...December 2005 Correspondence: Carolyn Mackintosh Division of Nursing University of Bradford Unity Building Trinity Road Bradford BD5 0BB UK Telephone: þ44 1274 236546 E-mail: c.mackintosh@bradford.ac.uk M A C K I N T O S H C ( 2 0 0 7 ) Journal of Clinical Nursing 16, 1134–1140 Making patients better: a qualitative descriptive study of registered nurses’ reasons for working in surgical areas Aims. To explore the reasons and motivation identified by qualified nurses for working within the surgical area. Background. Little is known about the career decisions qualified nurses make, although it is clear that some areas of practice are more popular than others. This qualitative descriptive study considers one common area, surgery, and explores the motivation for decisions made by Registered Nurses (RNs) to work in this area. Method. A sample of 16 RNs working within surgical areas participated in semistructured interviews, using a thematic interview schedule. Findings were analysed using the framework suggested by Morse and Field. Results. Analysis of findings indicates that all participants actively chose to work within surgery and that this was because of the pace and turnover of surgical work, personal satisfaction at the recovery of patients; the close links between this type of work; and participants’ original aims when first entering nursing and participants’ preference of surgery to other areas of nursing work. Participants actively rejected working in...
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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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...Practice (2008) 8, 103–111 Nurse Education in Practice www.elsevierhealth.com/journals/nepr Belongingness: A prerequisite for nursing students’ clinical learning Tracy Levett-Jones a a,* , Judith Lathlean b,1 School of Nursing and Midwifery, The University of Newcastle, Callaghan, NSW 2308, Australia School of Nursing and Midwifery, The University of Southampton, Nightingale Building (67), University Road, Highfield, Southampton SO17 1BJ, United Kingdom b Accepted 4 April 2007 KEYWORDS Belongingness; Nursing student; Learning; Clinical placement Introduction Summary The concept of belongingness has intuitive appeal. Human beings are social creatures; the need to belong and be accepted is fundamental, and social exclusion can be devastating. This paper reports on the selected findings from the qualitative phase of mixed-methods study that explored nursing students’ experience of belongingness while on clinical placements. The 18 interview participants in this study were from Australia and the United Kingdom. They provided a range of perspectives on belongingness and how it influenced their placement experience. Central to this discussion was their strong belief that belonging is a prerequisite for clinical learning. This theme dominated all of the interviews. Given that the primary purpose of clinical placements is for students to learn to nurse, there needs to be a clear understanding of the relationship between belongingness and learning. With reference...
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...Clinical supervision continues to be a term evident in everyday language in nursing and definitions of the term are variable. Definitions suggest it has a broad purpose in nursing and can appear to have a lack of accord and focus. Jones (1999) suggests that clinical supervision offers nurses guidance, support and education and is concerned with quality, safety and protection of clients which reflects the Department of Health ‘Vision for the Future’ (1993) interpretation of clinical supervision as a: ‘formal process of professional support and learning which enables individual practitioners to develop knowledge and competence, assume responsibility for their own practice and enhance consumer protection and safety of care in complex situations. It is central to the process of learning and to the scope of the expansion of practice and should be seen as a means of encouraging self assessment and analytical and reflective skills.’ The following assignment aims to demonstrate a critical appraisal of the concept of clinical supervision, critique the process and the outcomes of clinical supervision and review contemporary research that directly informs understanding and application of clinical supervision to practice. It will also reflect on personal knowledge, skills and attributes required for effective clinical supervision and evaluate the impact that clinical supervision has on health and social care practice with the emphasis on my professional discipline of nursing/ mental...
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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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...supervises and assesses students in the practice place. They furthermore identify the eight mandatory standards that must be achieved to become a mentor, and within the assignment I shall be referring to the Standards to Support Learning and Assessment in Practice; NMC standards for mentors, practice teachers and teachers, and identifying the standards for mentors required (SM). This assignment will first look at the personal and professional reasons why I wanted to undertake the mentorship module. It will also discuss the importance of a supportive learning environment in the workplace, and how essential it is. My role as a mentor to a nursing student will be evaluated, looking at the way in which I supported her on the ward and how I facilitated this. In conclusion, I will identify my own personal development in undertaking and completing this module. As a registered nurse on a busy Paediatric ward I always enjoy supporting student nurses whilst they are on placement with us. There is an apparent shortage of qualified mentors on the ward, and within my last personal development review with my line manager I identified a need to attain the mentorship qualification. The Nursing and Midwifery Council (NMC) (2004) states, that as a registered nurse, you must keep your knowledge and skills up-to-date throughout your working life. You also have a duty to facilitate nursing students and others to develop their competence. According to Hand (2006), teaching is seen as an important part...
