Introduction to Reflective Nursing Journey
In this reflective essay, I am going to reflect on what I have learned from nursing course. My journey from the last 12 weeks and progress I had made this semester also my learning experience in this semester. This piece of reflect will incorporate Borton model of reflection throughout.
And the areas I intent to cover will include the useful of assessment feedback I got from my first assignment the growth and for understanding the area that need to be improve in my leaning, the extent of development of key skills, an overview meeting with my personal development tutor and issues related to my personal learning and finally, areas of my future development I will Identified with the view on how to address them, all which will go toward my improving my personal and professional development.
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Communication Skills and Non-Verbal Cues
As a student with some of experience I did similar course to this I felt I had developed self-discipline, which was important for effective learning. Throughout this course I have developed strength and a bit of confidence in some of the skills, such as communication, effective leaning and teamwork. I feel more confident about my verbal communication.
I was concerned about skills and researching result in poor spelling grammatical errors and my difficulties with organising my work. It should affect my understanding of my subject, although it can take me time to absorb what I have read.
This semester has helped me to recognise the importance of all aspects of communication, in both verbal communication and non-verbal, such as body language, touch, facial expression and eye contact. It has shown me how crucial non-verbal communication can be.
Learning about motivational interviewing (MI) made me aware of different ways to communicate. A study found that undergraduate nursing students found that by learning MI, they became aware of the difference between taking an 'expert stance' and a collaborative approach with patients (Howard et al 2016). That is to say that MI enabled the students to engage in critical thinking so that they adjusted their message from using language like 'should' to actually listening to patients and better understanding where the patient was coming from. I would like to learn how to better listen to patients and consider their circumstances. Understanding patients’ needs and concerns it’s allowed nurse to aim communication and clinical strategies for nurses to use effective communication within the healthcare team. And having strong relationship. It will as a nurse to carry out clinical job more easily and keeping our patients engaged in the care active listening and deep listening helps establish connection during conversation; and many other among the many skills.
Practical Experience and Cultural Diversity
During a previous placement I worked at an aged care facility and I was put into to practice my communication skills which helped me to interact with people from different cultural backgrounds. For example, while I was working in this sector with a staff carer, I observed through facial expression that the patient was in pain. I went to her and ask her the problem was. She told me she was in pain. I Immediately report it the other staff in charge. After this I made her comfortable and I continue to communicate with the patients. What I’ve learnt here is the good of communication skills are important in delivering health care service. Good therapeutic communication can help us relive patient pain and anxiety. having to do the group presentation was another affective way of me leaning it provide me an opportunity to research the topic and teach to others. Without knowing it at the time of my placement, it seems to me that I used the 'situated decision-making' framework in that I observed cues from the patient, I formed a judgement and I took action in drawing my supervisor's attention to the issue.
Nursing is a health profession that focus on the care of individual, families and communities so they maintain to recover with health quality of life from birth to death. Health planning is assessing patient to find out what the issue is and planning what to do with them.
Diversity also introduces a wide a range of languages into a work place. Because Australia has a diverse population, a wide range of languages are spoken in the community. This diverse community will be represented in care facilities and in the hospital community and diverse work force will have a greater chance of good communication with its clients.
Essential Care and Health Planning
Essential care is a broad concept that that help nurses asses and to communicate with patient and do activities of living and determine what care is required to address the patient needs. Essentials of Care (EOC) provides a 'framework for developing and evaluating nursing and midwifery practice and patient care.' The program emphasises nurses' role in caring'. Like MI, EOC relies on collaboration, involving carers and patients in discussions and decisions.
Health planning is deciding what health care a patient will need, who should be involved and monitoring the patient’s progress. This will be relevant for me when I am helping plan and monitor a patient’s health treatment. It will also help me document every step and help build a bigger picture of the patient treatment plan.
Understanding patients’ needs and concerns it’s allow nurse to aim communication and clinical strategies for nurses to use effective communication within the healthcare team. And having strong relationship. It will as a nurse to carry out clinical job more easily and keeping our patients engaged in the care active listening and deep listening helps establish connection during conversation; and many other more among the skills.
Sometime we can try affective lip reading to patients the flexibility and adaptability is a valuable skill for the clinical practice is where every person and situation is unique. The care needs are unique to each individual and are vital for preserving patient’s health and wellbeing.
This semester we been using the Roper-Logan-Tierney model for nursing, it’s design as a essentials teaching tool for student nurses and teaches and is used as the nursing care and practice, and also for teaching and learning. the model focus on human 12 daily activities of daily living. Maintaining a safe environment, communicating, breathing, eating and drinking, eliminating, personal cleaning and dressing, controlling body temperature, mobilising, working and playing, expressing sexuality, sleeping and dying. Roper, Logan and Tierney model of nursing, which reflects on the twelve activities of living, is used as a base for assessing patients (Alabaster 2011). These activities are “maintaining safe environment, communication, breathing, eating and drinking, elimination, personal cleansing and dressing, controlling body temperature, mobility, working and playing, sexuality, sleeping, and dying” (Holland; 2008, p.9).
