For the duration of this clinical experiences my intentions are to gain experience in leadership and develop those skills by establishing a partnership with R.K. She is currently teaching a leadership development course which I would like to develop a partnership with her and complete a community project.
Analysis – Journal 2
My personal objectives for the following time spent with R.K. is to finish up the core competency activities and begin to brainstorm on a community partnering project. On the first visit, October 5, R.K. recommended that we continue to work on the overall core competencies and the activities needed to achieve my desired objectives. My purpose for the selected competencies is to further my knowledge and development
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as a leader. On this date we also spoke about the idea of presenting a community project lecture to her leadership development class on hospice and palliative care. The clinical experience for the following dates, October 6, and 7, R.K. and I continued to work towards specifically the leadership core competency. The objective for this journal entry is leadership, with the core competency being personal and professional accountability and foundational thinking skills (AONE, 2011). The leadership activity chosen will aid in two purposes. The first, is to improve my leadership, relationship building, professionalism, communication, and knowledge of the health care environment. According to the AONE (2011), core competencies are fundamental to the nursing executives practice and exceptional patient care.
The second, is to participate in a community partnering project. After receiving approval for the community project, to partner and develop a lecture which will be presented to her students. On the following dates, October 8, 13, and 14, R.K. and I continued to work on the community partnering project.
The future of healthcare is ever changing, and with that comes change management, which brings individuals on board with that change. According to Vora (2013), the change management model includes first, determine the need for change. Second, prepare and plan for the change. Third, implement the change. Finally, sustain the change (Carroll, 2015). As a leader, I feel that it is my obligation to not only continue with my education, but to aid others in furthering their education and
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knowledge. Hospice and palliative care has been a passion of mine during my entire nursing career. I have always thought that nursing schools today, as well as in the past, do not adequately prepare future nurses or leaders for this specialized care. The need for hospice and palliative care to grow within the community is something we as leaders can advocate for. Hospice care is a specialty, which health care organizations fail to identify as a need within the community. Therefore, R.K. and I decided in our lecture we could use the medical center here in Houston as an example to establish a need within the community for hospice and palliative care. The decision for my community project was to educate nursing leaders about the needs within the community.
Advocating and doing what is ethically right by providing the right service for the individuals within the community. In working on the class readings and discussions, I can’t help but piece together my community project with the ANA (2015), Code of Ethics for Nurses with Interpretive Statements. The fundamental values and commitments of us as nurses. Doing what is right, and advocating for the individuals we serve in the community. The second provision is all about the nurses’ commitment to the patient, family, and/or community, and the third provision is about the nurse promoting, advocating, and protecting the patients’ health and rights. To give one example that would be applicable to the practice of the nurse administrator would be to facilitate education and compliance with these provisions (ANA, 2015). According to Rosenkoetter and Milstead (2010), practicing with ethical conduct is one of the responsibilities for nurse educators. There is an integral responsibility to preserving current codes that are relevant to nursing practice (Carroll, 2015). As of this time in my clinical experiences, I have yet to come across an ethical dilemma. However, I do believe that my community project demonstrates my desire to do what is ethically right for the community and providing the proper service that everyone deserves, even at the end of life. In evaluating the last
six days spent with R.K., I was able to achieve my objectives at the same time enhance my personal, professional accountability, and foundational thinking skills. Professionals’ accountability is a concept which should be used increasingly for public dialogue and policy documents. According to Mansouri and Rowney (2014), there are diverse factors that contribute to the establishment as well as upholding of accountability in specialized settings, which can attribute to professionals’ behaviors. The Agency Theory perspective has been predominant for developing and pursuing accountability.
The first provision of the American Nurses Association’s (ANA) “Code of Ethics” states, “ The nurse, in all professional relationships, practices with compassion and respect for the inherent dignity, worth and uniqueness of every individual, unrestricted by considerations of social or economic status, personal attributes, or the nature of health problems.” The second provision states, “The nurse’s primary commitment is the patient, whether the patient is an individual, family, group, or community” (Fowler, 2010). As nurses we need to respect the autonomy and allow for the patient to express their choices and concerns. We also need to provide them with support by giving them knowledge and understanding so they
Like Klinger, Hitchcock agreed that in a managerial role is essential and performs a vital function, leadership must come first to make managing more effective. If management is efficiency in climbing the ladder, then it is leadership that determines whether the ladder is leaning against the right wall. To help individuals, teams and organizations to navigate the permanent white-water environment safely, Hitchcock (2013) suggested that there are three constants that provide stability in times of great uncertainty such as a change, a choice, and principles. This work considers each of these three constants, focusing mainly on the principles that underpin transformational and effective leadership in healthcare settings. (Hitchcock, Klinger, 2012)
The Code of Ethics for Nurses was created to be a guide for nurses to perform their duties in a way that is abiding with the ethical responsibilities of the nursing profession and quality in nursing care. The Code of Ethics has excellent guidelines for how nurses should behave, however; these parameters are not specific. They do not identify what is right and wrong, leaving nurses having to ultimately make that decision. Ethics in nursing involves individual interpretation based on personal morals and values. Nursing professionals have the ethical accountability to be altruistic, meaning a nurse who cares for patients without self-interest. This results in a nurse functioning as a patient advocate, making decisions that are in the best interest of the patient and practicing sound nursing ethics.
As a nurse, we serve a society which is very culturally diverse. We provide care to many individuals whom have their own unique set of ethics, values, morals, and beliefs by which may be very different from our own. Because of our professional role, we must use lifelong learning as a tool to broaden our views, increase our knowledge, and understand the influences which affect it. To make this possible, we have to continually educate ourselves about the nursing laws, professional standards, and code of ethics all of which we are committed to.
