NS 614 Learning For Nursing


Choose and share authentic examples from your life that directly contribute to personal growth and emotional competence.

Demonstrate creativity in applying knowledge and practical understanding to specific areas of personal and social competence that contributes to success.

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Demonstrate autonomy in the planning and communication of ideas and tasks at a professional (or equivalent) level

Answer to Question: NS 614 Learning For Nursing

It is essential to develop critical, independent and highly skilled healthcare professionals by reflecting.

Research suggests that reflection is an ongoing cycle in which reflection and experience are linked (Asheley, Stamp 2014).

Nurses who reflect on their daily practice are more efficient.

This helps them provide better nursing care as well as a deeper understanding of their actions (David Taylor, Reyes 2014).

This allows them to grow their professional abilities.

Reflective practice is the ability to look at one’s past and reflect upon it. This allows them to develop their professional skills and help improve their practices.

It is essential that reflections are more effective by demonstrating certain qualities such as open-mindedness. courage. willingness to accept and then act on it.

I will be using Gibbs reflective cycles to reflect on two experiences. How I learned from them and how to improve them.Descriptions:

The description stage is considered the first.

This is the first stage.

The pharmacy department was the first place I needed to reflect on.

While I was busy taking care of customers on the busy ward with their prescriptions, I noticed that another colleague took the pharmacist badge without the pharmacist’s permission and used it for patient information.

Although I tried to warn her and stop her, she did it. The long queue of patients waiting for their medication was making them anxious and I couldn’t stop her.

I immediately spoke with the pharmacist manager in an effort to protect any client’s confidential information and privacy.

I told him the whole story so that he can prevent patients’ confidentiality and privacy being compromised by the badge.

I noticed a difference in the actions of my fellow colleague. From that point on, he never used the badge of senior pharmacists to have access to the patient’s information.

Another incident happened when an 70-year-old customer came to the pharmacy suffering from a bleeding thumb.

He was extremely scared, and he was shaking from fear and pain.

The pharmacist suggested that I clean the wound so she can apply the dressing.

I spoke with him and tried my best to cool him down.

I noticed that the pharmacist began applying medicine and dressing the wound, but he didn’t clean his hand.

This was totally against what hand hygiene should be.

He would become more fearful if I said anything to him.

However, I was very concerned for the patient’s safety.Feelings:

This step includes the stage where the individual takes stock of how he/she felt at that time.

My colleague was very surprised at my behavior in the first scenario.

I was surprised at how she neglected her professional values which were one the most important domains in the four nursing and Midwifery Council domains (2010).

Every nurse is expected to be honest and dignified in her profession. She also has to keep the promise of engaging in activities that are of great benefit to humanity (Cocksege Bark Deakin 2015).

She didn’t follow the rules at work and used her senior badge for some activities without his consent.

Although I was disappointed at her act, I was curious if she was properly qualified with her professional skill set and mannerisms.

Scanlon, et al. (2015). 2015).

I was confused about what I should do.

After I had overcome my confusion, I relayed the incident to my manager in the hope that this would finally stop the unprofessional act taking place at the pharmacy.

I was feeling helpless during the second incident. I was unable to decide what actions to take.

I was downright upset to learn that the pharmacist had violated one the main Domains of the 4 Nursing and Midwifery Council Domains (2010). It was called nursing practice or decision banking.

O’Conell Gardner, Coyer and Coyer (2014).

Also, I felt that the communication skills and interpersonal abilities were also lacking. In both cases, it was difficult to communicate with the opposing person in order to handle the situation properly.Evaluation:

This step allows the individual to reflect on the positive and negative aspects that remain from the experiences.

The bad thing about this incident was that the nursing staff was taking chances on the confidentiality and privacy rights of patients.

Any unprofessional activity by her could have exposed privacy and confidentiality of a large group of patients to various dishonest persons (Lima, et al. 2014).

Although I couldn’t confront the colleague directly I was able make sure that the wrong activity was stopped by notifying the manager.

