Weekly Reflective Narrative Assignment Paper.
Students are required to maintain weekly reflective narratives throughout the course to combine into one course-long reflective journal that integrates leadership and inquiry into current practice as it applies to the Professional Capstone and Practicum course.
In your journal, you will reflect on the personal knowledge and skills gained throughout this course. The journal should address a variable combination of the following, depending on your specific practice immersion clinical experiences:
- New practice approaches
- Intraprofessional collaboration
- Health care delivery and clinical systems
- Ethical considerations in health care. Weekly Reflective Narrative Assignment Paper.
- Population health concerns
- The role of technology in improving health care outcomes
- Health policy
- Leadership and economic models
- Health disparities. Weekly Reflective Narrative Assignment Paper.
Students will outline what they have discovered about their professional practice, personal strengths and weaknesses that surfaced, additional resources and abilities that could be introduced to a given situation to influence optimal outcomes, and finally, how the student met the competencies aligned to this course.Weekly Reflective Narrative Assignment Paper.
Reflection Narrative 2
Nursing in the surgical floor is critical in providing patients with care before, during and after surgery. Additionally, the role of a surgical nurse also involves providing support to other healthcare practitioners like surgeons and aestheticians. Serving as charge nurse in the surgical floor comes with various responsibilities that require excellent leadership and management. A charge nurse must assign duties to nurses on the surgical floor to ensure efficiency in the department. Furthermore, the charge nurse plays a critical supervisory role to ensure that nurses perform their duties optimally. Lack of guidance from the charge nurse can cause chaos within the surgical department especially when patient care becomes compromised. Weekly Reflective Narrative Assignment Paper.
Nursing in surgery requires professional collaboration among various healthcare professionals to achieve a common goal. Therefore, nurses often work with other professionals and assist during surgery. The charge nurse plays a pivotal role in ensuring that the collaboration is efficient and works in the best interest of the patient. When conflict arises within the surgical team, the charge nurse plays a critical role in meditation and conflict resolution. Furthermore, nurses look up to the charge nurse to manage teams and promote cohesion in the work.
Healthcare provision is essential in surgery, especially during and after surgery. Particularly, the recovery stage after surgery requires input from nurses. Care provided to patients post-surgery must meet high standards of healthcare to promote quick recovery. The charge nurse has the responsibility to ensure that nurses provide adequate post-surgery healthcare to all patients. The charge nurse is the custodian for all nursing practices in their department. Therefore, they must supervise nurses to ensure they employ best practices in their work; take due care and put enough effort to ensure patients recover. Furthermore, the charge nurse should recognize the skills possessed by other nurses and suggest areas that require additional training to improve performance.
Experience during the exercise showed that the charge nurse plays an important role in leadership, management and coordination. The nurse is a mediator that brings together all professionals collaborating in the surgical process. Furthermore, they provide leadership to the nursing team in the hospital.
EXPERIENCE IN THE EMERGENCY DEPARTMENT
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The emergency department is the designed place in the hospital where people first visit when they get to any health facility. It receives both inpatients and outpatients. It carries out roles like triaging, resuscitation, treatment and emotional support to the significant others victims.
During the clinical placement in the emergency department, new approaches were noted for example there is a new department on the emergency floor that is the neonate department; the subdivision responsible for receiving children below 28days. This is essential because neonates’ health is critical. Secondly, the emergency department shows interprofessional collaboration in that there are different personnel trained with different skills that are essential in the emergency department for example; pharmacist, laboratory technicians, surgeons, nurses and doctors.
In addition to that ethical principles are essential in the activities in the emergency floor. Every client is treated equally as other clients that are no one is considered special. The healthcare practitioners should ensure confidentiality. Negligence is an unacceptable act. Clients should be properly triaged to avoid negligence. The clinician should ensure that good intention is the key driving force of an action (beneficence).
The popular concerns of the clients in the emergency department are upper respiratory problems like asthma, mostly the young and old people are the majority of the population visiting this department. In this department, technology is embraced in roles like documentation of the findings of clients, registration, and machines are used in measuring patients’ vital signs that is essential in the diagnosis of patients.
The health policy that governs this department is well-timed, harmless and quality emergency care. The leaders should know how to allocate staff, measure performance of the workers and how to reward high performers. Economically the department is funded by being allocated resources according to the number of clients they serve and the type of hospital. However, in the emergency department, there are health disparities across the different groups for example only the people from a higher socioeconomic group afford health insurance. The poor have low access to quality services.
Intensive Care Unit Experience
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The Intensive Care Unit (ICU) is the department in the hospital that is concerned with the diagnosis, treatment, and management of critically ill patients and those patients that are not stable; for example patients with extensive injuries, those who have undergone invasive surgeries and patients with life-threatening diseases.