Models and Frameworks in Nursing Practice
The activities of daily living assess the individual’s ability of carrying out they normal needs of daily activities, from completing they independence to complete dependence, and determine interventions or support contribute to the patients to be more independent carrying their activities. The Roper-Logan-Tierney model, have 5 influencing factors on the daily living, biological, psychological, sociocultural, and environmental, and political and economic. Maintaining a safe environment Is a vital to the individual’s safe existence, therefore is allowing the patients to carry them self on their other activities of daily living. Eating and drinking are essential to existence (Roper etal 199,2000). Firstly, maintaining optimal levels of hydration is vital for life. Water forms the main component of the human body’ accounting for about 60% of body weight in adult male, 50-55% in females and up to 75% in newborn infants. Eliminating is activity that individuals undertake several times throughout each day and is necessary to rid the body of the waste products (urine and faeces) associated with metabolism. It is an activity that undertaken in private. Influenced by societal and cultural norms, the inability of individuals to control elimination is often frowned is but the very young child. Patients self-caring, therefore able to wash and dress them self without assistance on daily basic. Roper el al (19996) chose and call this activity personal cleaning rather than washing, and, including the activities of perineal hygiene, care of hair, nail, teeth and mouth, as well as hand-washing and bathing. Dressing is used to refer to the ‘putting on of clothes’, which are seen as a medium of nonverbal communication and are also essential for living in different environment and social and cultural contexts (Roper etal 1996,p.2234)
Nursing is a profession that improves, protects, and maintains patient health and wellbeing through the treatment and prevention of illness. Nurses are usually considered to be caring while focused on the healing and advocacy of patients.
Nurses' necessarily make difficult decisions in complex situations. Rather than attempting to teach undergraduate nurses how to make decisions, the 'Situated Clinical Decision-Making' framework breaks down decision making into separate phases. The framework “…incorporates context, foundational knowledge, decision-making processes, and thinking processes” (Gillespie 2010 p.334). The phases incorporated into the model, include cues, judgments, decisions, and evaluations of outcomes, which are “...non-linear, inform and may be informed by one another” (p.337).
The ANMAC is an independent accrediting authority for nursing and midwifery education under Australia’s National Registration and Accreditation Scheme. The ANMAC is comprised of representatives and directors from various stakeholder organisations, who are selected based on their skills, knowledge and experience. “The ANMAC is responsible for facilitating the development of content for accreditation standards in consultation with stakeholders and representatives from the professions, the main function of the NMBA is to protect the public by providing guidelines and standard practices required for the profession” (Nursing and Midwifery Board of Australia, 2019). The NMBA is to undertake the functions that are set by the National Health Practitioner Regulation Law, which is enforced in each state and territory. A major role of the NMBA is to develop guidelines which help nurses and midwives abide by the codes of conduct, standards of practice, and codes of ethics required by the profession. The purpose of the guidelines are to provide resources that guides decision-making under supervision, plans and conduct regarding the health matter. To conclude, this will help nurses and midwives in making decisions with regards to registration and notification matters under a supervisory arrangement. In contrast, the ANMAC has an additional role that goes beyond the development of nursing standards. The ANMAC also has the power to assess the qualifications and skills of nurses and midwives that wish to migrate under the Australian Government’s General Skilled Migration Program. The ANMAC is authorised to assess their qualifications by the Department of Immigration and Border Protection. The ANMAC is also responsible for determining whether programs of study for nurses and midwives seeking to practice in Australia meet the required accreditation standards, thus helping to protect the standard of health in Australia.
Professional Standards and Accreditation
Finally, ANMAC on the other hand is Australian Nursing &Midwifery Accreditation Council s the safety of the community by promoting high quality standards for nursing and midwifery education for example ANMAC take the certificate and diploma in nursing.
References
- Howard, LM, & Williams, BA. 2016. 'A Focused Ethnography of Baccalaureate Nursing Students Who Are Using Motivational Interviewing'. Journal of Nursing Scholarship, 48:5, 472–481.C 2016 Sigma Theta Tau International.
- Holland, K. & Jenkins, J. (Eds.). (2019). Applying the Roper, Logan, Tierney Model in Practice (3rd ed.). Sydney, N.S.W.: Elsevier.
- Mary Gillespie 2010 'Using the Situated Clinical Decision-Making framework to guide analysis of nurses’ clinical decision-making' in Nurse Education in Practice 10 pp 333-340.
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