The individual engaged in dishonest and unethical practices that are strictly against the professional values set forth by 4 Midwifery Council domains (2010). I was ultimately able to stop them from doing so.

This experience taught me that similar situations can occur in the future. I have to be proactive and stop my colleague from doing it while still managing the long queue of clients.

I believe that I don’t have the multitasking skills necessary for leadership and management.

This is also one the four domains in the 4 Nursing and Midwifery Council domains (2010).

The bad thing about the next incident was that the patient was exposed to hazardous practice.

Infection by microorganisms could result from the pharmacist’s inability to properly care for his patients’ hands. 2014).

A minor cut could have been easily treated with the proper guidelines. However, it could have resulted in a more severe situation if these guidelines weren’t followed (Mills, and Fraser 2015).

It was a violation of one domain of the 4 Nursing and Midwifery Councils Domains (2010). That is, the proper nursing skills as well as correct decision making.

I couldn’t raise a protest against this practice, and it was worse because I didn’t know how to communicate with her properly.

I also broke the 4 Midwifery Council Domains (2010) regarding proper communication skills.Analyze:

This step is primarily about the perceptions one can make of the situations (Kim, et al. 2015).

Analyzing the circumstances, I came up with many factors.

I realized that the pharmacist’s badge-wielding nursing professional must not have been properly trained before she was given the job at the pharmacy ward.

If she had the proper training, she would never have performed such an irresponsible action and would have checked with the pharmacist before using that badge (Sastre und al. 2014).

Furthermore, such an act by the nurse professional was against her professional duties as a healthcare practitioner and thus she had breached the responsibility of her (Hood et. al. 2014).

She did not follow the principles of nursing and had used a method that was illegal to obtain confidential or private information from patients.

She should have checked with the pharmacist prior to accepting his badge, as it is a sign of professionalism and proper mannerism (Dalton and al. 2015).

I do not believe that the method I used to let my colleague know about his immoral activities was correct.

Communication theories claim that more information is communicated in a direct manner. This reduces the chance of misunderstandings, sentimental distributions and mentioning of sentences.

My colleague may have felt guilty, even though there were no negative outcomes. However, I could have expected her to speak directly with me before reporting the incident to the managers.

I suspect she might have felt bad for me, as she may have thought that I had complained about them to the managers (Fullerton. 2016).

I should have also communicated the issue with her while she was collecting the medicine according to instructions.

That way I could have displayed professionalism, as well as good communication skills.

This would have enabled me to deal with the situation more efficiently and avoided any potential problems that might have had a negative impact on my working environment.

In the second incident I found that I am very cautious in my approach to difficult situations.

This is one negative aspect of my communication skills.

Although I realized that the pharmacist was not following hand hygiene guidelines I didn’t tell her. This left me with the dilemma of whether I should let her know or respect her higher rank and continue to be quiet.

I took a chance on the patients’ lives and this was a bad decision.

His condition may have worsened had his thumb been cut by an infected pharmacist (Sinclair et. al. 2016).

Despite not being able to communicate with the patients in this stressful environment, I communicated well with them and developed a good rapport.

He was comfortable with me because we were able to establish a good relationship.

I was careful to follow up on my nursing skills and provided the best care possible to him.Conclusion:

This step addresses the steps that an individual could have taken to make a difference in the outcomes of these situations.

Both incidents could have gone differently while maintaining the four essential domains of Nursing and Midwifery Council.

When one looks at the first instance, it is clear that there were many options for how to handle the situation (Daupin et. al. 2016).

First, I was not qualified to approach the manager at the first level.

Instead, I should first have approached the colleague responsible for the dishonest act.

I should have been able multitask.

I should have made sure to assist the doctor with prescribing the patients and also helped her understand her professional responsibilities (McCloughan, Foster 2017).

As the colleague might feel that my complaint was made on her part, I shouldn’t have approached the manager at first. This might have made our relationship more problematic.

Instead, I should have used the direct communication approach to communication instead of using an indirect method of communication that could lead to negativity and misunderstanding at work.

