Practicum Experience Research Paper

I selected this article, because it is relevant in my life. My sister, passed in August. She had suffered from lung disease for over 10 years, even though she was totally dependent on the ventilator, she was conscious and alert. She was weak but, could still walk across the room unaided. And if it meant that she could go shopping, she would have you pack up the whole house; 3 tanks of oxygen, portable ventilator, suction machine, and wheelchair.

Another ethical implication is whether or not the patient will be able to be removed from the ventilator after being placed on it. Studies have shown that patients who are on ventilators for long periods of time become dependent on the ventilator and are unable to be removed from it. For some very ill patients, there is still a risk for ventilator dependence even if the intubation is for a short time. The patient may be at risk for having to be attached for a substantial period of time to the device that he explicitly refused, if he is ever able to come off of it (Purro er al., 2010).

Reflective practice is often defined as when practitioners engage in a continuous cycle of self observation and self evaluation in order to understand their own actions and reactions they prompt in themselves and in learners (Brookfield, 1995; Thiel, 1999). The goal is not necessarily to address a specific problem or question defined at the outset, as in practitioner research but to observe and refine practice in general on an ongoing basis. (Cunningham 2001). Reflection on practice is a key skill for nurses. Engaging in regular reflection allows practitioners to manage the personal and professional impact of addressing their patients’ fundamental health and wellbeing needs daily (Oelofsen, 2012)

Nurses advocates for the patient and family, analyzing the culpable and appropriate use of life-sustaining care in accordance with the choices of the patient and family. (Melissa K Slate, 18) Mr. Miles is unconscious in the scenario and according to the code of ethics, I as a nurse would still respect the rights, dignity of the patient. My services of support for Mr. Miles and his family with whatever decision is made for the family member. My conduct of care will remain the same. Meaning that I will still talk to Mr. Miles while given care, making him as comfortable as possible, telling what I as a nurse is doing whether it be giving him his medications or reposition

In today’s healthcare system, nursing is a challenging field as a result of rapid technological advances and changes in healthcare policies. As a dedicated nursing professional, with a great passion for learning, I strive to stay on top of these changes. I am determined to increase my knowledge to be an instrumental part of providing quality healthcare. The demands of nursing are high; however the rewards are even higher. Nursing requires both a supreme understanding of the science of health, and a caring bedside manner befitting only those who seek a position of such a personal involvement in the well-being of a patient. Academically, I will put forth all of

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.

This class was very challenging, interesting, and informative. First, students must push themselves to expand their knowledge and help themselves become more inquisitive, critical, reflective, and problem solve. As future professional nurse practitioner, we are striving for integrating clinical judgment skills. The knowledge gained in the textbook must be applied in the clinical settings without discrimination.

Over the course of this semester, the clinical experience has provided nursing students with the hands-on opportunity to take what has been taught, and apply it to real-world experiences. Clinical rotations allow the student to have patient interactions, practice essential skills and discover different health conditions among diverse patients. The purpose of this paper is to build critical thinking skills by utilizing peer reviewed, professional, nursing literature and the nursing process to develop a plan of care individualized for an acutely ill patient encountered during this clinical rotation.

The research points to the idea that because many nurses are not responsible for the ventilator circuit; they rely on the respiratory therapist to manage the ventilator, they may be less informed than if they had more control and training in the interventions necessary to prevent VAP. The research suggests more training and education for nurses who work with ventilated patients.

As I Reflect over this semester, it is difficult to believe that I am halfway through the Doctor of Nursing Practice (DNP) program. The (DNP) program has changed my life considerably by providing me with the tools I need to become successful in my nursing career. My goal in this program is to become the best care provider and nurse educator possible. Acquiring knowledge, technical skills, and examples of the reading assignments continue to help me meet my outcomes in this program. Also, each semester, my experience in writing continues to grow as well as my understanding of the purpose of a scholarly project (Kung, 2012).

Respiratory therapists have one of the most exciting and gratifying careers within the medical field. Unfortunately as with any other job or career, it doesn’t come without having challenging times. Respiratory therapists work along-side physicians and are highly trained to treat patients with any sort of lung concern or breathing complications. This job requires hands on care, and deals with life and death daily. One specific scope of this field involves caring for patients (of all ages) attached to mechanical ventilation. It is the respiratory therapists’ responsibility to remove assistive ventilation to patients with written order from the doctor; which ultimately results in death of the patient (Keene, Samples, Masini, Byington).

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.

• Students habituate the patterns, demeanors learned in the classroom to academic and professional life.

As the last week of my practicum approaching, I will use this opportunity to do an overall reflection of my practicum experience. First I would like to point out, that being a senior practicum student is completely different from being a junior nursing student. Because there is a lot more expected from senior practicum student. From my experience, I can tell that being a practicum student, I was given the first taste of real world nursing. For example, long hours, taking full responsibilities of your patient as you would take as registered nurse. And also face some challenging task, which I was normally not expect to do in previous clinical rotations.

I once heard someone say, “Find something you love to do and you’ll always be successful.” If you want to be in a field where you are continually learning, nursing would be the top pick. This paper will reflect the journey I have taken from Registered Nurse (RN) to Bachelor of Science in Nursing (BSN) with the incorporation of my learning objectives from my clinical course.