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Nursing reflection about nursing simulation
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Recommended: Nursing reflection about nursing simulation
This simulation was a really realistic situation for where we are at in year two. The key learning points I took from this simulation was prioritizing, which is an essential key in nursing care. Solidifying safety (ABCDE) checks, which is something we have been practicing each week in practice. Identifying focused assessments, which allows a nurse to understand key health issues before entering a client’s room and being mindful of these things during initial check. Practicing pain assessments (before and after) and having the chance to work through steps that need to be before calling the physician and what talking to a physician would look like. An area I feel went well for me during this simulation was being able to do a pain assessment after medications were given and addressing any concerns the client had. …show more content…
I did this by being curious and questioning the client as to why he didn’t feel like doing it today and if it was in regards to his pain. I felt it was important to have an understanding from the clients perspective however I did try and rationalize with clients in the perspective that if he does work on mobilizing it will help him to get home quicker. I felt I didn’t face to many challenges during this simulation for I felt it was more so consolidating my practice, which I really appreciated. Although in other classes prioritizing and honing in on focused assessments have been discussed, I feel it has been hard to do this in the hospital. I find that by the time morning report is finished and the time that we have to go and check on the clients in minimal which is understandable
What went well during my clinical day was that this was the first time that I was treated very well by the nurse. This nurse was really good about sharing what she was passionate about, so this encouraged me to want to learn more about what she was teaching me. The best part of my day was patient and parent interaction. I went into two patient’s rooms and played games with them or colored with them. It brightened up my day seeing them laugh despite the health issues they had going on.
Specifically, in the academic settings, nurse educators experienced in the use of medical simulation can enhance “student’s nursing education with interactive practice sessions (Aebersold & Tschannen, 2013).” As a teaching methodology, “a clinical simulation experience is an active event for students to be immersed in realistic clinical environments or situations. Students must incorporate critical thinking and decision-making skills using the nursing process. (Virginia State Simulation Alliance, 2013).” To understand the importance of skilled clinical nurse educator’s role, a case study will be presented using a simulation lab experience conducted with a student nurse. This simplified simulation case study will identify and define the steps of the nursing process and the student’s progression through them. Also, it will identify the value of a nurse educator and the responsibilities undertaken in strengthening the competencies of the student involved.
Licensed practical nurses (LPN 's) fill an important role in modern health care practices. Their primary job duty is to provide routine care, observe patients’ health, assist doctors and registered nurses, and communicate instructions to patients regarding medication, home-based care, and preventative lifestyle changes (Hill). A Licensed Practical Nurse has various of roles that they have to manage on a day to day basis, such as being an advocate for their patients, an educator, being a counselor, a consultant, researcher, collaborator, and even a manager depending on what kind of work exactly that you do and where. It is the nursing process and critical thinking that separate the LPN from the unlicensed assistive personnel. Judgments are based
The article I chose is entitled Does Simulation Enhance Nurses' Ability to Assess Deteriorating Patients? by Bliss and Aitken (2018). This is a qualitative study which concentrates on simulation used by registered nurses and their perceptions on how it helped them to assess a deteriorating patient.
On the 1st of November 2013, I performed my first simulation on the module, Foundation Skills for Nursing. This simulation was on checking for vital signs in patients particularly, measuring the blood pressure (BP) which is the force of blood vessels against the walls of the vessels (Marieb and Hoehn, 2010). We also measured the temperature, pulse and respiratory (TPR) rates of a patient. This simulation’s objective was to engage us in practising some basic observation techniques taken on patients in and out of hospitals and to familiarise us on some of the tasks we will be performing when in practise. I will be applying the “What”, “So what”, and “Now what” model of reflection in nursing by Driscoll (2000).
Looking back on my goals for this clinical day, I would state that I did meet my goals. My overall goal was to become familiar with the clinical setting and the tasks that I would be asked to complete, and I feel that I completely met this goal. As the day progressed, I found myself receiving more exposure to the clinical setting and how to effectively perform skills. Following the concept of safety, I do feel that I met a majority of my goals for safety. During the day, I was able to explore my assigned patient, both by viewing her medical record and by interacting with her directly. This process sanctioned me to acquire the necessary information for my three primary diagnoses, medications, and the start of my concept map. While working with my assigned patient, and other patients on the floor, I remained aware of my surroundings and implemented safety precautions when needed. In the process of patient care and safety precautions, I relied on my therapeutic communication skills to drive my interactions with the CNAs, the nurses, and the patients on the floor. Of my goals set, the only one that I did not completely accomplish was working on all of my beginner skills. Two of the skills I did not get to practice were feeding and bathing/showering. Because I did not receive exposure to these skills today, I plan on making sure I practice these two skills on the next clinical day. Overall, I am pleased with the first clinical day and everything I was permitted to accomplish.
