...A student in Higher Education and a Future Healthcare Practitioner. In this essay I will explore my initial reflections on my role as a student in higher education. There will a discussion on my role as a future healthcare practitioner and the efforts I need to make to achieve the professional status of a nurse. I will discuss my learning styles and identify key developmental needs to be addressed. There will be discussions on the concepts of professionalism and accountability. In the United Kingdom today all newly qualified nurses must have a nursing degree as required by The Nursing and Midwifery Council. This significant overhaul to Florence Nightingale’s eighteenth century era, apprenticeship style learning system (Bradshaw, A. 2001), has led to fundamental changes in nursing education in the twenty first century; both in theory and practice. Today nurses are challenged with up-to date demands, including innovative medical treatments, leading to an aging population, with complex health values (Cherry, B. 2005). In addition, knowledgeable patients, who are averse to being told what to do but expect greater involvement in their own care planning. The need for graduate nurses is supported by the Willis Commission Report (2012) which argues that ‘our future healthcare services will require graduate nurses nursing and leading healthcare teams in a variety of roles, providing care in many settings’. The concept of accountability and professionalism was highlighted at the...
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...assignment I will critically reflect and appraise the role of the mentor in professional practice which should enable me to facilitate learning in my practice setting. It will be appended with a critical incident that I feel is relevant, to my present and future practice, utilising a reflective model in the process. The word mentor is of Greek origin, the concept stemmed from Homer’s odyssey, where mentor a wise and trusted friend of Odysseus took on the education of his son Telamachis, in the absence of his friend. Carruthers (1993) gives a further dimension, that “this meant that mentor had to be a father figure, teacher, role model, approachable councillor, trusted advisor, challenger and encourager”. The compact Oxford English Dictionary describe mentor as “an experienced person in an organisation or institution who trains and counsels new employees or students”(www.askoxford.com). Mentoring in pre registration nurse education has become a widely accepted practice since the introduction of project 2000 (Lee, 2006). Most of the literature written in the early 1990’s involved defining the concept and determining the nature of the mentoring role. The lack of agreement regarding the role and functions of mentors was a common feature. Terms such as mentor, preceptor facilitator and supervisor were all used interchangeably creating an overlay of role functions which were not clearly defined (Neary, 2000). Hamilton (1993) describes the role of mentoring as being a way of helping another...
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...a pre-registration nursing student in practice. A reflective model (Gibbs 1988, appendix 1) I will analyse the experience between myself as a mentor and the student under the supervision of a qualified mentor. The learning styles, The name of individuals involved shall not be mentioned in order to protect confidentiality in accordance to the Nursing and Midwifery Council (NMC, 2008) Emphasis will be put on how an environment may be created to foster a long life learning and teaching and the learning strategies that were utilised, coupled with principles of assessment and the assessment tools that were used. The role of a mentor in facilitating learning will also be appraised. What is reflection? According to, Taylor (2000), “reflection means the throwing back of thoughts and memories in cognitive act such as thinking, contemplation, meditation and any other form of attentive consideration in order to make sense of them, and to make contextually appropriate changes if they are required”. The purpose of reflection as stated by John (1999) is to promote desirable practice through the practitioner's understanding and learning about their lived experiences. John (1999) mentorship reflection. This mentorship encourages practitioners to work through a series of reflective cues, the last of which is concerned with personal learning. John (1999) mentorship provides a good example of an approach to reflection on action or reflection on practice. Reflection on action, which takes place...
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...Section 05 Anne Johnston-Silverberg, MS, FNPc September 14, 2012 The Affordable Care Act: The Role of the Nurse Practitioner The recent implementation of the Affordable Care Act (ACA) has had a significant impact on the American health care delivery systems. The passage of this bill mandates that all Americans must have health care coverage and that insurance companies cannot disqualify applicants due to preexisting conditions (National Council of State Boards of Nursing, 2014). These changes will undoubtedly lead to an increase in the number of people seeking medical care, particularly those with chronic diseases. It is estimated that this influx in the number of patients will result in a primary care provider shortage of 20% by the year 2025 (Poghosyan, Boyd & Knutson, 2014). With many new physicians choosing to pursue specialties due to the promise of a larger salary, hospitals and clinics will need to start looking to other health care providers, such as nurse practitioners, to fill this role. The purpose of this paper is to discuss the role nurse practitioners play with regards to the Affordable Care Act by examining the history and qualifications of nurse practitioners, the current practice of nurse practitioners, the basics of the Affordable Care Act legislation, and potential nursing challenges. History of Nurse Practitioners The role of the modern day nurse practitioner emerged in the late 1960’s out of necessity for more primary care providers. When Medicare and...
