...Nursing Expertise Self-Report Scale Reflection Marvi Sanchez HCS/350 January 13, 2014 Nursing Expertise Self-Report Scale Reflection The Nursing Expertise Self-Report Scale has given me an assessment of how I see myself as an experienced nurse (Hansten & Jackson 2009).This has provided me an insight of my strengths and weaknesses. My past experiences have helped me in making patient care decisions. Many years working in the orthopedic unit have given me knowledge in caring for my patients. I often get a feeling if my patient will be taking a turn for the worse. My experience has improved my assessment skills. Being aware and knowledgeable of the policies and procedures of the healthcare institution continues to guide me in doing the work that I am supposed to do. I have learned how to organize my work load by prioritizing. By having a plan of care for my patients at the beginning of my shift prepares me to delegate certain tasks or duties in case an emergency situation happens. Getting to know patients has proven beneficial when trying to establish a relationship with them. When I care for my group of patients I make every effort for my patients to trust me as their caregiver. There are many challenges to communicating with patients because each one has a different personality. The different cultural population of our patients is also a factor. I like to get as much information from my patients to get to know them. I start conversations with...
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...Nursing Expertise Self-Report Scale and Reflection HCS/350 November 21, 2012 Nursing Expertise Self-Report Scale and Reflection This paper is to provide my reflection of the results of The Nursing Expertise Self-Report Scale. I will explain how my results can improve my communication skills in the health care field. “The nurse-expertise self report scale has 20 items scored using a Likert Scale from Strongly Agree to Strongly Disagree” (Hansten & Jackson, 2009, p. 178). Based on the scoring of the 20 questions, I scored 56 out of 100, reflective of a novice nurse. I am not surprised with the results. I do not currently work as a Registered Nurse (RN). I graduated from nursing school in May 2012. In my current position as a pharmacy assistant, I spend my day communicating with patients, pharmacists, and co-workers. I can take the results to better improve my communication skills, when interacting with patients, physicians, and other members of the team and apply it to practice. I have little experience when it comes to communicating with team members in the hospital. As a student, in the beginning, I was very intimidated to speak to physicians and other members of the health care team. As time went on, I became comfortable communicating with other nurses, patients, and their families. The Self-Report Scale is a reminder of how novice of a nurse I am. I have a lot to learn once I get a nursing job. In the interim, I can take the knowledge I acquire from...
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...• Complete and submit the Nursing Expertise Self-Report Scale located on pp. 175 & 176 in Clinical Delegation Skills. Answer each question based on your personal experience as a nursing professional. • Write a 350-word reflection on your results from the Nursing Expertise Self-Report Scale and explain how you plan to use this information to improve your communication skills in health care settings. The Nursing Expertise Self-Report Scale and Reflection was an interesting assessment on my nursing skills. The questions that were asked in the scale were difficult to answer based on the grading scale. Overall it was a good reflection of how I approached my patients and utilized my skills. After completing the nursing scale, I realize that there are some things that I need to do different. For example, question number six mentioned, “Emotional attachment to get in the way of good care.” (Hansten, 2009, pp. 175-176) I feel that is a question that is difficult to answer because a nurse needs to have an emotional attachment to connect. The reason we became nurses is because we care for others and we want to care for their health. We came into this field with an emotional attachment. I will continue to treat my patients how I would like to be treated and show them the respect they deserve being under my care. Every nurse is different in how they treat and care for our patients. We all have procedures and guidelines to follow by as a health care professional...
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...1 The Nursing Expertise Self- Report Scale and Reflection HCS 350 2 The Nursing Expertise Self-Report Scale and Reflection The Nursing Expertise Self-Report Scale was developed from Patricia Benner’s model of clinical competence described in Benner and Benner (1984). According to Patrica Benner’s model of From Novice to Expert (Benner & Benner, 1984) there are three changes in performance as the nurse progresses from novice to expert practice. One change is from the reliance on rules and principles to the reliance on past experience to guide performance. The second change is a transition from viewing the clinical situation as a collection of equally important features to viewing the clinical situation as a collection of equally important features to viewing the clinical situation as a whole, in which only a few features are important. The third change is the passage from the detached observer to involved performer. Unique to the expert level of performance is the element of intuition. This scale is designed to measure self-perception of these three transitions and intuitive decision making. Personal Results According to my personal results of the Nursing Expertise Self-Report Scale, my nursing level is between the proficient and expert nurse. The proficient nurse possess the experience and necessary skill sets to look...
