Identification Of Learning Needs Will Enhance Nursing Practice

The evaluation of the nursing process is demonstrating the understanding of how to asses a patients overall life by using the 6 holistic approaches towards nursing which are; social, cultural, spiritual, developmental, physical and psychological. The 6 holistic approaches towards nursing are used for the nursing assessment phase within the nursing process to identify all key aspects of assessment and the skill of not just assessing someone on their physical wounds but also their wounds you as a healthcare worker may be unable to identify visually. The National Board of Nursing and Midwifery explains that all nurses and midwives are responsible for a patient’s level of care whether it be physically or any other 5 of the holistic approach to the nursing assessment (NMBA, 2006). Using the holistic approach towards nursing assessment doesn’t necessarily mean that the health care worker has to formally write down a nursing assessment it can simply be done when a healthcare worker is washing a patient, feeding a patient, giving medication and more, this is why a nursing assessment using the holistic approach is the most effective way to conduct a nursing assessment.

Theory can be defined as the explanation of an event in which constructs and concepts are identified, relationships are proposed and predictions are made; it is a set of interpretative assumptions, principals or propositions that help explain or guide action. (McEwen & Wills, 2014, p521) Concepts occur in three steps; originating as a thought which are abstract or concrete in nature, progressing to a stage in which words and meaning are given to the concept, and lastly it is operationalized becoming a variable to be used tested during research. (McEwen & Wills, 2014, p50) According to McEwen, & Wills, (2014), a concept analysis identifies, clarifies and explores the meaning of concepts in order to promote understanding which aids in the development of conceptual frameworks, theories and research studies. (p55) Concepts relative to nursing include quality of life, blood pressure, hope, job satisfaction and pain.

Carper’s way of knowing can be used as a framework to understand what we have learnt by reflecting on our experience. It is a process that helps analyze the depth of our experience to develop continued effectiveness in our daily practice. Carper(1978), states that all four of these ways of knowing (empirics, personal,esthetic and ethical) are present in all of our interactions but the proportion of their use varies based on what we are doing.

This assignment will reflect on the effectiveness of my clinical and interpersonal skills in relation to my position as a nurse in a busy critical care unit. It will primarily focus on one particular patient and the care they received by myself in their immediate post operative period. In accordance with the NMC’s code of professional conduct names will not be used to protect the patient’s confidentiality. NMC (2008).

The nursing supervisor has multiple issues to address in this scenario, the use of restraints and formation of a pressure ulcer are of a great concern, but I believe these are easily rectified with training and follow-up audits to ensure

The nurse supposed to be aware of time consuming techniques and avoid those in emergency cases. For example, techniques that takes a long time, such sitting next to the patient and listening to the patient’s concerns must be avoided in emergency situations, instead the nurse can make eye contact with the patient and reassure him or her that everything will be done for the patient. Therapeutic communication must be used for all patients regardless of their ethnicity, race, age, sex, and religion. All nurses must apply these techniques in practice for all their patients in the same manner. Mostly all therapeutic techniques are under nursing scope of practice due to the reason that they are done psychologically and there is no specific use of medications, physical tasks, or decision making involved. Therefore, all nurses can apply these techniques freely since they are all under the scope of practice. Nurses must be aware of external and internal regulations while using therapeutic communication techniques. Sometimes, the techniques take time to be done and nurses must make sure they will do all other tasks that the organization assigned to them on-time. Potential breakdowns in these areas can be the low amount of time to apply the techniques at bed-side or in emergency situation. Nurses have multiple patients and multiple tasks to perform at all times and applying

The article “Dance of the call bells, using ethnography to evaluate patient satisfaction with quality of care” suggest the Key phenomenon and group under the study, by stating dance of the call bells, referring to the amount of times in a shift the call bells would ring and the group that it affects most are the patients. The title states how the call bells interfere with a patient opinion on whether quality care was received.

Hospital-acquired infections (HAIs), specifically those involving multi-drug resistant organisms such as methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant enterococci (VRE) are associated with increased morbidity and mortality, as well as higher cost of healthcare and longer length of hospital stays for patients. Each year, millions of people acquire infections while receiving care, treatment, and services in hospitals and other health care organizations.

Evaluation is the third stage of Gibbs model of reflection and requires me to state what was good and bad about the event. While reflecting back on the incident I felt that there was one thing which I could have dealt with differently and also some aspects which demonstrated good practice. On the first hand, this incident made me realised that I was part of the team and that I was also involved in positioning and preparing the patient prior to surgery, therefore I had a responsibility to find out from the patient if he had any concerns. On the other hand, I should have communicated to the patient, explaining what I was about to do maybe he would have had the opportunity to raise his problem with the shoulder before lifting his arm. The Health Professions Council (HPC 2008) clearly states that it is the responsibility of an operating department practitioner to ensure that effective communication occurs when delivering patient care. In addition, Psychologist Helmreich, R. (2000) said, `better communication’ is being the most useful way of reducing errors.

