Nursing Reflective Essay

Throughout my time on the Mother Baby Care Unit, I have faced many instances in which I have been able to reflect on both my patients and the care that I was providing them. One situation in particular that I found myself critically reflecting upon involved a new mother who was feeling slightly stressed about being discharged as her newborn son would not be going home with her. For confidentiality reasons, this patient will be given the pseudonym of Kayla for the remainder of this reflection.

This reflective essay is based on the personal SWOT (Strength, Weakness, Opportunity and Threats) analysis, to understand my leadership potential. It will define leadership within the context of the National Health Service (NHS) leadership as well as highlight some of the current incidents relate to poor leadership. Additionally, it will briefly discuss some of the relevant leadership theories that can be applied to nursing practice whilst exploring my own leadership style. Lastly, this essay will reflect the scenario from practice to support my “strengths” and “weakness” whilst developing a SMART (Specific, Measurable, Achievable, Realistic and Time-Bound) goal plan to address one of my weaknesses and then the conclusion will be drawn summarising

Target population was pregnant women less than fourteen weeks gestation that had a sedentary lifestyle. The researcher used two data collection instruments to complete this study. The first is The Cornell Protocol Fitness Tool that measured cardiovascular fitness level and peak oxygen consumption. The second data collection instrument used was The Minnesota Leisure Time Physical Activity Questionnaire assessed energy expenditure and daily physical activity. Candidates were excluded if they had chronic hypertension, gestational diabetes, and any medical condition that will prohibit daily exercise, communication problems, or recommendation of primary care provider not to participate (Yeo 2009).

As my senior year here at Jersey College of Nursing moves quickly to its end, I reflect on how far I have come and what exactly my experience here at Jersey College of Nursing has meant to me.

This essay will discuss a clinical skill in which I have become competent in practicing as a student nurse.

Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine

Nursing can be a demanding career, but the benefits far much outweigh the challenges. Most importantly, it’s the rewards it offers by allowing an opportunity to make a difference in another person’s life through the provision of care when they need it. Just as Patricia Benner theorized in her book “Novice to Expert,” nursing encompasses both educational knowledge and extensive clinical experience acquired throughout one’s career. This far, I continue to acquire knowledge and clinical knowhow which will promote proper and efficient care to patients. Since I began practicing one year ago in a long-term healthcare facility, I have interacted with patients, families, physicians and other members of the healthcare team to coordinate patient’s care which has enabled me to gain confidence in myself. While I cannot deny that it was difficult to transition from a student to a licensed nurse, I learnt to overcome these challenges and focus on my strengths. Practicing as an LPN has provided a platform to learn and gain experience even though the duties and responsibilities are limited by the scope of practice.

In this case study I will use Gibbs (1988) model of reflection to write a personal account of an abdominal examination carried out in general practice under the supervision of my mentor, utilising the skills taught during the module thus far.

The objective of this reflection is to explore and reflect upon a situation from a clinical placement on an orthopedic unit. The incident showed that I did not provide safe, timely and competent care for my patient when the oxygen saturation was low. Furthermore, this reflection will include a description of the incident, and I will conclude with explaining what I have learned from the experience and how it will change my future actions.

Reflective Practice Introduction: Reflection its self is looking into personal thoughts and actions. For nurses this would mean looking at how they performed a particular task taking into consideration their interaction with their colleagues and other members of staff, patients and in some cases relatives This then enables the nurse to assess their actions and thought processes. There are various frameworks of reflection that one could choose and the examples used for this work is by Gibbs (1988), Johns (2000) and Benner (1982) Gibbs: Gibbs reflective cycle encourages one to think in order about the different areas of an experience. It is presented in a number of questions that the reflective practitioner

The standards of practice describe a competent level of nursing care as exhibited by the critical thinking model known as the nursing process. This practice includes the areas of assessment, diagnosis, outcome identification, planning, implementation, and evaluation. The nursing process includes significant actions taken by registered nurses (RN) and forms the foundation of the nurse’s decision-making (“American Nurses Association,” 2010).

This assignment will present a nursing care study of a patient on a cardiac ward. The patient will be referred to as Ann to maintain confidentiality (NMC, 2008). Ann’s consent was gained prior to starting this care study. The care study will be developed using the Nursing process and the Roper, Logan and Tierney model. These will both be outlined. The assignment will focus on the assessment process and one problem identified during the assessment and the nursing care which followed this.

Learning goals I have set for myself during the course of this class are to gain an understanding and foundation of nursing theories, gain and understand the impacts of nursing practice as it relates the theories, and how to apply nursing theories to practices as appropriate and necessary. These goals were chosen because they will help set a foundation in nursing theories. Looking at the different topics to be discussed the two most interesting are (1) Theory of Cultural Care Diversity and Universality and (2) Nightingale’s Environmental Model (George, 2011). The two topics that are the least interesting are (1) Child Health Assessment Interaction Model and (2) Maternal Role Attainment/Becoming a Mother (George, 2011).

The following reflection demonstrates my awareness for my own cultural influences. Through the cultural lenses of a student nurse and a tennis member. They have impacted the way I view others and is a guidance to my bicultural professional health care relationship.

This semester I felt like I thoroughly met most of my goals. I had the opportunity to revisit the social determinants of health, become more aware of my personal identity, and work with a palliative client, as well as, individuals with involved families. In my practice this semester I worked in Nelson home health at the beginning of the year. This was a wonderful opportunity for me as I got to experience many things that I was unfamiliar with. I loved having the opportunity to go into client’s homes as the power dynamic completely shifted. This experience altered my personal relational care, as I accumulated a better understanding of power-overs and peace-powers. I obtained a better understanding of my own ability to control power in relationships. Additionally, I was able to better understand the social determinants of health and their impacts, as it was a foremost concern in this area of nursing. Barriers to their health and healing were greatly impacted and seen in home health. For example I worked with a client with mobility issues that lived in a rental with numerous stairs, as health care providers we needed to figure out a way to eliminate this barrier to their health. I did lots of education, wound care, and PICC dressings in this setting. I substantially learned about inter-professional collaboration in this rotation. The nurses that work at nelson home health are constantly collaborating with doctors, occupational therapists, physiotherapists, pharmacy, the