...appropriate conclusions supported by the data. The concept of profesional journal as a means of developing reflective practice has become a popular topic in classrooms, professional journals, conferences, and continuing education programs (Boud & Walker, 1998). Many other names for profesional journal appear in nursing literature, including log, journaling, narrative pedagogy, dialogue journals, reflective practice, and reflective writing. Whatever people says, reflective profesional journal requires writing, a great deal of it. However, journals are an integral part of the teaching/learning in many nursing programs as well as in allied health programs and education in general. The purpose of this essay is to review the literature related to profesional journal and reflective practice and how it can be beneficial in the teaching/learning process. Reflective practice is a means of self-examination that involves looking back over what has happened in practice in an effort to improve performance or to encourage professional growth (Ruth-Sahd, 2003). Profesional journal is a method that is frequently used in nursing education as an active learning technique to enhance reflective practice. Why is reflective practice so important? The literature cites numerous reasons for utilizing profesional journal/reflective practice in the academic setting. According to Pinkstaff (1985), students find that ideas become clearer...
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...from practice so that it may be described, analysed, evaluated and consequently used to inform and change future practice.” According to Somerville and Keeling (2004) nursing is a profession where reflection is important whereby it helps to identify strengths and weaknesses. Jarvis (1992) mentioned that reflective practice can also be known as a learning process through and from the experiences towards gaining new ideas. The two type of reflective practice by Schon (1987) are the capacity in reflecting in action and on reflecting on action. Based on Schon (1987) theory reflection in action is a process which allows us to reshape what we are working on, while we are working on it. On the other hand, reflecting on action and thinking back on what we have done in order to discover how our knowing in action may have contributed to an unexpected outcome. There are many types of reflective theory to reflect on action. Gibbs Model of Reflection is a common model of reflection that is used within the health professions. It consists of 6 stages which are descriptive, feelings, evaluation, analysis, conclusion and action plan. Description Since graduation till date, I have been working in multidisciplinary ward in a private hospital in southern of Malaysia. I was the team leader for that day and upon taking over report, I felt anxious and worried as I have to work with two junior staff nurse and hospital aide on that particular day. There were a total of 20 patients on that day. Two...
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...AN INDEPENDENT VOICE FOR NURSING Work Engagement, Moral Distress, Education Level, and Critical Reflective Practice in Intensive Care Nurses nuf_237 256..268 Lisa A. Lawrence, PhD, RN Lisa A. Lawrence, PhD, RN, Instructional Faculty, Nursing Department, Pima Community College, Tucson, AZ Keywords Critical reflective practice, education level, moral distress, registered nurse, work engagement Correspondence Lisa A. Lawrence, PhD, RN, Nursing Department, Pima Community College, Tucson, AZ E-mail: llawrence@pima.edu AIM. The purpose of this study was to examine how nurses’ moral distress, education level, and critical reflective practice (CRP) related to their work engagement. The study is relevant to nursing, given registered nurse (RN) documented experiences of job-related distress and work dissatisfaction, and the nursing shortage crisis. A better understanding of factors that may enhance RN work engagement is needed. METHODS. A non-experimental, descriptive, correlational design was used to examine the relationships among four variables: moral distress, education level, CRP, and work engagement. The sample included 28 intensive care unit RNs from three separate ICUs in a 355-bed Southwest magnet-designated hospital. RESULTS. There was a positive direct relationship between CRP and work engagement, a negative direct relationship between moral distress and work engagement, and CRP and moral distress, together, explained 47% of the variance in work engagement. Additionally...
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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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...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 both an academic programme and a professional career pathway. Thus I am answerable to two organisations; first is the University of West London (UWL) who is facilitating my learning and secondly, to the Nursing and Midwifery Council (NMC). Both institutions have underpinned concepts of professional regulations, values, attitudes, behaviour and boundaries and...
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...School of Nursing NURS 220 Spring 2016 Vocabulary Homework Assignment – Chapters 10-16 in Taylor et al textbook – Worth 100 points Chapters 10 – 13 due Thursday February 25 Chapters 14 – 16 due Thursday March 3 Please define the following words using your Fundamentals of Nursing textbook and/or a medical dictionary. Please indicate the text and page number you used to obtain each definition. (If you want to make them flashcards you may, just make sure that your name is on them and they are rubber banded together so I can record and return them easily.) Chapter 10 Assess Concept mapping Decision making Dynamic Evaluate Expected outcomes Implement Interpersonal Nursing diagnoses Nursing process Outcome identification Outcome oriented Plan Reflective practice Systematic Cerebral Vascular Accident (CVA) Chapter 11 Cue Data Data base Documentation Emergency assessment Focused assessment Inference Initial assessment Interview Minimum data set Nursing history Objective data Observation Physical assessment Review of systems (ROS) Subjective data Time-lapsed assessment Validation Multiple Sclerosis (MS) Prioritize Factual Accurate Relevant Interpersonal competence Virus Consultation Laboratory study Diagnostic study Chapter 12 Constipation Cancer Actual nursing diagnosis Collaborative problems Data cluster Diagnosing Diagnostic error Health problem Medical diagnoses Possible nursing diagnoses Risk nursing diagnoses ...
