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The benefits of reflective practice
Effective reflective practice
Teaching practice reflection
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Currently, I have completed 9 12-hour shifts in the medical/surgical ICU, during this time I have made excellent progress in attaining my established goals. I completed sub-goal 1 and have completed approximately 75% of sub-goal 2. I was successful as my goals this semester were realistic and achievable within the short time frame (10 weeks). In total I created 4 unique and specific activities to assist in achieving my overarching learning goal. Creating my own individual learning plan to address my unique learning needs is a type of learning is called Self Directed Learning (SDL). SDL is defined as a “process in which individuals take the initiative, with or without the help of others, in diagnosing their learning needs, formulating learning …show more content…
Real time feedback was extremely impactful on my assessment skills as I was given the opportunity to immediately correct or tweak portions of my assessment practice. Receiving immediate feedback and continuously having to answer “why questions” from my preceptor, provided me the opportunity to identify gaps in my clinical knowledge on a daily basis. Reflection and incorporate of the feedback was beneficial as it prevented the repeatedly practicing and adoption of incorrect techniques in my physical assessment technique. Assessment skills that are both practical and efficient are vital for nurses in the acute care setting. RN’s in critical care preform comprehensive head to toe assessments in order to “elicit any abnormal signs to identity and correctly report the medical problem.” (Crimlisk & Grande, 2004, p.3) This learning activity increased the efficiency to which I was able to perform accurate assessments. Accurate and well-organized assessment skills assist with time management, completing an assessment correctly the first time saves time, and time is crucial in the ICU. Development of competent assessment skills in a timely manner this semester directly contributed to achieving my overarching
The role of Advanced Practice Registered Nurses (APRN) in health care has been identified as a critical role in the goal to provide high-quality health care. APRNs have a bigger role to play in the health care system and it is important that students are provided with relevant and valuable knowledge as well as experience that improve their abilities. Achieving course objectives are critical for APRNs with the goal of contributing positively to the health care system. As a future APRN, I place high priority on life-long learning and the development of other people’s skill sets. All duties associated with health care require a dedication to excellence and selflessness. These are two components of learning that will improve the capabilities 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,
There are six set standards of the nursing practice; assessment, diagnosis, outcome identification, planning, implementation, and evaluation (ANA, 2010; pp. 9-10). Throughout a typical shift on the unit I work for, I have set tasks I am expected to complete in order to progress the patient’s care, and to keep the patient safe. I begin my shift by completing my initial assessment on my patient. During this time, I am getting to know my patient and assessing if there are any new issues that need my immediate intervention. From here, I am able to discuss appropriate goals for the day with my patient. This may come in the form of increasing mobility by walking around the unit, decreasing pain, or simply taking a bath. Next, I plan when and how these tasks will be able to be done, and coordinate care with the appropriate members of the team; such as, nursing assistants and physical therapists. Evaluating the patient after any intervention assists in discovering what works and what does not for the individual. “The nursing process in practice is not linear as often conceptualized, with a feedback loop from evaluation to assessment. Rather, it relies heavily on the bi-directional feedback loop...
Assessment is a key component of nursing practice, required for planning and provision of patient and family centered care. Nurses use a systematic and dynamic way to collect and analyse data about a patient to enable them to deliver patient-focused care. Assessment not only includes physical data but also psychosocial,
A big part of nursing is reflection. Now that my sophomore year is nearly over, I can see how much I have grown and how much knowledge I received. Throughout this semester I have been faced with many thrilling experiences and frightening experiences. I have learned a lot through my gerontology clinical, pharmacology and fundamentals courses. Now that I am in clinical it seems that everything is coming together. Practicing in fundamentals and then practice on a real person has been very beneficial. Once I have performed a skill and tested out I’ve notice I am likely to remember how to do the skill again in practice. In this paper I am going to review some of the main objectives I felt were beneficial to me and will always be an important part of nursing practice.
Assessment consists of a number of skills for example, communication, observation and critical thinking. Communication is an essential skill for nursing particularly in relation to the Multidisciplinary team and patient rapport. Communication quality, determines the outcome of care, patient wellbeing, and effective therapeutic partnerships (Boscart 2009). Both verbal and non-verbal communication is fundamental in nursing which in turn affects pati...
Working with new graduate nurses has instilled in me the goal to share my knowledge and expertise with others and to teach others the art of nursing. My short-term goals are to complete the Master’s program by the summer of 2014. My second goal is to secure a job as a nurse educator at a hospital and work with my nurse manager to provide program like in-service to the hospital staff and students. I would like to incorporate my education from State University’s master’s program to assist hospital staff and patients in their learning process, with the use of new technology to facilitate the learning and understanding.
Feedback is derived from a previous performance initiating a review process of improvements to be implemented (Archer 2010; Dayton & Hendricksen 2007 as cited in Motley & Dolansky 2015). Without honest and constructive feedback the learning process does not improve skills because the knowledge given through feedback allows nurses to see how colleagues viewed their performance and suggest areas for future development, self-awareness, and growth within the industry (Day-Calder 2016). Clear, concise feedback delivered in a manner that is non-threatening and avoids emotions is called constructive feedback (Day-Calder 2016). Disapproval is potentially beneficial in making healthier relationships by bringing you closer to the patient’s views and understanding their concerns (Catto & Mahmud 2012). For a patient to realise that their message has been heard and understood shows that reflection, summarise, and feedback are necessary for ascertaining a positive outcome (Shipley 2010). An empathetic attitude requires self-knowledge in relaying emotions in a mindful and compassionate response (Terezam, Reis-Queriroz & Hoga 2017). Nursing colleagues often work as a team collaborating and communicating with each other to make improvements and achieve goals through team attributes (Motley & Dolansky 2015; De Janasz et al. 2014). This team
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.
“In its broadest meaning, ’self-directed learning’ describes a process by which individuals take the initiative, with our without the assistance of others, in diagnosing their learning needs, formulating learning goals, identify human and material resources for learning, choosing and implement appropriate learning strategies, and evaluating learning outcomes.” (Knowles, Holton, Swanson, 2011, p. 18)
*As my first year in the nursing program comes to a close, I am to write this assessment based upon my abilities in each of the listed outcomes. I know I have much to learn, but I have also gained a tremendous amount of knowledge in the short amount of time I have been a part of this program.
Throughout my final ten weeks at my placement, I have grown and overcome so many obstacles. I have accomplished a wide range of skills since the beginning and have been improving on them as I gained experience. At my placement as a student nurse, I have gained a lot of confidence, skills, knowledge and experiences that have helped me act and work in a professional way. All the experiences I have had during the ten weeks of my student years have helped me in shaping me into a professional.
Self-directed, or self-planning is the principle means of adult learning because of a variety of reasons (Tough, 1971). The learner knows what the best course of action is, or they would feel losing time by consulting someone else, or they may be more highly skilled than others. The learner decides everything from specific activities of learning to location, time, as well as make the payment. Tough found that most learning projects include four or five other human resources; most of this insight is from friends, neighbors, or acquaintances. The most important resources in this process are television, books, pamphlets, and newspapers. Tough also continues his defining of self-directed learning by discussing how to promote SLD and all of its
The theory explains that assessment takes place during interaction. The nurse uses his or her special knowledge and skills while the patient delivers knowledge of him or her self, as well as the perception of problems of concern to the interaction. During this phase, the nurse gathers data about the patient including his or her growth and development, the perception of self, and current health status. Perception is the base for the collection and interpretation of data. Communication is required to verify the accuracy of the perception, as well as for interaction and translation.
This Project has three parts (Past, Present, and Future). Before you start, use the Project Planner on this page to help you plan and schedule your work.