Reflection In Nursing Practice

It is very easy to get wrapped up in the day to day tasks that we complete as nurses. But in order to give our patients the best possible care, we must look at our day through a holistic lens. The following essay will outline the theory as created by the “lady with the lamp” Florence Nightingale. We will look at the different components that are important to a patient’s health and outline on to incorporate these components into current practice. Florence Nightingale Theory of Nursing Upon initial assessment of Mrs. Adams case, many things are out of line according to the theory of nursing by Florence Nightingale.

It is perhaps the hope that creating algorithms, good computer programs, and standard protocols will replace the expert. Expert nurses are vital in each specialty of nursing. Dr. Benner makes it clear that, expert nurses are infinitely adaptable with their responses in an unfolding situation, because they are able to engage situated, context driven reasoning that shifts between the general and the particular, and draws on similar past experiences. The expert nurse has the ability to teach and mentor the preceding phases of learning for the learning nurse. If the profession of nursing does not support expert practice or foster the development of expertise, it risks losing what is fundamental to nursing

P, 2012). Florence nightingale pioneered the practice known as reflection-on-practice, this is a tool that is needed in developing improvement and knowledge to enable an individual to grow in their nursing profession. Nightingale wrote “the very elements of nursing are all but unknown” through this statement she implied that nurses word be learning for the rest of their career (journals.lww, 2017). Reflection is when an activity or incident requires thought about the action, and is used to determine what points are positive and negative, and how it could be improved or changed if done again in the future. The reflection process begins with thinking about an incident and how the situation can be utilised in future situations.

This exemplified the need for patient’s autonomy, beneficence versus non-maleficence and truth telling. The nurse faced a barrier due to the physician hierarchical working style. Collaborating using a multi-disciplinary approach and communicating effectively in explaining the disease process could have better manage her symptoms and improve the quality of her remaining life. It is important that early detection and treatment options are discussed by the physicians in an honest and open manner. As patients performance status decline healthcare members should provide informed decisions regarding diagnosis, prognosis and

Registered Nurses’ Association of Ontario, (2002) report that the nurse can carry out this task by strongly including their patient as a partner in care due to the fact that the client is the rue expert on his/her own life. Identifying what the patient ’s goals, aspirations and desires and making them the core of the care program. Maintaining boundaries focuses on nurses being responsible for effectively beginning and keeping the limits or bounds found within the therapeutic nurse-client relationship. To meet this particular standard the nurse can start by setting up and managing the appropriate boundaries within the relationship. Additionally helping the client understand when his/her demands are stepping beyond the limits set of the therapeutic relationship.

OVERVIEW Objective: know the metaphors used in their educational-assistance interventions, primary care nurse and users identify what vision of the world is behind them and get to know the impact of these metaphors in the understanding of the phenomenon of health by users. Method: chose by the interactionism symbolic, the framework theoretical of the metaphors basic of Pepper and the scheme analytical of Kilbourn. Results: It notes that all interviews are saturated with metaphors. The nurse is dominated by mechanistic metaphors and formistas in all the studied categories, while users predominate the contextualistas and also mechanistic in the categories of cholesterol, stress and sugar. Conclusions: metaphors permeate our daily life and

as a nurse who has your policies being forced upon me without any request for input I know that it 's vital to get input from my co-workers. So my plan would be to hold a series of staff meetings in which co-workers can express their doubts or their favor and I would listen honestly to their concerns. Also having the help of Educators unit Educators and also Hospital Educators to help me with presenting the plan to my coworkers would also be beneficial. I would also remind or workers that this new policy has only the patient 's well-being in mind and if

A patient may ask for a prescription which might be way beyond our expertise, I don’t think even PCP would do it. She explained to me how hard it is to find a good job and also it is hard to find a group that would open a position for NPs. I asked “What issues you find as an advanced practice nurse that are interesting” When I asked her what is interesting about your job as NP, she states that she is enjoying teaching patients, seeing a wide range of age and type of patients, the patients care and differential diagnosis and also everyday learning something new. We spoke about the working environment and she was very happy about it and how well and convenient it is. Working hours work load were very manageable for her.

I am getting use to navigating through Cerner to get to what I need for my patients. I still need to gain confidence in myself and trust that I know how to perform skills. I love my nurse Abbi and feel she is really good about explaining procedures, policies, how to admit new patients and discharge patients. She is a bit of a control freak so she doesn’t really allow me to do things on my own but I know I can learn the skills when I get hired wherever I go next. Abbi has been the only nurse who really takes the time to explain things to you instead of treating you like a task person.

“Peplau applies principles of human relations to problems that arise at all levels. Throughout the nurse-patient relationship, the nurse, and patient work together to become more knowledgeable in the care process” (Deane and Fain, 2016, p. 36). Peplau described nursing roles in seven different ways as a counselor, resource, teacher, counseling, surrogate, leader, and technical expert. As a home health nurse, my major nursing role was teacher focused on patient teaching. For example, educating patient who has high blood pressure about DASH diet which stands for Dietary Approaches to Stop Hypertension.