...Reflection of a teaching session on the prevention of pressure ulcers I have chosen to use Johns’ model of reflection (1994) to reflect on this teaching session. This model incorporates a good analysis of the session and enables me to effectively reflect on the positives of the teaching session but also what could be improved. This model will enable me to successfully analyse what needs improving and the session will be improved in the future as a nurses’ role is educating patients, relatives and other member of staff. I will study the relevance to the subject that was taught and refer to the teaching plan. I will use a progressive tool to highlight the areas explored and also will use evidenced based findings to show the expectations of the local trust. To adhere to confidentiality I will keep the individuals name confidential (NMC Code of Conduct 2008) The teaching session was chosen based on the research that post operative patients are at high risk of developing a pressure ulcer as (RCN 2003). This is due to the lack of mobility therefore educating patients on relieving pressure areas would be beneficial to the patient as it is enabling the patient more control over their care whilst in hospital. The patient was a 72 year old man who was at high risk of getting a pressure sore, the patient was able to acknowledge the subject and able to understand the subject taught, there was no special learning needs needed to be acknowledged as the teacher. The teaching method...
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...techniques with this patient is fueled by the importance of follow up from abnormal PAP smear results. High-grade squamous intraepithelial lesion (HSIL) depicts changes to the cervical cells with a high association to precancerous or cancer cells (American Congress of Obstetrics and Gynecology, 2016a). Further, the patient has a potential cervical intraepithelial lesion (CIN) that may be a precancerous lesion and requires diagnosis by colposcopy (ACOG, 2016a). Cervical changes,...
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...Table of Contents Company Background 3 Organizational Problem 4 Problem Statement 5 TCO Topic 5 Expanded Organizational Introduction: 5 Enhanced Problem Overview 6 Reasons & Measures of Preventable Attrition 7 Possible Solutions 7 How to Create Sustainable Performance 8 Inadequate Developmental 8 Boost Morale and Engagement 8 Increasing Responsibility and Exposure 8 Create Value 9 Optimizing Interactions between Staff 9 Achieving Quality Management 9 Offering Performance Feedback 10 Minimize Incivility 10 Managing conflicts 11 Responsible Leadership 11 Establishing Relationships 11 Summary of Recommendations 12 Reflection 13 References 15 How Organizational Behavior influences Attrition Company Background JDR Pharmaceutical discovers, develops, manufactures, and delivers innovative human therapeutics globally to patients with unmet medical needs. An established leader in biotechnology since 2001, JDR lead the industry by introducing safe, effective medicines from lab, to manufacturing plant, to patient. JDR therapeutics have pioneered the approach with helping millions of people around the world in the fight against cancer, heart disease, neurological deficits and providing vaccinations against flu and immunological disorders. JDR pharmaceuticals mission is to be the premier leader in scientific innovation and create value among our staff and stockholders. Quality, Integrity and Accountability are our values and strive to...
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...their treatment. Therefore all patients and events mentioned in this essay are inspired by real patients and events, but names, locations, dates and other details have been altered or obscured to make identification impossible. Following the introduction of the knowledge and skills framework (DH 2004a) and emphasis on quality of health care and patient centred, interprofessional, health and social care (DH 2000; Leathard 2003; Thompson et al. 2002) health care professionals and students will need to be able to demonstrate the quality of our care and team working abilities. There is a connection between practice and thinking about practice – action and reflection are interdependent; they need one another. Reflection may be triggered by an awareness of a gap between theory and practice, a difference between what ‘should be’ and ‘what is’ (Sullivan & Decker 2005). Our actions and the quality of our care are improved by reflection-on-action, by making sense of what we have experienced, and thinking about how we might act differently in the future (Lillyman & Ghaye 2000). Reflection has a rôle in maintaining one's personal portfolio and maintaining competency and continuing professional development. Support and supervision from managers, who already have a responsibility for assessing competence and continuing professional development of staff can help make this process much easier (Jasper 2001). Reflection is a very personal matter, through our reflections we learn not only about our own...
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...This essay will be a reflective account of an incident from practice based on Gibbs’ Reflective cycle; I will critically analyse the nature of the incident based on the best available evidence. This reflection will help to identify new skills and knowledge learnt as a result of the incident and the implications for my future nursing practice. Although I am aware many reflective models exist, I have chosen to use Gibbs’s reflective framework as it is a cycle and encourages me to think about what I would do differently next time. This clearly shows Gibbs’ awareness that a nurse will have a similar experience again. This reflection method supports Schon’s (1991 cited Issitt 2003) opinion that reflecting on practice after the event is the most effective way to maintain an improvement as a development can be made. As part of the UKCC Project 2000 pre registration nurses are expected to be able to reflect on practice experiences and reflection can help create holistic and flexible practitioners (Andrews et al 1998). For the purpose of the assignment I will use a pseudonym to protect the client’s identity in accordance with the law as stated by the Department of Health (2003), there is also an obligation stated by the Nursing and Midwifery Council (NMC 2008) to protect client confidentiality. This pseudonym is Sue. The first stage of Gibbs’ model is a description of what happened; whilst on a surgical ward I was caring for a lady post operatively who had a bilateral total mastectomy...
