...Reflective Essay The aim of this essay is to reflect on an incident, which took place in a hospital setting during the first month of my Foundation Degree Assistant Practitioner course. It will explore the importance of communication amongst the health care professionals and how a good nursing documentation is an integral part of nursing. It will also demonstrate how reflection enabled me to make sense of and learn from this experience, as well as identify any further learning developments needed to improve my practice and achieve the level of competency needed for when I qualify as an assistant practitioner. While discussing the knowledge underpinning practice, evidence based literature will be reviewed to support my discussion and for the purpose of reflection the essay will be written in the first person. Spouse, J, et al (2008). Jonhs, C (2009) defined reflection as learning through our every day experiences, towards realising one’s vision of desirable practice as a lived reality. He also added that it is a critical and a flexible process of self inquiry and transformation of being and becoming the practitioner you desire to be. However, Ghaye, T et al. (2000) stated that for the health care professionals to develop a more reflective posture, they must fully embrace both the principles and the practices of reflection. It is about becoming more aware of how we learn and how this affects what we think, feel and do. There are different models for reflection; some are more...
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...Applying the Background and Methodology of the Research Process HCS/465 December 22, 2013 Jonathan Hoffsuemmer Applying the Background and Methodology of the Research Process A serious problem seen by nurse practitioners that work in rural areas is teen pregnancy. A peer-reviewed research paper published by The Journal for Nurse Practitioners entitled “Who Will Listen? Rural Teen Pregnancy Reflections.” There are both medical and social concerns that occur with teen pregnancy. Teen pregnancy statistic shows that teen mothers give birth to premature babies with low birth weight. The social aspect is teen mothers do not complete high school and lives in poverty. These situations rank high in abuse and neglect with teen parents. Definition of the Problem Rural areas show the highest rate of teen pregnancy compared to state rates, which produces a problem that researchers are questioning why this rate is higher in the rural areas. The Theory of Adolescent Sexual Decision Making (TASDM) is the basis this research was conducted to resolve. This theory has two main objectives that include the risk-promoting environments teens experience and exposure to risky situation that create the situations teens use to justify sexual behavior (Weiss, 2012). The problem with teen pregnancy produces premature birth and low birth weight in the babies. A medical problem with teen pregnancy is the medical expenses incurred with both teenager and infant. These statistics...
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...care, the nurses’ aim is to have a therapeutic relationship with the patient, where boundaries of the relationship are strictly safe and within the code of ethics. Such boundaries are called professional boundaries that are defined as the ‘spaces between the nurse’s power and the client’s vulnerability’. Establishing these boundaries provide the nurse with authority to allow a confidential and professional therapeutic relationship with the patient (The National Council of State Boards of Nursing 2010, p. 25). To avoid breaches and infringement, these boundaries must be maintained throughout clinical practices and placements. The Australian Nursing and Midwifery Council, also known as ANMC, (cited in Kralik & van Loon 2008, p. 76) define professional boundaries as ‘the limit of a relationship between a nurse and an individual or between a nurse and any significant other persons, which facilitates safe and therapeutic practice and results in safe and effective care’. In regards to nursing, the ANMC (cited in Levett-Jones & Bourgeois, 2009, p. 103) advocates that professional boundaries are related to the responsibility, performance, morals and actions from the nurse and must be maintained when working with vulnerable individuals. This essay is an example of a student's work Disclaimer This essay have been submitted to us by a student in order to help you with your studies. This is not an example of the work written by our professional essay writers. Essay Writing Service ...
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...David Sackett. EBP is “the conscientious, explicit and judicious use of current best evidence in making decisions about the care of the individual patient. It means integrating individual clinical expertise with the best available external clinical evidence from systematic research.” (Sackett D, 1996) Defining what is meant by EBP allows this essay to discuss the controversies and key debates surrounding the use of EBP in nursing practice. These include ethical concerns, reliability, and validity as well as collection on of...
