I met Amy in the fall of 2014 at the College of Saint Benedict when she was student in my Advanced Adult Nursing Skills course. Upon meeting Amy, I was immediately impressed by her excellent communication skills, outstanding work ethic, positive attitude and her devotion to learning. Since the fall of 2014, Amy has been a student in my Advanced Adult Nursing Skills, Theory and clinical course. As Amy’s clinical laboratory instructor for her skills courses, I have witnessed Amy practicing complex nursing skills on several occasions. I was impressed daily by her exceptional abilities to demonstrate skills and interact with her peers to model skill performance. Amy possesses a unique ability to communicate effectively while also showing compassion.
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.
During the time when all nurses were undervalued, Gordon followed and observed three registered nurses every day at Boston’s Beth Israel Hospital in Boston, Massachusetts, while on their daily routines for almost two years. Each of the nurses have different jobs, which cause them to have different roles. The three nurses Gordon evaluated were: Nancy Rumplik, an oncology nurse; Ellen Kitchen, a home care nurse practitioner; and Jeannie Chaisson, a clinical nurse specialist. All three nurses together have more than 50 years of work experiences in the medical field. Gordon gives us an assortment of cases the nurse worked on. She shows how each nurse has special abilities when it comes to helping their patients.
I’m actually kind of shocked I could write about recovery because it is a topic with a special meaning to myself. But, I found it easier to write about my own experience with a negative event this time, and I believe it is because I grew as a writer. I saw the value the personal testimony adds to a piece, and thus I could add my own story.
First, she was not afraid to test her own skills and knowledge, even before she had a nursing degree. Sometimes it can be hard to jump into helping in many different healthcare contexts, but hands-on experience is one valuable way to learn. Second, she constantly sought to learn more and grow professionally by earning more degrees, working as a clinical instructor, and eventually mentoring nurse midwives in Rwanda. Finally, she recognized her own shortcomings but was not afraid to step in and teach when she discovered harmful practices. One of my goals as a nurse is to ensure that my patients, whoever and wherever they are, continually receive the best care. Tina Anselmi-Moulaye identified that in order to provide the best care, a nurse must understand the culture of the patient and healthcare
This weekend I was paired up with a nurse from the floating pull. It was a very interesting experience. For the first time since the beginning of the semester I can say that I was faced with a lot of critical thinking situations. I spend the day running around reminding my nurse of things he forgot or task we had to finish. It was already 2:00 pm and I still hadn’t performed an assessment on a patient, at this point I remember what Mrs. McAdams had said before “ we are in the hospital to help but our main priority is to learn and practice our skills” so I made the critical-thinking decision to tell my nurse that I needed to at least complete an assessment and since we were about to discharged a patient I could performed a final assessment on him before going home. I performed my assessment, had time to document and helped my nurse with the discharged. This weekend was a very challenging clinical for me but I also learned a lot. I learned to managed my time better, be proactive in my clinical experience and I also found my voice.
Upon completion of my Bachelor of Nursing, I will have acquired the essential theoretical foundation and practical competencies required for the transition into nursing. I have received recognition from colleagues and clinical mentors for my proficiency in performing duties such as wound care, medication administration, and patient evaluation. Additionally, my attributes, such as empathy and effective communication skills, contribute to my effectiveness as a nurse and as an integral part of a broader healthcare team. Although my educational background has enabled me to meet most of the registration criteria, there are areas where I still need to make improvements. It has become apparent to me that, particularly within challenging and high-acuity environments, there is a need for the enhancement of my critical thinking skills and comprehension of advanced clinical procedures.