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...How the IOM Report will Impact Nursing Education and Nursing Practice. Lisa Arroyo Grand Canyon University Professional Dynamics NRS-430V Professor Varnell Hudson August 28, 2013 How the IOM Report will Impact Nursing Education and Nursing Practice. The focus of the report is to show a need for more education for the graduate level nurse and a continued education plan for nurses already in the field. The IOM cited many reports that touched on the need for diversity amongst nursing graduates to meet the need to function as leaders and the dimensions of health professionals to deliver safe and excellent patient care (Johnson, 2010). The transformation of clinical practice key message was changing a nurse’s role (Johnson, 2010). This would require changing the old nurse roll to a more involved role using critical thinking, clinical judgment and nursing process (Creasia, 2011). The focus on other topics beyond the provision the NCLEX-RN would need to alter the test to encompass a more diverse multitude of questions that would be considered critical thinking (Johnson, 2010). The impact of the IOM report on transforming education is to incorporate more consistent competencies among nursing schools (Johnson, 2010). By providing nursing facilities with strategies to integrate quality and safety content into their curricula, with an interactive course work focused on a six core Quality and Safety Education for Nurses (QSEN), competencies. Using a Train the Trainer...
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...This reflective account demonstrates an ability to critically reflect on experiences within my nurse training, particularly within my third and final year. The reflective model selected is Gibbs (1998) (appendix 1) which incorporates description, feelings, evaluation, analysis, conclusion and an action plan which is divided into sections for ease of reading. All names have been changed in accordance with the NMC (2008a) guidelines regarding confidentiality. This piece includes reflections on my own learning using the NMC proficiency, managing care. As this covers a vast array my focus is primarily on medicine management, managing risk and delegation. Description of events During placement within the Accident & Emergency (A&E) department I saw my paediatric mentor on three occasions, the remainder of the time I worked with adult trained staff. As a consequence of this when a child was admitted, I was given the responsibility of caring for them. For the duration of a particular shift I worked with Sue, an adult nurse. Sue recognised that I was competent in my practice as I had worked with her on previous occasions with adults and consequently praised me. Sue, qualified for over twenty years, indicated that she only knew the basics of children’s nursing and suggested that I probably had more knowledge of children than her. This comment left me unsure of her depth of knowledge of paediatric nursing and somewhat concerned me. During my shift, Jay, a two year old was admitted...
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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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...Bachelor of Science in Nursing Hospital Pakar Sultanah Fatimah Muar 3rd September- 23 November 2012 Clinical Planning BSN July 09- Clinical Practice VI Roster | Clinical Learning Outcome | Clinical Plan Activity | 3rd-Sept- 12 OctoberGroup 3: - 4 BSN with 7 DIN studentsWeek 13rd -7th Sept Week 210th-14th SeptGroup 1: - 4 BSN with 7 DIN studentsWeek 317th- 21st Sept Week 424th-28th SeptGroup 2 : - 4 BSN with 7 DIN studentsWeek 51st-5th Oct Week 68th-12th Oct15 October-23 NovemberBSN July ‘09Ward 5 Surgical/Eye/ENT Clinic15 Octo-26 OctGroup 1-7 StnGroup 2- 8 StnWard 10 Medical /Hemodialysis29 Oct-9NovGroup 1-7 StnGroup 2- 8 StnOrtho Clinic/Physio Clinic12 Nov-16 Nov ( Holiday)19 Nov-23 NovGroup 1-7 StnGroup 2- 8 Stn | Hospital OrientationWARD 17Pediatric WardBSN Clinical Practice VI AN 3320 * Clinical Learning Objective: 1. Provide individualized quality care to all assigned clients following the nursing process 2. Perform management and organizational ability during the provision of nursing care 3. Apply critical appraisal skills to evaluate the available evidence which underpins practice 4. Plan health promotion activities for clients and family to maintain appropriate behaviors to attain or maintain health 5. Integrate significance of research in clinical practice to achieve best patient outcomesSpecific Objectives: * Plan timely execution of nursing task in the ward * Perform independent learning through self-study and reflective practice * Effectively...
