...My role as a student in higher education and future healthcare practitioner Introduction This essay will explore what I did before I became a student and what my roles are as a mental health student nurse as well as a future mental health nurse practitioner. The essay will also identify an action plan off which will address my developmental needs as a student. Before I became a student nurse I decided to go into higher education by starting with an access course to nursing while working as a carer assistant. On completion of this course it led me to a place at university, to study mental health nursing as my passion is to make a difference in the lives of those suffering from mental ill health. Being in higher education has made me grow up more as it has made me realise how much responsibility is ahead of me and that there’s so much expected off me as a student nurse. My role as a student in higher education is to carry myself in a professional manner that will reflect positively on my profession and university at all times. I need to promote myself and my university in a professional and moral way at all times. Effective communication as a student nurse is vital as there will be group work involved in lectures and the more I communicate with my colleagues, the better understanding I will have of my course and it will help me evaluate the quality of my work and ones of my colleagues. The university also expects me as a student to communicate justly when it...
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... a Future Healthcare Practitioner. In this essay I will explore my initial reflections on my role as a student in higher education. There will a discussion on my role as a future healthcare practitioner and the efforts I need to make to achieve the professional status of a nurse. I will discuss my learning styles and identify key developmental needs to be addressed. There will be discussions on the concepts of professionalism and accountability. In the United Kingdom today all newly qualified nurses must have a nursing degree as required by The Nursing and Midwifery Council. This significant overhaul to Florence Nightingale’s eighteenth century era, apprenticeship style learning system (Bradshaw, A. 2001), has led to fundamental changes in nursing education in the twenty first century; both in theory and practice. Today nurses are challenged with up-to date demands, including innovative medical treatments, leading to an aging population, with complex health values (Cherry, B. 2005). In addition, knowledgeable patients, who are averse to being told what to do but expect greater involvement in their own care planning. The need for graduate nurses is supported by the Willis Commission Report (2012) which argues that ‘our future healthcare services will require graduate nurses nursing and leading healthcare teams in a variety of roles, providing care in many settings’. The concept of accountability and professionalism was highlighted at the start of my course. I have started...
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...Section 05 Anne Johnston-Silverberg, MS, FNPc September 14, 2012 The Affordable Care Act: The Role of the Nurse Practitioner The recent implementation of the Affordable Care Act (ACA) has had a significant impact on the American health care delivery systems. The passage of this bill mandates that all Americans must have health care coverage and that insurance companies cannot disqualify applicants due to preexisting conditions (National Council of State Boards of Nursing, 2014). These changes will undoubtedly lead to an increase in the number of people seeking medical care, particularly those with chronic diseases. It is estimated that this influx in the number of patients will result in a primary care provider shortage of 20% by the year 2025 (Poghosyan, Boyd & Knutson, 2014). With many new physicians choosing to pursue specialties due to the promise of a larger salary, hospitals and clinics will need to start looking to other health care providers, such as nurse practitioners, to fill this role. The purpose of this paper is to discuss the role nurse practitioners play with regards to the Affordable Care Act by examining the history and qualifications of nurse practitioners, the current practice of nurse practitioners, the basics of the Affordable Care Act legislation, and potential nursing challenges. History of Nurse Practitioners The role of the modern day nurse practitioner emerged in the late 1960’s out of necessity for more primary care providers. When Medicare and...
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...Reflection On My Role As Student And Future Healthcare Practitioner. The aim of this essay is to reflect on my role as a future health care practitioner and this I will be carrying out by using the Rolfe’s reflective MODEL. According to Wikipedia (Rolfe, 2001) stated that through the Rolfe reflective model, ‘’..a description of the situation is given which then leads into the scrutiny of the situation and the construction of knowledge that has been learnt through the experience.” As a future learning disability Nurse, I will be looking at the essential skills that are required for me to advance and pass my course as set out by the NMC (2007) Standard for Pre-Registration Nursing Education. These required essential skills have been identified as reading and research skills, numeracy skills (counting and calculations), writing, oral communication, working with others, critical and analytical thinking, document use, IT and digital technology.This skills I have found in my few months of study at the university to be of great challenge to most student of which I am no exemption. I also will be looking into the challenges faced during the studies and what the challenges are, the impact and the benefits of the skills gained during the studies will be used to evaluate where I am as a student and the areas of improvement will be noted especially in my first year of study. This essay will be concluded based on my progress so far and concentrating more on the areas needed for...
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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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...credible to use reflective practice to assess my progress so far at university. I will do this by sing Driscoll model of reflection (by Barton) model of reflection that I undertook in class. Using Driscoll ‘What?’ ‘So what?’ Now what? Reflection model, along with headstart I identified potential weaknesses that could hinder my university study. After completing headstart it was apparent what my ‘what?’ was ‘writing in higher education’ came up as something...
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...by the American Nurses Association as an act of safeguarding and upholding health and capabilities, preventing disease and harm, easing distress by offering diagnosis and treatment of any diseases that threaten the existence of the human race, and advocate for better care for individuals and communities in general (American Nurses Association, 2004, p. 7). Having a personal philosophy in this field is important. Philosophy refers to beliefs, and values of an individual that help reveal underlying values and belief about a field (Watson, 2008, p.259). Seedhouse (2000) defined nursing philosophy as a term that encompasses foundational and universal assumptions regarding the nursing profession.It further stipulates the beliefs and values that touch on the nature of knowledge and truth of the entities in the nursing profession and human wellbeing processes as indicated by the meta-paradigm (p.493). My personal philosophy of nursing is founded on the building blocks of philosophy that are, attitudes, beliefs, and values. There is a need for me as a professional nurse to believe and show the significance of nursing (ANA, 2002, P.15). This can be done by clearly articulating my personal philosophy of nursing. The philosophy will help me define how I can find my unique truth. My personal philosophy building began by trying to answer questions about what nursing means to me as well as what guides my practice. Other questions that will guide me are those related to my underlying beliefs...
