Summation of 120 clinical hours
The clinical experience helped me with a deeper understanding of all facets of nursing care. I found it thought-provoking how information from patient’s questionnaires and open-ended interview techniques are used to build a teaching plan. In the past, I have used the information assembled from handouts for patient teaching. Today’s patient-centered teaching is taking education strategies and thinking outside the box to make sure patient learning is occurring. In the past, we didn’t consider whether the patient learned information taught. Open-ended questions and assessing the knowledge of illness those patients already know help educators convey the concepts and focus on knowledge that patient need to learn. Patient-centered teaching uses a holistic nursing approach to teach the learner. As an educator, I realize there are gaps of knowledge for what patients are taught and what patients learned. According to Bastable (2014), new evidence supports the roles of nursing educators in promoting patient-centered teaching (p.16). The patient–centered teaching approaches help fill these gaps in knowledge and educate patients to make sure learning is occurring.
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He stated, “It makes me feel clean”. This particular experience was an eye-opener. It made me realize the information I taught needed to reflect what the patient believed is important to him. This was a good experience for me to change the way I usually taught. I took his belief and used it in his teaching plan. We were able to come to a mutual agreement for him not to use the Vick’s suave for a couple of week to promote healing. This experience showed me there are different ways to get around problems and letting patients help guide the treatments and
Studies show that patients forget at least half of the information explained to them (Tamaru-Lis, 2013, p. 268). In addition, low health literacy correlates with poor disease management, readmissions, and poor compliance to treatments (Eadie, 2014, p. 9). The goal of teach-back, therefore, is to improve recollection and increase health literacy. Nursing practice is aimed towards meeting these goals. Ultimately, nursing practice will improve as nurses are better able to deliver quality care, promote patient safety, and increase patient satisfaction. As a result, patient outcomes are optimized because teach-back minimizes communication errors and encourages participation. Participation allows patients to make appropriate decisions which direct health care professionals to provide patient-centered care.
The trainee in this scenario shared less information about her professional as well as personal life. Which indicates that the supervision was not effective enough to deal with issues of supervisee. So it can be said that some part of this session went well, and some part didn't reach the objectives. With the support of Gibbs reflective model (Gibbs, 1988), I would like to focus on these points and try to comment on them. During the supervision session, first I tried making the trainee comfortable, then tried to enquire her problems. After that I focused more on the major issue, that was case history taking. I tried asking her by all possible ways about the mistake she is committing. Initially, I felt that maybe she is not ready to accept the fact and taking this question as a criticism. But then she stated that she is not aware of her mistake because nobody pointed it out before.
Two potential barriers to the Patient-Family Centered Care model are time and patient/family expectations. Nursing is a demanding job that is known for it's fast paced and often hectic environment. While caring for several patients at a time, it might be difficult to make time to discuss and involve patients and their family in all aspects of their care. This could lead to the patient/family feeling left out or even lead to fear about why information if being kept from them. To address this barrier I will set aside time to spend with each of my patients solely dedicated to discussion about the care they are receiving as well as provide an opportunity to voice questions and concerns.
Regardless of the specialty, the main focus of a nurse includes assisting doctors in treating patients and providing clinical and emotional support to both patients and ancillary staff. With the role of administrative nursing supervisor comes additional responsibilities and administrative roles, such as staffing, organizing, prioritizing, and ultimately ensuring safe and quality patient care.
This study showed that nurses can communicate well when a patient-center approach is used. There is need within health care for nurses to recognize that patients are more than a task that needs to be completed. That the patient themselves are an important element in their own care. By educating and giving nurses the evidence-based research available they can fill this gap. Continued research needs to be conducted on patient’s experiences of how nurses communicate. Showing us the behaviors that patients place high values on. Thus enabling nurses to use a patient-centered
My career of nursing is like the cyclical pattern of life, as time passes and situations are experienced, one is shaped into a certain individual/professional, ending up in places that never seemed to be part of life’s plan. Personally, the challenges and triumphs of providing patient centered care to help others live a healthier life, and aiming to prevent illness, is rewarding and quite humbling. As I continue to learn about opportunities to provide individualized care to patients and their families, I further understand the imperativeness of the “whole person,” which is a critical skill of a nurse practitioner. As a skilled clinician, progressing in my career as an aspiring family nurse practitioner in the Stony Brook University School of Nursing, I will impact my patients by providing them comprehensive care that will result in improved quality of life.
