The purpose of clinical this week re-exposed student nurses to inpatient and outpatient settings. Rotating different units allowed a broader understanding of the processes involved for stabilization. Within the community, students got to interact with new members of the SOMI house as daily participants vary. Day one of clinical allowed students to independently form therapeutic relationships with members as Mrs. Cockrell did not hold a group to “break the ice”. I spoke with a gentleman, a long time consumer of the SOMI house, diagnosed with schizoaffective disorder since he was 17. His first hospitalization happened his senior year in high school. Unable to complete college, he began to work for his father at the family flower nursery. He seemed very knowledgeable of his illness and the need for medications. He visually had anxiety related disagreeing with his sister that morning. I completed a Hamilton anxiety assessment, placing him at mild to moderate level of anxiety. He compulsively reflected on many occasions his anger towards his sister and thought “she just needed to be cut out of the picture.” He verbalized and demonstrated his full body relaxing coping skills taught to him while staying in the hospital. SOMI house provided him with a way to “escape from the group home for two days out of the week.” Patient’s fixation to once again live independently and possess a job. I used active listening and clarification effectively to elicit information about
Over the next several weeks, the nursing students observed the residents’ needs. We implemented our Health Hoopla based on key informant interviews, a census tract assignment, windshield surveys,
It is very important for graduate nurses to fit in to a hospital as this gives them a chance to practice safely and effectively. For a New Graduate Nurse (NGN), fitting-in is about establishing secure and meaningful social bonds with ward staff (Rush, Adamack, Gordon, and Janke, 2014, p. 222). Fitting in, or the wish to fit in with ward staff is one of central piont of NGN transition experiences; it gives the NGN a feeling that they are a part of a social group with common goals, common experiences and a shared culture (Tingleff and Gildberg, 2014, p. 537). Success for the New Graduate Nurse would depend on how fast they establish friendly relationships and a sense of belonging. Hospitals understand the importance of NGN getting used to the
Throughout the career of a Viterbo University Student Nurse, one sees a variety of clinical settings to enrich one’s own knowledge base and skills practice to ultimately become a well- rounded and exceptional nurse. One of the experiences that we are able to have is to be a part of the Caring Clinic at the Salvation Army. In this setting we care for a population of impoverished and homeless individuals to assess blood pressures, health history, and do a mental health screening. This setting is like no other in the sense of we go to where the individuals that need our help instead of them coming to us. I have learned how it takes a special kind of nurse and group of student nurses to make the Caring Clinic happen to provide care and advocate
The compassion and care that Jersey College of Nursing has engrained in me runs deep within me and serves a guiding light. During my clinical experiences, I was determined to apply the training I have received at Jersey College of Nursing. It is my goal to make the lives of others more pleasant by means of a simple greeting or question such as “how is your day today?” I have learned what it really means to be a nurse; it is much more than the physical healing of a patient. An excellent nurse is aware of the mental, spiritual and physical needs of both her patients and her fellow
From 2000 – 2004, she was promoted to Clinical Nurse II at St. Mary’s Hospital, Long Beach. She became a Nurse Supervisor at the Rehabilitation Unit, taking charge of LVNs and CNAs while coordinating with the interdisciplinary team regarding the clients’ therapies. By this time, her yearning for knowledge was insatiable, pushing her to finish the Bachelor of Science in Nursing degree at the University of Phoenix in 2008. This opened the door for more exciting opportunities and challenging roles. She was promoted to Clinical Nurse III at St. Mary’s Hospital, a position she held for seven years from 2004 – 2011. B.A. became the Nurse Coordinator of the same unit, liaised residents’ activities with the team and acted as resource person for staff in- services. In 2008, she was also certified as a Public Health Nurse.
It can be an eye opening experience to observe the health care system from a professional point of view. Clinical practice experience is valuable to students and enables them to learn and experience the working environment of the health care system. The purpose of this assignment was to observe a Registered Nurse 's (RN) role as outlined by the College & Association of Registered Nurses of Alberta (CARNA). The experience occurred at South Calgary Primary Care Network, where the role of a case manager was observed. The nurse discussed in this paper will be referred to as "Nicky" to maintain confidentiality. In this setting, health care professionals including family doctors, registered nurses, dieticians, behavioral health consultants and pharmacists, worked as a team to strengthen primary health services. This paper will describe the experience, discuss the domains from the CARNA scope of practice for registered nurses, review insights and learning moments and explore similarities and differences a student nurse would make in future experiences.