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...The purpose of this paper is to provide my reflection of the results of The Nursing expertise self-report scale and how the results will be used to improve communication skills in health care settings. The scale used in this assignment, developed from Patricia Benner’s model of clinical competence, measures self perception by a nurse progressing from novice to expert. Her model suggests a link between experience and expertise using a scoring method. “The nurse-expertise self report scale has 20 items scored using a Likert Scale from Strongly Agree to Strongly Disagree” (Hansten & Jackson, 2009, p. 178). Based on the scoring of those 20 items as determined by a point value assigned to expert and novice, this writer scored 85 out of a possible 100. This score, according to Benner’s system, reflects experience resembling closer to expertise rather than novice. Acquiring 28 years of nursing experience, I would expect to have evolved closer to expert than novice in patient care, however; I know with each new day and each patient or situation, an opportunity exists to learn something new. I have often identified communication skills as an area that I could improve upon. In the early stages of my career, communicating with my patients seemed easier than communicating with my peers and superiors. Over time, I have become a more confident communicating with my peers and not necessarily with superiors and some physicians. In my current position, I am required to communicate...
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...My Reflections OMOWONUOLA EGBEYEMI-FALADE University of phoenix HCS 350 LITA TSAI June 19, 2014 My Reflections My Reflections from the Nursing Expertise Self –Report Scale (Garland, 1996, p. 197) indicates that I am a competent nurse at the moment on my unit as evidenced by my experience of 2 years as a registered nurse and “Typically, a nurse at the competent level has been in practice 2 to 3 years. This person can rely on a long-range of goals and plans to determine which aspects of a situation are important which can be ignored.’’(Berner & Berner, 1984)). My answers in the Self-Report scale from number 1,2,3,5,6, 7,14 and 15 reflects me as a competent nurse because I assist my patient first at all times, teach them about the management of their diseases and treatment , monitor frequently for safety since, identifying and managing of rapid changing situations, make right decisions about administering medication, giving therapeutic intervention at all times, monitoring and ensuring they have a quality health care services during their stay at the hospital by checking their vital signs and lab values for changes and use the information to make the best appropriate decision regarding their care.(Munjas,Barbara A, PhD., F.A.A.N., 1985). In conclusion, all information stands out important to me with my patient care at work. On number 9, I disagreed because that is not the best way to provide good nursing care. “Self-disclosure from the nurse needs to be limited...
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...Nursing Expertise Self-Report Scale 1. I am an: RN 2. My job is: Staff Nurse 3. Length of time since graduating as an RN: More than 3 years 4. Length of time working on your unit: More than 3 years 5. Previous experience in nursing prior to graduating as an RN: Under 6 months (1=Strongly Agree, 2=Agree, 3=Unsure, 4=Disagree, 5=Strongly Disagree) 1. I often know ahead of time that my patient will take a turn for the worse. 1 2 3 4 5 2. I frequently draw on past experiences when making patient care decisions. 1 2 3 4 5 3. Quality nursing care results from strictly adhering to policy and procedure. 1 2 3 4 5 4. When I do patient care, only a few pieces of information stand out as critically important. 1 2 3 4 5 5. I am consciously aware of the process of decision making in patient care. 1 2 3 4 5 6. Emotional attachments get in the way of good nursing care. 1 2 3 4 5 7. When something goes wrong with my patient, I seem to know automatically what to do. 1 2 3 4 5 8. Sometimes I find it difficult to identify objective reasons for certain patient care decisions. 1 2 3 4 5 9. The best way to give good nursing care is to get close to the patient. 1 2 3 4 5 10. I find it time consuming to set priorities in patient care. 1 2 3 4 5 11. I make my best decisions about patient care when I remain objective. 1 2 3 4 5 12. In an emergency, things happen so quickly that I don’t know what to do. 1 2 3 4 5 13. I base my patient care decisions...
