I am qualified state nurse (SRN), currently working in a private hospital in Seremban since 3 years till date. I work in a general medical surgical ward, also we have nurses that works in surgery and paediatric wards. During my experience, I have acquired type of knowledge and skills that I believe sharing with learner will improve people knowledge and give more insight to detail of objective in the learning process that has been given. During these learning process between mentor and learner . I decided to choose one of my junior staff nurse as my learner.
Introduction In this account I will concentrate on an established clinical skill that I have been practicing for many years. Presenting this assignment reflects the assessment and care delivered to a patient within my working practice. Using Gibbs model (Gibbs, 1988) as a working model will allow my thoughts / feelings, evaluation, analysis, conclusion and action plan to be deduced. I will apply critical thinking and underpinning knowledge to evidence based practice and thus concludes with an evaluation of increased clinical competency and personal development. Reflection as a learning tool allows me to identify the positive and negative aspects of my practice and to draw upon previous experiences and apply them to new situations “Reflective practice has, however, the potential to help practitioners in all fields unlock the tacit knowledge and understanding that they have of their practice and use this to generate knowledge for future practice”.
Chochinov, 2007 (cited in Cornwell & Goodrich, 2009), states simply that compassion is ‘a deep awareness of the suffering of another coupled with the wish to relieve it.’ Pediatric patients and their families are highly sensitive to the compassionate nature of health care professionals and a successful therapeutic relationship with them depends on the sensitive, compassionate care offered by the nurse. This paper will discuss why communication, family centred care and compassion are necessary and important qualities for a nurse to possess when working with pediatric patients and specify some of the challenges a nurse may meet in providing these. Communicating with Babies and Children Nursing children and babies requires a highly skilled and sensitive approach to communication. The developmental age of the pediatric patient needs to be considered when determining the best ways to
In addition, health assessment, nursing types, patient care, and child and infant care are common nursing program courses. These courses will create a need for a lot of time dedicated to studying and completing assignments. Along with the course requirements, students will be required to spend time completing clinicals. Clinicals are designated times students spend working in hospitals, NICU’s (Neonatal Intensive Care Units), and well-newborn nurseries. Students are supervised and evaluated by licensed nurses while completing clinicals.
When I become nursing board credentialed nurse, I will be an expert in the field of infusion nursing this would allow me to become an educator for a venous access team which would include the training of picc line placement. I also would like to attend national conferences as a speaker to share my knowledge with my peers. Personal Short-Term Goal Personal Long term Goal Needed Skills I feel the needed skills would be an education which will allow me to obtain the job that I desire and would good at, Milestones for Goal Achievement Time Management Conclusions and Recommendations Goals in life are important for a person to succeed. I believe writing them down helps to bring them to fruition. Writing thoughts and ideas down on paper helps a person to formulate a plan for success.
Finally, determine if the procedure would pass the "reasonable and prudent" standard of nursing, meaning would a nurse with the same education and training perform the task. You must have a valid order from the physician, documented competency for the procedure, and be willing to accept the consequences for your actions (Anderson, 2014). When introducing the new procedure to the physicians and fellow nurses, a few steps should be taken. First, make sure administration and nursing supervisors are on board with allowing this kind of change to be implemented so that a new policy can be written stating this procedure is within the scope of practice in order to protect the nurses who will be performing it. Mandatory skills classes or in-services regarding the new procedure would have to be implemented for all physicians and nurses that would be directly involved with it.
This essay will discuss and reflects using Gibbs reflective cycle (1988) about the use of pressure ulcer prevention tool and how functional it is based on evidence based practice (EBP) that will facilitate to enhance the possible result of an underlying procedure. According to Jasper (2003), reflection is a fundamental tool in order for the student’s to understand the broad perspective between theory and practice. Reflection is an active process that enables health care professionals gain a deeper understanding of their experiences and it serves to extend our professionalism and develop our confidence in a bid to make sense of clinical experiences (Ghaye, Gillespie & Lillyman 2000).In accordance to Nursing and Midwifery Council (NMC) Code of practice the details about the client will not be given to ensure the confidentiality and protection of the patient (NMC, 2008). The first part of Gibbs reflective cycle is the description. As a health care professional trained in different approach, I assessed my client based on the theory and learning experience that I have had.
The first stage of Gibbs (1988) model of reflection requires the description of events. I was asked to administer a drug to a patient via subcut injection. I observed this clinical skill on a variety of occasions, by qualified nursing staff. This was my first time administrating a subcut injection; I was under supervision from a qualified nurse. The drug itself was in a pre-filled syringe needle.
Hand washing and infection prevention is one of the most under stressed areas of healthcare. It is the job of Team A to guide and direct the learning and behavioral changes needed to be successful as a healthcare worker. As nurse educators we realize the basic understanding of critical thinking lies within the Socratic Method, this is the strategy we will use to present the information on infection prevention. According to DeYoung (2009) “In this method, all thoughts are treated as if they are in need of further development and refinement, regardless of how reflective they may be” (p. 226). Our purpose is for the students to have clarity about our topic and as instructors we will hold them accountable for the information presented.
Advice on antenatal visits and its importance like, four visits upwards is regarded as booked antenatal mother, nutrition during pregnancy and childbirth is also a vital role to advise mothers on, like a balanced diet with water to take. Advocate for mothers and her baby in other words speaking on behalf of them. Therefore the roles of a midwife during antenatal period are to ensure that pregnancy is monitored and critically evaluating the physical, psychological aspects of how the mother feels about the pregnancy and the actual birth experience and social effects of pregnancy (Cooper and Fraser, 2009).In order to do that, the midwife has to create an environment that is friendly and the approach to the mothers care has to be holistic. To share information with the pregnant mother and husband allowing them to choose for themselves which choice they will have about pregnancy and childbirth (Cooper and Fraser, 2009).Also to monitor the baby, whether baby is growing or not. So in doing