...Community Health Nursing Reflection Community health nursing is a specialty field of nursing which care is provided to people in the community setting. A community health nurse can provide care to children and the adult population. As a result of the economic depression, more people in the community are becoming jobless, homeless, low-income, and uninsured. So the need for community health nurses has drastically increased. The child community health nurses’ role is concentrating on health promotion and prevention strategies. According to Contemporary Nurse Journal (2011), “the role is broaden to include multifaceted case management, home visiting, outreach programs, early identification and primary intervention of clients with psychosocial and mental health issues, group facilitation, the traditional one to one client contact and multidisciplinary team function (p. 72). The role for a community nurse in the adult setting is to prevent health problems in at risk individuals, promote disease prevention strategies, to provide care and available resources to needy individuals and families in the community. According to Stanhope and Lancaster (2012), “community health nursing practice is the synthesis of nursing theory and public health theory applied to promoting, preserving, and maintaining the health of populations through the delivery of personal health care services to individuals, families, and groups (p. 16). Nursing diagnosis & interventions People in the community...
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...Community Health NUR/405 November 10, 2014 Community Health Public health nursing is essential in maintaining the health of communities and educating about healthy living. Knowing and understanding the terms and definitions, dealing with the community and public health nursing is important to understand the picture as a whole. This paper will include pertinent definitions regarding community, and include a reflection of the family I have chosen to follow for this project. Community is defined as a group of people in the same geographical area, who share the same values, culture and norms (Stanhope & Lancaster, 2012). The client is the community, in which the nurse conducts business with the population of the community as a whole. According to Stanhope & Lancaster (2012) community health “is the meeting of collective needs by indentifying problems and managing behaviors within the community itself and between the community and the larger society”. Lastly, community partnerships involves actively participating members of the community, by allowing them to participate rather than be the subjects, members of the community have more of a chance to take control of their health and influence others. All of the above definitions have an important role in public health nursing and understanding the community as a whole. The family I chose for this project is a blended family, which included three of the children living in the house and two others who are there during...
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...Nursing Professional Reflections Elham Kowsar Antelope Valley College Mrs. Cox Nursing Science 201 A good nurse needs certain skills in order to operate effectively in a psychiatric setting. Although there are many attributes essential to excellent nursing care, this paper specifically focuses on empathy, self-awareness, and building of trust in the professional relationship between a nurse and her patient. In the mental health setting it is important to understand the difference between empathy and sympathy. Empathy and sympathy may appear to be interchangeable, but they are not. Both words are derived from the Greek language. Empathy means “in feeling” and is based on, and acceptance of, individual uniqueness. Sympathy means “with feeling” and is largely an affective reaction which involves sharing emotions and merging or losing oneself in another person’s experience. Empathy is intimately linked to closeness, which can prove to be difficult to attain for some nurses. The structure of empathy is described as a feeling, portrayed non-verbally, and includes thoughts and emotions related to understanding patients' situations. Nurses' own attributes and previous personal and professional experiences impact their ability to empathize, while knowledge about people and how they are feeling is important for developing empathy. Empathic feelings are difficult to generate when nurses have no context for a similar experience or when the patient is...
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...Nursing Expertise Self-Report Scale 1. I am an: RN 2. My job is: Staff Nurse 3. Length of time since graduating as an RN: More than 3 years 4. Length of time working on your unit: More than 3 years 5. Previous experience in nursing prior to graduating as an RN: Under 6 months (1=Strongly Agree, 2=Agree, 3=Unsure, 4=Disagree, 5=Strongly Disagree) 1. I often know ahead of time that my patient will take a turn for the worse. 1 2 3 4 5 2. I frequently draw on past experiences when making patient care decisions. 1 2 3 4 5 3. Quality nursing care results from strictly adhering to policy and procedure. 1 2 3 4 5 4. When I do patient care, only a few pieces of information stand out as critically important. 1 2 3 4 5 5. I am consciously aware of the process of decision making in patient care. 1 2 3 4 5 6. Emotional attachments get in the way of good nursing care. 1 2 3 4 5 7. When something goes wrong with my patient, I seem to know automatically what to do. 1 2 3 4 5 8. Sometimes I find it difficult to identify objective reasons for certain patient care decisions. 1 2 3 4 5 9. The best way to give good nursing care is to get close to the patient. 1 2 3 4 5 10. I find it time consuming to set priorities in patient care. 1 2 3 4 5 11. I make my best decisions about patient care when I remain objective. 1 2 3 4 5 12. In an emergency, things happen so quickly that I don’t know what to do. 1 2 3 4 5 13. I base my patient care decisions...
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...Before starting the nursing program I tried to prepare myself for a difficult, demanding, grueling, in-depth, and time consuming experience. I expected to have to read and study a lot. I also thought it would be very organized, structured, and well-defined, so to facilitate comprehension of such a crucial profession. Even with all the preparations and expectations I still was not truly prepared. No matter what you do, I'm not sure that anyone could ever really be prepared. Even though I was not totally prepare, the time I took to try and prepare for the difficult, demanding, grueling, and time consuming nature of the program did help and forced me to prioritize and somewhat stay disciplined. However, as time goes on I'm finding it harder to...
