Reflecting on the past seven weeks I have acquired countless knowledge, which I will use to further strengthen my profession as an Advanced Practice Nurse. The course allowed me to think beyond my current practice knowledge and acquired innovative ways to evaluate the situation at hand. The learning objective in program outcome four helps set standards that I will use to guide my clinical practice to meet various healthcare needs. Using the case studies has helped to further enhance my knowledge on disease physiological state, using differential diagnosis, disease manifestations, and clinical presentation. It has also taught me the skills on how to differentiate between similar diagnoses to properly identify the problem and treat the patients.
It is a method of critical thinking, helps the students develop strategy to find specific patient condition. Upon using this technique will help the nursing students to prioritize, reason and link the patient symptoms for effective nursing management. It is as a learning strategy developed in the nursing in 1970’s
Advance practice Nursing origins date back more than a century. Advance practice nursing roles do not stand apart from nursing rather it builds on foundation and core values of nursing discipline (Hamric, Hanson, Tracy & O’Grady, 2014). Advance practice nurses (APN’s) are distinctive of other healthcare professionals such as doctors and physician assistants because of their holistic approach and its nursing framework at its core. Barbara J Safriet’s article ‘Health care dollars and regulatory sense: The role of advanced practice nursing’ highlights the effectives of APN’s in terms of both quality and cost effectiveness and challenges barriers to practice. This paper is the reaction to the article and will identify the two issues
Tanner (2006), had introduce the term ‘thinking like a nurse’. When I read this article I was wondering what it means and takes to think like a nurse, I am a nurse by profession and yet I don’t even know what it means. In order to be a professional nurse, nurses are required to learn to think like a nurse. To my surprise, to be able think like a nurse, a nurse got to clearly defined and understands what is critical thinking and clinical reasoning. Both terms are powerful terms and these terms explain the mental processes nurses use to make certain that they are doing their most excellent thinking and decision making for their patient’s better outcomes.
Violence can be experienced by many different people in different situations in health care. In the healthcare world, nurses are one of the most exposed groups to workplace violence in the world. Circumstances that lead patients to the hospital can be very stressful which can lead to anxiety, agitation, depression. Through using the theoretical framework developed by Ida Jean Orlando, workplace violence can be viewed and applied to address or even prevent violence experienced by nurses possibly.
The care planning process is a fundamental part of nursing, Barrett et al (2012) emphasises the importance of the process by recognising it as a clinical skill that needs to be learnt and developed. Care planning enables information to be gathered, taking in to consideration an individual’s biological, psychological, sociocultural, environmental and politico economic status. These factors are incorporated in to the care planning process to enable an individualised care plan that meets the holistic needs of the individual (Doenges and Moorhouse, 2012). The aim of this assignment is to explain and explore an individual approach to care planning and how using a nursing process and nursing model collectively will provide a holistic approach to care. The nursing process also called the problem-solving approach originated in 1967 and consists of four stages; assessment, planning, implementation and evaluation (APIE) (Yura and Walsh, 1967). However, Barrett et al (2012) reasons, two further stages need to be considered within the problem-solving approach meaning APIE becomes ASPIRE, the systematic nursing diagnosis and recheck complete the acronym ASPIRE. Barrett et al (2012) also states, to be fully successful in meeting the needs of the individual a nursing model needs to be incorporated in to the process to ensure every aspect of information is considered.
This essay is a reflective piece of writing about the critical indecent of a medication error that occurred during my placement. It is a very concise piece of writing due to limited word count of 1500 words. Duke and Appleton (2000) did a literature review and devised a framework of critical reflection, which illustrates eight stages as compare to Gibbs’s (1998) reflective model that consist of six stages. I chose Gibbs reflective model not only it is easy to comprehend but also to illustrate a critical incident. The Gibbs’s reflective cycle comprises of six stages, which are description, feeling, evaluation, analysis of the incident, conclusion and an action plan. I used these stages as a guidance tool during the process of reflective essay about my critical incident (Parsons and White 2008).