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...DKKD Save Link Assignment Professional Development of Nursing Professionals View Rubric Due Date: Mar 23, 2014 23:59:59 Max Points: 200 Details: Review the IOM report: The Future of Nursing: Leading Change, Advancing Health http://www.iom.edu/Reports/2010/The-Future-of-Nursing-Leading-Change-Advancing-Health.aspx, focusing on the following sections: Transforming Practice, Transforming Education, and Transforming Leadership. In order to access the report, locate “Get this Report” and click on “Read Report Online for Free”. When the report is downloaded, it will open up to page 1. Use the table of contents, located on the right, to navigate to the required sections. Create a paper (750-1,000 words) about the impact on nursing of the 2010 IOM report on the Future of Nursing. Include: 1.The impact of the IOM report on nursing education. 2.The impact of the IOM report on nursing practice, particularly in primary care, and how you would change your practice to meet the goals of the IOM report. 3.The impact of the IOM report on the nurse’s role as a leader. This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment. Please Note: Assignment will not be submitted to the faculty member until the "Submit"...
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...result of the impending passage of this legislation, the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine of the National Academies (referred to as the IOM or IOM report hereafter) did a study, the results of which were released in 2010. In order to accommodate the influx of new patients into the healthcare system, sweeping changes are going to be needed. In order to accomplish what is called for in the PPACA, “major changes in the U.S health care system and practice environments will require equally profound changes in education of nurse both before and after they receive their licenses.” (IOM, 2010, p. 164). Newly licensed nurses need to be able to move from academia to the real world keeping patient safety foremost. This should include “a range of practice environments with an increased emphasis on community and public health settings.” (IOM, 2010, p. 164). Nurses will also need to be allowed to practice to the full extent that their education and experience allow. Leadership, communication skills and collaboration with all medical, administrative and governmental levels are going to be necessary to ensure that the public gets safe and reliable medical care wherever they are. The nursing educational system must be prepared to increase the number of baccalaureate and more highly educated nurses. According the IOM report, there needs to be in place a vehicle which easily allows the flow from ADN and diploma nurses to baccalaureate...
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...Reflection on the Handover Video Vignette The issue of inter-professional communication is a critical aspect of contemporary healthcare to enhance team communication and collaboration; its unique principle is the ability of building mutual trust, understanding and support in healthcare environment (Portsmouth, Coyle & Trede, 2012). More importantly, it ensures patient’s intensive care and outcomes effectively. In this reflective essay, by approaching the 5Rs framework for reflection, I will be evaluating and analysing my personal characteristics, namely assertiveness and active listening skills compared to characteristics of two health professionals working in multidisciplinary team through a pregnancy related stroke handover. On the video vignette, James, a paramedic was conducting a clinical handover with Louise, an emergency department nurse about Sally, 35 - year - old woman in 28 - pregnancy - week. She was found to have vital signs of loss of consciousness and trouble of talking; moreover, she was noted that she had a family history of stroke and heart hypotension. The handover was entirely comprehensive and pertinent because both James and Louise possessed communicative competence skills in healthcare team. In my view, the two most meaningful characteristics were the paramedic’s assertive manner and the nurse’s active listening skill which are related to my personality traits. Therefore, I would like to achieve these skills that are key elements of inter-professional...
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...Sciences Division of Nursing RN-BSN Option [pic] NURSING 2312 Dynamics of Professional Nursing FACULTY: Steven K. Pierce RN, MSN, APRN, CNE Winston-Salem State University The School of Health Sciences Division of Nursing RN-BSN Option Course Number: Nursing 2312 Course Title: Dynamics of Professional Nursing Placement: Level II Credit Hours: 3 Semester Hours Pre-requisites: Completion of General Studies requirements and nursing support courses or special permission. Faculty: Course Description: This course is designed to introduce the registered nurse student to concepts inherent in baccalaureate nursing education. The philosophy, conceptual framework, program purpose and objectives will be discussed. Emphasis will be placed on the nursing process, as well as knowledge and skills that bridge prior learning experiences with current professional nursing practice. Course Objectives: 1. Describe the characteristics of professional nursing practice. 2. Interpret the relationship of the major concepts and theories threaded throughout the nursing curriculum to professional nursing practice. 3. Relate to professional nursing practice philosophical beliefs about man, environment and health. 4. Evaluate how nursing theory guides nursing practice. 5. Analyze how the professional nurse utilizes the nursing process to maximize...
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...focusing the assessment on the person’s needs, rather than the progression of the disease (Dougherty and Lister 2015). Throughout this assignment, the author would be presenting a critical reflective version of Braden Scale (BS) used in Scenario Two. This assignment includes a detailed discussion on the benefits and disadvantages of BS using clear evidence to support...
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