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Nursing theory analysis
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Nursing theory discussion
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A Reflective Account on My Role as a Student and as a Future Healthcare Practitioner
Introduction
The purpose of this essay is to reflect on my role as a student nurse in higher education and as a future practitioner. It will look at areas in which I need to develop my skills to become a successful learner and competent practitioner. Schön (1983) was first to recognise that effective professionals reflect during and after events to distinguish areas for improvement. This has been persuasive in formulating requirements for revalidation and the Nursing and Midwifery Council (NMC, 2010) Standards for Competence for Registered Nurses require nurses to maintain their development though a range of means including reflection. Gibbs (1988, p.8) states
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The transition into degree level study has been challenging for me. Lectures can be taxing to students new to this format. I have found that concentration and focus are problematic to maintain for the extended periods of time required. Given this issue, comprehensive note making is essential for memory recall. However, due to the speed that information is covered, this can be difficult for me. I have been used to teachers providing all the information required and setting targets with regular homework. Lectures are presented with the focus being on the student to advance their knowledge independently and commit to additional study where required. I need to acclimatize to this structure to …show more content…
Pragmatists learn best though having the opportunity to apply learning to practice. I agree with this evaluation of my learning style and it is also supported by the assessment of my VARK learning style (Fleming and Mills,1992) as a kinaesthetic learner. This fits well within the experiential leaning cycle established by Kolb (1984) which suggests for effective learning to take place an individual must have an experience, reflect on it, draw meaning from it and then testing their understanding. I have surmised from these theories that the most effective way for me to learn is to watch an individual perform a task, spend time considering the theory behind it and then imitate their actions. This works well for the practical aspects of nursing but has limitations in learning theory. I feel that applying the theory I learn during lectures and from additional reading to a hypothetical or real-life situation will increase my learning
Through the utilisation of the accompanying text, I aim to discuss and reflect upon one person’s care, to which I have had previous involvement. Using the perspectives set out by Chapelhow et al (2005), I aim to gain a broader outlook on what is expected of me as a Student Nurse. Chapelhow et al (2005) has identified six skills that they feel are required of every Health Care Practitioner. These skills are defined as ‘enablers’ as they are fundamental skills that provide the means for expert professional practice (Chapelhow et al 2005). Although there are six skills outlined, I will only be using two of them to analyse the care I provided. I have chosen to use communication and risk management as my two enablers.
Nurses are able to reflect upon their past experiences of work and build and improve this ensuring their level of competence and skills is in line with NMC guidelines. Improving the quality of care provided to patients is an ongoing process and requires practitioners to contently reflect and improve their practice. (Howatson-Jones, 2013) One way in which reflection can improve the quality of care is through the use of professional supervision, as stated by (Daly, Speedy and Jackson, 2014) a focus for supervision should be enhancing a nurse’s skills and ability to reflect on practice. It should reflect on the standard of care provided and highlight areas for improvement such as further training. This, in turn, leads to a greater self-awareness of practitioners’ own abilities. The process is not about finding faults, but to improve and learn to ensure the quality of care is high and professional for all patients. Being self-aware is a skill important to reflection and the provision of quality of
Senior nursing students will complete a QSEN weekly clinical journal requirement learn how to self-assess their progress toward demonstrating these nationally-based competencies. The students will select a different competency each week to address and discuss how they applied that competency to patient care or how they hope to better achieve that competency as a graduate nurse. By the end of the clinical rotation each student will have had a chance to focus on each of the six QSEN competencies: patient centered care, teamwork and collaboration, evidence-based practice, quality improvement, safety and informatics. The students’ reflection on their clinical experiences each week will teach them how to integrate the core competencies required before graduation. According to Use of self-evaluative practices puts the power back upon the student to direct and think critically about their learning (Dickensen, 2015). Demonstrating these competencies supports safety and excellence in clinical practice (QSEN,
It is important that students have the ability of being competent in a clinical setting. To be deemed competent in skills according to nursing regulations and requirements. This is a challenging factor for many students, as they enter transition period. This is due to students feel they do not have the desired clinical competency that promotes the skills and authorities of a registered nurse (Harsin, Soroor & Soodabeh, 2012). Clinical research studies have found that students do have the required expected levels of knowledge, attitude and behaviour’s. However, the range of practical skills aren’t sufficient for the range of practice settings (Evans, 2008). This research has also found that other evidenced based studies found that competency in nursing skills is still lacking (Evans, 2008). These skills are lacked by students and newly graduated nursing how are in the first or second year of
The purpose of this Reflective assignment is to demonstrate how the application of the Registered Nurses standards for practise (2016) can be used in reflective practise. The Registered Nurses standards of Practise (2016) states that RN’s should develop their practise through reflecting on experiences, knowledge, actions, their feelings and beliefs and recognise how these factors shape professional practise(RNSP, 1.2).Reflection allows individuals to look back on their day-to-day situations and how they made us react and feel; what we would change if we had the chance, to create a different outcome; and what we would do next time to enhance the way we conduct ourselves in a professional manner.
