...Examples of Reflective Writing Example 1 I arrived on the ward at 7:30 ready to begin a 12-hour shift. After receiving handover, my mentor assigned me the job of bathing Mr B with the help of a healthcare assistant. Mr B has Creutzfeldt-Jakob disease (CJD), a progressive disease of the nervous system with rapid deterioration due to spongiform encephalopathy. He is not expected to live to Christmas, even though he is only 19 years old. He is mentally aware of what is going on but is physically unable to demonstrate activities of daily living, including eating and drinking, has limited communication skills and is doubly incontinent. He is unsafe on his feet so mobilises with a wheelchair. I approached Mr B’s bed and asked his consent to take him for a bath. While the bath was running we began helping him to undress. He looked rather nervous. At the thought of myself being in his position, being the same age as him, I began to feel embarrassed too. I thought that I could not possibly be a professional individual if I let my embarrassment and sympathy get in the way of my nursing care. We assisted Mr B into the bath and started his wash. I knew he was uncomfortable and wanted to be able to wash himself, but was unable to do so. I was finding it difficult to look him in the eye, especially when it came to washing his genitalia. I tried to ease this by making conversation, but in a way this made matters worse. After the bath we dried Mr B, dressed him and returned him...
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...Examples of Reflective Writing Example 1 I arrived on the ward at 7:30 ready to begin a 12-hour shift. After receiving handover, my mentor assigned me the job of bathing Mr B with the help of a healthcare assistant. Mr B has Creutzfeldt-Jakob disease (CJD), a progressive disease of the nervous system with rapid deterioration due to spongiform encephalopathy. He is not expected to live to Christmas, even though he is only 19 years old. He is mentally aware of what is going on but is physically unable to demonstrate activities of daily living, including eating and drinking, has limited communication skills and is doubly incontinent. He is unsafe on his feet so mobilises with a wheelchair. I approached Mr B’s bed and asked his consent to take him for a bath. While the bath was running we began helping him to undress. He looked rather nervous. At the thought of myself being in his position, being the same age as him, I began to feel embarrassed too. I thought that I could not possibly be a professional individual if I let my embarrassment and sympathy get in the way of my nursing care. We assisted Mr B into the bath and started his wash. I knew he was uncomfortable and wanted to be able to wash himself, but was unable to do so. I was finding it difficult to look him in the eye, especially when it came to washing his genitalia. I tried to ease this by making conversation, but in a way this made matters worse. After the bath we dried Mr B, dressed him and returned him...
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...NM1704: Applying a model of nursing roper, logan and tierney model This essay explores the preoperative care provided to one patient in a London hospital during one shift. This care was influenced by the holistic perspective to health. Arsing from the Greek for ‘whole’ this acknowledges physiological, psychological and social factors impacting the patient’s condition. (McFerran & Martin, 2008) It seeks to offer treatment inclusive of these factors rather than treating physical symptoms of a diagnosed disease in isolation. This essay will examine this within a Model of Nursing used in my clinical placement area - the Roper, Logan and Tierney model. The identities of both hospital and patient have been altered to maintain confidentiality and comply with the NMC Code of Conduct. (Council, 2008) During my placement I worked on a coronary care unit where I cared for a patient herein called Peter, a 60 year old White British male. Peter was single, lived alone and unemployed. He had a history of low mood and was admitted to a neighbouring hospital suffering symptoms of acute alcohol withdrawal syndrome (acute confusion, delusions and tremors). This arises when an individual reduces or stops alcohol consumption after prolonged periods of excessive alcohol intake. This can lead to tolerance, physical dependence and physical disturbances upon withdrawal due to the central nervous system reacting in a hyper-excitable state. (About.com, 2010) He was transferred to my area...