It was clear from the situation that my colleague did indeed not engage in unprofessional behaviour again. If I had been the first to inform her, it would have reduced the chance of developing negative feelings later.

The other initiative that I should’ve taken regarding the second incident was to directly confront the pharmacist in the first instance.

I should have stopped the pharmacist from dressing the wounds, as she did not follow proper hand hygiene.

I should not have made it a dilemma to stop my senior from performing such an improper nursing practice.

My primary goal should have always been to save the patient’s health and give him the best care. 2015).

I should not have spent too much time thinking about other issues. My main goal should be to protect the patents.

I should have asked the pharmacist politely to follow the correct hand hygiene guidelines, and provided her with the cleaning gel.

I should have taken care not to make the pharmacist feel threatening or empowering by my body language.

I believe that this could have made things better.

It would have been safer for the patient to receive the best care.

Action Plan

My development of interpersonal skills and communication skills should be my first priority.

My experience has shown me that while I am efficient in communicating with patients, I struggle to communicate effectively with my senior colleagues and seniors.

My insecurity, fear, anxiety and personal thought patterns are my main obstacles to communication with patients.

I am afraid that seniors and my colleagues might be annoyed by my behavior if I confront them about it and make them aware of my mistakes.

I realized I was an escape artist. I avoid situations that could lead to negative feelings.

However, I realized that I was actually affecting their health.

So my first goal is to improve my communication skills and communicate with senior citizens and colleagues.

Asking my mentor for advice on the best ways to communicate with seniors and colleagues would be a great idea.

I could also consult books about communication topics related to healthcare, which may help me overcome the problems.

Researchers have also provided suggestions for overcoming such problems in famous journals.

I will make sure to use their suggestions.

All of these will give me the tools I need to communicate with seniors and my colleagues effectively and ensure patient safety.

This would take about 5-6 months.

This domain is the most critical of the four nursing and Midwifery Council Domains (2010).

Another issue I have had to face is my leadership or management abilities, which are another important domain of the 4 Nursing and Midwifery Council Domens (2010).

I could not multitask effectively and did not properly handle the issues.

I realized that my colleague was wearing the pharmacist badge. This made it impossible for me to communicate with her.

A leader’s ability to multitask is essential. This allows for all the important tasks to be done without interrupting the flow of the workplace.

Therefore, my action plan would include learning strategies that will help me be more efficient multi-taskers.

I should also read the books of stalwarts from these fields, so I can understand how multitasking is done.

This will enable me to become a more effective leader and manager.

I would like to also look into various internet sources that will help me understand how to develop multitasking skills.

The time it takes to master these skills will be approximately 6-8 month.Conclusion:

Writing a reflective piece had helped me create a self assessment report that would be invaluable in my future career.

I gained a deeper insight into my pharmacy ward experiences through reflective writing.

I had some ideas about my weaknesses, which I need help with.

While I communicated well with patients, colleagues and senior staff, I still had communication difficulties.

I discovered that I don’t have the confidence to deal with any situation that might cause tension in the work environment.

I realized that patient care was my highest priority. As such, I had to confront my escapist mindset.

Nurses have a professional duty to provide safe care for patients and maintain their patent satisfaction.

I have proven to be competent in building trust with my patients. He was more relaxed after my communication.

I still need to master leadership and management skills. This will help me to be more multitasking.

Nursing requires nurses to be able handle many tasks at once and not make mistakes.

It would be difficult to be proactive during busy shifts. This is why I want to develop my ability in the future.

This reflection gave me the opportunity to reflect on my weaknesses and to make improvements so I can be a better professional.References:

Ashley, J. & Stamp, K. 2014

Learning to think like an nurse: The development clinical judgment in nursing students.

Journal of Nursing Education. 53(9). 519-525.Attard, J., Baldacchino, D.R.

L. Camilleri (2014).

Learning spiritual care skills for nurses and midwives: A focus on education

Nurse Education Today, 34/12, pp. 1460-1466.

Cocksedge S. Barr N. and Deakin C., 2015.