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...regarding this. As a result, a clear distinction will be made between the differences of clinical supervision, perceptorship and the mentoring process. This will lead onto the role of the mentor, focusing upon relationships and the different theoretical perspectives around the formation of these. Also being explored in this section will be characteristics needed by the mentor as well as their responsibilities. The following topic to be explored will be learning styles and the environment. A definition of learning will be offered leading onto the learning environment and audits that are in place to ensure placements are up to scratch. This is followed by a description of learning models, looking at research that displays deficits with these. Also being looked at are the individual learning styles and characteristics. The final topic will be assessment; the author will offer a definition of assessment. This will lead onto formative and summative assessment, looking at the advantages and disadvantages of both. Finally, the author will discuss the numerous techniques of assessment. Throughout the assignment conflicting research will be offered thus giving a balanced debate for the chosen topics. The aim of this will be to equip the preparing mentor with sufficient knowledge for the future role. Also it will enable the mentor to adopt a suitable learning style...
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...of this assignment is to demonstrate that I can through critical reflection, evaluate my performance as a mentor to a student nurse I have been working with on the ward. According to the Nursing and Midwifery Council (NMC) (2006) the term mentor is used to denote the role of a registered nurse who facilitates learning and supervises and assesses students in the practice place. They furthermore identify the eight mandatory standards that must be achieved to become a mentor, and within the assignment I shall be referring to the Standards to Support Learning and Assessment in Practice; NMC standards for mentors, practice teachers and teachers, and identifying the standards for mentors required (SM). This assignment will first look at the personal and professional reasons why I wanted to undertake the mentorship module. It will also discuss the importance of a supportive learning environment in the workplace, and how essential it is. My role as a mentor to a nursing student will be evaluated, looking at the way in which I supported her on the ward and how I facilitated this. In conclusion, I will identify my own personal development in undertaking and completing this module. As a registered nurse on a busy Paediatric ward I always enjoy supporting student nurses whilst they are on placement with us. There is an apparent shortage of qualified mentors on the ward, and within my last personal development review with my line manager I identified a need to attain the mentorship qualification...
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...considers how the mentorship of a student can be influenced by the learning experience. It also discusses the learning, teaching and mentorship theories and considers the principles of an assessment. It will look at the reliability, validity and different factors that may influence the learner’s needs. It will reflect on the responsibilities and boundaries of the mentor and discuss the legal, ethical and professional accountability. The clinical setting as a learning environment will be analysed and the effectiveness of the roles and responsibilities of a mentor will be discussed. Finally, the importance of effective teamwork within a clinical setting environment will be examined. To comply with the Nursing and Midwifery Council (NMC 2008) all confidential information will be withheld and names changed. According to the NMC (2006) students on an NMC approved pre-registration nursing course must be supported and assessed by a mentor. The mentor must be registered on a local register and must demonstrate their knowledge, skills and competences on an ongoing basis. As a qualified nurse the NMC (2008) also states “you must facilitate students and others to develop their competences”. Student nurses in their final year of study are allocated placements within the community setting every six months. Most students look for a role model within the clinical placement. Therefore, ensuring mentors have the skills to support and assess the students is vital (Long 2009). It is for this...
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...Reflection on the Handover Video Vignette The issue of inter-professional communication is a critical aspect of contemporary healthcare to enhance team communication and collaboration; its unique principle is the ability of building mutual trust, understanding and support in healthcare environment (Portsmouth, Coyle & Trede, 2012). More importantly, it ensures patient’s intensive care and outcomes effectively. In this reflective essay, by approaching the 5Rs framework for reflection, I will be evaluating and analysing my personal characteristics, namely assertiveness and active listening skills compared to characteristics of two health professionals working in multidisciplinary team through a pregnancy related stroke handover. On the video vignette, James, a paramedic was conducting a clinical handover with Louise, an emergency department nurse about Sally, 35 - year - old woman in 28 - pregnancy - week. She was found to have vital signs of loss of consciousness and trouble of talking; moreover, she was noted that she had a family history of stroke and heart hypotension. The handover was entirely comprehensive and pertinent because both James and Louise possessed communicative competence skills in healthcare team. In my view, the two most meaningful characteristics were the paramedic’s assertive manner and the nurse’s active listening skill which are related to my personality traits. Therefore, I would like to achieve these skills that are key elements of inter-professional...