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...Professional Studies Assignment Introduction For this essay I will be reflecting on an incident from practice, by drawing on developing knowledge, understanding and the application of professional studies. Reflection offers an opportunity to learn through an experience. This allows us to develop or sustain effective practice (Johns, 2000). I will be using the Gibbs (1988) reflective framework to structure my reflection (see appendix A). I find this framework very easy to follow, and as Clodagn (2003), explains it allows a person to implement alternative actions to an event, if followed. The incident will be described and the influence of key issues relating to ethical theories and decision-making, illness journeys and lay and professional perspectives will be explored. Principles of nursing models will be looked at and their contribution to individual patient care. I will also look at resource management, quality assurance and the role of evidence-based practice. For the purpose of this essay, to maintain confidentiality, the patient will be referred to as Mr Charlie Wood, (NMC code of professional conduct 2002; 5.1). Incident The incident occurred when I was a student on a medical ward. Mr. Wood, age 80 had been admitted to hospital following a stroke. From this he had lost the ability to mobilise and speak effectively. He was a very dependent gentleman and counted on the nurses to undertake all aspects of his care. His wife, whose name has also...
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...Health Nursing Essay On the other hand, nursing practice is an act of providing care to the patients. This can be done by implementing a nursing care plan which is based on the initial condition of the patient. For certain people, the responsibilities of the nurses may seem apparent as all they need to do is following the orders from the doctor. Even for an experienced nurses, they still need to concede from the doctors in matters that they are restricted and not qualified in. This is called professional boundaries. According to CRNNS (2002), professional boundaries are the defining lines which separate the therapeutic behavior of a registered nurse from any behavior which, well intentioned or not, could reduce the benefit of nursing care to individuals and communities. But in reality, the job of the nurses sometimes being pushed to the limit according to the patient's condition. This may lead to some instant decision making with or without the conceding from the doctors. This case however may be seen as the boundary violation. The boundary violation can be defined as a disruption of the barrier between a professional and the client. In our case, it is an act or interaction which damages the patient and the professional (nurse) relationship. The action of crossing the professional boundaries may be regarded as against the law. According to Allen (2001), five keys of nursing boundaries had been identified which consist of boundary among nurse and nurse itself, nurse and supported...
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...The purpose of this essay is to critically explore and discuss the holistic care and management of a chosen patient from a recent clinical placement. The patient which has been chosen has had an exacerbation of a chronic problem. Management options which are or have been available to the designated nurse will be critically discussed alongside the justification of the plan of care which will or has been implemented. The role of the registered nurse in relation to safe and effective decision making will be explored. A discussion of the decision making process which has been chosen for the patient will be noted and this will be related to known theoretical models of clinical decision making. It will also critically examine the importance of managing risk in health care to enhance the patient care and outcomes and this will be related to the chosen patient and clinical scenario. Finally it will also critically appraise the evidence base that supports the discussion. The chosen patient is a 42 year old male who has been admitted to the current clinical placement, which is the local spinal injuries centre, after numerous complaints of recurrent urinary tract infections. All patient identifiable information has been changed to protect the patients’ identity in accordance with the Nursing and Midwifery (NMC) guidelines regarding confidentiality (NMC, 2004). Mr Scott had previously been an inpatient to the Spinal Unit following a road traffic accident in September 2004, the outcome...
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...Mentoring has been established in a variety of fields for many years. Within nursing, the term ‘mentor’ denotes “A nurse, midwife or specialist community public health nurse who facilitates learning and supervises and assesses students in a practice setting”, (Nursing and Midwifery Council (NMC) 2005). The essay will explore the role of the mentor in the field of nursing, with personal reflection on the authors experience as a mentor in my current role as a community mental health nurse (CMHN). The mentor-mentee learning relationship will be explored and the application of teaching and learning strategies will be examined. The essay will also discuss the responsibility of the mentor in relation to self, others and the professional agenda and will analyse current assessment procedures for nursing students. Following a student journey, the essay will consider how the mentorship process can be improved in the clinical practice environment. In recent years, the National Health Service has undergone huge modernisation and consequently, the preparation of nurses for the future has changed to reflect its new principles. The change in organisational and educational philosophies in teaching nursing has lead to a search for effective strategies that are directed towards making the most of human potential and learning in practice. The clinical experience of nursing students is widely acknowledged as being one of the most important aspects of their educational preparations...
