Nursing Practice Reflection

This portfolio shows the educational journey through the BSN program at Western Governors University(WGU). The curriculum at WGU was very challenging, nonetheless it prepared me to become a safe and effective nurse. The BSN curriculum provided avenues to keep me up to date with safe practices and learn how to master therapeutic communication. WGU also helped me sharpen my critical thinking skills in order to make decisions quickly and provide safe and effective care to patients. As the result of my training, I am ready to embark in the field of nursing and do my best to make a difference in my patients lives.

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.

My personal philosophy of nursing seeks to incorporate the art of conveying nursing science holistically with care and human dignity. The four nursing metaparadigm concepts are described in relation to nursing as a science and an art and provide the base upon which my view of nursing and my personal philosophy are derived. As a nursing student at UIC, I am well aware of the fact that the best outcome for any patient may not be improvement in health, but rather, a dignified death during the end of life care. End of life care includes a significant quality in care and human dignity.

It is the belief of many medical professionals that proper safety protocols in the medical environment is paramount. There is nothing more important in a hospital setting than overall safety. This goes for both patient safety as well as the safety of the hospital staff. Both patient and staff have their own precautions that must be taken and steps that must be followed to ensure there are no mishaps.

The Nurse of the Future Nursing Core Competencies include ten areas of expertise: Patient - centered care, professionalism, informatics and technology, evidence - based practice, leadership, systems - based practice, safety, communication, teamwork and collaboration , and quality improvment. After a lot of research, these competencies were selected based on how we can transition from our current practice and education standards to our future practices. The ten competencies that were selected are based on the foundation of nursing education and how it will translate into the practical world. It is very important to understand each aspect of this model because it is the core of how we develop our nursing knowledge while transitioning from student

They are in the key position to introduce interventions and strategies related to patient safety. Once of the critical impact on patient safety by nurses in all settings is the capability to coordinate and integrate the numerous aspects of patient care provided by all involved.

What is reflection? Reflection is described as the process individuals use for self-development in their future career. The process of reflection has been used for many years in professional health fields such as midwifery and nursing (Lillyman. S & Merrix. P, 2012).

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).

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.

Although reflection is an imperative foundation of nursing practice, it is only effective in promoting future clinical practice when the practitioner continually identifies their weaknesses and strengths to support their personal growth. They will also be required to develop this process during their practice to improve outcomes for service users (Johns, 2013). In accordance to the NMC revalidation process (2015) school nurses are required to provide a record of their knowledge and how it promotes their clinical practice. Clinical reflection is identified as a recognised educational tool for this process (Queens Nursing Institute, 2015). This evidence highlights the importance of the the student school nurse’s role in reflecting on this critical

One of us quickly put on the blood pressure cuff, applied the SPO2 probe and connect the ECG lead to check on her vital sign. I also immediately do the physical checking to check for any bruises or cut. Another staff nurse went to inform the doctor in-charge regarding the incident, where I stayed near Madam Y to comfort and reassured her. I was relief knowing that all the vital sign was normal and she didn’t get any post trauma cut.

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.

The nursing process is a series of organized steps designed for nurses to provide excellent care. Learn the five phases, including assessing, diagnosing, planning, implementing, and evaluating.

During these past weeks at the Archbold ER, I had the opportunity to put into practice many of the content learned in class. This included but was not limited to the proper placement of a Foley catheter using sterile techniques, insertion of an NG tube, and assessment of patients. Even though I attempted to complete some of my initial goals for this internship, I noticed that I couldn’t complete a few of them due to lack of time and lack of experience in the field. Therefore, some of my goals that I’ll need to address during the following three weeks include improve my assessment skills, have better communication with my patients, and improve my questioning to get a better understanding of the cause that brought them in.

Looking back when I started my nursing school, I can proudly say that I have evolved both physically and psychologically. I was not sure if nursing was the right choice for me at first because I had difficulties interacting with people outside my family circle. The first semester was challenging for me because I did not know how to interact with my class mates and felt isolated each time there is a class activity. I joined a study group later that semester and it has been an excitement ever since.