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The nursing process model
Comfort and Pain Management fundamentals of nursing
Critical thinking in nursing practice
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Part A of this essay was to establish a partnership with the resident to enable the collection of subjective and objective data obtained from holistic assessment of Te wheke. By collating the information assisted in the identification of 2 actual problems and 2 potential problems that may or will inhibit the residents quality of life. Client centred nursing care plans were formulated to create smart goals, interventions, evidence based rationales and effective evaluations for each intervention. To protect the privacy of the resident and their personal information there are no names or organisations mentioned (NCNZ.2012). Furthermore,Part B the reflection part of this essay will describe an experience and using the Kolbs reflection model will outline how critical thinking, problem solving skills and knowledge will enable future nursing practice.
I am writing this reflection because of an incident that happened during activity time. When a resident became upset saying she has chest pain and cant breath. The resident was able to take herself to her
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In order for me to calm the resident I felt that objective information had assisted the resident to calm down. The use of the nursing process and critical thinking assisted me to inform the resident about the incident and the diagnosis from a general practitioner as per their file. Positive aspects which have emerged from this experience was my ability to remain calm and think quickly to obtain data about the pain. An improvement could be for the RN to slow down and take the time to speak clearly and slowly for the resident to understand information. I feel that the incident was a great learning experience to practice my nursing process and critical thinking. I do feel that I need to keep practicing these skills to ensure effective response to future
In this scenario, Margaret is a newly hired medical assistant for this very busy medical practice. Margaret had good intentions with wanting to leave a good impression. However, she should have thought more about patient care and her ability to perform a procedure on her own. Fortunately, even though the office seemed to need the extra help. Margaret being a new hire and having not much time with blood draws, or the way that the office is run. Should have consulted with one of the experienced staff members of RN’s, Medical assistants and seven providers. She should have also asked about their policy and the procedures that the practice uses.
Critical thinking and knowledge are the foundation of nursing practice, and the most essential elements in providing quality nursing care. Nu...
The author will also discuss the nursing care required in each area (physical, psychological and social health) and some of the evidence that has supported this in relat...
In contemporary nursing practice, nurses need to integrate scientific knowledge and nursing theories prior to providing optimal health care. Nursing theories guide nurses to treat clients in a supportive and dignified manner through client centred approaches. However, it is challenge for nurses to practice client centred care in daily realities due to heavy workloads. In order to assist nurses to decrease the gap between ideal and real practice, Registered Nurses Association of Ontario (RNAO) develops Best Practice Guideline of Client-centred-care (Neligan, Grinspun, JonasSimpson, McConnell, Peter, Pilkington, et al., 2002). This guideline offers values and beliefs as foundation of client-centred care, and the core processes of client-centred care can facilitate provision of optimal nursing care. These four core processes of client-centred care include identifying concerns, making decisions, caring and service, and evaluating outcomes. According to RNAO (2006), ongoing dialogue with clients and self-reflection are essential for nurses to develop their nursing skills and knowledge on client-centred care. As a nursing student, I reflected on written transcripts of interactions between patients and me, so that I could gain insights into client-centred care for further improvement. Therefore, the purpose of this paper is to discuss importance of the core processes of client-centred care in nursing practice through identifying and critiquing blocks to conversation. Based on the guideline of RNAO (2006), respect, human dignity, clients are experts for their own lives, responsiveness and universal access will be elaborated in each core process of client-centre care as reflecting on three dialogues with patients.
Many years from now, I will take this experience with me to better myself as a nurse. I know for the future that it is in my patient’s best interest, if I collaborate with other health care professionals. In order to maintain patient safety, I must always remember to work together with my fellow collogues to obtain a positive working environment. In order to be a good nurse, I need to always understand that I am part of a team to help those in need. I want to incorporate providing efficient care to each and every patient the best way I possibly
Critical incidents are snapshots of something that happens to a patient, their family or nurse. It may be something positive, or it could be a situation where someone has suffered in some way (Rich & Parker 2001). Reflection and analysis of critical incidents is widely regarded as a valuable learning tool for nurses. The practice requires us to explore our actions and feelings and examine evidence-based literature, thus bridging the gap between theory and practice (Bailey 1995). It also affords us the opportunity of changing our way of thinking or practicing, for when we reflect on an incident we can learn valuable lessons from what did and did not work. In this way we develop self-awareness and skills in critical thinking and problem solving (Rich & Parker 2001). Critical incidents ???
