In this paper, I will be discussing my learning experiences during term three. In order to classify and expand on what I have learned, I will be writing about two roles I have assumed as a student nurse, how I have developed those roles through theory and practice, how my thinking has changed, and what I would like to change in the future.
Summary
Through exposure to theoretical, observed, and experimental knowledge I have learned the importance of individual care in community health, and how my role as a communicator and caregiver has enhanced my learning towards becoming a registered nurse. I learned to develop my critical thinking skills by taking concepts from my theory and relating them to my practice.
The first role I undertook during
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I worked at a day program in Marlborough with individuals with early onset dementia, a disease that negatively influences the speech and language patterns of those who have it (source). The both of the members I had worked with at my placement had difficulties with verbal communication. Through practicing with my member at the day program, I was able to foster a better understanding of non-verbal cues, and how these cues can give the registered nurse information about the client that the client may not be comfortable expressing (nightingale week 1, …show more content…
In order to fulfill the outcome of client centered nursing practice, a registered nurse must care for a patient that enhance a patient’s health by humanistic means; as previously mentioned, I learned to establish a therapeutic relationship through the qualities of patient respect, empathy, and consideration (course syllabus for 285). I demonstrated this through increased understanding of respect, empathy, and consideration by learning about these aspects of care and refining them as the semester progressed. In order to be sufficient in communication and collaboration skills, a registered nurse must use their social skills, their tact, and their collaboration skills in order to effectively involve the patient or community in an appropriate level of their own care (course syllabus for 285). This was demonstrated through my mention of the NURS 288 community health report, communicating with team members and community partners during my off campus time, and my developed understanding of nonverbal
In the article “Time to learn: Understanding patient-centered care,” Rinchen Pelzang clarifies not only what patient-centered care means but what it looks like when implemented. These clarifications are necessary because although most healthcare setting advocate patient-centered care, with no clear definition. Pelzang mentions this as one of the most prominent barriers to PCC, the misinterpretation of the concept. In order to combat this barrier proper education and emphasis on communication are needed. When this isn’t the case, “the failure to recognize nurse-patient communication as an essential component of nursing care is the greatest barrier to effective communication” (Pelzang, 2010). Collaborative care and
The application of the therapeutic nurse-client relationship is absolutely essential to providing the appropriate care to clients (College of Nurses of Ontario, 1999, p. 3). The therapeutic nurse client relationship consists of four components; respect, trust, professional intimacy and empathy (College of Nurses of Ontario, 1999, p. 3). Though, I have not been able to establish a nurse-client relationship yet, I have established customer-client relationships. Customers react similarly to clients when respect is established. One experience in particular really helped me make this comparison.
Therapeutic relationship is an essential part of nursing; it is the foundation of nursing (CNO, 2009). The National Competency Standard for Registered Nurses state that nurses are responsible for “establishing, sustaining and concluding professional relationship with individuals/groups.” Throughout this essay the importance of forming a therapeutic relationships will be explained. The process of building a therapeutic relationship begins from prior to time of contact with a patient, the interpersonal skills of the nurse; then the process includes skills required by the nurse to communicate effectively, including respect, trust, non-judgment and empathy. The way to portray these skills can be via verbal or non-verbal cues that are important to understand how they influence a person. The process and skills listed below are all relevant to nurses working in the contemporary hospital environment today.
There is only so much an individual can learn from a textbook or classroom setting when it comes to nursing. Although clinical practicums are mandatory with any nursing program one can only retain so much in such a short timeframe. Student nurses mostly focus on completing their care plans and any other mandatory assignment related to their clinical experience. With that being said new graduates become novice nurses on the level of clinical practice. Patricia Benner discussed the education and experience levels of nurses by utilizing five significant stages. These stages include novice, advance beginner, competent, proficient, and expert. The ultimate goal for all nurses should
The College of Nurses of Ontario (CNO) is the governing body of all registered nurses in Ontario and is regulated. The CNO provides expectations and guidelines to follow, which need to be met by each Registered Practical Nurse (RPN) individually. As a nursing student, I am taught about the CNO and the importance of referring back to the guidelines while caring for patients. While gaining experiencing in the nursing field through my clinical settings, I have realized as a nursing student there are areas I need further development in. In this paper, I will address two of my learning needs and my goal for each. I will also discuss the plan I created in order to successfully meet my learning needs prior to becoming an RPN, and
Each individual nurse brings a distinctive set of values and beliefs to the table when entering nursing school. While these values may or may not be similar, every student has their own interpretation of what it means to be a nurse, and what awaits them. Luckily, commonality of instruction ensures the next generation of nurses acquires the tools required for greatness. By combining the fundamentals of nursing with those individual values a student nurse will have a solid foundation in which to build upon. For this reason, a discussion must be made about the four basic aspects of nursing: person, health, environment, and nurse, not to mention where a nurse should find themselves five years after graduating from nursing school. The purpose of this paper is to describe the metaparadigm of nursing and theories related to the metaparadigm as well as personal five year goals.