My interest in nursing first stemed when my grandfather was diagnosed with stage four prostate cancer. Hospice had come into their home, and I was amazed at how they coped with their job. The people who took care of the person I loved the most, were compassionate and caring. Most of all they helped all of us through a time of need. During that time I realized helping people in whatever way I could in the medical field, was the career for me. My grandmother was also a nurse. She would tell me stories of when she worked in different hospitals. When I heard all of her experiences, I wanted to make memories of my own in the nursing field. This past summer, I took a CNA course at Valley Falls/Holton, Kansas. When I enrolled in this course, I thought
Since I was very young, I knew my calling in life was to be a nurse. When I was eight years old my favorite place to be was the Assisted Living Facility up the street from where I grew up. I was fascinated watching the nurses taking care of the residents as if they were family. I would follow the nurses around for hours and was excited when they would give me little jobs to do like going to get gloves or playing BINGO with the residents. That was just the beginning of when I knew what I was called to do.
I started my Nursing career in India and then I came to the United States and became an RN. I entered Nursing with the thinking that Nursing is a profession that will always allow me to have a job and all my patients will get better. However, from my experiences I understood that Nursing is more than just giving medications, and it requires clinical competence, cultural sensitivity, ethics, caring for others, and life-long learning about others and the evolving field of medicine. Florence Nightingale once said:
Our vision is to continue to grow and serve as an integral part of the healthcare as a provider of Primary Care to members of the community. Exceptional patient care and forward-thinking leadership will be provided
I am the first one in my family to go to college, I have been living my life showing respect to others with one basic principle to “always do my best no matter what it takes to be fair, honest and be responsive to everyone’s needs”. I learned through my career to be dependable, self-confident, humble, and honest and show respect and a positive attitude at all time. People that I interact with always told me that I have the ability to inspire others and the makeup of a leader. Being humble, caring, and compassionate are among my personal values. I know that my greatest strengths rely in the way I treat my patients, showing empathy, sympathy, patience and professionalism. I learned that developing a trustworthy patient/nurses relationship is very important in the management of patients care. I personally believe that a nurse needs to have high integrity and to continue to strive to stay up-to-date and knowledgeable to be able to provide utmost quality care to the patients.
The American Nurses Association created guidelines for the profession including, a set clear rules to be followed by individuals within the profession, Code of Ethics for Nurses. Written in 1893, by Lystra Gretter, and adopted by the ANA in 1926, The Code of Ethics for Nurses details the role metaethics, normative ethics, and applied ethics have within the field (ANA, 2015). Moral obligation for an individual differs within professions than it does within an individual’s personal life, so the code of ethics was written to establish rules within the profession. The moral obligation to provide quality care include the fundamental principles of respect for persons, integrity, autonomy, advocacy, accountability, beneficence, and non-maleficence. The document itself contains nine provisions with subtext, all of which cannot be addressed within this paper however, core principals related to the ethical responsibilities nurses have will be
After three months of volunteering at my local hospital’s emergency department, I had one specific experience that led me to a career in nursing. One day, as I was rushing around the emergency department easing the nerves of frantic patients, I walked back to the triage desk when I heard a patient complain of chest pain. The RN sitting at the desk took the patient’s heart rate and pulse oxygen. While the pulse oxygen was normal, the patient had a heart rate of 180. Assuming the patient was stressed out, the RN instructed the patient to wait in the waiting room. By this point, I had been volunteering in the department long enough to know that the triage nurse would order an EKG for someone with those symptoms. I desperately wanted to tell the
This week I began my three-year journey to become an advance practice nurse with a doctoral degree the terminal degree in nursing practice. I was very exciting as I left my home for my one-hour drive to the school campus in the pouring rain. Many song have been written about it never raining in southern California but this was not so. On arrival at the campus, the staff was there at the entrance to direct the new nervous students to their assigned classroom. Like myself my new classmate were eager to embark on this journey, yet apprehensive of the unknown. Many of us during the three days’ emersion, questioned ourselves on whether we had made the right decision in going back to school at this level. We contemplated on the hours of commitment
My interest in the nursing field started from a personal experience. When I was 14 I went to a hospital. I was scared and alone in my room, the nurse noticed that I was petrified she talked to me. She reassured me that I was not alone, this brought me great comfort. For the short time I was there, nurses were the ones who were with me for most of the day. I found comfort in the nurses and I knew I could trust them. I learned many things from being there but one thing that stuck with me are the faces of the nurses. I learned a lot from them and I want to help others the way they helped me. As a nurse I would have unlimited amount of opportunities to imprint what I have learned on others. The thing that mainly draws me into this career is that
I had the first clinical experience today, and I can proudly say that I had a great time spending time with my resident and observe how certified nursing assistants performed cares for him. Since today was a first day of clinical, I was mostly just observing and still getting used to other residents and workers in the facility. One of the requirements that I had to do was having an interview with the given resident. I knew that using therapeutic communication techniques may be very helpful when interviewing my resident, and I have done as many techniques as I could.
During my time at school, I was presented the wonderful opportunity with some of my classmates to attend a trip to an Indigenous community in Far North Queensland, to help serve, teach the children and provide basic care. This life-changing trip has fuelled my desire to help people, whether it is in an overseas context or in my community. As a result, I decided to take a step into being more involved in the wider school community as a youth leader. This consisted of developing leadership skills and a safe environment where other adolescents can connect with one another. Furthermore, it revealed to me that whilst my goal was to help others, I learnt that in a bidirectional partnership it requires the attributes of being humble and the eagerness