...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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...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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...• 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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...Nursing Expertise Self-Report Scale and Reflection Dawn Haag HCS/350 October 29, 2012 Polly Hanson 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...
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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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...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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...Nursing Expertise Self-Report Scale Peggy Kushner NUR 350 May 14, 2012 David W. Catoe Nursing Expertise Self-Report Scale After completing Benner’s Nursing expertise self report scale I calculated my score to be 74. The result of this self report did not surprise me, as I think of myself as a cautious but through, intuitive, and competent nurse. I am self assured and trust my gut instincts almost all the time. I was surprised on how I scored on the two questions regarding “getting close to a patient” and getting “truly involved” with a patient. I scored a two on each of those questions. I do not think I kept an emotional distance from my patients. In reflecting on these results I realize I am always aware of my patient’s vital signs, lab results, pain level, and other relevant information related to the medical case. Due to time restraints, I do not often take the time to sit and speak with my patients on a personal level. I take the opportunity to be more personal while standing at the bedside to administer an IV medication, or perform other tasks. I do not think a nurse needs to get close to a patient to give good nursing care. I interpret this question as meaning that nurse and patient develop a close relationship sharing personal information. I believe this type of relationship is not needed and even wrong. Developing a close relationship would make the termination phase of the relationship more difficult (Arnold, 2011). I get to know my patients and...
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...patient’s history that demonstrate nursing needs 1) Client states continued post-operative pain. 2) Client has the inability to completely empty her bladder. 3) Client’s past health history shows infrequent physical examinations and had not performed breast self-examination. 4) Client currently weighs 89 lbs compared to her usual weight of 110 lbs. 5) Client expresses great concern over her future and the future of her two children. Nursing Diagnosis 1: Acute pain R/T post-op surgery M/B verbalization of continued postoperative pain. Desired Outcome 1: Patient will use self-report pain scale to identify current pain level and report comfort-function goal in the next 12 hours. Desired Outcome 2: Patient will perform ADLs and activities of recovery easily in the next 24 hours. Nursing Intervention 1 Check the patient’s vital signs and use a valid self-report pain tool to assess pain level intensity. Administer non-opioid analgesic for mild to moderate pain, and an opioid analgesic for moderate to severe pain before painful procedures or increasing physical activity (Ackley & Ladwig, 2011). Nursing Intervention 2 Assess the location of pain, intensity, characteristics, onset, duration, aggravating, and alleviating factors. Identify activities that cause or aggravate pain and offer pain medication prior to performing these activities. Evaluation method Patient understands how to use the pain tool to report pain level intensity. Re-assess the...
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...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. Telling a client your problems is not appropriate...
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...JAN REVIEW PAPER Measurement of empathy in nursing research: systematic review Juping Yu & Maggie Kirk Accepted for publication 16 July 2008 Correspondence to M. Kirk: e-mail: mkirk@glam.ac.uk Juping Yu MSc PhD RN Research Fellow Faculty of Health, Sport and Science, University of Glamorgan, Wales, UK Maggie Kirk BSc PhD RN Head of Research/Leader Genomics Policy Unit and Lead Professional Specialist (Nursing Professions) NHS National Genetics Education and Development Centre Faculty of Health, Sport and Science, University of Glamorgan, Wales, UK YU J. & KIRK M. (2008) Measurement of empathy in nursing research: systematic review. Journal of Advanced Nursing 64(5), 440–454 doi: 10.1111/j.1365-2648.2008.04831.x Abstract Title. Measurement of empathy in nursing research: systematic review. Aim. This paper is a report of a systematic review to identify, critique and synthesize nursing studies of the measurement of empathy in nursing research. Background. The profound impact of empathy on quality nursing care has been recognized. Reported empathy levels among nurses range from low to welldeveloped and there is clearly debate about what constitutes empathy and how it can be measured and improved. Data sources. Searches were made of the CINAHL, MEDLINE and PsycINFO databases, using the terms ‘empathy’, ‘tool’, ‘scale’, ‘measure’, ‘nurse’, and ‘nursing’, singly or in combination to identify literature published in the English language between 1987 and 2007. Methods...