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...This paper has not followed the formatting guidelines. The reference list follows APA 5 but there should be double spacing between the entries. Nicola Adams S00109832 RSL Clinical Visit In this essay I will reflect on my recent visit to the RSL War Veterans Retirement Village, in particular the ‘Clinical Role’ I witnessed, and the communication I observed between the Health Practitioner and the residents. Upon arrival at the Village we were given a chart detailing the “conceptual model for registered nurse practice in contemporary aged care environments” as used by the Veterans Village and I immediately realised that the role of Registered Nurse within an aged care facility is multi-faceted. My Grandma lives in an elderly peoples’ home in England where I have visited on numerous occasions. I have never seen a registered nurse in the facility and had made an assumption that they were present only in the Medical Centres and hospitals. According to the RSL village model the registered nurse role is complex; ranging from providing medical treatment and care for the resident to providing spiritual and emotional support for the family, resident, and community (RSL, 2006). I saw a number of ways in which the emotional needs of the residents were catered for, one being the inclusion of animals within the facility. The village housed an enclosure of rabbits and birds, and also several resident pet cats. I feel that giving the residents an opportunity to touch animals is...
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...Reflective Essay on Managing Compex Situations Name Course Details Professor’s Name University Affiliation City and State Date Reflective essay on Managing Complex Situations Introduction As a health care assistant working with the district of nurses, I have gone through some of the most complex situations that often leave me with complex decisions. Ideally, some of these situations have greatly impacted on my understanding of various patients who I handle on my day-to-day activities in the health care sector. While working with District Nurses who are involved with visiting patients in various homes in the community, I encountered patients with various psychological and physiological disorders. Prudently, it is worthwhile to note that the patients who we visited had various health problems that ranged from individuals who were housebound and could not travel to seek medical attention. Besides, some of the patients had nursing needs such as leg ulcer dressing, wound dressing, pressure ulcer dressings, and catheter insertion as well as its removal. Description One of the most complex situations that I experienced was trying to take blood from an elderly patient with dementia. Since the patient was at her residential home and had never seen me before, she was not aware of my main purpose for visiting. Moreover, I had no prior knowledge of her state with dementia. At the time of my arrival, the patient was comfortably sitting in her chair while cradling her...
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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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...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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...WORD COUNT 1648 1 Law, Accountability and Ethics in prescribing During my supervised practice in an outpatient clinic the non-medical prescriber I was with was asked by a colleague to prescribe for a patient on her behalf. In my role as a vascular clinical nurse specialist, I run nurse led clinics working alongside other nonprescribing colleagues seeing patients with peripheral vascular disease, this can range from patients with leg ulcers or diabetic foot ulceration with wound infections to patients with intermittent claudication, Abdominal Aortic Aneurysm or varicose veins, all of whom may or may not need medications or wound management treatments prescribed. It is very likely that during these clinics once I qualify as a non-medical prescriber I will be asked the same. In this essay I will explore the issues of law, accountability and ethics raised by prescribing on behalf of others. The legal system of England and Wales has two branches of law; criminal and civil Criminal Law: Statues are acts of parliament which are presented via the House of Commons moves to the House of Lords where amendments are made, returns to House of Commons, for final discussion when complete the Bill is given Royal Assent and passes into law. Criminal law involves offences against the state, it is usually the Crown that brings the action against the defendant (Gagan 2010 cited by Courtnay & Griffin). In terms of non-medical prescribing there are two important statues ...
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...Reflective Essay on Managing Compex Situations Name Course Details Professor’s Name University Affiliation City and State Date Reflective essay on Managing Complex Situations Introduction As a health care assistant working with the district of nurses, I have gone through some of the most complex situations that often leave me with complex decisions. Ideally, some of these situations have greatly impacted on my understanding of various patients who I handle on my day-to-day activities in the health care sector. While working with District Nurses who are involved with visiting patients in various homes in the community, I encountered patients with various psychological and physiological disorders. Prudently, it is worthwhile to note that the patients who we visited had various health problems that ranged from individuals who were housebound and could not travel to seek medical attention. Besides, some of the patients had nursing needs such as leg ulcer dressing, wound dressing, pressure ulcer dressings, and catheter insertion as well as its removal. Description One of the most complex situations that I experienced was trying to take blood from an elderly patient with dementia. Since the patient was at her residential home and had never seen me before, she was not aware of my main purpose for visiting. Moreover, I had no prior knowledge of her state with dementia. At the time of my arrival, the patient was comfortably sitting in her chair while cradling her...
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...Gibbs Reflective Assignment On 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...
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...A reflective essay based on an episode of patient care. rodrigo | December 3, 2012 Introduction This is a reflective essay based on an episode of care that I was directly involved in managing during a community placement. This episode of care will be analysed using up to date references, health care policies and relevant models. Issues and theories relating to leadership qualities and management styles will also be explored, taking into consideration any legal, ethical and political factors that may have impacted on patient care. Care delivery, delegation and prioritisation will be examined along with team working, risk assessment and patient safety. I will also take into consideration my role as a supervised student nurse and analyse the roles and responsibilities of those supervising me and what influence this has on my practice. These issues will be debated and questioned within the framework of leadership and management theory In order that I could use this situation for my reflection the patient will be referred to as “Mrs A”. In this assignment confidentiality will be maintained by the use of pseudonyms, this is to maintain privacy and confidentiality in line with the NMC Code of Professional Conduct (NMC, 2008), “as a registered nurse, midwife or health visitor, you must protect confidential information”, and to “Treat information about patients and clients as confidential and use it only for the purpose for which it was given.” Starting an extended practice placement...
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