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...Nursing Expertise Reflection Paper Communication is essential for survival. As humans we learn to communicate the moment we are born. Babies rely on their caretakers to interpret their non -verbal communication to provide them with comfort, food, and relief from pain. According to Merriam- Webster.com (2013), communication is a process by which information is exchanged between individuals through a common system of symbols, signs, or behavior. Communication is not only reserved for humans but animals, plants, insects, and just about every living thing on planet Earth has some form of communication. In person to person interactions it is not enough to communicate with words. We must know how to effectively communicate. Without this you may as well not communicated at all. Poor communication can lead to many problems and stress that could have been prevented. Effective communication can improve personal and professional relationships. It can help resolve differences and create a caring flourishing environment. Just as poor communication can cause conflict, resentment, and even damage personal and professional relationships. Developing effective communication skills take time and a conscious effort to listen, slow down, and manage stress in the moment. Self-awareness of personal feelings and emotions is also essential in developing these skills. The ability to improve communication skills allows for positive interactions with peers, loved ones, and as...
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...Nursing Expertise Self-Report Scale- Reflection Answering the Nursing Self-Report Scale made me felt that I have a long way to go as a Registered Nurse. Based on my answers I am still on a novice stage, far from the expert stage. I mostly base my nursing care about company’s and or employer’s expectations and or rules. There are some few scales that I was not sure of and there are scales that I felt that I’m so naïve to just strictly follow the rules to perform patient care. I guess it just a nature for me to take ownership on my new license and new job. I have to follow the rules to be safe. Another factor that would be preventing from improving is my lack of interpersonal communication skills. I have this passive, shy personality and am reluctant to voice out my opinion. I feel that I just have to go with the flow just to avoid conflict and to please others. The fear of taking risks prevents me from progressing. If I’m resistant to changes I will be forever stuck to the novice stage and never improve to the expert stage. It is very empirical for me to step out my comfort zone and take necessary steps because my priority right now in this nursing career is my patient, not to please my boss or someone else. As an RN, I am now in a position of leadership. I should set aside my fears and focus on what needs to be done. I have to learn to work with others, lead them and get them to understand, and perform the job that needs to be done. I will be willing to ask question or help...
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...This assignment will evaluate and explore the experience of mentoring a student in practice, critically analysing topics that will reflect on the role of the mentor, within the context of the nursing profession. The placement area concerned is a 14 bedded acute elderly assessment ward, which caters for both male and female patients. Several students have been placed on our ward over the years, it is the mentors responsibility to provide students with appropriate support, guidance and supervision within the clinical environment, Myall 2008. One of the key issues that need to be considered in preparation for an effective learning environment would be making sure the student is aware of the situations that could arise on the ward, discussing typical events that could happen on a daily basis. clinical experience can be a stressful part of the nursing program, working in a unfamiliar area, working with difficult patients and the fear of making mistakes. Hutchinson (2003) believes that a teacher should aim to provide an environment in which learners feel safe to experiment, voice their concerns, identify their lack of knowledge and stretch their limits. One of the major factors affecting learning is the environment in which it takes place. It is the responsibility of professional staff to create and develop an environment conductive to learning (Price, 2004). This implies that the environment should be continually monitored...
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...This assignment will evaluate and explore the experience of mentoring a student in practice, critically analysing topics that will reflect on the role of the mentor, within the context of the nursing profession. The placement area concerned is a 14 bedded acute elderly assessment ward, which caters for both male and female patients. Several students have been placed on our ward over the years, it is the mentors responsibility to provide students with appropriate support, guidance and supervision within the clinical environment, Myall 2008. One of the key issues that need to be considered in preparation for an effective learning environment would be making sure the student is aware of the situations that could arise on the ward, discussing typical events that could happen on a daily basis. clinical experience can be a stressful part of the nursing program, working in a unfamiliar area, working with difficult patients and the fear of making mistakes. Hutchinson (2003) believes that a teacher should aim to provide an environment in which learners feel safe to experiment, voice their concerns, identify their lack of knowledge and stretch their limits. One of the major factors affecting learning is the environment in which it takes place. It is the responsibility of professional staff to create and develop an environment conductive to learning (Price, 2004). This implies that the environment should be continually monitored...