Potter, P.A., Perry, A.G., Stocker, P.A., & Hall. (2017). Fundamentals of Nursing (9th ed.). St. Louis, MO:
The three domains of nursing are the person, the health, and the environment, which are connected collaboratively by the nursing team and care. Considering this, my vision of the three domains and being a nurse is beyond human limitation and comprehension. Additionally, with the new changes in technology and in nursing practice, one personal challenge is understating my patients and their families correctly. Therefore, my goals as a professional nurse are to follow nursing guidelines, advocate for my patients, be committed towards life-long learning, and perform nursing interventions with other healthcare
Teaching is part of being a nurse (Angelo, 2015). Being a nurse does not only end at providing full care to the patients but also includes proper teaching about the patients’ disease and medications. Patient’s education should happen when opportunities come, especially before discharge. By teaching them prior to discharge and providing them hand-outs, pamphlets or websites to find important information about their disease and medication, they will be ready to administer their own medications and be informed about their disease. Good personality is also vital in nursing practice (Angelo, 2015). It is not only what a nurse has learned in school or the skills and knowledge that he or she acquired from clinical instructors that are important, but also the whole make-up of a nurse’s own self. For example, a knowledgeable nurse is fully equipped with the skills in dressing a wound, but will never be an effective nurse if he or she does not know how to behave while performing the skill. The facial expressions and body language showing that a nurse is uncomfortable seeing the wound makes him or her unsuitable for the job. It is important that a nurse must not only limit his or her learning inside the skills lab or hospital (Angelo, 2015). Joining associations, programs, community services, and volunteering opportunities can expand nurses’ knowledge, skills, and abilities. The tone of voice must
Patricia Benner’s philosophy of clinical wisdom in nursing includes comprehensive guidelines for nurses throughout the spectrum of their careers. While extensive, the philosophy leaves room to build upon as the practice of nursing is ever-evolving. Masters identifies the philosophy as a compilation of nine nursing domains and 31 clinical competencies. A competency not identified is delegation. Oftentimes one of the hardest competencies for the novice and advanced beginner nurses to acquire, delegation is as important to competent nursing care as nursing skills. While a nurse has the knowledge to care for patients, if they are unable to delegate tasks to other individuals, they will be left unable to provide comprehensive care. Delegation is
This may not be the original experience that Madeleine Leininger, a diploma nurse, experienced when she began realizing there was a missing characteristic in the care that a nurse provided, yet many similar misunderstandings happen day to day in the practice of patient care (Sitzman & Eichelberger, 2011).
For this assignment I had the pleasure sitting down with Emily Petermeier and getting an insight on what the real nursing world is like. Emily graduated from the University of Minnesota School of Nursing in May 2015, and got a job at Fairview East Bank Hospital. This interview really helped me understand what it is like to be a new nurse and the dedication that I have to have going through nursing school and throughout my career. In the interview you will see the perspective of Emily’s endeavors after college and insight for future nurses or nursing students.
Out of all of the members of the health care interdisciplinary team, nurses are the ones who spend the most time giving care to the patient. In order to give the greatest quality of care to a patient, it is important for nurses to “assume accountability and responsibility in fulfilling the role of the associate degree nurse, through personal and professional growth, integration of current evidence-based practice and understanding of multiple dimensions of patient-centered care” (Ivy Tech Community College, 2016). One of the most important parts of this is the nurse’s ability to take responsibility in patient care. Battié and Steelman (2014) notes that patients expect the best care from nurses, so it is only fair that nurses also expect themselves responsible for delivering the best care. Battié and Steelman (2014) also says that accountability relies on two parts: clinical expertise and effective communication. Nursing expertise can only be gained through personal growth that comes from practice or learning over time, while effective communication has been built into nursing through
It was dark that night, I was nervous that this dreadful day was going to get worse. Sunday, October 23, 1998 I wanted to start writing this to tell about the weird things i’m starting to see in this new neighborhood. Gradually I keep seeing pots and pans on the sink suddenly move to the floor. I would ask my sister but she is out with my mom and dad getting the Halloween costumes. When they got home I didn’t tell them what I saw because i've seen Halloween movies and I have to have dissimulation otherwise the ghost will come out and get me first. October 24, 1998 I think I got a little nervous yesterday with the whole ghost thing. 12:32pm, Went to eat lunch with the family today and I go to get my coat. I heard the words furious and madness,
Undergraduates who desire to pursue a career in nursing must consider the implications associated with this field prior to making such a significant commitment. In the nursing field, a wide variety of specializations exist, such as working in a pediatric department, working for the department of corrections, or assisting in the emergency room. Regardless of the specialty, all nurses strive to achieve the same goal, to improve the happiness and overall health of the patient. The primary role of a nurse is to perform Basic Life Skills (BLS) such as Cardio Pulmonary Resuscitation (CPR), assessing patient’s health, administering treatments and medications, assisting the doctors as well as providing information for the family and patient on how