I was among three therapists sent to New Hope Corps transitional home for quarterly face-to-face contact with client. Client has been at the transitional home for three months and all reports are that he is doing well. I met with transition home counselor at the home prior to meeting with client. The transitional home counselor reported that the client had made much progress in his therapy group this quarter. She had reported at previous meeting that client had not wanted to share any of his issues with the group and just sat there until the time was up in group and then left with no remarks. During this quarter, he has begun to open up about his feelings regarding his birth father and his anger toward him. He has talked about his drug use. The transition home counselor began meeting with him individually two months ago and that one-on-one counseling has given him the encouragement to share with the group. The transition home counselor warned me that client would want to discuss his desire to return home as soon as possible. I met with client alone to discuss his progress over the last quarter. He reported that he is feeling good about
Across the United States, hospitals are experiencing a nursing shortage. Yet, according to the American Association of Colleges of Nursing, 63,857 students graduated from nursing school in 2015 alone and enrollment is increasing. It seems like a lot of new nurses to fill those vacancies, does it not? Studies show, however, that within a year, about thirty percent of those new graduates have voluntarily left their job (Hillman). Further studies have attributed the high turnover rate to new nurses’ lack of competency to handle conflict, make critical decisions, and function autonomously (Bratt). Many of the new graduates are disappointed with the hospital’s orientation, or lack thereof. Lack of knowledgeable preceptors and lack of nursing staffing in general has led to new nurses being thrown into autonomous function more quickly. Without proper training, these nurses must make sound clinical judgements and provide competent care to patients, which anyone can imagine is stressful. Today, Nurse Residency Programs (NRPs) are being instituted in numerous hospitals as a way to improve new graduate nursing skill, but research shows many other benefits to these programs. NRPs also reduce hospital spending costs, increase patient safety, and most importantly increase new nurse retention rates.
As a student nurse, I am still in the process of learning and acquiring skills, that is why clinical rotations are important in shaping the nurse that I would become. Additionally, I also have the books and theories learned to guide me in advocating and providing care for my patient.
This may include the following; facilitating communication of distressing thoughts and feelings, assisting patient’s with problem solving to help facilitate activities of daily living, helping patient’s examine self-defeating behaviours and test alternatives, finally promoting self-care and independence (Varcarolis, 2015, p156). Unlike other relationships the therapeutic relationship main goal is to focus on the patient’s needs and problems, the Enrolled Nurse uses strong communication skills, has an understanding of behaviours of the patient and the patients strengths, to improve the patient’s mental health. Working together the Enrolled Nurse and the patient will explore the patient’s problems and concerns and decide on potential solutions that will be implemented by the patient (Varcarolis, 2015,
As a Magnet designated organization, Vanderbilt will provide me with the opportunity to make the safe transition from a novice to competent nurse. In behalf of VUMC’s appreciation for nurses as critical members of the health care team, I will be able to achieve each of my goals to learn and grow while sharing Vanderbilt’s philosophy of caring for others. Ideally, my wish is to begin my practices in critical care. My experience as a student extern on the intensive care unit solidified this decision as I was intrigued by the complexity of each patient, individualization of care, and the need to balance efficiency and competent care with genuine compassion. In addition to the persistence, teamwork, and time-management skills I have developed as a student-athlete, I believe that my comforting presence and the empathy I hold with patients and families will be most advanced within critical
The advocates for baccalaureate-degree (BSN) - educated nurses are growing steadily with both private and public organizations speaking out in support. The reason for this outcry is understandable. As a registered nurse with over 15 years of experience, I have come to observe that the current healthcare environment has become faster in pace and more dynamic and as a result, necessitate the need for nurses to continually renew, update, and challenge their knowledge. The idea that basic nursing education will prepare a nurse for a lifetime of practice is no longer reasonable given rapid technological and scientific advancements (Bahn, 2007; Gillies & Pettengill, 1993; Gould & Kelly, 2004). The purpose of this paper is to discuss the differences in competences between associate and bachelor’s prepared nurses and to identify a patient care situation which will describe how nursing interventions may differ based on nursing education levels
Newly graduated nurses often lack clinical skills needed to transition efficiently and safely from academics to bedside practice. Nurses at the hospital settings are caring for much sicker and more diverse patients with complicated health conditions under complicated healthcare delivery systems that require applications of complex health informatics and technologies. Implementing transition experiences for newly licensed nurses might provide additional clinical experiences that would improve their nursing skills and reduce training time in their first job that would lead to a successful nursing career as beginning nurses. The new Registered Nurse (RN) residency program could be collaboratively implemented with education and practice (Kim, K. H., Lee, A. Y., Eudey, L., Lounsbury, K., & Wede, P., 2015).
Going through the theories and the practicalities involved in nursing care interventions without having a good knowledge of using therapeutic communication with patients will amount to nothing. According to Ellis, Gates and Kenworthy (2003, p.214) says that good communication is vital to effective nursing and it is a good skill for a mental health nursing to be able to build up a therapeutic rapport with patients. In my fifth face to face communication with Mr K, he opened to us why he refused to be prick in his fingers for blood sugar and also about his diagnosis. He said that his older brother was labelled as having schizophrenia and blood was taken from him monthly by the doctors and he still remains in the mental health institution till date. Throughout our conversation, I listened attentively. I
Several of the roles which I observed this morning were expected: the nurses took vitals for incoming patients, performed focused assessments, and were the main communicators between family, the patient, and the physician. I realized when the first patient came in around 10:00 am, the RN’s role in assessments, gathering blood work, and carrying out all the necessary steps to situate and stabilize the patient as soon as possible. It was incredible seeing the nurses work together, in sync, in those first moments when the patient was brought in. And though expected, I appreciated seeing just how much communication was held and information was gathered from the patient or family members by the nurse. Jessica asked the right questions from both parties, while still showing incredible empathy and not making the whole situation seem rushed and flustering. I understood this as another essential role of the nurse in the ED; he or she must maintain even in such a fast-paced environment empathy and focus in each interaction.