During the clinical practice in ICU, there were new practices that were noted for example the ICU was divided into subspecialties depending on the patient’s problem, for example, coronary ICU. The nurse-patient ratio is 1:1. In addition to that, there was a lot of, and nutritionist among many other professions all collaborated in the care of the patients in ICU.
Health care is delivered through the systems approach in that patients are treated by the body’s systems; cardiovascular, nervous, musculoskeletal, endocrine, gastrointestinal and pulmonary system. In addition to that in the ICU, the practice of the health care givers is governed by ethical principles like beneficence in that the practitioners must always do what is good for the patients. Another ethical principle is veracity in that the practitioners must always be truthful.
In the ICU, the population of patients with cardiac conditions was higher than other conditions in the ICU. The technology was highly embraced in the ICU; diagnosis and management were done using machines. For example the life-support machines, defibrillators, oxygen concentrators, suction machines among many machines that were used in the ICU. These machines increase efficiency.
Besides that, the ICU is governed by health policies that must be implemented the health caregivers in the ICU. The health policies include the restriction policy that regulates the number of people visiting the ICU rooms. This policy helps to reduce the transfer of infections from other people to the critically ill patients. The ICU is managed by leaders who have had experience in the department for a long time. The ICU funds come from both the government and the patients (cost sharing). Finally, the ICU shows a lot of health disparities. The young, the old, and the people from the higher socioeconomic status are the majority people in the ICU.
Reflective Narrative on Nursing Experiences
Teamwork and collaboration in the workplace are crucial to the success of any organization, and the same applies to the healthcare sector. One of the most inspiring moments I have experienced during my nursing practice is how interprofessional collaborations can have such a positive impact on the healthcare of patients. The healthcare sector entails various professions and each one has a unique role but understanding how each role results in the successful delivery of exceptional healthcare to patients is vital. Mrs Drew one of the patients has had four miscarriages in the last six years with intervention and collobration on finding a solution to deal with her between obsertic nursess, doctors, pharmacist, and nutritionists she was able to carry her pregnancy to full time with few complications.
Ethical consideration is a vital aspect in nursing practices, but nurses commonly find themselves in ethical dilemma especially when it comes disclosing relevant information on the patient's health conditions. Mr and Mrs Matthews have used different means due to Mrs. Matthews’s endometriosis condition which makes it impossible for her to conceive, the couple has hope through medication and assisted reproductive technology therapy they can be parents soon. However, medical examinations were proving otherwise, and the couple have to be informed of the little or possibility of Mrs. Matthews to concieve or carry any pregnancy. Though the decision to inform of her was not mine but that of the obstetrics nurse it was clear the ethical dilemma the nurses’ encounter on a routine basis with couples investing a lot of money and resources to bear a child.
Formulation of new ways of informing patients on their conditions has necessitated by the central role of the patient’s narrative in health care. Nurses have an obligation to provide health care putting into considerations patents self-personal perceptions and their experiences with the illness as well as recovery. One of the significant experiences is how the use of narration can have an outstanding effect on the recovery of a patient. According to my experience making the patient the subject and relating to him/her in a subject-subject relationship is a core aspect of person-centred care.
Bosch, B., & Mansell, H. (2015). Interproffession Collaboration in Healthcare. Canada Pharmacists Journal , 176-179.
Sitvast, J. (2017). Importance of Patient's Narrative and Dialogue in Healthcare. International Journal of Emergency Mental Health and Human resilience , 122-125.
Whalen, O. L., & Temple, J. Y. (2012). Ethical and Psychological Impact of Family Infertility. Current Obstetric Gynecological Representation , 153-156.
Reflection Narrative 1
Working on the surgical floor brings various teachings on varied issues like intraprofessional collaboration, new practice approaches, health policy, leadership, ethics, technology and other concerns. In this weeks practice, the importance of intraprofessional collaboration became apparent in conducting complex surgeries. Essentially, it is important for health care practitioners to collaborate in surgical processes to provide patients with optimum care. Critical to collaboration is ensuring that team dynamics occur without hindrance through proper management of the team. Furthermore, it is important for team members to learn from each other given their diverse experiences and fields of expertise. Weekly Reflective Narrative Assignment Paper.
Ethics remains a critical part of healthcare practice, especially in a major institution. During surgeries and other associated processes, healthcare practitioners take various measures to ensure ethical practice. Ethics safeguard the patient’s wellbeing, the position of the healthcare provider and the overall image of the healthcare institution. Without ethics, it is apparent to violate the patient and the profession. Therefore, healthcare institutions should safeguard the position of ethics in promoting fair medical practices. Weekly Reflective Narrative Assignment Paper.