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...without thinking enough about it and I am now attending Parkland College and working at JT Walker’s a sports bar in Mahomet, Illinois. I give you an example of a hard choice I have had to make in my life recently because in the next couple of semesters at Parkland College I will need to make another tough decision. Even though I have my major picked out already which is Nursing, I still need to decide whether or not I want to discontinue my education after I get my associates degree to be a Registered Nurse, or to continue on with my education and become a Nurse Practitioner. There are many things to consider when choosing a career, even if they are similar occupations it does not always mean they are the same in every aspect of the job. A few of the topics I will be comparing between my current job and the two I just listed in my essay will be location, salary, environment, and responsibilities. Almost everybody who is out of college and working in their career has the one job that they despise more than any other. For me that job just so happens to be at my current place of employment. I have been working at Jt Walkers restaurant and sports bar in Mahomet, Illinois as a bar back since October of 2012. This is not the first time that I have worked at Jt’s, I also worked...
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...Competencies between Nurses Based on Degree Levels Differences in Competencies between Nurses Based on Degree Levels Elizabeth N. Asuagbor Grand Canyon University October 12, 2014 Differences in Competencies between Nurses Based on Degree Levels In today’s rapidly changing health care environment, the nursing role is becoming less traditional and increasingly more diverse (Creasia, & Friberg, 2011). Health care organizations continue to make changes to keep up with the changing environment. An area of focus is the need for competent nurses with emphasis for Baccalaureate prepared nurses. This need continue to increase and has gained the support of American Association of Colleges of Nursing (AAACN). A BSN in nursing has been highly valued by organization and groups such as the U.S. Military and the Coalition for Advancement of the Nursing Profession (Lane & Kohlenberg, 2010). With the increasing need for Baccalaureate nurses, the question remains then, are there any differences in competencies between Baccalaureate nurses and Associate Degree nurses? This essay will focus on some of the differences between the various degrees. The preparation and training between BSN nurses and ADN nurses differ in some aspects. In BSN programs, training is focused on the how with more emphasis on the why. The difference in the length of time with regards to schooling cannot be overlooked. The more education one has, the more competent...
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...TOPIC: Reflective essay on the teaching session and facilitating workplace learning module. INTRODUCTION As a requirement for the pre-registration program in Nilai University, I have to take Facilitating Workplace learning module. The aim of this module is to enable me to become a better facilitator in the future. Having experiences from my previous clinical posting, I realized that nursing profession is not only about patient’s bedside care, but also workplace improvement by facilitating others for example students, colleagues and patient health teaching. Gopee (2011) defined facilitating learning is that the learner becomes aware that they should be the originator of their thinking, meaning to say the learner should take more control of their learning instead of passively receive information from the teacher. In addition, facilitating learning is usually form part of healthcare’s professional code, as mentioned in code of practice by Nursing Midwifery Council (2008) that registered nurse must be willing to share their experiences and skills for the good of their colleagues and must facilitate student and others to develop their competent. In order to fulfill this subject, I have two main parts to complete. First, a plan for facilitating a learning session applied all the relevant theories that have been lecturing, and the second part, I am going to write here is a reflective essay using Gibb’s (1988) reflective cycle on what I have learn from this module and my learning...
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...IN THE WORKPLACE AND SAFETY ISSUES AMONG NURSES IN THE PHILIPPINES Abstract Personality differences among employees can lead to a tense and less productive work environment. Differences in race, gender, religious conviction, sexual orientation, and age can cause fear and uneasiness among employees. These feelings are often associated with confusion or powerlessness. Diversity and sensitivity training can assist employees in embracing each other’s unique qualities. “To accept differences, we have to understand differences, and there is no better way to do this than to learn to communicate with people who are different than you” (Lieberman, 2007). When employees feel overwhelmed, they can lose self-confidence, become irritable or act withdrawn. This behavior directly impacts productivity, and work becomes less rewarding. J. Segal, R. Segal, Horwitz, Jaffe-Gi[ http://www.termpaperwarehouse.com/essay-on/Managing-Stress-In-The-Workplace/54320 In this article, work-related problems among a sample of nurses in the Philippines are described. Cross-sectional data were collected through a self-administered survey during the Philippine Nurses Association 2007 convention by De Castro, A.B, et al. during the Philippine Nurses Association 2007 convention. Measures included four categories: work-related demographics, occupational injury/illness, reporting behavior, and safety concerns. Approximately 40% of nurses had experienced at least one injury or illness in the past year, and 80%...