Jean Watson’s theory of care is a grand theory which falls into middle-range theory. Watson’s Theory of Human Caring described care as both an art and science. The framework of the method of care accepts art, science, humanities, spirituality and new directions on mind, body, spirit, medicine, and nursing (_______). With high nurse to patient ration, the nurse will not be able to provide the ten carative factors of Dr. Jean Watson’s theory of care. They will also not be able to perform all the necessary care and treatments required for a patient. Dr. Jean Watson’s theory of care addressed the nurse to patient ration, according to the method “nursing is positioned with caring of the sick, prevention of sickness, restoration of health and promotion of health. This process includes the process of assessment, plan, intervention, and evaluation. On the review, the nurse observes, identifies, review problem(s) and forms a care plan that will be used in appropriate nursing care. When the nurse to patient ratio is low, the nurse will not be able to perform this assessment. This will result in a reduction of patients’ outcomes, medical errors, frequent re-admissions, patient deaths. Nurses experienced unsatisfied work environment, fatigue, burnout and increased in career change leading to the nursing
A 75 year old female patient alert and oriented X 3, weigh 115 Lbs, her height 5?8??, has a hearing aid and wear glasses for reading. The presented Patient has a history of hypertension diagnosed with CHF on 2013, positive for Hepatitis B due to contaminated blood transfusion. Had a cervical dysplasia on 1994 resolved by a total abdominal hysterectomy and bilateral oophorectomy the following year. The patient was diagnosed for polyps and multiple diverticula at the age of 68. The Patient suffers of painful osteoarthritis of both knees, shoulder hips. Patient?s mother deceased at the age of 79 from breast cancer and her father deceased at the age of 54 from heart attack.
Nurses (both Licensed Vocational Nurses and Registered Nurses) make up the largest part of the health care, and have greater opportunities practicing in different disciplines and departments. In Black’s Professional Nursing, he states, “the profession of nursing is more than ever requiring the education of well-trained, flexible, and knowledgeable nurses who can practice in today’s evolving health care environment.” (Black, 2017, p.1).
As part of my studies of the Perspectives on nursing module I have been assigned to examine dignity as a value which underpins nursing practice. Dignity is a multi-faceted concept and can be defined as ‘’ The state or quality of being worthy of honour or respect’ (https://www.oxforddictionaries.com/definition/english/dignity, 2015)’. Respect for the dignity of the person is the number one principle of the Code of Professional Conduct and Ethics for Registered Nurses and Midwives (NMBI, 2014). Also, this principle notably finds its origins in the Universal Declaration of human rights (United Nations, 1948) (Nursing and Midwifery Board of Ireland, 2014). Throughout this piece I will emphasize how this principle interacts with nursing
The scope of this paper is to discuss the difference in competencies based on the education preparation. Even though there are various level education preparation for nurses ranging from vocational training to doctoral level, the differences in competencies between the Associate Nurse (ADN) and the Baccalaureate Nurse (BSN) are analyzed and compared.
Nurses are critical for promoting health in the society. The profession is highly flexible, since they specialize in diverse operations in the medical field. Registered nurses, for instance, are responsible for the administration of medicine and inoculations to patients (American Nurses ' Association, 2000). Additionally, these professionals observe, record, and enlighten doctors of any changes in a patient’s health. Nurses interpret and evaluate diagnostic examinations to determine an individual’s condition, as well as making the necessary adjustments in patient treatment plans on their health progress. In collaboration with other medical personnel, nurses engage in the development and enactment of patient care plans. Furthermore, they provide education to families and groups on various health issues such as disease prevention, among others.
The concept of philosophy of nursing practice is taken from module 1.1 of Medical surgical nursing elective MNET 3, with the title introduction to nursing and sub-titled philosophy, objectives of nursing.
Nursing assessment has a significant role in providing effective, accurate and safe nursing care in clinical practice. Nursing assessment is the first stage of the Nursing Process. It is used to explore the physical, psychological, spiritual and social aspect of the patient’s life. It is therefore a holistic and systematic guide for nurses to obtain a greater understanding of their patient’s wants and needs. It is the underlying foundation of the process, on which other phases of the process are based upon (Foster & Hawkins, 2005).