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...Contents Introduction ………………………………………………………………….Pages 2-3 Discussion…...…………………………………………………………………Pages 4-14 Conclusion …………………………………………………………………...Pages 15-16 References ………………………………………………………………….Pages 17-20 Introduction This essay aims to explore the processes of teaching, training and mentoring of adults. The setting in which this will be explored and linked to, will be one of nursing, although it is recognised that the fundamental theories explored may be applied to any setting where the teaching, training and mentoring of adults occur. The essay will explore the writer’s understanding regarding the role of a mentor within the workplace and the theoretical ties surrounding mentorship and how these are linked into the writer’s role of a mentor. Any names or areas of work mentioned in the essay have been changed in order to maintain confidentiality, clause five of the Nursing and Midwifery Council (NMC) Code of Professional Conduct: Standards for Conduct, Performance and Ethics (NMC 2004). The term ‘mentor’ is defined by the English National Board (ENB) and the Department of Health (DOH) to “denote the role of the nurse, midwife or health visitor who facilitates learning and supervises and assesses students in their practice setting” (ENB & DOH 2001a P6). Nicklin and Kenworthy (2000) define a mentor as someone who by example and facilitation guides, assists, and supports the student in learning new skills, adopting new behaviour and acquiring...
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...degree and currently to finish my Bachelor’s Degree. Many aspects of my life have been influenced including my self-image, short and long terms goals, philosophies, attitudes, actions, experiences, interests, and more importantly my professional role in nursing and in society. As a new graduate with my Associate Degree in Nursing, the first feeling I experienced was fear and uncertainty about my future as a nurse. This feeling was due to my observing of how demanding this profession was during my clinical rotations. I had this strong sensation that nursing was my niche but I was afraid of failure. My perception was limited with what was expected in this profession that I considered as being primarily to care for the sick and to provide for them by learning about the diagnosis and medications. I visualized myself only passing my internship and being a “safe nurse” on the hall. At the time, I just had a subtle idea, only in theory, that nursing was a dimensional profession. My goals working in the hospital were very elementary goals. First, I needed to pass the Performance Test (PBDS) given by the hospital in order to continue working in the acute care field. Second, I wanted to be a leader on my floor so my immediate goals were to acquire the experience, the skills, and professionalism necessary to demonstrate my leadership. Also, I did not know what field in nursing was the best for me, so I focused only in acquiring any and all practical knowledge. My brain was working as...
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...Vulnerable population and self-awareness paper Name Institution Vulnerable population and self-awareness paper Biases among the healthcare personnel calls for self-awareness in order for them to understand how such biases affect delivery of healthcare to vulnerable groups such as mentally ill. Self-awareness is a conscious process that creates personal understanding. It enables them to determine their strengths and limitations, emotional understanding and their behavior with others in a mental health environment. Development of self-awareness enables the health providers to take control of situations. This provides a genuine, authentic and honest presentation of the mental healthcare nurses (Tusaie, 2013). The vulnerable group to be discussed is the depressed mentally ill population. Depression is a chronic disease that significantly affects American’s health and productivity. Demographics of the depressed Depression affects over 21 million people, including children and adults in America. It is the leading major cause of disability for people in the age of between 15 and 44. This is according to the report of the Mental Health America and Thomson Healthcare. More so, depression with anxiety is experienced by approximately 9.6% of Americans and 2.6% without anxiety. The prevalence of mixed anxiety and depressive disorder is relatively more in women than in men. Overall, occurrence of depression is 1 in every 10 adults at a given...
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...go to contents page > School of Health and Social Care www.brookes.ac.uk/schools/shsc mentoring a resource for those who facilitate placement learning Developed by The Practice Education Group (PEG) students and mentors School of Health & Social Care Oxford Brookes University Specific contributions by Pam Sharp, Tim Ainslie, Anna Hemphill, Stephanie Hobson Clair Merriman, Paul Ong, Judy Roche go to contents page > Definitions Placement learning “is a planned period of learning, normally outside the institution at which the student is enrolled, where the learning outcomes are an intended part of a programme of study. It includes those circumstances where students have arranged their own learning opportunity with a placement provider, with the approval of the institution…” (Quality Assurance Agency QAA (2001), Section 9 pg 4, Code of Practice for the assurance of academic quality standards in Higher Education Institutions) Accessed on 24.6.05 www.qaa.ac.uk/academicinfrastructure/codeOfPractice/section9/PlacementLearning.pdf Facilitation roles Those who facilitate placement learning undertake a variety of roles which may include support, assessment and facilitation of learning. There is a wide range of role titles that describe these roles including: Assessor, Mentor, Practice Educator, Preceptor, Clinical Teacher, Associate Mentor, Clinical Educator or Practice Teacher. 2 Version 1 September 2005 © School of Health and Social Care, Oxford Brookes...
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