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...this essay I aim to reflect and critically analyse my completion of the learning development plan and to identify how the skills and knowledge that I have gained as a mentor will enable me to lead learning in my area of practice. I will be using the What model of reflection (Driscoll 2000) throughout this essay. What? - As part of the mentorship module I was required to complete a Learning Development Plan (LDP). Part of the LDP involved writing a lesson plan which was then taught to a student under the supervision of my mentor. A copy of the lesson plan can be found within the LDP. An assessment plan was then used to evaluate the learning that had taken place and to assess the competency of the student. I am employed as a Paramedic Practitioner by a National Health Service (NHS) Ambulance Trust and I decided to teach the skill of Intubation to a student Paramedic. The lesson plan included assessing the level of knowledge of my student at the start in order to pitch the lesson at the right level. Gopee (2008:47) cites Ausubel et al (1978) on the view that most meaningful cognitive learning takes place as a result of interaction between the knowledge the individual already processes, and the new information that the individual encounters. Thus the most important factor influencing the learner is what the learner already knows. In order to assess my student, I used the Airway Management assessment sheet currently in use by my Ambulance Trust (NHS Ambulance Trust (name withheld)...
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...Analyzing knowledge for practice Chapter 1: Introduction Nowadays, there is an increasing attention being given towards non-communicable diseases such as diabetes and hypertension from all over the world as well as in Malaysia. In health clinics and hospitals, we are seeing increasing number of patients who are diagnosed with diabetes. Diabetes is a phenomenon which is becoming more common but there is a plenty ways which could be done to reduce the severity of any complications from this disease. Generally, there are three main types of diabetes. It includes Type 1 diabetes (juvenile diabetes), Type 2 diabetes, and gestational diabetes (during pregnancy). Type 1 diabetes (Insulin Dependent Diabetes Mellitus) should consume insulin daily in order to survive. Meanwhile, type 2 diabetes (Non-Insulin Dependent Diabetes Mellitus) is the most common type of diabetes. Whereas, gestational diabetes is another type of diabetes where there is a high blood sugar level which is diagnosed during pregnancy. Diabetes Mellitus which is a well-known chronic illness requires a comprehensive of medical care by the expertise team. The risk of long term complications needs full support from various professionals to conduct diabetes care. Acute complications can be prevented via ongoing patient self-management education and awareness of illness. Patient self-management education and problem solving skills development are necessary to be provided in diabetic clinic plan through a variety...
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...Chapter 1 Expanding the Gates of Perception Christopher Johns Aldous Huxley (1959) reflected on his experience of taking mescalin and its impact in enabling him to access the greater ‘mind at large’ and in doing so to circumvent the brain and nervous system as some sort of reducing valve. In other words, taking mescalin blew fuses and opened Huxley’s mind to perceive things in new and different ways. Hence the title of his book, The Doors of Perception. As we go about our everyday business we take the world largely for granted and respond habitually. Meaning is projected into events that enable us to take things in our stride, and in doing so, reinforce our sense of self. Thus the multiple doors of possibility are not always visible: instead, existing knowledge and experience are defended as if the ego itself is threatened. The more we know, the more threatened we become when that knowing is challenged. A certain degree of anxiety and fear is useful for learning (see Joyce 1984; Casement 1985; Freshwater 2000). However, too much fear and anxiety is not conducive to learning. Perhaps we all need mescalin in the morning to heighten our perceptions, to lower our defences and open ourselves to possibility. From a Buddhist perspective we are caught in a world of samsara, depicted by the cock, the snake and the pig – craving, aversion and delusion respectively – who chase one another around and around, locked into a world of greed, hate and ignorance. It is a restless world of...
