...Nursing Expertise Self-Report Scale and Reflection HCS/350 November 21, 2012 Nursing Expertise Self-Report Scale and Reflection This paper is to provide my reflection of the results of The Nursing Expertise Self-Report Scale. I will explain how my results can improve my communication skills in the health care field. “The nurse-expertise self report scale has 20 items scored using a Likert Scale from Strongly Agree to Strongly Disagree” (Hansten & Jackson, 2009, p. 178). Based on the scoring of the 20 questions, I scored 56 out of 100, reflective of a novice nurse. I am not surprised with the results. I do not currently work as a Registered Nurse (RN). I graduated from nursing school in May 2012. In my current position as a pharmacy assistant, I spend my day communicating with patients, pharmacists, and co-workers. I can take the results to better improve my communication skills, when interacting with patients, physicians, and other members of the team and apply it to practice. I have little experience when it comes to communicating with team members in the hospital. As a student, in the beginning, I was very intimidated to speak to physicians and other members of the health care team. As time went on, I became comfortable communicating with other nurses, patients, and their families. The Self-Report Scale is a reminder of how novice of a nurse I am. I have a lot to learn once I get a nursing job. In the interim, I can take the knowledge I acquire from...
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...the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine of the National Academies (referred to as the IOM or IOM report hereafter) did a study, the results of which were released in 2010. In order to accommodate the influx of new patients into the healthcare system, sweeping changes are going to be needed. In order to accomplish what is called for in the PPACA, “major changes in the U.S health care system and practice environments will require equally profound changes in education of nurse both before and after they receive their licenses.” (IOM, 2010, p. 164). Newly licensed nurses need to be able to move from academia to the real world keeping patient safety foremost. This should include “a range of practice environments with an increased emphasis on community and public health settings.” (IOM, 2010, p. 164). Nurses will also need to be allowed to practice to the full extent that their education and experience allow. Leadership, communication skills and collaboration with all medical, administrative and governmental levels are going to be necessary to ensure that the public gets safe and reliable medical care wherever they are. The nursing educational system must be prepared to increase the number of baccalaureate and more highly educated nurses. According the IOM report, there needs to be in place a vehicle which easily allows the flow from ADN and diploma nurses to baccalaureate and above as...
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...How the IOM Report will Impact Nursing Education and Nursing Practice. Lisa Arroyo Grand Canyon University Professional Dynamics NRS-430V Professor Varnell Hudson August 28, 2013 How the IOM Report will Impact Nursing Education and Nursing Practice. The focus of the report is to show a need for more education for the graduate level nurse and a continued education plan for nurses already in the field. The IOM cited many reports that touched on the need for diversity amongst nursing graduates to meet the need to function as leaders and the dimensions of health professionals to deliver safe and excellent patient care (Johnson, 2010). The transformation of clinical practice key message was changing a nurse’s role (Johnson, 2010). This would require changing the old nurse roll to a more involved role using critical thinking, clinical judgment and nursing process (Creasia, 2011). The focus on other topics beyond the provision the NCLEX-RN would need to alter the test to encompass a more diverse multitude of questions that would be considered critical thinking (Johnson, 2010). The impact of the IOM report on transforming education is to incorporate more consistent competencies among nursing schools (Johnson, 2010). By providing nursing facilities with strategies to integrate quality and safety content into their curricula, with an interactive course work focused on a six core Quality and Safety Education for Nurses (QSEN), competencies. Using a Train the Trainer...
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...220 Spring 2016 Vocabulary Homework Assignment – Chapters 10-16 in Taylor et al textbook – Worth 100 points Chapters 10 – 13 due Thursday February 25 Chapters 14 – 16 due Thursday March 3 Please define the following words using your Fundamentals of Nursing textbook and/or a medical dictionary. Please indicate the text and page number you used to obtain each definition. (If you want to make them flashcards you may, just make sure that your name is on them and they are rubber banded together so I can record and return them easily.) Chapter 10 Assess Concept mapping Decision making Dynamic Evaluate Expected outcomes Implement Interpersonal Nursing diagnoses Nursing process Outcome identification Outcome oriented Plan Reflective practice Systematic Cerebral Vascular Accident (CVA) Chapter 11 Cue Data Data base Documentation Emergency assessment Focused assessment Inference Initial assessment Interview Minimum data set Nursing history Objective data Observation Physical assessment Review of systems (ROS) Subjective data Time-lapsed assessment Validation Multiple Sclerosis (MS) Prioritize Factual Accurate Relevant Interpersonal competence Virus Consultation Laboratory study Diagnostic study Chapter 12 Constipation Cancer Actual nursing diagnosis Collaborative problems Data cluster Diagnosing Diagnostic error Health problem Medical diagnoses Possible nursing diagnoses Risk nursing diagnoses Standard Syndrome nursing...