Leadership determines the course of action during surgical procedures. Critical in any institution is developing a leadership strategy that promotes fairness in healthcare. The leadership must recognize the needs of patients, healthcare providers and consultants. Moreover, leadership institutions in the hospital should remain accessible to all parties within the institution. Proper leadership often promotes high quality healthcare, reduces patient mortality and improves the workplace envionment in which healthcare professionals operate. Weekly Reflective Narrative Assignment Paper.
Another critical issue recognized during surgical practice is the role of technology in improving healthcare. Technology plays a crucial role in surgery and makes it easier to provide optimum care to various patients. However, there is need to safeguard the medical profession from obliviousness arising from the growth of medical technology. For example, it is rare to find young healthcare practitioners that understand traditional techniques used in medicine before the onset of various technologies. Technology should never replace the healthcare provider but should serve a complimentary role in patient care. The experiences in surgery create a challenge to learn more, especially from experienced healthcare providers. It sheds light on the importance of good leadership, ethics, technology and collaboration in providing optimum patient care. Weekly Reflective Narrative Assignment Paper.
Rights of psychiatrist’s patients
Any clinical practice needs to observe a given ethical, practical and legal procedure in admitting its patients. Mental healthcare organization such as a psychiatric organization needs to define the rights to decision making, right to information, right to consent and right to refuse treatment by its patients. It has been found out scientifically that there are drugs that are given to mentally ill people depending on their disorder to reduce their condition. These drugs are not provided for free by hospitals. In case, there is nobody close to taking care of these people then they might not get to buy these drugs because they usually have no income to afford the drugs. Being close to these mental people can help them to gain access to these. For example, in case I am taking care of one person suffering from the psychotic disorder, and then I can buy drugs for him so that he may not be affected very much by his condition. The government can also get involved in this action by subsidizing these medications so that they can be easily accessible to mentally ill. Weekly Reflective Narrative Assignment Paper.
Psychotic patients are also humans only that they are ill. They can be taken care of but with a good plan. These patients also have a right to shelter and attention. This can be done by creating a home for mentally ill people. This home can be designed in such a way that they will be able to be supplied with all the essential needs. Many people have opposed the procedure of putting mentally ill people in one place arguing that it is against the human rights. This is because these patients are settled in one place like solitude. However, this is the best way to take care of them because in case they are on their own in the society then it will be hard for them to acquire the basic needs.The other justification for having a close relationship is that the community neglects mentally ill people at times and some undergo some of the criminal act from people such as rape. Many sick mentally women have been found to be pregnant whereas they are not in any relationships.
Reflective Narrative: Acute Rehabilitation Floor
Acute rehabilitation was a good experience especially in understanding interdisciplinary collaboration. A physician often led a team of rehabilitation experts including rehabilitation nurses, therapists, psychologists and case managers. Ideally, a good team of experts often produces great results for patients in need of acute rehabilitation. Furthermore, I learnt that acute rehabilitation is essential because of the various patient types that require such treatment. The patients include people with neurological conditions, brain stroke, physical injuries and other medical issues. Weekly Reflective Narrative Assignment Paper.
Ethical considerations in delivering acute treatment are critical, especially in the dealing with various patients. Nurses and other professionals must treat patients in ways that maintain human dignity. In cases where patients cannot make decisions, the professionals should collaborate with family members to make the best decisions that suit the patient. Leadership is also critical in delivering acute rehabilitation treatment. Most treatment procedures involve rigorous physical, occupational or speech therapies undertaken by a group of professionals. Therefore, the management must coordinate the teams to ensure optimum outcomes for patients in the program. Leadership often dictates the welfare of patients and staff within the facility. Weekly Reflective Narrative Assignment Paper.
Technology is also critical in improving the role of acute rehabilitation in improving quality of life among patients. Notably, hospitals should keep up with new technology that benefits patients. Where possible, it is essential for an acute rehabilitation department to run a research department dedicated to developing new rehabilitation technology. Finally, health policy is critical in providing acute rehabilitation. The department should regularly review health policies to ensure they do not deter patients from receiving treatment. For example, sound health policies provide avenues for patients to pay for acute rehabilitation comfortably without straining. The hospital should improve health policies, leadership, collaboration and technology in the department.
Reflection Narrative 3
Experiences on the psychiatric floor provided essential knowledge on the importance of treating patients with dignity. Health care delivery became significant on the psychiatric floor owing to the nature of various patients. It was essential to note that many patients required nursing assistance and critical care was important to ensure patients did not harm each other or themselves. In the psychiatric floor, my resilience and patience was tested, as this was the hardest experience to master. However, I feel that there was growth in the way I deal with patients, other medical professionals and family. Weekly Reflective Narrative Assignment Paper.
