REFLECTIVE ESSAY: Clinical placement is vital for internationally qualified nurses to undergo and be able to understand and experience the Australian healthcare system.One of the most important roles inside a care facility such as hospital are the nurses caring for the patient. This past years, nursing care being render has been continually developing new accepted standards through evidence base practice which guide nurses in their practice.Furthermore, nurses are encourage to do a reflection to re-evaluate the experience and learn from it.In relation to my experience on this placement , I have written down predetermined learning goals which I reflect on and guide me in my professional and personal development and the steps I took to …show more content…
I am ashame of myself too because I thought that I am not professional enough to atleast give more informations that I heard during the handover. I felt embarrased and worried if I can still perform my duty as a nurse that even my assessor noticed it because I am thinking that if I can not give a clear , consise and relevant handover to my assessor then how much more with the the staffs working in the facility. These reflections upon my feelings and thinking are consistent with the second stage of Gibb’s (1998) cycle. Clinical handover is defined as the transfer of professional responsibility and accountability for some or all aspects of care for a patient, or group of patients, to another person or professional group on a temporary or permanent basis as mentioned by Australian Medical Association (AMA 2006 p.8) . I also remember that during the theoretical week with the school, clinical handover is also being stressed out as one of my weakness and needs improvement in it. This lead me to choose the handover process as one goal in this placement to reflect on in order to improve myself. With the said definition, I am challenge to do my best to take extra effort to list down strategies that I think it can help me achieve my goal. Having this experience, I realized that I did not adhere with the NMBA registered nurse standards for
The NMBA has set several specific requirements in place that outline professional development and evolving prerequisites for nurses. Some of the fundamental components include nurses “participating in at least 20 hours of continuing nursing professional development” – which may incorporate participation in mandatory skills acquisition – per year and keeping written documentation of it for verification, (NMBA, 2016). This continuation of professional education and development, as well as documenting it concisely, is critical in the assessment process of a successful nurse in the field of contemporary healthcare.
With over 1 years experience working in various wards throughout St Vincent’s Hospital as well as my placements throughout my diploma studies, I have gained a high level of knowledge of various elements of safety, effectiveness, and efficiency in nursing processes. I have been responsible for delivering a high quality of patient care, by completing tasks included but not limited to the following:
It is very important to be able to recognise what a person’s body language is saying, especially when as a health or social care worker you are dealing with someone who is in pain, worried or upset.
Within a health care setting communication is a necessity. This communication not only includes the need for professional communication but also the way in which information is shared to the patient and to other healthcare workers. Another important aspect of health care worker such as a nurse is the effectiveness off a handover. Within the video, Effective Communication in nursing these three aspects of communication (Professional communication, provision of information and handover) were seen and will be analysed further, within this essay. These will be analysed through the three aspects, the care of the patient, the image of the individual nurse and the health outcomes of the patient. All of these three aspects of communication are vitally important to the overall patient needs.
The assignment will allow me to reflect on my own experiences in my new role as a mentor and will follow the journey of a student nurse and her
Describe strategies you gained from the course for improving outcomes of care and patient safety in the setting in which you are engaged in. Provide examples and rationale.
Professional Communication is a very important element in the foundation for a strong health care system. Communication can also serve as a basis for basic health care administered. Communication is not only the one tool in health care in which we can control, but also what helps prevent the derailment in patient-healthcare professional trust.. Types of model that can help express how important professional communication is within health care is the movie titled, The Doctor. There are various examples in this movie in which the importance of professional communication is portrayed and supports the argument, as well. These types of examples and supporting data can also be found in real life testimonies of what type of situations can result from lack of professional communication in the health care setting. Communication teaches the importance in human-to-human contact that some hospitals and health care setting may lack due to the certain personality type that is more attracted to the roles of doctors. Professional communication should remain at the forefront of bed side manner and proper etiquette in the health care field and setting.
