Reflection Of My Nursing Practicum At Surgical Ward Of Thapathali Hospital

The following essay is a reflective account on an event that I, a student nurse encountered whilst on my first clinical placement in my first year of study. The event took place in a nursing home. All names have been changed to protect the confidentiality of the patient (NMC, 2008).

Nearing the end of my shift in the Emergency Department, I was requested to accompany a patient while the nurse readied the discharge papers. Upon entering the bay, I met a very small and fragile patient who was anxious to go home. Conflicted between my primary duties and responsibilities to complete training for two inexperienced volunteers, I decided to put forth my interests in teaching by demonstrating compassionate care to my trainees. Although the patient repeatedly refused my assistance, I gave my best effort to calm her as I cloaked a warm blanket around her. As I listened to her confide in me of all of her hospital anxieties, I was shocked from the lack of quality care she had received which made her feel more sick after the first

In today’s world, where globalization and the internet has shrunken spaces and reduced distances, it is only natural that we come across people of different cultures living in harmony. As a nurse practitioner, one experiences several circumstances where the patients are from different cultural backgrounds, varied religious beliefs and also from the other part of the world. While a nursing practitioner has a challenge of treating every patient with utmost care and concern, there are times where our strengths and beliefs come in between our duty (Maier-Lorentz, 2008). A nurse practitioner might have to face situations where they might not have any control over, and still should show their best face. This is where their values, beliefs and behaviors might help them to achieve the impossible.

The nursing practise has continually evolved and can be described as autonomous due to the significant involvement of nurses in patient care. This then necessitates critical reflection as a way to continually develop and improve the nursing practise. The Gibbs' model, one of the reflection models, assists nurses in complying to the codes and guidelines of nursing practice. For example, developing action plans, evaluating patient outcomes, and thinking critically. This essay will describe an event involving nurses and explain the feelings it evoked. It will also provide an evaluation of the positives and negatives, analysis and enhancement of learning, and an action plan.

There are many demanding professional adjustments when transitioning from student nurse to graduate nurse and the use of refection during this time is said to be a very important tool in guiding the learning process. It is common in the field of nursing to utilise reflection to critically analyse certain experiences and reflect on how they made them feel and react. This involves looking deeper into a particular experience and deciding what was good, what was bad and what would be a better course of action if they were to re encounter it in the future. However there may be potential barriers when trying to make judgements about a students inner most thoughts and personal experiences. The purpose of this essay is to critically analyse the concept of reflection and to find out if it is an essential component to nursing practise in the transition from student nurse to graduate registered nurse.

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.

The following essay is a reflective account on an event that I, a student nurse encountered whilst on my second clinical placement in my first year of study. The event took place in a Fountain Nursing Home in Granite City. I have chosen to give thought to the event described in this essay as I feel that it highlights the need for nurses to have effective communication skills especially when treating patients that are suffering with a mental illness. Upon arriving to the Nursing home for the second time on Thursday November 14,2013; assigned the same patient as before. On meeting my patient the first thing I noticed myself doing without even thinking about it was giving her a visual inspection. Before nursing school I never really looked at

In the corner of the small hospital room stood a shy little girl. “You shouldn't be in here, honey”, my mother said as she nudged me out of the room where my grandfather lay dying. At the time, I couldn't understand the enormity of the situation. Ignorant to what was happening around me, my innocent mind fled with curiosity. The beeping of the machines and the soft quick steps of nurses captivated my attention. I was fascinated with this strange new world. This is the moment that sparked my desire to become someone great; a nurse.

The situation happened during the author’s last day of orientation as a new medical-surgical nurse. The author was passing medications and administered aspirin to a patient as ordered. As the author approached the nurses’ station, she stopped in disbelief as the charge nurse started yelling at her, saying, “Why are you not checking your orders? Why did you give aspirin when there was an order for no anticoagulants? Do you know the patient is having a procedure tomorrow? New grads.” Several physicians and nurse practitioners, along with the author’s coworkers, witnessed

In the medical field, precision is of the utmost importance when it comes to successfully ensuring that the job is done. Even the slightest mistake can be lethal, making communication vital in the medical field. A group of doctors and nurses must communicate and act like a single unit to complete the procedure. In “When Doctors Make Mistake”, the author, Atul Gawande, recalls a case where his team worked on a specific crash victim and the breathing tube could not fit in the trachea. Due to a lack of communication, one of the staff members tried to force the tube down the trachea causing more damage. In the essay, Gawande assesses the situation and agrees with his team to bring in a specialist to solve the

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.

contemplates his/ her views, beliefs, values ideologies and opinions as well as those of others in healthcare.

This essay is a discussion about my experience during the first two weeks of my clinical placement in an older adult ward. My experiences will be demonstrated using the various nursing skills acquired thus far. The reflective account used is adopted from the work of Driscoll (2007) which splits the essay into three segments namely a) what happened, b) so what, (what were my feelings, what was good and what was wrong about the experience, c) now what, (if I find myself in that same situation what would I do differently).

In the health care system, a multitude of errors occurs on a daily basis. Doctors, nurses, orderly’s, etc., everyone in health care settings has responsibilities that warrant careful attention. This was exhibited in the case study titled ‘An Extended Stay’. In this case study, we are introduced to a middle-aged man in his 60s named Mr. Stanley Londborg. He presented with several health conditions, including a seizure disorder, hypertension (also known as high blood pressure), and Chronic Obstructive Pulmonary Disease (COPD). Londborg was no stranger to the hospital and was known fairly well by faculty members. Londborg paid a visit to the Emergency Room at the hospital complaining of wheezing and breathing complications. The physician that examined Mr. Londborg yielded his symptoms as an acute worsening of

This paper will reflect upon and explore a critical incident which occurred whilst attending a clinical placement.