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The importance of a training needs assessment
Specific way to improve nursing practice
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Recommended: The importance of a training needs assessment
Aim: How to provide best clinical training is a major issue in nursing education in the face of reduced hours for practical learning and the difficulty of skills acquisition, and educators are still looking for an effective training education methodology. In order to develop an effective training education, this paper reviews the training instruction situation of a colleague, as well as considers what methods could be used for future training instruction.
Methods: As the responsible instructor overseeing the three-year Basic Nursing Practice Training, I trained five students and observed instructors by taking field notes.
Results: The use of formative evaluations by instructors allowed trainees to mostly achieve their goals, but the training
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Therefore, instruction for nursing process logs is mainly done by instructors, while charge nurses are directly responsible for instruction in nursing techniques carried out on patients, and the matter is discussed by both sides before training begins. For this case, instructors went on-site each morning and at necessary times throughout the day, making adjustments to training instruction in consultation with the charge nurse and giving training instruction. Instructors planned interim consultations with the charge nurse, confirming the direction of the nursing plan. In addition, instructors kept track of what the trainee needed to know in terms of the nursing care process by judging the trainee’s response to questions and the content of nursing logs. When one trainee was worrying about how to tailor a massage method for a patient, the trainee and the instructor took turns giving massages to the patient, prompting the trainee to think about what technique would be most …show more content…
Students must deepen their learning in a way that moves from nursing techniques to nursing skills. Instructors must see that students learn nursing skills during their training and instructors must also be involved in that process. The author’s training instruction could be seen as a knowledge-centric education with a gap between theory and practice10) with the possibility of students coming away not with nursing skills but only with superficial nursing techniques. The role of moving from nursing techniques to nursing skills is also a role of the teacher, and there is a need to make use of that role as part of future training
The skills acquisition concept poses a backwards movement in progress. The competent nurse in this case steps backward down the ladder to the novice level as an NP. Moreover, learning new skills, knowledge, and methods of treatment may technically be a step forward in a person’s career, but it is a step backwards in confidence and experience. The transition theory suggests transition as a never-ending process. The success of this course depends on a person’s support system and methods for coping. The transition theory has three stages: moving in, moving through and moving out. The moving in stage would be entering graduate education. Moving through is the process of completing classes and clinical time. The final stage, moving out, is beginning the first position as an NP. Successfully transitioning through these stages is heavily reliant on support, self-awareness and coping mechanisms. For instance, failure to begin the transition phase in graduate school is a prediction of the inability to properly shift into the role of NP (Poronsky,
Introduction The College of Nurses of Ontario (CNO) is the governing body of all registered nurses in Ontario and is regulated. The CNO provides expectations and guidelines to follow, which need to be met by each Registered Practical Nurse (RPN) individually. As a nursing student, I am taught about the CNO and the importance of referring back to the guidelines while caring for patients. While gaining experience in the nursing field through my clinical settings, I have realized as a nursing student there are areas I need further development in. In this paper, I will address two of my learning needs and my goals for each.
A critical analysis of the four fundamental patterns of knowing in nursing is essential for nurses to be able to grasp the complicated nature of the nursing practice. Barbara Carper (1978) lists the four patterns of knowing as: empirics, esthetics, personal knowledge, and ethics or moral knowledge (p.14). The science of nursing is called empirics and the connection of art to nursing is referred to as esthetics (Carper, 1978, p.14). These patterns are four very complex areas of nursing that every nurse must consider in order to be as successful as possible in providing care. In this evaluation the author will discuss how these concepts affect present learning and practice.
..., R.M. & Jones, J.R. (2010). From practice to education: Perspectives from three nurse leaders. Journal of Continuing Education in Nursing, 41(2), 83-87. doi: 10.3928/00220124-20100126-0
It is important that students have the ability of being competent in a clinical setting. To be deemed competent in skills according to nursing regulations and requirements. This is a challenging factor for many students, as they enter transition period. This is due to students feel they do not have the desired clinical competency that promotes the skills and authorities of a registered nurse (Harsin, Soroor & Soodabeh, 2012). Clinical research studies have found that students do have the required expected levels of knowledge, attitude and behaviour’s. However, the range of practical skills aren’t sufficient for the range of practice settings (Evans, 2008). This research has also found that other evidenced based studies found that competency in nursing skills is still lacking (Evans, 2008). These skills are lacked by students and newly graduated nursing how are in the first or second year of
This essay is going to focus on the nursing skills that I developed during a period of placement simulations and in the community, 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 other sources of 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.