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...development. Essay will also explore the importance of understanding developmental psychology for nursing practice. Environment and social variables have a high influence on cognitive development. Jean Piaget and Lev Vygotsky have done remarkable research and develop their own theories in understanding of cognitive development in children. Even though, Jean Piaget and Lev Vygotsky have varied theory about cognitive development, both theories are equally significant to understand cognitive development of a child. According to Lev Vygotsky’s socio-culture theory of development, child’s cognitive development is greatly influenced by the social interaction and culture(Slavin 1996). Lev Vygotsky believed that it is inevitable for child’s cognitive development to be a part of a community. He suggested that a child observe and learn from cultural interaction. In addition, child develops a problem solving technique guided by other members of the community and uses it in case he faces it again (Slavin 1996). In contrast, According to Jean Piaget, children develop their own theory to...
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...Non-Verbal Communication With A Patient With Demenita Introduction This assignment is a reflective account of my first experience when assisting a patient to eat lunch. For the purpose of this assignment I will refer to this patient as Mrs C to maintain confidentiality and comply with the NMC code (2008). It will discuss the importance of non-verbal communication when providing effective nursing care to the elderly. Description Thoughts and Feelings Evaluation I felt this first experience was very rewarding and a big learning curve for me in caring for others. I was delighted that I had been able to support Mrs C to eat nearly all of her meal which she clearly enjoyed. The ‘protected mealtime’ policy ensured that I had time to dedicate to assist her and as she did not have the ability to feed herself, without my help she would have eaten very little or nothing at all. In order to communicate with Mrs C, I modified the usual rules of communication. I did not speak to Mrs C in an inappropriate way or use elder talk which may have damaged her self esteem and confidence (Argle 1994). I talked to her as I would address any adult but put more emphasis on non-verbal communication which according to Caris Verhallen (1999) is the main way in which humans communicate, in order for her to receive my message, extract the meaning and give me feedback. By holding Mrs C’ gaze I was maintaining communication and encouraging engagement and interaction (Argyle 1996). By nodding her...
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...ANNOTATED BIBLIOGRAPHY Catlett, S., & Lovan, S. (2011). Being a good nurse and doing the right thing: a replication study. Nursing Ethics, 18(1), 54-63. doi: 10.1177/0969733010386162 The authors of this article were one Shelia Catlett of Western Kentucky University and Fairview Community Clinic, USA and one Sherry R Lovan also from Western Kentucky University, USA. Both authors conducted a qualitative research study, which was also a replication of a study published in 2002, investigating the qualities of a good nurse and the role ethics plays in decision making. Ethics refers to the moral code for nursing and is based on obligation to service and respect for human life. Ethical Knowledge occurs as moral dilemmas arise in situations of ambiguity and uncertainty, and when consequences are difficult to predict (McEwen Wills, 2011). Ethics in nursing is used to guide and direct nurses conduct and practices. It requires experiential of social values and ethical reasoning. Its main focus is on matters of obligation, what ought to be done, what is right, wrong and responsible. The study implemented modification related to the research questions, sample selection, data collection and Atlas.ti software for qualitative data for the purpose of providing ease of coding, viewing, mapping and storing the data for retrieval analysis. The main focus of this replication study was to understand what it means to be a good nurse and do the right thing. This research provided...
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...our own definition of nursing and what we believe to be its primary goal. Many of the beliefs and values that we embrace are notably evident throughout the many nursing theories presented in the literature. That does not mean that we as nurses today cannot think outside of the boundaries of these theories. As Johnson & Webber (2005) writes, ‘…you may discover that you have a unique view of nursing…then perhaps you are being called to contribute…to the profession.’ (Johnson & Webber, 2005, pg. x) This paper will focus on my own personal view of nursing and the associated queries related to that philosophy. I will explore and relate my beliefs and values and why I believe they are important. I will also consider the idea of whether or not my philosophy of nursing affects the way I practice nursing. Does my philosophy of nursing reflect the standards put forth by the regulatory body for nursing in my jurisdiction? What exactly is my definition of the...
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...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 is an individual they may share...
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...Organizational Leadership and Interprofesional Team Development David Beck Western Governors University Organizational Leadership and Interprofesional Team Development Patient Family Centered Care Organization Practice Setting Currently I have the privilege to work for the largest Not-for-Profit healthcare system in Texas. Memorial Hermann Health System is more than a hospital system, we are designed to be a healthcare delivery model, incorporating affiliated physicians with care delivery hospitals, effortlessly working together with one goal in mind, the goal of advancing health. By setting our focus on evidence based medicine, the constant pursuit of healthcare quality, and patient safety, Memorial Hermann Health System has been recognized as a national and regional leader in quality healthcare. As an integrated healthcare system, Memorial Hermann has surrounded the city of Houston with 12 acute care hospitals, three heart and vascular hospitals, a neuroscience institute, two sports medicine institute locations, a chemical dependency treatment center, a home health agency, a retirement community, a nursing home, several surgical, and cancer centers. Working in conjunction with our physician network Memorial Hermann also offers local employers with health solutions and health benefits through its wholly owned insurance company. (Memorial Hermann Houston Hospital, Institutes & Centers, n.d.) Within this vary large framework of a healthcare system, I work within one of...