When I was working as a bedside nurse in the Emergency Department, in one of my duties I was not satisfied with the treatment plan made by a resident doctor for XYZ patient. He entered intravenous KCL (potassium chloride) for the patient. The purpose of that medication and its dose for that patient was not clear to me. I assessed patient history and came to know that a middle aged patient came with the complaint of loose bowel movements, vomiting, and generalized weakness. His GCS (Glasgow comma scale) was 15/15, looked pale but was vitally stable. I exactly do not remember about his previous disease, social or family history but I do remember that he was there with his son. According to the care plan, I inserted intravenous cannula, took blood
It may have been something you did differently that had a positive result and you may conclude you would do it again upon reflection. The most important part of reflection is making sense of situations and events that occur so that our decision making and any actions we take lead to good, effective practice. Nurses have to keep a record of their continued professional development. At annual reviews, nurses are able to present evidence of their development through a portfolio which should contain reflective accounts of their practice. These reflective accounts will help them identify strengths and weaknesses, highlight their performance, improve their skills and highlight any areas that could be developed.
Developing confidence, and competence is a challenge faced by novice nurses (Morrell & Ridgway, 2014). Over the course of my nursing degree developing, and maintaining confidence in my clinical practice has always been a personal challenge. During my preceptorship placement, I have the opportunity to continue to cultivate my confidence, and prepare to begin my practice as an independent graduate nurse. In the reflection, I will discuss how I have gradually become a confident practitioner through my experiences in my clinical placement, and especially those in my preceptorship placement.
As mentioned by Hunter and Arthur (2016), one of the main reasons I could maintain and improve my practice was due to clinical placements. During clinical placements we are frequently being assessed and taught in dealing with real situations. Feelings As learning is a lifelong process, I’m sure there are many things I need to improve and learn to better myself. However, the lessons I learned during the course as a nursing student shall always remain as a bedrock for my future development.
This essay is going to reflect upon the nursing skills I developed during a period of placement simulations, placing emphasis on oral care, communication with a non-engaging patient and bed bath. It will outline the fundamental aspects of clinical nursing skills that I have begun to acquire. This will also highlight the learning processes which took place and how it helped me to enhance my knowledge, and ethical values in order to deliver quality and safety of care. Using a variety of sources from current literature, I will use a reflective model to discuss how I have achieved the necessary level of learning outcome. By utilising this model I hope to demonstrate my knowledge and understanding in relation to these skills as well as identifying areas with scope for learning.
I am working as a staff nurse at one of the Integrated Management System (IMS) accredited hospital in Sarawak since 2014. I qualified as a Registered Nurse with a Diploma in Nursing in year 2007. My first year I have been working in a multi-disciplinary ward. We cover a range of specialties including minor and major surgeries. The health care team in my ward consists of 1 Unit Manager, 20 staff nurses and 15 care assistants.
Help improved my clinical skills and professional development, made me proactive and thus have learnt that reflection is an important tool for student nurse to improve on their practice.
One of my patients had been in the hospital for almost two weeks due to a diverticulitis colon abscess. After being told she would be discharged that day I arrived, the physician informed her that they’d be keeping her an additional day to further monitor the JP tube meant to drain the abscess. After being in the hospital for so long with very little opportunity to go outside and perform her regular activities, my patient seemed unmotivated and concerned. Consequently, during her physical assessment, I spoke to her in regards to her personal goals for the day. As the QSEN Institute mentions, it is imperative to include physical comfort and emotional support along with access to additional resources as a way to establish patient centered care.
I just wanted to start this blog post by thanking everyone for the comments and well wishes for the operation and recovery. The number of comments and positive energy has really helped as has speaking with others who have had a similar diagnosis was extremely helpful. So after the first post things moved along very quickly, I went in for a pre-operation meeting at the hospital where blood is taken for testing as well as weight and height checks etc. are performed on Thursday. This pre-meeting was great for my peace of mind as I was able to speak with the nurses the physio and an anesthesiologist about what to expect for both pre, during and post operation.
To me, being a nurse requires a great sense of selflessness and courage to devote your time and being to helping others. Nurses work long hours and experience straining situations for the satisfaction and fulfillment of helping others. More specifically, experiencing life and death, as well as applying your full self--emotions, knowledge, courage, and strength--takes a toil on the mind and body, but the innate satisfaction, human connections, and experiences I would be able to live through prevails over any thought of stress. The quote “A nurse is one who opens the eyes of a newborn and gently closes the eyes of a dying man. It is indeed a high blessing to be the first and last to witness the beginning and end of life” further reflects