According to Bandman & Bandman (1995), critical thinking is defined as the rational examination of ideas, inferences, assumptions, principles, arguments, conclusions, issues, statements, beliefs and actions. In this subject ‘Critical Thinking in Nursing’ has emphasized critical thinking as an essential nursing skill and its definition of critical thinking have evolved over the years. In short, the general definition of critical thinking is self-directed, self-disciplined, self-monitored and self-corrective thinking. Every nurses must cultivate rigorous standards for critical thinking, however they cannot avoid completely the situatedness and structures of the clinical traditions and practices. They must make decisions and act quickly according to
The following essay is a reflective paper on an event that I encountered as a student nurse during my first clinical placement in my first year of study. The event took place in a long term facility. This reflection is about the patient whom I will call Mrs. D. to protect her confidentiality. Throughout this essay I will be using LEARN model of reflection. I have decided to reflect on the event described in this essay since I believe that it highlights the need for nurses to have effective vital signs ‘assessment skills especially when treating older patients with complex medical diagnoses.
One of the goals of nursing is to respect the human rights, values and costumes of a patient and his or her family and with the community as a whole. The International Council of Nurses states that nursing practice can be defined generally as a dynamic, caring, helping relationship in which the nurse assists the client to achieve and maintain optimal health. As health care providers, we have some fundamental responsibilities such as to promote health, to prevent illnes...
Nursing Problems is the current class in session, which includes an analysis of modern nursing issues and the impact nurses make when resolving any problems concerning patient care. Although there have been many different issues in the past, healthcare is in constant change and there are frequent issues that arise. Therefore, there are two or more sides to every issue. Using statistics and research, “The Great Debaters” movie presented different ways to endorse our opinion when discussing a problem.
Before my shift started, I did my research about my new client for week three clinical. I thought I was well prepared for the clinical, I knew the client’s mental and medical conditions but I was more focused on the client’s mental health issues and not the medical illnesses. When the nurse informed me that client W was experiencing shortness of breath due to his COPD, I was a bit shock because I was not expecting that to happen.
The relevant course outcome when describing and reflecting about a therapeutic nursing intervention is the following: “Evaluate outcomes of therapeutic nursing interventions and plan further interventions accordingly.” This outcome is significant, not only because it dictates that therapeutic nursing interventions need to be assessed, but also that nurses need to be continuously searching for ways of improving them and in that way improving quality of care and patient health outcomes. Through my studies and my professional experiences, I have been able to work on weaknesses and have become a more committed and proficient nurse as a result. Perhaps the most significant aspect of the course learnings and experiences is the fact that I am now more confident to rely solely on my judgement when making decisions about what is best for the patient and making treatment/intervention recommendations without fear or doubt.
... in caring for the patient. While bed-bathing my patient I used my interpersonal, listening and communication skills. These helped me when I was talking and giving instructions to my patient. I discovered how important communication is in nursing between the nurse and the patient in order to understand each other fo example asking a patient for consent. Moreover, it is during bed-bathing that the nurse and patient can form a therapeutic relationship leading the patient to trust the nurse. During bed-bathing my patient I also checked to see the skin for example bruises and pressure sores. Since communication and listening skills are vital in nursing, I will, therefore, need to improve my skills so I can be a better nurse in the future. Moreover, next time I should not let my feelings get in the way when approaching a similar or same situation like this in the future.
Based on Henderson’s theory, we can critique the clarity, generality, simplicity, empirical precision, and derivable consequences. The clarity of Henderson’s theory is great. She provides the information in a way that is clear and to the point. There is no information that is unnecessary or not relevant to her definition. The generality of the theory is high. Henderson’s definition is broad and therefore can be applied to almost all nursing situations. The simplicity of the theory is also high. It is easy to read and understand. The empirical precision of the definition is great as well. It serves its purpose as a basis for basic nursing care and goals for the health of a patient. Lastly, the derivable consequences, or importance, is also great. It provides nurses with a basic understanding of nursing and allows them to have a base to build upon with other nursing
After reviewing the situation and analyzing, this situation will and has affected my practice as a student nurse integrating into my professional self. Considering my analysis of the key issue, I have realized stress management and a lack of clinical knowledge, affecting judgment and clinical decision-making. My assumptions in the beginning of this situation when I first experience the patient in distress were to immediately call rapid response because they had called earlier on the day. With the knowledge I have gained, it’s important to stay calm in situations to be able to think clearly, analyze the situation appropriately to focus on the patient’s needs. I learned that stress is caused by how an individual perceives it. I perceived this situation as stressful because of my lack of experience and self-efficacy. My preceptor responded to the situation in a calm manner because she was mentally prepared and had a plan of actions if he became symptomatic. I learned that if I better prepare myself in review possible situations that occur and have interventions ready, it would decrease the stress and shock. Through experience, I have gained more confidence since my second