The practice of nursing utilizes constant communication between nurses, patients, physicians, coworkers, and various other members of the healthcare team. It is clear that effective communication is vital in the provision of safe and effective nursing care. A long history of miscommunication-related medical errors has spurred research aimed toward improving communication and lessening consequent error. Research has identified various forms of communication structure acronyms that when used correctly, allows for a more organized and precise shift report. These acronyms include SBAR (Situation, Background, Assessment, and Recommendation, and SHARE (Standardize, Hardwire, Allow opportunities to ask questions, Reinforce, and Educate). In addition, studies have identified a more effective shift report location that enhances nurse-to-nurse as well as nurse-to-patient communication. Bedside reporting was explored and determined to be a very effective form of nursing report that increases overall patient safety and satisfaction. Communication improvement is a continuous focus within the healthcare arena and is vital in the provision of safe patient care.
Increased accountability and responsibility is my main fear as I enter the health care workforce as a registered nurse. Over the last three years as a student nurse on clinical placement, every shift I was supervised and overlooked by a registered nurse at all times. As well as being provided a diverse range of advice and techniques to use when applying my nursing practice. As a nursing student it gave me room for minor errors, as I always had someone to correct it and demonstrate efficient practice. Yet knowing next year I will have to carry the responsibilities of a nurse independently puts a different perspective on my year ahead. A registered nurse is accountable and responsible for their own actions and distribution of care to enrolled nurses and a number of other health care workers (Nursing Midwifery Board of Australia, 2006). According to a Nursing Times paper, accountability and responsibility is a key stressor in transitioning from a graduate nurse to a fully qualified nurse (Whitehead and Holmes 2011).
In Australia Registered nurses are primarily obtained from recently graduated university who has successfully finished a three years of education in the bachelor of nursing. New graduates student nurse are very significant to the healthcare sector. The transition from new graduate to registered nurse is challenging which requires support from the entire medical team. The aim of this paper is to explore the transition from student nurse to registered nurse. The paper will focus on the theme skills transition into practice and other issues during the transition.
The first potential challenge I anticipate is the confidence to work together with the healthcare team, bond with colleague senior nurses and feel part of the ward team. During my last clinical placement, even though, I was not meant to do any activity unsupervised, I was also not expected to be assisted with most of the activities in order to have a passing grade. This was very challenging to me and made me more anxious having to think of becoming a new graduate nurse in some few months to come. It being my last but one clinical placement before my graduation, the nurses’ expectation from me was quite higher than it used to be when I was in the second year. This expectation, I
Critical reflection is vital to develop evidence based practice for safe and quality approaches to professional nursing practice. Nursing professionals should critically reflect on events to identify what health professionals might do to improve their practice and reduce the risk of a similar error. Reflective practice can help to learn from their mistakes, be empowered and most importantly to deliver best possible care to patient as nurses must work closely with their patients to develop a therapeutic relationship. Critical reflection is a valuable skill to ensure patient centred care. This practice promotes personal development by enhancing students’ self-awareness, their sense of community, and their sense of their own capacities for
Throughout the Resident Care Conference, our team demonstrated effective communication techniques such as simplicity, active listening and eye contact. First, Simplicity of words is using general words or choosing words to make it easier to understand (Kozier , et al, 2014 ) . For example, during the IPE event, instead of using medical words, health care professionals choose words that simple words like: difficulty in swallowing instead of using the word "dysphagia". Simplicity of words are making easier for the client to easily understand the information that the health care team is trying to explain. Second, active listening is paying attention to what is the client and/or family member is telling to the health care team regards to the client's health concern.
This assignment will reflect on and critically analyse my personal and professional development in the domain of care management over the last three years. It will additionally outline how I plan to continue to develop in this domain once I have qualified as a registered nurse. My development so far will be analysed from the perspective of the skills, knowledge and values required of a registered nurse. Through this reflection I hope to confirm that my practice meets the standards for entry onto the nursing register as outlined by the nursing and midwifery council ((NMC) 2008).
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