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...nursing My theory is that the more education a nurse has the better he/she can be at their job of taking care of patient as a whole and on a complex level. To obtain a Nursing Degree one can start at the LVN or go all the way to a PHD in nursing. This paper will focus on the abilities or competencies of a prepared Associate Degree nurse, and the abilities or competencies of a Baccalaureate Degree Nurse. This is a hot topic now and has been for many years. I have been hearing for many years that ADN will be phased out, and only BSN will be used in the future. The time period in which to mandate this event is governed differently by the state where the nurse works. There are catchy phrases out there like BNS in 10, or BSN by 2020. “As of 2010, at least 18 states, including New York, New Jersey, were considering BSN in 10 legislation.” (nursing link 2011, 07.) The first step is to define nursing. “Nursing is the knowledge based discipline, which focuses on the wholeness of human being.” (studymode, 2012,02.) The ADN nurse and BSN take a different approach in teaching their students. They both take the same state mandated NCLEX, but have a different time of training. “The Associated Degree takes a shorter path of two years where the BSN takes a longer with 4 years of education to complete the degree.” (studymode, 2012,02.) Now to break this down and let you know the difference of a 2 and 4 year nursing program. The Associate trained nurse is more task oriented, while the BSN is based...
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...Governments “Putting People First” programme for social care (DOH, 2007). The Coalition continues this commitment towards personalisation of care with its “Capable Communities and Active Citizens” document (DOH, 2010). One key area to ensure that care is delivered in a systematic person-centred way is through effective care planning that involves the patient in the process as a key stake holder. Several systematic models to nursing care are available that will facilitate practitioners in ensuring that all needs of the individual are identified and met. This essay will define what is meant by the term “person centred care”, will explore the systematic nursing models of care delivery and will highlight good practice in constructing person-centred care plans. This will be done using examples of an original care plan (constructed by the author for a real patient whose name has been changed) - and will draw upon information and evidence from a range of contemporary sources. It is appropriate in the context of this essay to firstly define a “person”. A person should not be viewed as a mere physiological entity but rather as an intricate composite of characteristics that make up an individual personality (AHMD, 2007). The National Health and Hospitals Reform Commission (2008) stated that person centred care is the first principle for guiding the delivery of health care. It describes this as health care that is responsive to...
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...Leadership Cumulative Essay Mathew Johnson College Phoenix Leadership Prof. Monstade February 04, 2012 Leadership Cumulative Essay Introduction This essay will give insight into the author’s point of view on several facets of nursing today. The information provided will speak to lessons learned in the Everest College Nursing program. Topics covered shall consist of a reflection of the personal nursing philosophy, impact and concepts of the Nursing Code of Ethics and how it applies to Nursing as a profession, the concept of patient centered care, use of technology in documentation, and the leadership aspects that are considered as a new graduate. Leadership aspects entail team leading, delegation, and role transition from graduate to RN. This is the point of view of the author and information given here will be both objective and subjective. Nursing Philosophy In a previous paper written, the reflection of this student’s own nursing philosophy seemed to coincide with that of Florence Nightingale as well as Dorothy Orem. Orem’s school of thought leans toward the nurse having a large hand in aiding a patient to achieve total self-sustainability. Dorothy Orem’s theory is actually three separate theories that work synergistically. These theories are the theory of self-care, theory of self-care deficit, and the theory of Nursing systems. This works well for a patient, when achieved, due to the self-care...
