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Summation of 120 clinical hours
The clinical experience helped me with a deeper understanding of all facets of nursing care. I found it thought-provoking how information from patient’s questionnaires and open-ended interview techniques are used to build a teaching plan. In the past, I have used the information assembled from handouts for patient teaching. Today’s patient-centered teaching is taking education strategies and thinking outside the box to make sure patient learning is occurring. In the past, we didn’t consider whether the patient learned information taught. Open-ended questions and assessing the knowledge of illness those patients already know help educators convey the concepts and focus on knowledge that patient need to learn. Patient-centered teaching uses a holistic nursing approach to teach the learner. As an educator, I realize there are gaps of knowledge for what patients are taught and what patients learned. According to Bastable (2014), new evidence supports the roles of nursing educators in promoting patient-centered teaching (p.16). The patient–centered teaching approaches help fill these gaps in knowledge and educate patients to make sure learning is occurring.
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He stated, “It makes me feel clean”. This particular experience was an eye-opener. It made me realize the information I taught needed to reflect what the patient believed is important to him. This was a good experience for me to change the way I usually taught. I took his belief and used it in his teaching plan. We were able to come to a mutual agreement for him not to use the Vick’s suave for a couple of week to promote healing. This experience showed me there are different ways to get around problems and letting patients help guide the treatments and
Studies show that patients forget at least half of the information explained to them (Tamaru-Lis, 2013, p. 268). In addition, low health literacy correlates with poor disease management, readmissions, and poor compliance to treatments (Eadie, 2014, p. 9). The goal of teach-back, therefore, is to improve recollection and increase health literacy. Nursing practice is aimed towards meeting these goals. Ultimately, nursing practice will improve as nurses are better able to deliver quality care, promote patient safety, and increase patient satisfaction. As a result, patient outcomes are optimized because teach-back minimizes communication errors and encourages participation. Participation allows patients to make appropriate decisions which direct health care professionals to provide patient-centered care.
In the article “Time to learn: Understanding patient-centered care,” Rinchen Pelzang clarifies not only what patient-centered care means but what it looks like when implemented. These clarifications are necessary because although most healthcare setting advocate patient-centered care, with no clear definition. Pelzang mentions this as one of the most prominent barriers to PCC, the misinterpretation of the concept. In order to combat this barrier proper education and emphasis on communication are needed. When this isn’t the case, “the failure to recognize nurse-patient communication as an essential component of nursing care is the greatest barrier to effective communication” (Pelzang, 2010). Collaborative care and
This study showed that nurses can communicate well when a patient-center approach is used. There is need within health care for nurses to recognize that patients are more than a task that needs to be completed. That the patient themselves are an important element in their own care. By educating and giving nurses the evidence-based research available they can fill this gap. Continued research needs to be conducted on patient’s experiences of how nurses communicate. Showing us the behaviors that patients place high values on. Thus enabling nurses to use a patient-centered
Overall, I retain three goals for this clinical day: Safely and efficently administer medication, enhance my nursing/CNA skills, and determine how to implement infection control into a health care setting. This week reflects my assigned time to administer medication in a health care setting for the first time, with a resident who retains nearly twenty medications. I except this experience will be a great learning experience, but it will also subsist slightly stressful. With the assistance of my FOR, my goal is to administer all of my resident 's medications without complications. To ensure that medication safety, I will perform the six medication rights and three checks prior to administration. Along with medication administration, a goal
Even before starting medical school, when people asked what I wanted to specialize in after graduating, I told them internal medicine. During medical school I really enjoyed learning about the various disease, how to treat this, how to manage that. When people asked if I would ever consider surgery, I would reply with “never” and “it’s not for me”.
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
The article was complicated, but it helped address the learning patterns and what a nurse needs to know in their practice to better themselves and provide the best care for a patient. By acknowledging the patient as a person, applying science based practice, using artful skills, and ethically providing care to a patient, the nurse extends their patterns of knowing and forms their knowledge base.
My reflection report will be on how to teach a clinical skill, which could be done either by the simulation training “workshops” or in hospital settings. Any reflection report is basically an evaluation of a person’s records of certain findings about certain topic or experience
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.
I believe placing student nurses in the clinical setting is vital in becoming competent nurses. Every experience the student experiences during their placement has an educative nature therefore, it is important for the students to take some time to reflect on these experiences. A specific situation that stood out to me from my clinical experience was that; I didn’t realize I had ignored the patient’s pain until I was later asked by the nurse if the patient was in any pain.
Throughout people’s lives, many are tested, in which they are pushed to their own limits. These personal experiences help the person to realize what makes them different from others, what makes them unique and stand out from the crowd. Even, sometimes with these experiences, people learn more about themselves, push themselves to their limit and test their abilities to work under pressure and other times adapt. In my case, the most important experience that I went through that helped me develop skills that I use to excel in my academics is something that most people don’t go through until late in life, the loss of a parent, in this case, my mother.
This week’s clinical experience has been unlike any other. I went onto the unit knowing that I needed to be more independent and found myself to be both scared and intimidated. However, having the patients I did made my first mother baby clinical an exciting experience. I was able to create connections between what I saw on the unit and the theory we learned in lectures. In addition, I was able to see tricks other nurses on the unit have when providing care, and where others went wrong. Being aware of this enabled me to see the areas of mother baby nursing I understood and areas I need to further research to become a better nurse.
I remember there was a time on my first few weak of orientation I felt like I didn’t belong the healthcare field. I was about to quit the nursing profession, but one of the experienced nurses who was working with me told me that you couldn't run away from yourself just hang in there you will figure it out you are not the alone. I could say there was a significant gap between theory and practice. In real life practice, I learned so many things through everyday training and experiences from working difference patients with the different case. In school, we learned the importance of evidence-based practice but to incorporate that knowledge in real life practice is a different problem. In nursing practices, we come across patients with various health issues that require a solution right then. From this vantage point, the student begins to learn the value of looking at what is perceived as pure clinical problems in a more significant context. (Ferrara, 2010). Not only has this brought the theory we have learned in school and what a nurse has experienced in clinical setting closing this
My career of nursing is like the cyclical pattern of life, as time passes and situations are experienced, one is shaped into a certain individual/professional, ending up in places that never seemed to be part of life’s plan. Personally, the challenges and triumphs of providing patient centered care to help others live a healthier life, and aiming to prevent illness, is rewarding and quite humbling. As I continue to learn about opportunities to provide individualized care to patients and their families, I further understand the imperativeness of the “whole person,” which is a critical skill of a nurse practitioner. As a skilled clinician, progressing in my career as an aspiring family nurse practitioner in the Stony Brook University School of Nursing, I will impact my patients by providing them comprehensive care that will result in improved quality of life.
. Most of my career has been in community nursing providing care in the patient’s home. This opportunity has allowed me to be a teacher and encourage health promotion. This can be very challenging due to issues with literacy and the patient’s readiness for change. This course has exposed me to the many different learning theories that have been developed and how to effectively assess the in order to develop and implement an effective teaching plan. Teaching strategies and plans must be specific to the learner and barriers need to be identified early so they can be overcome to promote better outcomes