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...health care, how a nurse manages her time is an important consideration. Whilst time management is recognized as an important component of work performance and professional nursing practice, the reality of this process in nursing practice has been subject to scant empirical investigation. Aim. To explore how nurses organize and manage their time. Methods. A qualitative study was carried out, incorporating narratives (22 nurses), focus groups (24 nurses) and semi-structured interviews (22 nurses). In my role as practitioner researcher I undertook observation and had informal conversations, which provided further data. Study sites were five health care organizations in the United Kingdom during 1995–1999. Findings. Time management is complex, with nurses using a range of time management strategies and a repertoire of actions. Two of these strategies, namely routinization and prioritizing, are discussed, including their implications for understanding time management by nurses in clinical practice. Conclusions. Ignoring the influence of ‘others’, the team and the organization perpetuates a rather individualistic and self-critical perspective...
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...How effective communication can contribute to health, care and early years workers valuing people as individuals. All of the Migrant Helpline staff are effectively trained and know what to do automatically and so do not unnerve the client or make them feel uncomfortable by making obvious mistakes or faults if trying to communicate them. Migrant Helpline staffs also know efficient background information on each client. This is through referral forms. Referral forms are used to write down all the client details. Case booklets are filled in by all professionals, a detailed admission section and daily notes added from medical note to family details, patient’s concerns etc. case conferences held to set up support for patients going home. All written information must be sensitive and with agreement of the clients, who can see them at any time. . A follow up consultation may be needed, where questions can be answered. Stress and being upset are barriers to good communication, as is confusion and being emotionally distressed. Multi skilled professionals all work together to meet the client needs. Case workers, voluntary organizations, social workers and managements staff meet regularly to discuss and to make new plans. How client confidentiality can be maintained. Most people in caring professions and roles are aware of the need for confidentiality, but we must not assume that the client will know about this, or expect it. Some clients will have heard stories of confidentiality...
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...First Time to a Mental Health Hospital Introduction Communication is one way of exchanging information and feelings from one person to another (Bach and Grant 2009). It is transmitted through verbal and non-verbal behaviour. Communication is an essential and fundamental aspect of nursing care (Timmins 2011). It is a major and important part of daily nursing practice in the nurse-client relationship (Sheldon et al. 2006). Communication in nursing is unique and it is different from communication between healthcare providers because nurses are at the start of the healthcare service as they spend more time with the client than other healthcare professionals (McCabe and Timmins 2006). Therefore, nurses have to pay more attention to improving their communication skills for better client care. In order to establish a positive relationship with the client, it is necessary to communicate effectively and subsequently improve the quality of nursing care (McCabe and Timmins 2006). Effective communication is key to a therapeutic relationship with the client. It is defined as a ''purposeful form of communication used in the helping relationship'' (Ruesch 1961 cited in Arnold and Boggs 2007, p18). It is developed by the nurse for the purpose of assessing, planning, implementing and evaluating client care (Arnold and Boggs 2007). The establishment of a nurse-client relationship was a key element of Peplau's (1952) work. Peplau (1952) suggested that the interpersonal relationship...
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...Objectives * Relate the minimum requirements for the course. * Illustrate the use of competencies for learning. * Formulate own needs and responsibilities relative to meeting course competencies. * Relate course/clinical assignments and evaluation * Distinguish how the major concepts (see Nursing Student Handbook) of the program are affected by the variety of conditions and diseases within this course for all age groups. Outline A. Orientation to course 1. Course descriptions 2. Course outcomes/competencies 3. Textbooks B. Course Requirements 1. Student assignments and responsibilities 2. Minimum level of achievement 3. Evaluation tools C. Course/ Clinical Assignments and Evaluation D. Major Concepts 1. Caring 2. Clinical judgment, clinical reasoning, and nursing judgment 3. Clinical microsystem 4. Collaboration 5. Critical thinking 6. Cultural competence and Diversity 7. Ethics 8. Evidence-based care 9. Healthcare environment 10. Human flourishing 11. Informatics and Information management 12. Integrity 13. Knowledge, skills, and attitudes 14. Leadership 15. Nursing and Nursing Process 16. Nursing-sensitive indicators 17. Patient and Patient-centered care 18. Personal and Professional development 19. Professional identity 20. Quality improvement 21. Relationship-based care 22. Safety Teaching-Learning Strategies * Review course syllabus...
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