Nursing is a multidisciplinary career that encompasses many different aspects into one to be able to provide the best care possible for all patients. Nurses are caregivers, counselors, advisors, teachers, and more, but to be able to do the job of a nurse one must put into perspective the person or patient, the environment, health, and the nurse. These four concepts together create the Nursing Metaparadigm. These concepts directly influence how a nurse will perform care to a patient and the type of nursing practice that will be demonstrated by that nurse. Each concept above may vary from one theorist to another, but they are the most common concepts in all of the nursing theories. While some concepts are more important each concept will influence
As a new nursing student with limited clinical experience, my philosophy of nursing is an area that I am quickly expanding upon each day. It is exhilarating to observe the core aspects that comprise my theory of nursing in practice, such as caring for the individual’s needs or the effects of the environment on a patient. Looking forward into the future, I am eager to add to my nursing philosophy as I continue to gain clinical
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.
To improve my understanding of maintaining my capability for practice as a RN, I set a goal to learn in depth from my classes, related units, and through interacting with my friends and tutors. There were many setbacks on the way, but as I became more acquainted with the matter I began understanding better. In this reflection I’ll use Gibbs reflective cycle (Gibbs, 1988) to address my experiences as a student nurse in fulfilling the maintenance and capability for practice. Description Through tutorials, lectures and simulation classes every semester, our practice is enhanced and maintained so that the skills and knowledge we learnt is always nurtured while new ones are gained.
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
Initially I thought that nursing was a career that can be taught. I felt nursing was only science and once you had mastered the science of nursing you could become a competent nurse. Since fall my view of the profession has changed drastically, I am starting to realize and appreciate the uniqueness of each quality that develops the art of nursing. For instance, I thought nursing knowledge was limited, once you have graduated nursing school you would have gained all the knowledge necessary. I now realize that knowledge does not only come from books but also from experience. With accountability, it is important for me to be able to admit to my mistakes. When I admit to my mistakes I grow as a nurse and as a person as I am able to learn from my mistakes. When being an advocate for my patients, I must not allow my own biases to interfere. I have to acknowledge my own biases so that I do not neglect care for my patients or make biased assumptions about patients rather than advocating for their needs. I always thought that sympathy is a universal value in nursing but rather empathy is. As a nurse I must understand the patient’s situation in order to be efficient rather than being sensitive to their situation. I also realize that it is very important for nurses to be adaptable as they face different and unique situations every day. I have concluded that a nurse is never done
Therapeutic communication is an important skill for a nurse to utilize when it comes to relationships between the patient and nurse. In Regina’s case, integration of empathetic and compassionate communication skills in combinat...
In the current health care system change has become constant so it has been recognised that lifelong learning is even more imperative for nurses to ensure that they can develop their skills to keep pace with these changes and improve their performance. One of the nursing registration requirements that are outlined in the current Nursing and Midwifery Council Code of Conduct (NMC, 2015, p.17) is to “keep your knowledge and skills up to date, taking part in appropriate and regular learning and professional development activities that aim to maintain and develop your competence and improve your performance.” Nurses are required to involve themselves in lifelong learning activities to ensure that they can practice effectively and maintain their
“Lifelong learning is attitudinal; that one can and should be open to new ideas, decisions, skills or behaviors” (Geinare, p. 7, 2012). Staying up with current practices and the evolving changes in health care there will always be opportunities to learn and to grown both professionally and personally. It is essential for nurses to maintain their competences within the basics of nurses as well as their specialty. Maintaining flexibility in the approach to teach others such as students, peers, and other clinical staff educators must meet the diverse needs to accommodate everyone. Within the past four years I have be able to accomplish goals that felt impossible to reach. Keeping positive people, a good attitude, and believe in myself have all contributes to my success which I will continue over the course of my career as a Nurse Educator. I foresee a bright future for myself and have shared wit you on how I plan to achieve my short terms goals as well as long term