). To be a registered nurse, you need to have skills. If you don’t have enough skill, you need to improve them even though it takes a little hard work and motivation. You do need to be able to talk in front of people, see the patients condition, and understand the patients (Registered nurses” para.9). Registered nurses should ask appropriate questions and shouldn’t interrupt the patient. Nurses should be aware of others reactions and why they are reacting the way they are. Nurses always look for ways to help the patient. Nurses use logic and reasoning to identify the strengths and weaknesses of their patients (“Occupation” para.19). Registered nurses must provide person assistance, medical attention, emotional support, or other personal care to co-workers, customers, and patients. Nurses must be organized, must plan, and prioritize their work. Nurses need to keep up to date and should apply new knowledge to their job (“Occupation”para.23). Nurses must be emotionally stable, must have speaking skills, and have compassion towards the patients (“Registered Nurses”para.14). To b...
Tulsky, J. A. (2005). Interventions to Enhance Communication among Patients, Providers, and Families. JOURNAL OF PALLIATIVE MEDICINE (8), 1. S95 - S102.
With two weeks of clinical experience, my plan for this clinical day draws directly off my pervious experiences. I will start my clinical day by getting with my FOR and administering medication to my assigned resident. This activity will probably take around an hour, as my assigned resident takes numerous medications, and I must perform the skill safely - six rights and three checks. After my medication administration skill, I will take vital signs, perfrom CNA skills, feed the residents, and monitor glucose with any additional time I have in the morning. Around 11 o 'clock, our group normally gathers together and takes a lunch break for half hour. After the group lunch break, I would like to get with my partner and begin to fill out our concept worksheet - Infection - for this week. My partner and I will walk around the long term care faiclity and observe what infection control precautions are taken to prevent infections when caring for residents, and consider what further interventions we could implement into our care. When we complete our concept map, I would like to gather this week 's required information from our assigned partner and her medical record - Fall risk/mobility, systems assessment, basic nursing care choices, and vital signs. While gathering information from our assigned resident, we will assist with her care, if needed. With the information we gather from our assigned resident, and her medical record, we can further complete our concept map, drawing additional links, if observed. With my medication administration complete, and my required information gathered, I will spend the rest of the clinical day answering any call
The purpose for this research study was to develop a communication strategy for family members of patients dying in the ICU by evaluating a format consisting of a proactive end-of-life conference and brochure to see whether the intervention could minimize the effects of bereavement for the families left behind. This research provided the family members with more opportunities to discuss the patient wishes, to express emotions, to alleviate feelings of guilt, and to understand the goals of care.
Betcher, D. K. (2010). Elephant in the Room Project: Improving Caring Efficacy through Effective and Compassionate Communication with Palliative Care Patients. Medsurg Nursing, 19(2), 101-105.
My clinical week was emotional and physically draining this week. I enjoyed being the lead on Thursday because it gave me the opportunity to stop and observe. The nurses and the CNAs were very stressed out, and I clearly saw the effect on the patients. For instance, one of the CNAs asked me to help her with an occupied bed change. I was excited. However, she kept passing a bunch of comments of how hard nursing is and how she did not want to be old. I did not acknowledge any of her comments. Perhaps she thought she could express herself (as a result of her stress) in front the patient since the patient was non verbal and could not understand. I felt very bad. I was very uncomfortable and sad. For me, it doesn’t matter whether the patient
Clinical placements allow student nurses to put theory into practice with real patients and actual clinical situations. Every placement will challenge student, improve communication skills, build own knowledge and foster own reflective practice. It is one of the most interesting and exciting aspects of training to be a nurse. I personally believe that, students must be responsible for their own learning opportunities and understand the outcomes they need to achieve on placement, discussing any queries with their clinical supervisor. I always look for learning opportunities. I approach my clinical supervisor for her guidance to perform any new skills fall into my scope of practice.
I believe placing student nurses in the clinical setting is vital in becoming competent nurses. Every experience the student experiences during their placement has an educative nature therefore, it is important for the students to take some time to reflect on these experiences. A specific situation that stood out to me from my clinical experience was that; I didn’t realize I had ignored the patient’s pain until I was later asked by the nurse if the patient was in any pain.
This reflective essay will discuss three skills that I have leant and developed during my placement. The three skills that I will be discussing in this essay are bed-bath, observing a corpse being prepared for mortuary and putting canulla and taking it out. These skills will be discussed in this essay using (Gibb’s, 1988) model. I have chosen to use Gibb’s model because I find this model easier to use and understand to guide me through my reflection process. Moreover, this model will be useful in breaking the new skills that I have developed into a way that I can understand. This model will also enable me to turn my experiences into knowledge that I can refer to in the future when facing same or similar situations. Gibbs model seems to be straightforward compared to the other model which is why I have also chosen it. To abide by the code of conduct of Nursing and Midwifery Council (NMC) names of the real patients in this essay have been changed to respect the confidentiality.
Timing is key; nurses and other members of the interdisciplinary team have to be aware of the best times to communicate with a patient (O’Hagan et. al., 2014). This is best complimented when nurses have established great rapport with the patients and their families. Patients are much more accepting of timing when they are interrupted and issues that arose when they trust the nurse (O’Hagan et .al., 2014). An example is if a patient just died and the family has to go through certain rituals, however, nursing care has to be completed as well. If the nurse has rapport with the family, they are more accepting of these hospital policies especially when they have been communicated at an appropriate
I remember there was a time on my first few weak of orientation I felt like I didn’t belong the healthcare field. I was about to quit the nursing profession, but one of the experienced nurses who was working with me told me that you couldn't run away from yourself just hang in there you will figure it out you are not the alone. I could say there was a significant gap between theory and practice. In real life practice, I learned so many things through everyday training and experiences from working difference patients with the different case. In school, we learned the importance of evidence-based practice but to incorporate that knowledge in real life practice is a different problem. In nursing practices, we come across patients with various health issues that require a solution right then. From this vantage point, the student begins to learn the value of looking at what is perceived as pure clinical problems in a more significant context. (Ferrara, 2010). Not only has this brought the theory we have learned in school and what a nurse has experienced in clinical setting closing this
Further, nurses often play numerous roles in one single shift. Many of them are required to fill out paperwork and take notes about patients and their progress for medical records, as well as providing primary patient care as is required of them. In fact, only a methodical person can fill out insurance forms and take notes for medical records while talking with a patient. Although nursing is a rewarding job, it is a tough one, and if one does not have a methodical nature and need to be successful, they may need to develop multi-tasking habits. For instance, while volunteering in nursing homes, I was required to fill out paperwork and compile records for the residents as well as interacting with the elderly as their otherwise younger children or relatives. These roles helped me developed to become a methodical person, a personality that I believe will play a significant role in my future nursing