Realistically, most students are not privy to the winding journey of a nursing career. Students learn how to bathe, medicate, feed, assess, and some psychosocial concepts. However, there is no class that teaches or can teach students how to stand back and watch your patients struggle to help themselves, how to face your own mortal...
There is only so much an individual can learn from a textbook or classroom setting when it comes to nursing. Although clinical practicums are mandatory with any nursing program one can only retain so much in such a short timeframe. Student nurses mostly focus on completing their care plans and any other mandatory assignment related to their clinical experience. With that being said new graduates become novice nurses on the level of clinical practice. Patricia Benner discussed the education and experience levels of nurses by utilizing five significant stages. These stages include novice, advance beginner, competent, proficient, and expert. The ultimate goal for all nurses should
...es need to be taught awareness skills, and given enough training to sharpen, and maintain them .Instructors should be firm but fair. This means they should be ready to correct their student’s mistakes without necessarily coming off as overbearing and this was demonstrated by the nurse. Student nurses must interact more with their patients by listening and trying to understand them. Although the patient might not know what’s best for them, they may have an idea of what is going on and might help the nurses understand issues better.
Nursing is a growing and constantly changing profession, making a bigger impact in healthcare with every turn. In fact, it was not so long ago that nursing was not even thought of as a profession and we have come a long way since the pioneer days of Florence Nightingale. Nursing is steadily evolving in terms of opportunities, educational requirements, professional recognition, and the advancement of nursing theories. These theories influence the environment, the patient, health, and overall nursing. Nursing theories will continue to evolve and guide as we continue to explore and learn new ways to improve overall nursing practice not only for the sake of the patients, but also for the future of nursing as a whole. However, when one looks to the future of nursing, they must also remember where it started; the basics of Florence Nightingale and that “Were there none who were discontented with what they have, the world would never reach anything better” (Nightingale, 1859).
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.
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.
Advancement in nursing education and involvement in continuing professional education aims at achieving professionalisation, these strategies able to help in meeting the challenges of professionalisation through learning update knowledge and skills and to improve professional competency. Nurses need to be educated at a higher level in order to equip themselves with the knowledge and skills that will empower them to practice innovatively, creatively and autonomously. Nurses should gain more knowledge to update and upgrade ourself and never stop learning because the more we gain more knowledge and more people will respect us.
Knowledge and practice issues have a long-standing history in nurse education and are a continuous source of controversy to which there is no easy or perfect solution (Hewison, A & Wildman, S., 1996). This tension between theory and practice and research which can be usefully exploited in teaching and research (Rafferty, Allcock, & Lathlean, 1996). Emphasizing the importance of the issue (Rolfe, 2003), states that the theory-practice gap is felt most acutely by student nurses. The student may find themselves torn between the demands of their tutor and the practicing nurses. They are faced with real clinical situations in which they are unable to generalize from what they have learned in theory. This gap creates the biggest challenge for most of the new graduate. If we don’t step up and fix this problem of the theory-practice difference, it can cause a huge problem because the principles of practice established in curricula are not well aligned with the principles operating in the workplace. If this problem is not deeply addressed, it may be another factor on why new nurses are leaving the practice
From Novice to Expert: Reviewing Benner’s Theory on Nursing Education and Development Since the early 1980’s, Patricia Benner of the University of California, San Francisco has been one of the leading theorist when it comes to understanding how skills and knowledge are both acquired and applied to the practice of nursing. Included in Benner’s theory is the impact of this skill and knowledge acquisition on nursing education, administration, and research (Benner, P. E, 1984). Based on the Dreyfus model, Benner was able to describe her theory on how nursing practitioners move from novices to experts (Brykczynski, 2002). Her philosophy is rather simple. She believes knowing “that” is very different from knowing “how” (Benner, P. E., 1984).