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...STRESS LEVEL OF THIRD YEAR NURSING STUDENTS IN FAR EASTERN UNIVERSITY IN THE YEAR 2008 In Partial Fulfillment Of The Requirement for Nursing Research By: Agre, John Marco C. Angcao, Marice C. Angeles, Jessica Christy P. Arambulo, Allan Carlo L. Bandillo, Jemilyn V. Bañaga, Charlene May Y. Bañaga, Valerie Jane Y. Barbon, Lorraine Angelica Barquin, Jasmine C. Bartolome, Dexter C. Bautista, Erica Frances A. Burdeos, Adison C. Submitted to: Ms. Melanie Tapnio, Nursing Research Adviser BSN 905 2007-2008 Chapter I The Problem and its Background Introduction Stress has been experienced by people almost everyday. Stress can be associated with major life events, daily hassles and change in life. It has physical and emotional effects on us and can create positive or negative feelings. Stress can make a person anxious and depressed. It is the enemy of clear thinking and if allowed to get out of control, it can compromise a person’s health as well. Sometimes stress can keep people awake at night and make them feel irritable and edgy. Yet, their reactions to stressful events differ widely. Some people faced with a stressful event develop psychological or physical problems, whereas other people faced with the same stressful event develop no problems and may even find the event challenging and interesting. Nursing school is very stressful. Students experience increased tension...
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...Pain Concept Analysis Audrey Hubler Chamberlain college of Nursing NR501: Theoretical Basis for Advanced Nursing Practice Conceptual analysis is integral in understanding nursing theory. According to Walker and Avant (1995), concept analysis allows nursing scholars to examine the attributes or characteristics of a concept. It can be used to evaluate a nursing theory and allows for examination of concepts for relevance and fit within the theory. The phenomena of pain will be discussed in this paper and how it relates to the comfort theory. This paper will define the term pain and how it pertains to the comfort theory. Next, there will be discussion from relevant literature in regards to pain. Its defining attributes will be covered and then antecedents and consequences will be addressed. Examples of empirical referents will be given, as well as a model case and alternative cases. Then the discussion will conclude with a summary of the analysis findings. Definition/Explanation of Pain According to Merriam-Webster, pain is defined as “the physical feeling caused by disease, injury, or something that hurts the body; or mental, emotional suffering, or sadness caused by some emotional or mental problem.” In general, pain refers to an unpleasant, distressful and uncomfortable feeling. Studies have shown that unrelieved pain can affect the quality of life of the individual, cause physical and emotional effects, and can impact family. The comfort theory was developed...
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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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...Running Head: DEPRESSION IN THE ADOLESCENT ONCOLOGY PATIENT 1 Depression in the Adolescent Oncology Patient: A Multidisciplinary Concept Analysis Joliette Tiffany Grice University of Texas at Arlington College of Nursing In Partial Fulfillment of the Requirements of N5327 Section 400 Analysis of Theories in Nursing Ronda Mintz-Binder, DNP, RN June 10th, 2012 Depression in the Adolescent Oncology Patient: A Multidisciplinary Concept Analysis We all go through up and downs in our mood, sadness is a normal reaction to life’s trials and tribulations. Many people use the word depression to explain these feelings, but depression is much more than just a feeling of sadness. According to Mosby’s Medical, Nursing, & Allied Health Dictionary (2002), depression is an abnormal emotional state characterized by exaggerated feelings of sadness, melancholy, dejection, worthlessness, emptiness, and hopelessness that are inappropriate and out of proportion to reality. Depression may be expressed in a wide spectrum of affective, physiologic, cognitive, and behavioral manifestations. A depressed teenager may be hostile, grumpy, or may easily lose his or her temper. Unexplained aches and pains are also common symptoms of depression in young people. The adolescent oncology patient may suffer from all of these symptoms due to the life altering circumstances that a cancer diagnosis brings. However, due to side effects of treatment...
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