The next time he decided that to administer insulin. Clinical assessors required to make professional judgements in interpreting what the minimum acceptable levels of competence are in respect to professional standards. These judgements are frequently made with in the role relationship of that of a mentor cum assessor to a student (Stuart 2005). As it is a skill involved, I found it was difficult for him to memorise all the step and rationales. I explained about my experience when I was a student nurse and concept of learning through practice. For students learning during clinical practice is a complex activity. The student has to contend and learn to deal with complex, unstable and uncertain worlds of practice (Schon 1987). With on going support I facilitated learning environment to practice the procedure under supervision

Another day of my clinical placement 420 in orthopaedic unit began on July 4, 2015. I received my patient and started to research a patient history and medications. At 0700 a shift report started, I received information that my patient had fall at night shift without witnesses. By the policy of Providence Healthcare a patient who had fall without witnesses should be automatically monitored for head injury therefore, a Glasgow Coma Scale was initiated by previous nurse: every 15 minutes, then every hour, every two hours, and every 4 hours. This scale is to check and monitor level of consciousness which possibly may decline after head injury. At this day we had a student as a "nurse in charge", she volunteered to come with me to patient room and to supervise my work. For this particular patient close monitoring of vital signs and neurologic assessment required. I explained to the patient the purpose of frequent health assessment and started to work. Close patient monitoring in addition to all daily routine activities was challenging to me because I never had a patient with this diagnosis. Despite my explanation of the purpose of frequent assessments patient stated that "I am fine, do not feel any discomfort, there is no need for that". While assessing patient she keep asking a lot of questions such as why so many time why do I need to drink more than one mouthful of water with my tablets, what these tablets for, why do I need to wait few minutes after

One way PBL benefits the nursing profession is by teaching the students the importance of collaborative approach in patient care. The students will not only demonstrate their expertise in the problem, but PBL helps to identify and accept diversity within the group. This method can enhance team building, confidence and create skills such as problem-solving techniques, which the nursing profession can use and demonstrate throughout their own lives. The process of PBL helps also to develop teamwork amongst the student, while creating research that targets not only their patients, but installs memories of the current situation in order to promote and safe patient care for the future. Nursing profession gains confident students whom have the ability

, giving me knowledge which is very helpful in to my research work and my research in wound care more engaging .being a nurse can be challenge sometime ,I see change in me and very helpful to understand learning new ways. This path is about understand and update and continue professional development. Brain based learning is great way and should pay attention to internet visitor. Learning principals help this writer to learn and practice and positive outcome .writer always want to increase self-esteem, job satisfaction, motivated, self-concept, experiences, learning new skills .writer working in long term care through ongoing education programs to reinforce learning related to pressure ulcer, skin care, I search on the internet for reading articles different websites and watching videos to increase my knowledge on related topic, Adult learning theories is a benefit and includes the patients care .from mission ,vision , statements outcomes ,implementation and

In making a specific recommendation for how the course could better prepare me for the writing I will be doing in my career; the only recommendations I could come up with would be what are reflectively essential to learning in the nursing field which is to express patient care objectively, briefly, and clearly. In this course the students could do documentation practice exercises using narrative style notations. Additionally, in the Nursing field and to be more precise all STEM fields, the students need to learn to use APA stylistic format, which in turn is the professional standard style writing. To simplify this, the students could do brief writing projects which would require the students to incorporate references written in APA style. For

Patient education plays a vital role in nursing, and as first year nursing students it is important to our career to develop skills in the process of teaching as well as developmental theories. To practice this teaching process, we conducted two interviews with a 19-year-old female currently in the early adulthood stage. Ghorbani, Soleimani, Zeinali and Davaji (2014) state that patient education has been shown to reduced anxiety of patients and improve the satisfaction of health care. Client education is also said to improve the quality of life, helps to reduce illness complications, maximize independence and ensures that continuity of care is present (Bastable, 2014). Although within the health care system things preventing or decreasing the effectiveness of patient education may include nurses not have the knowledge of what to teach or how to teach it and lack of time and resources (Ghorbani et al., 2014). To understand further the important of patient education we must possess a knowledge of the education process including assessment, planning, implementation, and evaluation (APIE) (Bastable & Alt, 2014). Throughout this paper, we will evaluate our use of the educational process by teaching the learner about caffeine.