Even before starting medical school, when people asked what I wanted to specialize in after graduating, I told them internal medicine. During medical school I really enjoyed learning about the various disease, how to treat this, how to manage that. When people asked if I would ever consider surgery, I would reply with “never” and “it’s not for me”.
The nurse in today's society provides different services to the healthcare community. Taylor (2011) lists the common roles of the nurse as follows: communicators, educators, researchers, advocates, collaborators, and caregivers. The communicator role of a nurse involves “effective interpersonal and therapeutic communication skills to establish and maintain helping relationships with patients of all ages in a wide variety of healthcare settings” (Taylor, 2011, pg 11). Patients look to nurses for information and communicate better with them because they are the most hands on role in the healthcare setting. As an educator, the nurse is responsible for assessing and evaluating individualized teaching plans for patients and their families (pg
My journey to nursing began with my personal healthcare experience, and has continued to evolve since entering the nursing program at State University. My personal philosophy of nursing is related my life experience and my personal philosophy of life. Using reflection-on-action, I have begun to understand the influences that have lead me to nursing. I discovered client and family centered care to be an important quality when I look at the influential nurses in my life. To develop a positive therapeutic nurse-client relationship, nurses must integrate all 5 dimensions of the therapeutic nurse-client relationship into their practice (CNO, 2006). When it comes to providing client-centered care, the dimensions of trust, empathy and respect are particularly important (CNO, 2006). Illness can be a traumatic experience for patients and their families, and it is important to be empathetic to the patient’s needs, while still trusting the patient to be an expert in their illness and care.
“The ultimate value of life depends upon awareness and the power of contemplation rather than upon mere survival” (Aristotle, n.d.)
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.
Throughout people’s lives, many are tested, in which they are pushed to their own limits. These personal experiences help the person to realize what makes them different from others, what makes them unique and stand out from the crowd. Even, sometimes with these experiences, people learn more about themselves, push themselves to their limit and test their abilities to work under pressure and other times adapt. In my case, the most important experience that I went through that helped me develop skills that I use to excel in my academics is something that most people don’t go through until late in life, the loss of a parent, in this case, my mother.
Throughout my final ten weeks at my placement, I have grown and overcome so many obstacles. I have accomplished a wide range of skills since the beginning and have been improving on them as I gained experience. At my placement as a student nurse, I have gained a lot of confidence, skills, knowledge and experiences that have helped me act and work in a professional way. All the experiences I have had during the ten weeks of my student years have helped me in shaping me into a professional.
I remember there was a time on my first few weak of orientation I felt like I didn’t belong the healthcare field. I was about to quit the nursing profession, but one of the experienced nurses who was working with me told me that you couldn't run away from yourself just hang in there you will figure it out you are not the alone. I could say there was a significant gap between theory and practice. In real life practice, I learned so many things through everyday training and experiences from working difference patients with the different case. In school, we learned the importance of evidence-based practice but to incorporate that knowledge in real life practice is a different problem. In nursing practices, we come across patients with various health issues that require a solution right then. From this vantage point, the student begins to learn the value of looking at what is perceived as pure clinical problems in a more significant context. (Ferrara, 2010). Not only has this brought the theory we have learned in school and what a nurse has experienced in clinical setting closing this
. Most of my career has been in community nursing providing care in the patient’s home. This opportunity has allowed me to be a teacher and encourage health promotion. This can be very challenging due to issues with literacy and the patient’s readiness for change. This course has exposed me to the many different learning theories that have been developed and how to effectively assess the in order to develop and implement an effective teaching plan. Teaching strategies and plans must be specific to the learner and barriers need to be identified early so they can be overcome to promote better outcomes