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...Community Health Nursing Reflection NUR/405 2012 Diane Schlicke RN MSN Community Health Nursing Reflection The role of the community health nurse in the participating family’s community is to focus on the health needs of the aggregate or group. Community health nursing refers to a systematic, comprehensive focus on wellness, health protection, and disease, and injury prevention for the population residing in a specific area. The nurse functions as advocate, case manager, consultant, health care provider, educator, and collaborator with other agencies for healthy outcomes of the entire community. Nurses involved in the health of a specific community such as the family participating will assess the members living in the demographic area, and monitor the environment for potential predisposing factors that may lead to illness. The conclusion of the community assessment by the nurse directs, which types of services required to maintain the health of the population. The nurse may determine that preventive health care will benefit the community, (Stanhope & Lancaster, 2012). The initiation or campaign for infant and children vaccinations may be a priority in this community because the 30 to 50 age range of adults who may be childbearing. The community’s amenities for maintaining a healthy lifestyle are vast. Walking trails, bike paths, ice skating rink, and playing fields offer recreational activities that will appeal to most of the population. Informational sessions for...
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...Community Health Nursing Reflection NUR/405 Cynthia Januale Community Health Nursing Reflection This assignment was very interesting and unique compared to other assignments that I have had in the past. Visiting and studying the community that I chose gave me quite the insight on various issues that, had it not been for this assignment, I may not have picked up on before. “In any setting, the role of public health nurses focuses on the prevention of illness, injury or disability, the promotion of health, and maintenance of the health of population” (The Role Of Public Health Nurses, 2012, para. 2). In the community I chose to survey, as with any community, the role of community nursing focuses on the items listed above and in addition, I believe that because of the lower to middle income level of this community, focus should also be on better health care accessibility to the residents. Community Nursing Diagnosis’ and Interventions Three possible community nursing diagnoses for the community that I observed were as follows. Risk for accidents related to the poor vision by oncoming traffic as evidenced by the multiple cars lining the streets. Children and others are walking to and from the store and through the neighborhood to the park where they play and oncoming traffic may have difficulty seeing pedestrians because of the amount of cars parked on the side of the road. Possible interventions for this problem include wearing reflective clothing so that they...
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...Community Health Nursing Reflection NUR/405 August 7, 2012 Community Health Nursing Reflection According to Phyllis Meadows (2009), “Community health nurses are valued for their adaptability and willingness to provide care in many settings, including community health clinics, churches, homeless shelters, and schools,” (p. 19). Community health nurses aim to improve health outcomes and improve the infrastructure used to monitor and manage disease within the community. Healthy People 2020 has established benchmarks and monitored progress over time to improve health outcomes. Each community has unique needs and the role of the community health nurse is to work with and provide comprehensive care to patients within the community. This reflection addresses the role of the community health nurse with the participating family and their community in Spring Mills, Pennsylvania. Community health nurses working in the Spring Mills, PA are faced with numerous challenges in this small rural community. Construction and manufacturing account for 42% of the industry of Spring Mills. With these professions comes increased risk of work related injuries and illnesses. Educational services account for only 3% of the industry, wholesale and retail trade account for 10%, accommodation and food services 15%, and 30% account for a combination of professional, scientific, and technical services. Community health nurses play a role in ensuring safety in the workplace by creating and implementing...
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...Community and Public Health Nursing Reflection Cynthia Clayton NUR/405 January 14, 2012 Sandra Winters Community and Public Health Nursing Reflection Community and public health nursing provide health education, care management and primary care to individuals and families who are members of vulnerable populations and high risk groups. Public health nurse integrate community involvement and knowledge about the entire population with personal clinical understandings of the health and illness experiences of individuals and families within the population. Community and public nurse focus on the prevention of illness, injury or disability, the promotion of health and maintenance of the health of the populations, they work with communities, target health promotion and disease prevention, they act as teachers, counselors and plays an important role in preventing wide spread illness and disease. Community and public health nurses’ goal is to promote, preserve, and maintain the health of populations through the delivery of personal health services to individuals, families, and groups, and also the prevention of disease and disability, to promote and protect the community as a whole. According to Stanhope & Lancaster (2012), nursing has numerous roles including identifying vulnerable individuals and families through outreach and case findings, encouraging vulnerable groups to obtain health services, developing programs that respond to their needs and teaching vulnerable individuals...