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...Mr Charles Winston is a forty two year old Afro-Caribbean male with end stage pancreatic cancer. He is married with two children and had previously worked as a solicitor- he has been admitted to the local hospice. For the purpose of this assignment the focus will be on pain, the importance of being pain free and what this would mean for Charles will be discussed through-out this case study. The World Health Organization (2008) say that freedom from cancer pain must be regarded as a human rights issue. Charles's pain was poorly controlled on admission so it took several hours for the nurse to assess and come to an agreement with Charles about how to manage his pain. The End of Life Care Strategy, written by the Department of Health have published the following guideline; " Ensure that pain amongst people approaching the end of life are kept to an absolute minimum with access to skilful symptom management for optimum quality of life." (Department of Health, 2008, p33). Historically, pain was seen as an emotion rather than a sensation that was experienced by the heart and not the brain (Meldrum, 2003). Pain in today’s society is seen as an unpleasant sensory and emotional experience associated with actual or potential tissue damage (International Association of the Study of Pain, 2011). Therefore, pain is not only experienced on a physical level such as intensity, location and quality but also with emotional feelings such as anxiety, frustration and depression. Pain is a multidimensional...
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...organization. Today for a nurse to hold on and work blissfully in one work place is challenging due to dissatisfaction of their job. Tang and Ghani (2012) argued nowadays, even though there are abundant opportunities available in Malaysia, nursing is no longer popular as it used to be. Chaulagain and Khadka (2012) stated one of the issue raise in quality improvement program is job gratification among nurses as it is a crucial issue being faced by most healthcare organization. The efficiency of healthcare services is affected due to increase rates of nurse’s turnover and absenteeism resulting from low job satisfaction. Understanding the factors that nurses are satisfied and dissatisfied will enable interventional measures be taken to improve the working conditions. Whereas such understanding will not improve the retention rate, it will improve the nurses’ work performance leading to better quality care to the patient (Newman et al, 2002). Judge et al (2002) assert the most widely investigated in the history of healthcare organization psychology, job satisfaction is the most widespread research topic. This module required us to identify and debate on a contemporary issue. Hence, factors influencing job satisfaction among Malaysian nurses will be explore through reflection on experience and the literatures I retrieve using database. Reflective practice is an important aspect of nursing management and in this essay discussion on implications of job satisfaction among nurses affecting...
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...Family Health Assessment Grand Canyon University Family-Centered Health Promotion NRS-429V March 14, 2014 Introduction Family has an important role in health promotion paradigm. It consists of two or more person’s lives together or apart. A family is linked by blood, marriage, adoption or commitment to care for one another and achieve their expected part. Nurses finish a holistic nursing assessment of individual, family and community requirements. By using evidence-based context, such as Gordon’s functional health pattern assessment, will help nurses provide a broad nursing assessment of the patient. Nurses can ask eleven family focused questions which offer an outline of the individual’s health eminence and health practices that lead the individual to reach their current level of health or wellness (Edelma & Mandle, (2010). This essay is about a family conference and is supported by an addendum. The enquiries were quizzed throughout the course using Gordon’s functional health pattern and the diagnosis of the individual’s wellness had focused on the family assessment. Family Interview Health Perception/Health Management This author talked to a family that consists of a father, a mother, a fifteen year old daughter and a ten year old son. The husband and wife are well aware about their health concerns, management and advancement actions. They are also aware about their health management; they reflected on it and were engaged most of the time with some hindrances...
