At the individual level it is recognizing and reflecting on an issue that restricts one’s abilities and experiences, then taking action to change the issue for themselves and others affected (Chinn & Kramer, 2011). The key objective of praxis is through reflection to incorporate theory, practice and art to aid in the recognition and valuing of diverse types of knowledge (Kilpatrick, 2008). Praxis plays an integral role for the APN and there should be a solid foundation of understanding. There are several benefits for APN’s use of nursing praxis; it influences the relationship the practitioner develops with patients, their families and colleagues. Moreover, it provides the opportunity for change, personal nursing theory and knowledge development through self-reflection.
Good factual written and verbal communication and being able to use a variety of communication skills, will promote good understanding, and ultimately provide high quality care for our Service Users. In my position, it is imperative that I communicate with the Service User, and our Carers, in the correct way, to make sure that the needs of the Service User are understood, and dealt with correctly. When we initially meet with the service user, we discuss their needs and concerns, the level of care required, and the frequency of visits before we formulate a care plan that meets their needs. We have regular meetings with the Service Users and Carers to review plans, and implement any changes needed. We also telephone our Service Users, to ensure that everything is working well, with the service they are receiving.
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”. (Schutz, 2007 pg.26) The clinical competency I have chosen in this report is Phlebotomy. As part of my role as a health care support worker within a District Nursing team Phlebotomy is one of my primary duties. The clinical skill I have chosen to reflect upon within this account is venepuncture. Confidentiality has been maintained throughout within this assignment and all names and locations are changed in accordance with the Nursing and Midwifery Council code of conduct (2008, Section: Confidentiality) and for this purpose I have chosen to name the patient as Mrs Jones.
It also provides an up-to-date record of my involvement in training and development activities. I can get support with my PDP from my manager and colleagues. These people can help me identify training needs and requirements, and recommend areas for me to develop When developing my PDP I followed ‘SMART’ principles Specific Measurable Achievable Relevant Timely 3.3 Establish a process to evaluate the effectiveness of the plan 3.3 – According to my progress and my training goals, I will evaluate and amend my PDP accordingly. By doing this I will be able to identify any problems or obstacles that may have delayed my progress, and find alternatives to help me to achieve them. During regular supervision with my manager, objectives can be outlined, target dates set for stages of achievement and recommendations for how I will achieve them.
"Furthermore, nursing practice incorporates intellectual and interpersonal skills in the care of patients and their families and emphasizes an interdisciplinary and collaborative relationship with other healthcare providers. Excellence in nursing requires commitment, caring, and critical thinking in terms of mastery of clinical skills, status, and control over practice" (CCN, 2015). When referring to the "person" aspect of metaparadigm for nursing we, as nurses, focus on the comfort, safety, care, needs, and advocacy of our patients. With each patient I encounter, I make an attempt to connect on a personal level with these patients, learn a little bit more of their personal life, and build upon trust; all of which aids in the successful health outcome/quality of stay for my patients. The environment aspect of metaparadigm for nursing, this gives us, as nurses, the opportunity to explore the patients demographics, mental concerns, and safety concerns when out of the hospital; this allows for us, the nurse, to have a better insight on ways in which we could improve their environmental factors while in the hospital.
Within each employee’s PDP a person centred approach should be applied to address any barriers they have to learning and the plan should be adopted to best suit their needs, to build their confidence and to encourage their enthusiasm and commitment to lifelong learning. Skills for Care leadership and management strategy (SfC 2006a) defines the necessity for Health & Social Care organisations to implement CPD systems to ensure the individual and the organisation effectively implements CPD. The following table indicates the requirements that Skills for Care
Unit 30 Assignment 1.1 The policy of person-centred care has become a mainstay of efforts to reform health care in the UK. Government policy is now built around this core concept, a major aspect of which is enabling individuals to participate in decision-making about their care at every level. By concentrating on the individual’s wishes and aspirations and placing them at the centre of a ‘planning circle’ the care team can assist with goal setting to ensure their best interests are maintained and the individual’s preferences are considered. Working in partnership is a key element of practice within health and social care. The concepts of power sharing, consultation and joint ways of working are essential for effective service provision.
We all have to start somewhere and it helps our confidence and practice if we are nurtured in our translation of new knowledge into practice. 2. Generates knowledge from clinical practice to improve practice and patient outcomes. As a new NP practices they will be continually learning and improving their practice. If they are learning, as time and experience build the NP will have improved patient outcomes.
Explain the importance of continually improving knowledge and practice. The importance of continually improving my knowledge, is to ensure that the I am aware of, and follow, the current health & social care standards, legislation, and guidelines for good practice. Learning new skills and refreshing training enables me to progress, and achieve within my career and working practices. Personal development not only benefits an individual, but also the organization, and the residents who receive the services. The focus of training tends to be on the staff group delivering the services, to ensure that all recommendations and standards are achieved.
Team STEPPS Team Strategies to Enhance Performance and Patient Safety (TeamSTEPPS) is an evidence-based set of teamwork tools, aimed at optimizing patient outcomes by improving communication and teamwork skills among health care professionals. It includes a comprehensive set of ready-to-use materials and a training curriculum to successfully integrate teamwork principles into any health care system. The three phases of TeamSTEPPS are based on lessons learned, existing master trainer or change agent experience, the literature of quality and patient safety, and culture change. A successful TeamSTEPPS initiative requires a thorough assessment of the organization and its processes and a carefully developed implementation and sustainment plan. The goal of Phase 1 is to determine an organization's readiness for undertaking a TeamSTEPPS-based initiative.