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...NURSING REFLECTIVE PRACTICE USING JOHN’S REFLECTIVE MODEL: On a particular occasion during my placement in a surgical and medical ward at a local hospital, I had been buddied with a nurse for an evening shift. We had just had handover from the nurse on the previous shift and among the information handed-over, the patient, in addition to her current diagnosis, also had a history of other co-morbid diseases including heart and blood pressure abnormalities. As such, she was on a number of heart regulating medications which included some beta blockers. As part of time management, we went through the patient's care plan and medication charts to determine what needed to be done and at what time regarding this patient. This guided how we were to execute care during the shift and in a timely manner. Her care plan had indicated that the patient's observations were to be done TDS (three times a day) It was during this process that we decided that it was not necessary, at this point, to take the patient's vital signs as these had been done just a few hours before we had started. When the time for the medication round came, we went to the patient's bed side drawer to collect and give her her medications following the seven rights to medication administration. As a result of our earlier time plan, we did not take her observations. Somehow, the patient asked us curiously why we were not taking her reading as, previously and always before, other nurses seemed to take her readings...
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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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...Nursing Reflection The role opportunities for nurses in a community of mostly elderly people, farming as the main occupation, and lack of health resources are endless. According to city-data.com, the adult obesity rate for Conecuh County is 32.6% whereas the state of Alabama is 31%. The rate of child obesity is 18.9% and the state is 13.5% (City-data.com, 2013). The first nursing diagnosis is imbalanced nutrition: more than body requirements (obesity) among residents of my community related to increased food consumption and insufficient energy expenditure for intake. The first goal for this diagnosis is to reduce the prevalence of obesity among the residents. An objective for this goal is that 50% of the obese residents will engage in an exercise plan that will promote adequate weight loss. The interventions for this objective include establishing a community wide exercise program or fitness plan that will promote weight reduction; and develop a meal plan that will enhance weight loss and promote better eating habits. We will work with local health care providers to provide sample menus and meal plans for the citizens who will participate in the weight reduction program. A second objective states that residents will lose 5% of total body weight over a period of six weeks. The interventions used to make this objective a reality include motivating residents by organizing a competition program to see which team can lose the most weight in a specific time period; and establishing...
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...Handbook for complete details regarding Christian Service. Any questions about your service should be directed to the teacher listed above for your grade level. Please look for a monthly progress report on Edline which will show your hours approved. You must maintain a copy of all forms turned in for your records. Part I: Where did you perform this service? Name, Address, Phone Number of agency: ______________________________________________________ ______________________________________________________ Names of other FGRHS students who also served with you ____________________________________________ REFLECTION: On the back of this paper write a paragraph about what you did, another paragraph about how Christ was reflected in your work and a third paragraph about how Christ was reflected in those you served. Approval of hours is contingent upon a well written reflection. Part II: To be completed by adult supervisor (not a parent): What assigned tasks did the student complete? MERCY o Served meal to homeless o...
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...Johns Model of reflection Johns model is based on five cue questions which enable you to break down your experience and reflect on the process and outcomes. John (1995) used seminal work by Carper (1978) as the basis for his model exploring aesthetics, personal knowing, ethics and empirics and then encouraging the reflective practitioner to explore how this has changed and improved their practice. Carper B (1978) Fundamental patterns of knowing in nursing. Advances in Nursing Science. 1, 1, 13-23. Greater Manchester AHP/HCS Life Long Learning Project Team. Hand out 3 Models of reflection. Available URL http://64.233.183.104/search?q=cache:Ta_9a2Ad4FUJ:www.bolton.nhs.uk/SHA/LLL/resources/reflective/Framework%2520for %2520Reflection.doc+Johns+Model+of+Structure+Reflection&hl=en&ct=clnk&cd=4&gl=uk th Accessed 11 January 2008 Hilliard C (2006) Using structured reflection on a critical incident to develop a professional portfolio. Nursing standard 21 (2) 35-40 Johns C (1995) Framing learning through reflection within Carper’s fundamental ways of knowing in nursing. Journal of Advanced Nursing. 22, 2, 226-234 Johns Model of reflection Johns Model of Reflection Description of the experience Describe the experience and what were the significant factors? Refection What was I trying to achieve and what are the consequences? Influencing factors What things like internal/external/knowledge affected my decision making? Could I have dealt with it better What other choices did I have...
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...in evaluating their practice, particularly in nursing and health care (Kenworthy et al 2002). Reflection is a necessary process in order to comply with Post-registration education and practice (PREP), continuing professional development standard, as required by the NMC (2006). Reflection can therefore be regarded as a fundamental process for all professionals registered within the NMC. This essay specifically focuses upon reflection in relation to the student Specialist community public health nurse (SCPHN). Reflective practice in nursing can be guided by models of reflection. Using a model or framework can be beneficial in aiding practioners and students of nursing and health care to, reflect upon incidents, and critically analyse those incidents, therefore helping the practioner to learn and move on (Ashby 2006). This essay aims to explore the concept of reflection. It will discuss and critically analyse Gibbs (1998) theoretical model of reflection whilst also considering other models and their use in relation to the role of a student SCPHN working within a children and family community setting. Reflective practice is not a new concept. It originated in the 1930's from work carried out by American educationalist John Dewey. Dewey (1933) developed the idea of reflection as a way of learning in education. This idea has since been drawn upon in the works of many others; Schon (1983) similarly highlights the idea of reflection as a way of bridging the gap between theory to...
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