The psychiatric department calls for collaboration between professionals in the medical world, and the nurse plays a critical role. The doctors and psychiatrists visit with the patient during specific hours of the day. However, nurses give full day care to the patients, especially those that pose a threat to themselves. Moreover, their family and friends often misunderstand some patients in the psychiatric floor. The nurse, however, has an opportunity to understand the patient and guide their family through the bonding process; furthermore, the nurses are important companions for psychiatric patients, especially those within the facility for a long time.
The role of technology in managing psychiatric health is important. The experience taught me that there is a big opportunity to apply technology in psychiatric care. For example, equipment can allow institutions to track patient’s location and ensure their safety. Furthermore, leadership plays a significant role in running the psychiatric floor. A leader with a vision drives the department towards continuous improvement but a leader without drive will only offer bare minimum care to the patients. It is essential for leaders in the psychiatric wards to unite and coordinate all professionals involved in the life of the patients. Proper leadership and management results to desirable patient outcomes. Weekly Reflective Narrative Assignment Paper.
The experience in psychiatric ward created a shift in patient care perspective. It introduced me to the importance of good leadership, sound ethics and top-notch healthcare methods. A psychiatric department calls for dedications from all healthcare providers and requires collaboration to produce results.
Oncology Unit: Reflective Narration
Health disparities in Cancer
One of the most significant issues I encountered during of the course of the week is the existing disparities in various aspects of cancer such as death rates, higher rates of advanced cancer diagnoses, less frequent use of proven screening test in specific populations is an area in which progress has not been at par. I noted health disparities existed in African American women compared to women from other ethnic backgrounds where they have a higher incidence of suffering from specific aggressive form of breast cancer. Also, I noted Asians and pacific islanders have higher incidences of suffering liver cancer compared to other races. Lastly, there are higher rates of prostate cancer incidences as well as death among African American compared to men from other races. Weekly Reflective Narrative Assignment Paper.
New technology in cervical cancer screening
Cervical cancer is the leading cause of death in women globally, which has necessitated the need to innovate the new technologies to help in screening, diagnosis and treatment. In the course of my practice this week I came through an incredible technology the unit is planning of purchasing once it has been approved to help in the screening of cervical cancer. Pocket Colposcope developed by Duke University produces images on a smart phone; the slender wand can be connected to other devices apart from the Smartphone. The devices if adopted will make it possible for women to make self-screen and have significant benefits on the treatment and diagnosis of cervical cancer
Science Daily. (2017). New Tech Promises Easier Cervical Cancer Screening. Retrieved January 29, 2018, from Science Daily: https://www.sciencedaily.com/releases/2017/05/170531151035.htm
New practice approaches
An experience with new technology and better ways of dealing with burn cases, treatment is quite fast and easy! Unlike the traditional way of airway maintenance, the new way that follows the ATLS guidelines enables the nurse to have a definitive airway maintenance as well as ventilation monitoring. Weekly Reflective Narrative Assignment Paper.
The burn unit required a great deal of collaboration between different medical practitioners in order to achieve quick recovery and optimum treatment results. With the airway and c-spine protection, monitoring the heart rate and blood pressure would require different physicians to acquire optimum results. Weekly Reflective Narrative Assignment Paper.
Health care delivery and clinical systems
With the Airway with C-spine Protection, different procedures and systems collaborate together to produce the best treatment results. Assessment of breathing, circulation, disability and exposure worked well with the clinical system each stage was important in contributing to the greater good.
Ethical considerations in health care
When it comes to Airway with C-spine Protection, Improving access to care, Protecting patient privacy and confidentiality are paramount. Building and maintaining strong health care workforce, Marketing practices and Care quality helps the unit achieve quality care. Weekly Reflective Narrative Assignment Paper.
Population health concerns
In the Airway with C-spine Protection, the section has the mandate of providing quality and convenient care. These help to improve the workability of the hospital system in general.
The role of technology in improving health care outcomes
When accessing the Airway with C-spine Protection, use of technology proved to be important especially when inspecting for singed nasal, facial and eyebrow hairs. Weekly Reflective Narrative Assignment Paper.
Definitely, health policies serve as important ways through which the burn unit could provide quality healthcare. I did notice this when it comes to ensuring that each patient gets the most out of treatment they undergo.
Leadership and economic models
At the burn unit, it is almost blatant that leaders are responsible and are economical in their decision making. This is evident by the efficient allocation of resources.
Different patients come with different conditions. However, it is the function of the nurses to do all they can to ensure that their patients get well. Weekly Reflective Narrative Assignment Paper.