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Why is professionalism important with patient care
Why is professionalism important in health care
Professionalism in healthcare
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New experiences make for more knowledge and new skills. Having the opportunity to meet clients in the York Care Centre was a great experience that helped me develop my skills as a nursing student. Since I am starting my clinical in the fall at York Care Centre, I felt this was a good introduction to the building, staff, and residents As I built upon a therapeutic nurse-client relationship with my clients, I improved on many skills that I learned in class such as to respect boundaries, clients with different communication needs, empathic responses and listening skills that will help me in my future career. I also had some specific learning situations that I can apply to my future practice. On the first day I visited my clients, I focused on …show more content…
When listening to them speak, I made sure to have an open posture, nod and acknowledge their points and engage in questions relating to their topic. I also noticed their own verbal and non-verbal cues. There was a time we woke Ms. L. up from a nap by knocking on the door. We apologised and stated we could come back for another time but she insisted we come in. I could tell she was quite tired and not feeling well that day by her facial cues and she was not as engaged in the conversation as usual, so we did not stay for too long as to bother her. The same day, Ms. H. was also tired. I could tell from her non-verbal responses that she was not having a good day. She did not want to physically talk and she seemed very distraught while she was walking away from us. We told her we would come back another day and made up for the time on a good …show more content…
L. went well. I stated that this was our last visit and we may see her again next semester depending on our clinical placements. For Ms. H., I noticed I would have to go through the four stages of a relationship every day. I would introduce myself, explain why I am there, develop our relationship and then terminate the relationship. This process was easy for my clients, but it was difficult for residents who stopped me in the hall to ask questions. I did not want to be rude as to ignore a resident in the hall, but there were a few situations that were difficult to terminate the relationship. I feel in these situations, I could have been more assertive in saying goodbye. There was one patient whom I said good bye to but she kept carrying on the conversation. I explained that it was nice talking to her, but I needed to leave, but she did not understand. This was difficult for me, because I did not want to be rude as to just walk away, but I felt I could have been more assertive in my responses. Another resident had stopped me to tell me she could not stay at the facility, and began to follow us on our way out. I had the feeling to intervene as a nurse and bring her back to her room, but knew it was not in my place, so we patiently waited for a nurse at the nurse’s station. The nurse knew exactly who she was and what to do, so she distracted her by saying “where’s you walker?” and led her to her room. This just shows that the nurses knew the
I was then introduced to a patient who was in isolation. Her legs were immovable and were crossed in a very uncomfortable position. I wish I could’ve done something so that her legs could be in a more comfortable position, but all I could do was observe and get her a cup of ice cold water to drink. During this clinical observation, I didn’t get to see much but overall, it was a good experience. It made me realize what it was like to be in a hospital setting and what it meant to be a nurse. Seeing how the patients were still able to smile through all the pain they went through, it made me want to become a nurse even more because I would also like to make my patients happy. If I could do one thing differently during this clinical observation, I wish I didn’t ask my senior nurse about what externships she took and instead, I wished I asked her more questions about the patients in order to gain more information about
Within the scenario, there was a lack of communication between the resident and nurse. There were no established principles for communication on the unit. Nurses could write on a bulletin board if they had a non-urgent matter to discuss with the doctors. The other method for communicating with doctors was to directly page them. Interprofessional rounds occur only once a week which does not account for the communication required between the doctor and nurse on a daily basis. There were no other formal communication methods for when doctors can speak to nurses. Nurses hear from doctors if they happened by chance to have seen the doctor, by word of mouth from other members, or from orders. The resident in the scenario did not seek out the nurse for second opinions and did not let her know about discharge plans. Thus, there was a lack of communication about care
Look back: During my third week clinical experience, I did both computer charting and paper charting (for maternal assessment) with nursing care plan. Besides charting, I reported my significant findings of the mother verbally to the primary nurse.
This essay is going to focus on the nursing skills that I developed during a period of placement simulations and in the community, placing emphasis on oral care, communication with a non-engaging patient and bed bath. It will outline the fundamental aspects of clinical nursing skills that I have begun to acquire. This will also highlight the learning processes which took place and how it helped me to enhance my knowledge, and ethical values in order to deliver quality and safety of care. Using other sources of current literature, I will use a reflective model to discuss how I have achieved the necessary level of learning outcome. By utilising this model I hope to demonstrate my knowledge and understanding in relation to these skills as well as identifying areas with scope for learning.
During my observership, my clinic intern mentor was Shiyama Hassan. Overall it was an enjoyable, less stressful academic experience.I got a chance to take patient histories, examination and patient’s vital sign monitoring and charting. I didn’t feel much difference in observing my mentor taking the history and when I was taking the history, it could be related to my past experience. However, every time I was curious to know what is happening with the patients and what caused him to seek naturopathic medical advice. During this clinic shadowing, I saw genuine interest of my mentor and supervisor to help patients concerns, unlike to allopathic model of prescribing medication. It helped me to improve my interviewing skills to look root cause for
This experience will definitely influence my future practice; my action plan would be using those teaching strategies in preparing students to face the clinical environment, to ensure optimal patients’ health outcomes and it helps to build a competent and independent clinician.