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...within the clinical environment using relevant literature and recognised frameworks. A critical analysis of learning, teaching and assessment strategies as well as educational theories will be integrated and applied. A written re-evaluation of this experience using the recognised reflective cycle of Boyd et al. (1985) will also be incorporated to enable me to effectively analyse my personal and professional development as a practice mentor. Prior to commencing this portfolio the learner and mentor were informed of my intentions and consent was gained freely and independently. The principles of confidentiality in accordance with the NMC (2004, p8) guidelines have been adhered to at all times. Within this portfolio the person being taught and assessed will be referred to as the student or learner. Another person relevant to this process is my mentor; they will be assessing my ability of mentoring and will subsequently be referred to as the mentor, thus protecting their anonymity. I am currently employed as a staff nurse working in an Emergency Department in the North of England. My role as a staff nurse is to work within a team, supporting and assisting other team members to achieve and implement high standards of care delivery. Part of the criteria for this portfolio was for me to choose a mentor that was able to objectively evaluate my ability of teaching and assessment, therefore I chose a mentor who was experienced, knowledgeable and educated within this clinical environment...
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...Submit by 2359 Saturday of Week 4. Name: Date: Overview: Life Review Analysis For this assignment, you will reflect on your interview with the older adult, introduce the individual to the reader, and respond to guiding questions to prepare an analysis paper. DO NOT INTERVIEW A FAMILY MEMBER UNLESS YOU OBTAIN COACH’S WRITTEN APPROVAL PRIOR TO INTERVIEW Your paper should include the following sections: 1. Introduction of Older Adult – This is the overall context of your interview but should not include the entire interview itself. 2. Analysis of the Life Review Interview – This includes description of the goals and benefits of life review, your differentiation between a Life Review and ordinary remembering and your analysis of the degree of ego integrity reached by the older adult. 3. Student’s Reflections – This describes your personal experience during the process, any impact it will have on your clinical practice, and a projection of your own legacy. 4. References – This is a list of resources you used during your interview and analysis recorded in APA format. Use at least 3 in-text citations of your sources. Use APA format throughout paper and references as appropriate. The paper should be no longer than 6 pages (not counting Pages 1-3 of this document and your page of references). If you have questions, please discuss them with your Academic Coach. You must also scan, upload, and submit your Interview Consent Form in the appropriate assignment portal...
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...facility. In this regard therefore, there exists a systematic approach aimed at maintaining as well as improving the quality of medical health care within a given health system- this is what is referred to as Clinical Governance. This paper aims at discussing various issues to do with clinical governance as well as the practice of Nursing. Learning Activity One Introduction There are three major aspects of professional performance that have been discussed; these are professional accountability expected from the practitioners to their clients, their fellow staff as well as to the organizations that they work for. There is also the need to have a system through which there will be appraisals for good performers within a health facility that will encourage the others to provide exemplary service and finally, clinical governance which is a vehicle that tackles all the wide differences in the quality of healthcare provided to the patients throughout the world. It is important to note that there has been a difficulty in the past to produce a universally approved definition of clinical quality. It is the framework that is used to enhance clinical excellence (Department of Health, 2008). Aspects of efficiency or resource usage discussed Information delivery is a major issue that clinical governance seeks to address. It should be noted that every health care organization requires having a rich information environment, it should be noted that information forms a...
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... • Over 5 years of experience in gathering requirements for software application development projects • Eliciting requirements using interviews, document analysis, requirements workshops, site visits, product related descriptions, use cases, scenarios, business analysis, and task & workflow analysis. • Delivering IT Solutions involving requirement analysis and management, project scope definition, implementation and testing of applications built for Windows, Mobile devices and Web in internet/intranet infrastructure • Critically evaluate information gathered from multiple sources, reconcile conflicts, decompose high-level information into details, abstract up from low-level information to a general understanding, and distinguish user needs from the required system • Proficient in documenting business requirements in Agile methodology, creating Functional specifications, User Interface design, Use Case Modeling, Process flows and reviewing Test Case document • Expertise in Software Development Lifecycle (SDLC) management and Business to Business (B2B) integration concepts • Proficient at Scrum model & processes and Agile methodologies, Certified Scrum Product Owner (CSPO) • Posses good domain understanding and expertise in Healthcare and Retail & Personal Finance • Skilled at building and maintaining excellent customer relationships • Self-Motivated individual with leadership and inter personal skills • Possess...
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...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 current and allied literature to the relationship between ethics and good nursing practice. They study was carried out in a mid- size University in Kentucky, USA. They had prior approval and all personal information was coded and stored as outlined in the request for approval. The people involved in the study were recruited from various areas of practice at three (3) hospitals. They were...