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...This essay will firstly describe what is meant by the patients’ voice and diminishing it. Secondly it will go on to discuss three important barriers which were witnessed in clinical placement and how these diminished the voice of the patient. The essay will then go on to describe how each of these three barriers could have been overcome. This is an important topic due to the fact that it could take away a patient’s right to choice and how they are treated within health care. It effectively takes away every aspect of patient centeredness which health care professionals strive to achieve. As health care professionals strive to make sure the health care that everyone receives is the best that it can be, it is important that the voice of the patient is heard loud and clear. A crucial element in changing health care is giving the patient the voice to make choices about their own health care and in the decision making of the healthcare facility. The voice of the patient is so important because the patient knows there body and their mind better than anyone else, they have had that body since birth. The voice of the patient is also important because they know what it is like to be a patient whereas health care professionals may only have the perspective from the other side of the bed so to speak. To diminish this voice would mean to take it away from an individual, which effectively suggests that they will have no say in what treatment they receive or how they would like to be treated...
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...perhaps they were fired by the victim himself, before he died . . .) Yarn can tell us the story only in certain circumstances. As a researcher and a writer, Matthew Gribble analyzes his crime scene with diligence and care. The crisis: The shortage of nurses in America. The question: How and why did this shortage become a persistent problem? Matthew affixes strings of yarn to a number of gunshots: the increasing average age of the workforce, long hours, work that is often menial or clerical, and finally, relatively low salaries. But these strands lead to new questions, wider causes which have nothing to do with social yarn. These new questions have to do with rhetoric and the enduring association of nursing with “women’s work” and “femininity.” Matthew has the audacity to ask how the rhetoric of femininity actually functions. How and why are we compelled to accept images and tropes as ‘normal’ or ‘natural’ when they are anything but normal and natural? Is it possible that the rhetoric of nursing is responsible for the shortage? Or perhaps it is the rhetoric of femininity and masculinity as such? But how did such a crime take place, right under our noses, when so many of us never noticed that an injustice ever took place? This essay is brilliant and provocative because it will not stop until the crime...
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...moms, clowns and even the four-legged variety can all be found volunteering at a local hospital. These types of volunteers serve for many reasons. Retirees are looking for ways to serve in the community. Volunteering also helps retirees make the transition from full-time employment to retirement. High school students need volunteer hours for their college applications. The four-legged volunteers with their human companions brighten the day of patients that may be missing their pets during a hospital stay. Clown volunteers just love clowning around with patients and staff members. Hospital volunteers impact a patient’s satisfaction during a hospital stay. Volunteers serve in many areas of a hospital. Volunteers provide a service to the hospital and this service can potentially increase a hospital’s performance. This paper will address how utilizing volunteers can impact a hospital’s performance as well as help increase patient satisfaction scores. The Value of Volunteers According to the Independent Sector website, the current value of volunteer time for the State of Texas is $22.57 per hour. The national average is $22.14 per hour (www.independentsector.org). Volunteerism in the hospital setting has expanded because of the hospital’s need to provide a higher level of quality care to its patients. Volunteers can help a hospital improve the patient experience. Volunteers also provide a hospital with cost savings in areas where an extra set of hands are needed (Hotchkiss...
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...The purpose of this essay is to write a patient case study surrounding the care of an in- patient at the local hospital where I was on placement. It should allow the reader to focus, on the appraisal of the nursing model used in practice during the patients care. The social and cultural components of care that demonstrate the authors’ knowledge, and awareness of the patients needs and beliefs, any health promoting activities and patient education opportunities undertaken. Inter/ Multidisciplinary teams approach to care provision and access to specific services and facilities will also be included. I would like to take this opportunity to state that confidentiality will be maintained throughout this work. All true names and clinical settings changed, in order to protect the patients’ identity in line with the NMC (2004) guidelines on confidentiality, which states, “that we must protect confidential information”. Therefore, the patient will be referred to as “Rick”, his wife Shelia, the clinical setting as “the ward” and the geographical environment as “the local hospital”. In addition to this, I would also like to say that whilst asking for permission, I explained to the patient what my study would be about, that all confidentiality would be maintained, and that he would not, in any way be able to be recognised by any other persons who should read it. I waited for the patients’ wife to arrive before asking for permission on the advice of the staff nurse who witnessed...
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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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