Sharing information: An exploratory mixed-methods study on brief interprofessional training to healthcare staff. Communication & Medicine, 12(1), p.1.

Dalton L. Gee T. and Levett Jones T.

Clinical reasoning and simulation-based learning are used to “flip” the Enrolled Nurse curriculum.

Australian Journal of Advanced Nursing. 33(2). p.29.

Daupin J. Atkinson S. Bedard P. Pelchat V. Lebel D. Bussieres J.F. 2016.

Medication errors rooms: simulation to evaluate the nursing, pharmacy and medical staffs’ ability identify errors related the medication?use.

Journal of evaluation and clinical practice, 22(6) pp. 907-916.

Davis, L. Taylor (H.) and Reyes (H.), 2014.

A Delphi study: Lifelong learning in Nursing.

Nurse education today 34(3), pp.441-445.

Fullerton J.T. Johnson P. Lobe E. Lobe E. Lobe E. Lobe E. Lobe E. Lobe E. Lobe E. Myint K.H. Aung N.N. Moe T. Linn N.A.

A rapid assessment tool to affirm good practice in midwifery education program. Midwifery, 34, pp.36-41.

Gilligan C. Outram S. and Levett Jones T.

Recommendations by recent graduates of medicine, nursing and pharmacy about improving interprofessional education at university programs: a qualitative analysis.

BMC Medical Education, 14(1), 52.

Hood, K. Cant. R. Baulch. J. Gilbee. A. Leech. A. Anderson. K. Davies.

Experience with interprofessional learning improves undergraduate nursing and healthcare students’ professional identity and attitudes toward teamwork.

Nurse Education and Practice, 14(2): pp.117-122.

Husebo S.E. O’Regan S. & Nestel D. 2015

Reflective practice and its role as a simulation tool.

Clinical Simulation in Nursing. 11(8). pp. 368-375.

Kim, M.J. Park C.G. McKenna H. McKenna S. Ketefian S. Park S.H. Klopper H. Lee H. Kunaviktikul W. Gregg M.F. Daly J. Coetzee S.

A survey of nursing students and graduates to determine the quality of doctoral nursing education in seven countries.

Journal of advanced nurses, 71(5) pp.1098-1109.Lima, S., Newall, F., Kinney, S., Jordan, H.L.

Hamilton, B.

How competent do they feel?

Self-assessment by graduate nurses of their competence at the beginning and throughout their careers. Collegian, 21(4), pp.353-358.

McCloughen A. and Foster K. 2017, 2017.

Study of the emotional intelligence displayed by nursing and pharmacy students to handle difficult situations with colleagues during clinical placement.

Journal of Clinical Nursing.

Mills J., Wand T., Fraser J.A. 2015

Self-compassion, self-care and nursing: Are they essential to compassionate care?

International journal on nursing studies, 52(4). pp.791-793.Naber, J., & Wyatt, T. H. (2014).

Reflective writing interventions and the impact on the critical thinking skills, and dispositions, of baccalaureate-level nursing students.

Nurse Education Today 34(1), 67–72.

O’connell J. Gardner G. Coyer F. 2014.

Beyond competencies: developing advanced practice standards in nursing by using a capability framework

Journal of advanced nurses, 70(12), pages 2728-2735.Sastre?Fullana, P., Pedro?Gomez, D., Bennasar?Veny, M., Serrano?Gallardo, P. and Morales?Asencio, J.M., 2014.

Review of literature on competency frameworks for advanced-practice nursing. International nursing review, 61(4), pp.534-542.

Smolowitz J. Honig J. Honig J. and Barnes K.

Three perspectives from around the world on how to build the next generation of advanced nurse practitioners through clinical education and practice.

Clinical Scholars Review. 8(2). pp.249-257.

Sinclair A.Eyre, C. Petts H. Petts H. Shuard R. Correa J. Guerin A.

Pharmacy technicians are introduced into a busy ward of oncology patients as part of the nursing team.

Eur J Hosp Pharm.