As mentioned by Hunter and Arthur (2016), one of the main reasons I could maintain and improve my practice was due to clinical placements. During clinical placements we are frequently being assessed and taught in dealing with real situations. Feelings As learning is a lifelong process, I’m sure there are many things I need to improve and learn to better myself. However, the lessons I learned during the course as a nursing student shall always remain as a bedrock for my future development.
Clinical placements allow student nurses to put theory into practice with real patients and actual clinical situations. Every placement will challenge student, improve communication skills, build own knowledge and foster own reflective practice. It is one of the most interesting and exciting aspects of training to be a nurse. I personally believe that, students must be responsible for their own learning opportunities and understand the outcomes they need to achieve on placement, discussing any queries with their clinical supervisor. I always look for learning opportunities. I approach my clinical supervisor for her guidance to perform any new skills fall into my scope of practice.
I believe placing student nurses in the clinical setting is vital in becoming competent nurses. Every experience the student experiences during their placement has an educative nature therefore, it is important for the students to take some time to reflect on these experiences. A specific situation that stood out to me from my clinical experience was that; I didn’t realize I had ignored the patient’s pain until I was later asked by the nurse if the patient was in any pain.
This week’s clinical experience has been unlike any other. I went onto the unit knowing that I needed to be more independent and found myself to be both scared and intimidated. However, having the patients I did made my first mother baby clinical an exciting experience. I was able to create connections between what I saw on the unit and the theory we learned in lectures. In addition, I was able to see tricks other nurses on the unit have when providing care, and where others went wrong. Being aware of this enabled me to see the areas of mother baby nursing I understood and areas I need to further research to become a better nurse.
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 someone at face value and inspected him or her physically. While interacting with my patient I felt as if I was taking to my grandmother, it was very comfortable and easy. Her neurological assessment was good, she had eye contact with me, was able to follow some simple commands such as showing me her hands and squeezing my fingers. Being in the nursing home-made me feel like there was so much medical information to acquire, I viewed it as my own personal practice space for my nursing skills. When taking with my patient she reflected on her life a bit and her stories made me get emotional. The Patient, admitted to the nursing home as a permanent resident after the death of her husband.
This reflective essay will discuss three skills that I have leant and developed during my placement. The three skills that I will be discussing in this essay are bed-bath, observing a corpse being prepared for mortuary and putting canulla and taking it out. These skills will be discussed in this essay using (Gibb’s, 1988) model. I have chosen to use Gibb’s model because I find this model easier to use and understand to guide me through my reflection process. Moreover, this model will be useful in breaking the new skills that I have developed into a way that I can understand. This model will also enable me to turn my experiences into knowledge that I can refer to in the future when facing same or similar situations. Gibbs model seems to be straightforward compared to the other model which is why I have also chosen it. To abide by the code of conduct of Nursing and Midwifery Council (NMC) names of the real patients in this essay have been changed to respect the confidentiality.
Record of Experience In the first day of clinical practice at week 6, I received a new patient, P.M. The patient’s admitting diagnosis was as follows: a right knee prosthetic replacement, and a multiple heart surgery history that happened about 20 years ago. Furthermore, the patient had an atrioventricular valve replacement, mitral valve replacement and tricuspid valve replacement, and other comorbidities related to the valve replacements were atrial fibrillation, cardiovascular disease, congestive heart failure (diastolic), and hypertension.
My determination to pursue medicine was inspired by my genuine interest in science and was affirmed after a meaningful work placement where I gained a true insight into the medical field for the first time. What I learnt from shadowing a lung specialist during my placement at Borneo Medical Centre in Malaysia is how important effective communication is when handling challenging doctor-patient interactions such as breaking bad news about a life-threatening disease. An eye-opening case was that of a patient who felt helpless when he was diagnosed with stage IV lung cancer. The technique in which the doctor brought up and tackled with such touchy subject was imposingly skilful as his compassionate yet honest approach enabled him to comfort
Meeting the Patient as a Person Prior to meeting a patient, their medical diagnosis, medication list, and lab values were provided. When studying the patient’s information, sometimes it is difficult to connect the information to an actual person, especially before meeting the patient. Also, I was still learning what the information that was given meant, especially in terms of the patient. Thirdly, my own personality and where my focus was assisted in preventing me from seeing the patient as a person in the beginning. Throughout my clinical experiences, my knowledge and background has expanded as I learn how to see a patient as a person by looking beyond their diagnosis or injury.