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...advocate for your nurses. You need to be open for all of the different kinds of things that you can do and set those goals for yourself. Set those intermediate goals of “Where would I like to be and what can I do now to move forward in that area.” It really is up to you. It is up to you and your peers. You have the opportunity, with everything that is going on with health care today… you have the opportunity to have a tremendous impact on nursing, on society, on health care. I need to move forward in that area. I think that is where we need to be and I think you need to keep that truly as your focus and realize all of what you can do. I believe we can achieve it. So I am passing the Olympic torch to you nursing professionals.” The above quoted statement was transcribed from the interview done by GNSA Liaison, Blandine Augustin, a DNP student at Marymount University, with the interview as Dr. Rosemarie Berman, Associate Professor and Chairperson of the BSN program at Marymount University. This interview done in May 5, 2014 can be found in the World Wide Web having the address of https://youtu.be/KW_wYWNTMoU, which was retrieved on February 7, 2016. I am writing this as a disclaimer that the interview was not done by myself but was only seen online. This is in fulfillment of our Nursing Management and Administration class requirement which entails an output of an interview with a nurse leader to assess the kind of management style the nurse leader...
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...AN INDEPENDENT VOICE FOR NURSING Work Engagement, Moral Distress, Education Level, and Critical Reflective Practice in Intensive Care Nurses nuf_237 256..268 Lisa A. Lawrence, PhD, RN Lisa A. Lawrence, PhD, RN, Instructional Faculty, Nursing Department, Pima Community College, Tucson, AZ Keywords Critical reflective practice, education level, moral distress, registered nurse, work engagement Correspondence Lisa A. Lawrence, PhD, RN, Nursing Department, Pima Community College, Tucson, AZ E-mail: llawrence@pima.edu AIM. The purpose of this study was to examine how nurses’ moral distress, education level, and critical reflective practice (CRP) related to their work engagement. The study is relevant to nursing, given registered nurse (RN) documented experiences of job-related distress and work dissatisfaction, and the nursing shortage crisis. A better understanding of factors that may enhance RN work engagement is needed. METHODS. A non-experimental, descriptive, correlational design was used to examine the relationships among four variables: moral distress, education level, CRP, and work engagement. The sample included 28 intensive care unit RNs from three separate ICUs in a 355-bed Southwest magnet-designated hospital. RESULTS. There was a positive direct relationship between CRP and work engagement, a negative direct relationship between moral distress and work engagement, and CRP and moral distress, together, explained 47% of the variance in work engagement. Additionally...
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...Critical reflection of a nursing incidence Name Institution Introduction This report focuses on a critical analysis of scenario related to management in nursing and how it can impact on knowledge skills and experience. The incidence which is analysed in this report is one of my encounters during my placement. Confidentiality and privacy have significantly been emphasised in the area of nursing. The Nursing and Midwifery council outlines a strict code of ethics which should be adhered to by all the nurses in their daily practices and interaction with both colleagues and patients(NMC, 2008). Within the code, it is emphasised that nurse should respect the privacy and confidentiality of the patients. Based on this, the report shall adopt a pseudonym; Mr. Jason, in place of the real name of the patient. Additionally, this report shall adopt the Gibbs (1998) reflective cycle model. The model allows nurses to think systematically over the faces of a given experience. The model involves six components which include description, feelings, evaluation, analysis, conclusion and action plan in that order. This model allows nurses to assess their behaviour, emotions and thoughts when they encounter challenging situation. Gibbs (1998) insists that while using the model to reflect on an event, the components should be used as subtitles for particular phases. As such, this report outlines the reflection in the stages below. Description In my second placement when I was in third...
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...Critical reflection of a nursing incidence Name Institution Introduction This report focuses on a critical analysis of scenario related to management in nursing and how it can impact on knowledge skills and experience. The incidence which is analysed in this report is one of my encounters during my placement. Confidentiality and privacy have significantly been emphasised in the area of nursing. The Nursing and Midwifery council outlines a strict code of ethics which should be adhered to by all the nurses in their daily practices and interaction with both colleagues and patients(NMC, 2008). Within the code, it is emphasised that nurse should respect the privacy and confidentiality of the patients. Based on this, the report shall adopt a pseudonym; Mr. Jason, in place of the real name of the patient. Additionally, this report shall adopt the Gibbs (1998) reflective cycle model. The model allows nurses to think systematically over the faces of a given experience. The model involves six components which include description, feelings, evaluation, analysis, conclusion and action plan in that order. This model allows nurses to assess their behaviour, emotions and thoughts when they encounter challenging situation. Gibbs (1998) insists that while using the model to reflect on an event, the components should be used as subtitles for particular phases. As such, this report outlines the reflection in the stages below. Description In my second placement when I was in third...
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