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Nursing reflection about nursing simulation
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This simulation was a really realistic situation for where we are at in year two. The key learning points I took from this simulation was prioritizing, which is an essential key in nursing care. Solidifying safety (ABCDE) checks, which is something we have been practicing each week in practice. Identifying focused assessments, which allows a nurse to understand key health issues before entering a client’s room and being mindful of these things during initial check. Practicing pain assessments (before and after) and having the chance to work through steps that need to be before calling the physician and what talking to a physician would look like. An area I feel went well for me during this simulation was being able to do a pain assessment after medications were given and addressing any concerns the client had. …show more content…
I did this by being curious and questioning the client as to why he didn’t feel like doing it today and if it was in regards to his pain. I felt it was important to have an understanding from the clients perspective however I did try and rationalize with clients in the perspective that if he does work on mobilizing it will help him to get home quicker. I felt I didn’t face to many challenges during this simulation for I felt it was more so consolidating my practice, which I really appreciated. Although in other classes prioritizing and honing in on focused assessments have been discussed, I feel it has been hard to do this in the hospital. I find that by the time morning report is finished and the time that we have to go and check on the clients in minimal which is understandable
Which brings about the question as to just how effective is simulation training? According to Kneebone, Nestel, Vincent, & Darzer (2007), “To be effective, however, such simulation must be realistic, patient-focused, structured, and grounded in an authentic clinical context. The author finds the challenge comes not only from technical difficulty but, also from the need for interpersonal skills and professionalism within clinical encounters” (p. 808). Most mannequins do not have vocal ability or the ability to move, and therefore cannot provide the proper a spontaneous environment for learning. Therefore, acquiring critical thinking skills can be somewhat challenging, in this type of simulated setting.
Simulation learning is becoming more fascinating as the advancement of technology practiced across all domains of education, this is the same is true in nursing education. Simulation experience provides opportunity for students to practice patient care prior to the actual clinical setting. It allows students to reflect on their own skill by critically thinking and analyzing the action. Simulation learning promotes active learning process and helps students to evaluate and investigate the alternative teaching methods. It also opens a news ways for educators and researchers to practice and improve nursing education as the nursing field advanced.
The student states to the nurse educator, “Outcomes for this patient will be pain control as evidenced by report of pain relief, blood pressure decrease, and comfort and positioning techniques that will alleviate pain.”
Licensed practical nurses (LPN 's) fill an important role in modern health care practices. Their primary job duty is to provide routine care, observe patients’ health, assist doctors and registered nurses, and communicate instructions to patients regarding medication, home-based care, and preventative lifestyle changes (Hill). A Licensed Practical Nurse has various of roles that they have to manage on a day to day basis, such as being an advocate for their patients, an educator, being a counselor, a consultant, researcher, collaborator, and even a manager depending on what kind of work exactly that you do and where. It is the nursing process and critical thinking that separate the LPN from the unlicensed assistive personnel. Judgments are based
Okuda, Y., Bryson, E. O., DeMaria Jr., S., Jacobson, L., Shen, B., Levine, A. I., & Quinones, J. (2009). The utility of simulation in medical education: What is the evidence? Mount Sinai Journal of Medicine, 76(4), 330-343.
The development of knowledge requires a number of processes in order to establish credible data to ensure the validity and appropriateness of how it can be used in the future. For the healthcare industry, this has provided the ability to create and form new types of interventions in order to give adequate care across a of number of fields within the system. Research then, has been an essential part in providing definitive data, either by disproving previous beliefs or confirming newly found data and methods. Moreover, research in itself contains its own process with a methodological approach. Of the notable methods, quantitative research is often used for its systemic approach (Polit & Beck, 2006). Thus, the use of the scientific method is used, which also utilizes the use of numerical data (Polit & Beck). Here, researches make use of creating surveys, scales, or placing a numerical value on it subjects (Polit & Beck). In the end the resulting data is neutral and statistical. However, like all things its approach is not perfect, yet, it has the ability to yield valuable data.
“The ultimate value of life depends upon awareness and the power of contemplation rather than upon mere survival” (Aristotle, n.d.)
The article I chose is entitled Does Simulation Enhance Nurses' Ability to Assess Deteriorating Patients? by Bliss and Aitken (2018). This is a qualitative study which concentrates on simulation used by registered nurses and their perceptions on how it helped them to assess a deteriorating patient.
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.
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.
What went well during my clinical day was that this was the first time that I was treated very well by the nurse. This nurse was really good about sharing what she was passionate about, so this encouraged me to want to learn more about what she was teaching me. The best part of my day was patient and parent interaction. I went into two patient’s rooms and played games with them or colored with them. It brightened up my day seeing them laugh despite the health issues they had going on.
Back when I attended a local community college for my ADN degree, there were only sixteen of us in my class. Even with having two local hospitals and several long-term care facilities for clinicals, not every student in my class was able to insert a Foley catheter in a real patient. Simulations allow for opportunities to repeatedly practice a skill such as Foley catheter insertion without endangering a real patient. It also allows the student to become proficient and develop self-confidence (Hicks, Coke, & Li, 2009). High-fidelity mannequins can be programmed with numerous case scenarios and the situation can be changed based on the student’s actions which forces the student to anticipate potential problems (Hicks, Coke, & Li, 2009). In a simulation setting, a teacher can intervene, make corrections, and give explanations to the student while they are attempting a skill without creating an awkward scene in front of a live patient or creating doubt in the patient’s mind about the quality of the school’s students, graduates, and future
In its ongoing effort to provide new nurses that are able to meet the critical care needs of patients, the School of Nursing at the University of Southern Maine requires all student nurses in their program to pass a simulation lab before graduation. ”Simulation is a tool used to assist in resolving the patient safety issue while enhancing student learning. During the past decade simulation in health professional programs has increased exponentially. Simulation is an educational process that replicates the clinical work environment and requires students to demonstrate an identified skill set” (Nelson&Staggers, 2014, pg. 416). In other words, simulation lab provides a lifelike point-of-care learning experience and practice opportunity for the
They required individualized approaches. The other benefit of the simulation was that I was able to recognize small details in patient history during the interview process. For example, the patient stated that he had had a dry cough for several months. Follow up questions revealed that the patient had been taking Lisinopril for hypertension. In general, I appreciated the willingness of all the patients to allow students to examine their health issues.
Certainly, I began with the goal getting of his vital sign and giving him a bed bath. Fortunately I had practice how to take a vital sign and giving a bed bath before my first clinical at the university skill lab and I had developed this confidence before my clinical tour. That day will be mastering the skill which I had just learned in manikins, and applying in real human with huge safety precaution. In between morning my instructor was giving me a brief before I getting to the patients room. From her experience she knew what kind of challenges and a patient behavior can be I face. As I proceeded to my own patient, I hit a roadblock that would give me a flat tire for the rest of the shift.