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...(formally The United Kingdom Central Council for Nursing, Midwifery and Health Visiting). January 2003 ISBN 1-903661-40-4 CONTENTS LIST CONTENT PAGE ACKNOWLEDGEMENTS GLOSSARY OF TERMS AND ABBREVIATIONS ABSTRACT CHAPTER 1: BACKGROUND TO THE STUDY 1.1 Introduction 1.2 Background to the study 1.3 Aim of study CHAPTER 2: METHODOLOGY 2.1 Grounded theory 2.2 Data collection 2.2.1 Sampling 2.2.2 Participants 2.2.3 Methods 2.2.4 Ethical considerations and access 2.3 Data analysis 2.3.1 Rigour and trustworthiness 2.4 Chapter summary CHAPTER 3: CATEGORY ONE: THE CURRENT DILEMMAS 3.1 Existing problems 3.2 More fail theory than practice 3.3 Differing agendas 3.4 Chapter summary CHAPTER 4: CATEGORY TWO: THE PROCESS OF MANAGING A FAILED CLINICAL ASSESSMENT 4.1 Identifying the weak student 4.2 Developing a plan of action 4.3 The decision to fail 4.4 After the deed is done 4.5 Chapter summary CHAPTER 5: CATEGORY THREE: FAILING TO FAIL 5.1 Leaving it too late 5.2 Personal consequences 5.3 Facing personal challenges 5.4 Experience and confidence 5.5 Chapter summary PAGE 1 2 3 4 6 6 6 10 11 11 12 12 13 14 14 16 16 19 20 20 23 24 26 28 28 32 36 41 45 47 47 52 55 60 62 1 CHAPTER 6: CATEGORY FOUR: DOING ENOUGH TO PASS 6.1 Not bad enough to fail 6.2 Giving the benefit of the doubt 6.3 Consequences of failing to fail 6.4 Chapter summary CHAPTER 7: CONCLUSION AND RECOMMENDATIONS 7.1 Conclusion 7.2 Recommendations for mentorship preparation 7.3 Recommendations for nurse education programmes 7...
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...and analysis: a model for written assignments Sharon L Edwards W hat is critical analysis? In the author’s personal experience this question has been answered by the following statement: ‘It is being critical of the literature.’ However, this does not answer the question. A literature search also failed to provide any information on critical analysis. The justification for developing a model for critical analysis, however, was not solely the lack of available literature. Other reasons included: to provide a definition of the terms; and to help both educationalists and students interpret the concepts involved. Nurse educationalists and nursing students lack a clear understanding of the critical processes and this could severely diminish the profession’s ability to articulate issues that are imperative to the advancement of nursing practice in the future. This article recommends a model of critical analysis that can be used by students and educationalists. It suggests that critical thinking and analysis are interrelated and complementary, but not synonymous. It gives examples of the model’s components in order to clarify their meaning. The model will hopefully give students a premise on which to base their assignments, and nurse educationalists will be able to incorporate it into their teaching practice. It will also provide an element of reality to critical analysis which will prevent it from becoming so abstract and idealistic as to render it impracticable. ANALYSIS OF...
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...Running Head: ANALYSIS AND IMPLICATIONS Analysis and Implications of Practice: Quantitative Research Analysis and Implications of Practice: Quantitative Research Why are Nurses Leaving? Findings From an Initial Qualitative Study on Nursing Attrition Carol Isaac MacKusic and Ptlene Minick Introduction/Purpose As the population ages and chronic disease runs rampant, the need for bedside nurses grows. MacKusick and Minic (2010) further tackle the nursing shortage in Why are Nurses Leaving? Findings from an Initial Qualitative Study on Nurse Attrition. The purpose of this study is clearly stated, “to understand the factors influencing the decision of registered nurses (RN’s) to leave clinical nursing” (p. 335). This purpose statement clearly states and highlights its importance to the nursing practice. Interviews were conducted to find out what factors influenced the decisions of the RN’s to leave clinical nursing. The introduction of this study gave a great summation of the entire article which pulled the reader in. Review of Literature In reviewing the article, it was discovered that the authors did a thorough search of bedside RN’s leaving the nursing practice and found that very limited data was available regarding nursing attrition. Their search began with “GoogleScholar and was narrowed to include CINAHL, Medline, PsychINFO, and LexisNexis MacKusic and Minic” (2010 p.335). MacKusic and Minic (2010) found the data search for this topic ended in 2007 when the...
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...This essay will discuss a clinical skill in which I have become competent in practicing. I will use a reflective model to discuss how I have achieved the necessary level of competence in my nurse training programme. The reflective model I have chosen to use is Gibbs model (Gibbs 1988). Gibbs model of reflection incorporates the following: description, feelings, evaluation, analysis, conclusion and an action plan (Gibbs 1988). The model will be applied to the essay to facilitate critical thought, relating theory to practice where the model allows. Discussion will include the knowledge underpinning practice and the evidence base for the clinical skill. A conclusion to the essay will then be given which will discuss my reflection skills, acknowledge my competence and show my personal and professional development. The clinical skill I have chosen to reflect on within this essay is the administration of Intramuscular (IM) injections. I have chosen this as within my first clinical placement this was a widely used method of drug administration and I became involved in the process of IM injections. I therefore researched the topic of IM injections and my knowledge within this area developed. The first stage of Gibbs (1988) model of reflection requires a description of events. I was asked to administer a drug to a patient via IM injection. I had observed this clinical skill on a variety of occasions and had previously administered an IM injection under supervision. On this occasion I...
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