Certainly, I began with the goal getting of his vital sign and giving him a bed bath. Fortunately I had practice how to take a vital sign and giving a bed bath before my first clinical at the university skill lab and I had developed this confidence before my clinical tour. That day will be mastering the skill which I had just learned in manikins, and applying in real human with huge safety precaution. In between morning my instructor was giving me a brief before I getting to the patients room. From her experience she knew what kind of challenges and a patient behavior can be I face. As I proceeded to my own patient, I hit a roadblock that would give me a flat tire for the rest of the shift.
The development of knowledge requires a number of processes in order to establish credible data to ensure the validity and appropriateness of how it can be used in the future. For the healthcare industry, this has provided the ability to create and form new types of interventions in order to give adequate care across a of number of fields within the system. Research then, has been an essential part in providing definitive data, either by disproving previous beliefs or confirming newly found data and methods. Moreover, research in itself contains its own process with a methodological approach. Of the notable methods, quantitative research is often used for its systemic approach (Polit & Beck, 2006). Thus, the use of the scientific method is used, which also utilizes the use of numerical data (Polit & Beck). Here, researches make use of creating surveys, scales, or placing a numerical value on it subjects (Polit & Beck). In the end the resulting data is neutral and statistical. However, like all things its approach is not perfect, yet, it has the ability to yield valuable data.
This paper will look at the subject of high-fidelity simulation and to what degree it should or should not replace traditional clinical experiences. The current position of the state board of nursing will be queried and the literature will be reviewed for the advantages and disadvantages to students, patients, and schools for utilizing simulations. Finally, a recommendation will be given by this author, based on findings, as to what degree / percentage, clinical hours can or should be replaced with high-fidelity simulation hours.
Description: simulation offers an opportunity for nursing students to practice clinical skills and apply nursing knowledge on standardized patients. On the third immersion day, I felt more prepared when compared to the second simulation. I studied multiple materials and watched online resource videos ahead of time. When it was time to interview the patients, I was ready for it.
In its ongoing effort to provide new nurses that are able to meet the critical care needs of patients, the School of Nursing at the University of Southern Maine requires all student nurses in their program to pass a simulation lab before graduation. ”Simulation is a tool used to assist in resolving the patient safety issue while enhancing student learning. During the past decade simulation in health professional programs has increased exponentially. Simulation is an educational process that replicates the clinical work environment and requires students to demonstrate an identified skill set” (Nelson&Staggers, 2014, pg. 416). In other words, simulation lab provides a lifelike point-of-care learning experience and practice opportunity for the
This essay is going to reflect upon the nursing skills I developed during a period of placement simulations, 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 a variety of sources from 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.
Simulated based education is a method that can be used within the field of nursing to accomplish this goal. Forms of Simulated Nursing Education Simulated based education is training and an educational method that can use many different types of simulators. Dr. Broussard said, “A wide range of simulators are available to nurse educators. Models range from equipment that is used to teach a simple, single skill such as intravenous access to very advanced, realistic equipment that can be used to simulate reality-based scenarios in a clinical setting such as an intensive care unit.” (Broussard, L. 2009)
Simulation learning is becoming more fascinating as the advancement of technology practiced across all domains of education, this is the same is true in nursing education. Simulation experience provides opportunity for students to practice patient care prior to the actual clinical setting. It allows students to reflect on their own skill by critically thinking and analyzing the action. Simulation learning promotes active learning process and helps students to evaluate and investigate the alternative teaching methods. It also opens a news ways for educators and researchers to practice and improve nursing education as the nursing field advanced.
The interdisciplinary course is a core requirement in the after-degree nursing program as it incorporates the principles of self-directed learning and promotes critical thinking, which is an essential element in nursing practice. As a final year nursing student, I believe that knowledge from this course will enhance my ability to provide patient-centered care.