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...The purpose of this assignment is to discuss how the module content and practice experience has contributed to my development as a nurse. It will involve reflecting on a particular episode of care delivery to a patient by me and my nursing mentor whilst on my 5 week placement and how I felt that the Foundation to nursing practice module helped equip me with both the knowledge and skills. In education for health-care professions it is recognised as an essential tool for helping students to make links between theory and practice and enables you to develop your knowledge and skills towards becoming a professional. Reflective practice is noted as being fundamental to development as a professional. To protect anonymity and maintain confidentiality the patient focused on this assignment will be known as patient A, furthermore consent was gained from patient A and they were provided with clear information on what would be included in this assignment and where informed that no recognisable information would be given, this is done in accordance with the Nursing & Midwifery Councils Code of Professional Conduct (2002) guidelines. Nursing assessment is considered to be the first step in the process of delivering individualised nursing care which is defined by A Dictionary of Nursing (2008) as care that is planned to meet the particular needs of one patient, as opposed to a routine applied to all patients suffering from the same disease. Every person...
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...Synopsis This essay attempts to analyze the theories and underlying models with regard of critical thinking. Firstly the essay examines different theories about critical thinking and relevant evaluations and discussions are followed. Then there are paragraphs demonstrate how critical thinking is linked to real problem thinking and why critical thinking is essential to problem solving especially the management practice. Finally a brief conclusion is drawn at the end of the essay. Diverse materials and references are utilized to cross examine the topic of critical thinking under a reasonably large contextual circumstance. As a project manager, it is of great importance to use critical thinking to understand new information, to evaluate and solve problems and to make sound decisions. Making decisions using critical thinking skills in today's world - a world with increasing number of conflicts, pressure and uncertainty is more imminent than ever before. Organizations and businesses today are confronted with multiple challenges including increasing conflicts brought by economic globalization, fast-paced developing technology and growing diversity. All of these highlight the importance of critical thinking in nowadays society. Critical thinking is the process of collecting and evaluating resources in order to make the most appropriate decision. By adopting critical thinking theory and inferred practice, decision makers such as project managers can effectively deal with these challenges...
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...Critically discuss the importance of reflection in the practice of management Student ID:20583416 Course: The reflective manager (MD4046) Lecturer: Dr. Elias Hadjielias Fall 2012 Assignment no. 1 Table of Contents Introduction Page 1.1 General Introduction to Reflection 3 1.2 Objectives and Purpose of the essay 3 Main Body 1.3-1.6 Review of Literature 3-4 1.7 Personal opinion of the writer 4 1.8 A practical example of Reflection in a certain case 4 1.9 Recommendations from the writer 5 Conclusion 2.0 Summary pg.3 5 2.1 References ...
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...CULTURE AND ETHICS IN GHANAIAN PROFESSIONAL LIFE Cultural elements invariably affect the delivery of professional services in whatsoever form. Professional practices are strongly guided by appropriate code of ethics. Sound ethical decision making is based on a process that involves multiple steps some of which are taken in advance and some of which are taken at the time ethical dilemma presents itself (Carter, Bennett, Jones & Naggy, 1999). The development and the application of ethical principles and standard in professional lives are strongly influenced by cultural elements. BREIF HISTORICAL PERSPECTIVES ON WESTERN ETHICAL CODES The influence of culture on ethical professional practice could be traced back to the time of the development of some selected code of ethics. Professional codes in the West typically follow the Hippocratic tradition (Veatch, 19997) which is often acknowledged by both physicians and lay people as the foundation of medical ethics for physicians in the west. Among the Christian cultures, a new version of the Hippocratic oath called the oath According to Hippocrates insofar as a Christian may swear it (Jones, 1924), emerged for Christian physicians with some changes to reflect the culture of the Christian Kingdom. These includes removal of references to the Greek gods and goddesses, the dropping of the prohibition against surgery whilst strengthening the prohibition on abortion (Veatch, 19997). Similarly, the Percival’s medical ethics which...
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