A Reflection On Capstone Nursing Practicum

My clinical duties performed this shift involved practicing time management and reporting skills. That morning, I was responsible for getting a detailed hand off report of the three patients during our walking rounds. I then went on the computer charting system to acquaint myself with the three patients and get organized with my plan of care for the day. This also involved reviewing the laboratory results and active physician orders for all patients. For the active physician

Wilkinson, J. M., & Treas, L. S. (2016). Fundamentals of Nursing (3rd ed., Vol. 1). Philadelphia, PA: F.A.

The new graduate nurses (NGN) are faced with various issues and challenges especially in their first year of nursing practice. The period of transition from a student to a graduate nurse is a demanding period that is filled with new experiences and there are several concerns and factors that can affect the transition process. The research into the issues has recommended some strategies that can be utilised to ease the transition process from being a student to a professional practicing nurse. Exhaustion, reality shock and time management are some of the factors and issues that the new graduate might encounter during their first year in their career.

As new nurses enter into bedside nursing, they are precepted by an experienced nurse to help with their transition. This time frame varies based on the specialty of the nursing floor and the progress and experience of the student nurse. But why is precepting chosen? A study by Harrison-White and Simons (2013) shows that students who take part in preceptor programs are more likely to feel more confident in their role, be able to provide effective care sooner, and remain within the nursing field. Considering the implications of this occupation and the current shortage of nurses, it is important that we ensure the best start for

The second week of my preceptorship brought many new experiences for me, and I can honestly say that each day I spend with my preceptor is better than the last. This week I focused on time management of a full patient load with continued documentation practice as well as admission and discharge procedures. I’ve had brief experiences in my past rotations assisting with discharge teaching and admission assessments however I have never been able to fully take charge and complete the process from start to finish, so this was a great learning opportunity for me.

Nursing is constantly evolving and adapting to the current population, and with the elderly population increasing exponentially, nurses are inevitably affected by these changes. The baby boomers are getting older, changing healthcare as they go. According to the Bureau of Labor Statistics, those who are ages 65 and older are expected to increase 17% by 2020. By the recent demographics shift, nursing practice is affected as there becomes a greater need for nurses to be able to guide those who suffer with multiple chronic conditions, specialize in geriatrics, and also care for the mental health of the elderly.

Demonstrate synthesis of the knowledge and skills acquired in preceding graduate nursing core and specialty curriculum content.

Submitted to Instructor Terry Lee, MSN, RN, in partial fulfillment of NR410 Introduction to the Profession of Nursing

I prepared for clinical this week by starting to work on my midterm self-evaluation; this allowed for me to go through the objectives I haven’t meet yet, and plan to meet some of them for the clinical day. I also made a plan for completing part D and E this week in clinical.

The purpose of faculty training in the nursing profession is to provide program evaluation to examine evidence-based practice in a simulation of care and provide safe nursing practice. Patients with a tracheostomy are high risk and have numerous problems for nurses to find because of respiratory problems. In addition, understanding the facility policy regarding tracheostomy care, the faculty must possess specific knowledge and skills to provide satisfactory care. Evidence-based research has provided the organization for nurses to improve nursing care standards and practice regarding tracheostomy care (Schreiber, 2015). On the other hand, the patient simulation laboratory (SIM lab) coincides with this setting because it uses state-of-the-art

The addition of basic skills training before being on the floor, weekly evaluations, mock codes and scenarios, and progressing patient care assignments greatly influenced the confidence of preceptors and orientees. Other factors that enhanced the program’s success include the preceptors’ willingness to teach, majority of the staff (including physicians) participating in a culture of support, and the eagerness of the new hires to learn. Factors that have impacted and produced a slight detraction on accomplishing the goal are the 40-hour work schedules and resistance from few senior RNs who were reported to engage in bullying behaviors such as intimidation, humiliation, eye-rolling, gossiping, and exclusion, which affected new RNs self-confidence negatively (Townsend, 2012; Echevarria, 2013). Due to the limited time provided, the Casey-Fink Nurse Retention Survey (2009) will be utilized 1 year post-hire to measure PH’s retention rate after the restructured orientation (Appendix

exaggerated. As the relationship matures, the cost-benefit analysis is recalibrated and the relationship reevaluated based on new measures and expectations (Cook & Emerson, 1978). The expectation of a salary increase for retaining their positions will encourage the new graduates to continue in their current positions, thereby improving retention rates.

Being a new graduate with a bachelor degree in nursing is the most exciting thing everyone would need to have in life. As a new graduate, there are so many challenges as the nurse is try to familiarize themselves into the role and responsibilities of the clinical practice. These challenges include the many stressful demands of the profession which does not only involve the nursing practice and patient care but also the socialization of formal and informal hospital orders and their regulations. In addition to this, the new graduate lack of knowledge and clinical experience actually makes it overwhelming. Although the new graduate nurse has the qualification that requires them to practice as register nurses, they still feel much unprepared for the expectations and demands of their new role. In order to increase comfort and facilitate my socialization into this new profession, the method to do this includes making effort to learn and practice many skills now in school. Also having the confident to ask questions of what I do not understand from the seniors who have been there for a long time will help to make socialization into the new role as a graduate nurse easy (Feng &

As a second year nursing student I felt mixed emotions of excitement and anxiety when I was thinking about my upcoming clinical placement because even though I have been working as a patient care assistant at Royal Darwin Hospital for a year and had already undergone clinical teaching block for one week . The responsibility of being a nurse is big and much complex than my current job [1.2 Fulfils the duty of care] especially when handling assigned patients. Thus, need to have a good supervision from my clinical preceptor to meet the best possible nursing care to my patient with in my scope of practice [2.5 Understands and practices within own scope of practice]. My four weeks of clinical placement was taken place in

Expectations are defined as something that you believe will happen to you. Before nursing school, I had several expectations. Some of these expectations have shown to be very true while adapting to this new lifestyle. Other expectations have fallen to the waist side and soon were forgotten. At the time, they seemed to be very real. I expected to study, study, and study some more. I wanted the program to be challenging and prepare me to be a nurse. I expected to struggle financially because of having to reduce my days off work. I thought this would give me extra study time and I would make all As on every assignment. I hoped to form study groups to ensure that I would excel in making those grades. But, my most important expectation of myself was to stay organized and ahead on all assignments. I expected this to get me through nursing school.