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...Reflective Journal on Ethics Game Simulation Maria R. Brook HCS/478 Health Law and Ethics January 23rd, 2012 Caroline Etland, PhD, RN Reflective Journal on Ethics Game Simulation In this journal I will write my reflections on two ethical dilemmas presented in Ethics Game's online simulation, which has been designed to teach students how to make ethical decisions through a practical and repeatable decision model. Ethical Issue #1 Presented During my Shift Near the beginning of my shift last night, we admitted a 16-year-old mother, RB. She's in her tenth hour of labor now. Her parents have been with her, and they have chosen to limit the amount of medication and other medical assistance we've administered for personal reasons. Given the length of her labor, however, her situation could worsen. Fetal distress is not currently critical, but it has been increasing gradually, as has RB’s own distress and fear. We have been keeping a close eye on her. I'm not sure her parents understand how dangerous her situation could get because RB and the baby may be moving toward irreversible medical danger if some intervention is not made. Ethical Issue #2 Presented During my Shift One of our ICU's patients, AT, has been unconscious for nearly a day and as yet no definitive diagnosis has been reached by doctors. AT was brought to the hospital by his domestic partner, YM, who was with him while he was in the ER, but was prevented from visiting him in the ICU by CB, the shift supervisor...
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...Leadership and Teamwork A Reflective Report on the Everest Simulation The Everest simulation used the dramatic context of a Mount Everest expedition as related to management concepts exploring the role of leadership, effective communication, and team work to achieve success. The simulation required students to work in cohesive teams consisting of five members, where each individual was assigned a specific role and a goal. The roles included the team leader, physician, environmentalist, photographer, and marathoner. Some goals were contradictory in order to assess how the team reacted to complex and sometimes conflicting situations. Before the actual simulation started, the group discussed the general approach and how to deal with situations where personal goals collided with the team’s goals. The distinction between working with a team and working as a team was the main lesson I learned from the simulation. Listed below are objective barriers our team encountered during the simulation, some of which we succeeded in overcoming and some of which we did not. We succeeded at: 1. Planning: Good decision making seldom took place by chance. We fully discussed the decision making process and always took action as a team. 2. Performance: The need for individual high scores did not encourage team members to act in detriment of the team. Although each team member was assigned individual roles and tasks to accomplish, we all aimed for the shared goal first. 3. Cohesion: Even when...
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...RUP1 Project Christine Travis Western Governors University RUP1 Project The evolution of the nursing profession has developed over the centuries, from the times of the Egyptians and stories garnered from the saving of the infant Moses, to the beginnings of the nursing process with Florence Nightingale, and to present professional practices. At the heart of practicing as a nurse is the mission to provide expedient, effective and compassionate care to patients to allow for recovery to regain a quality of life that is acceptable personally and socially. A. Functional Differences Professional development of nursing is imperative to maintain goals of continuing nursing practice. Organizations within this profession serve to regulate and enhance nursing practice, specifically regulatory agencies, such as boards of nursing, and professional organizations, comparable to the American Association of Critical-Care Nurses. Boards of nursing have multiple roles but primarily exist to safeguard the public’s health, safety, and welfare through these functions. Within each state, a board exists that regulates nursing practice through establishing minimum practice standards, approving schools of nursing, developing and adopting regulations, investigating complaints against nurses, conducting disciplinary hearings, and collaboration with consumers and nurses alike to increase public awareness (Board Mission, n.d.). Nursing boards are able to establish a standard of practice that...
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...humanistic psychology shows why a humanistic approach is valuable and effective when working with patients who have a terminal illness, such as cancer. This paper will provide an example of a humanistic approach by a medical professional in providing care to a terminally ill patient. This paper will also provide a reflection of my feelings on the approach, my thoughts on how I would prefer a human service worker to work with me in such an instance, and discuss how unconditional positive regard would be presented under these circumstances. The following example is from Jill Preston’s article in the Journal of Community Nursing, Using Reflective Practice in Palliative Care (2001). Brenda is a patient who was diagnosed with breast cancer and was treated with a mastectomy and radiotherapy. Three years later, Brenda presented back pains to her physician. It was discovered that Brenda had a metastatic tumor on her spine, a terminal condition. Jill Preston was a nurse from the district nursing service who provided Brenda with care. Jill had only visited Brenda three times in the past two months. During the next visit, Jill was shocked to find Brenda looking so pale. Jill greeted Brenda, who smiled. Jill then sat on the bed and had passive conversation about the...
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...Nursing Program Reflective Journal NUR 406 Clinical-Advanced Care Name: Will Shafer__ ____________ Date: 2/14/16 Total number of clinical hours completed during week: __12 Running Total of hours for NUR 406:_70.5 NCLEX preparation this week: * Saunders - 25 electronic questions a day X 7 days read and understand rationales * Saunders – Choose content material to test on with rationales that was below 80% on RN Comprehensive Predictor 2013 * Generate Focused review and review material that I need to review * Read Weekly Kaplan Chapters and complete quizzes as due. Retake for higher grasp of material if possible * Retake Predictor exams throughout semester and adjust study topics as needed Journal Entry: My preceptorship at the Veterans Administration at White River Junction takes place at the Green Mountain Clinic, one of the several clinics at WRJ. This week I was up there twice. The first visit this week was to meet with a multidisciplinary team that runs a “Diabetes Shared Medical Appointment.” The meeting is the first of a series of three meetings that take place in a conference room with about 10 diabetic or pre diabetic patients that have been screened with high A1C results. The multidisciplinary team consists of an MD, nutritionist/diabetic educator and a diabetic and disease psychologist. The initial meeting was about...
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...MGMT1001: Everest Report Andrew Lau A critical and reflective self-evaluation of my experiences during the Everest team simulation in the contexts of ‘attitudes, personalities & perceptions’, ‘power & conflict’ and ‘groups & teams’. Executive Summary The Everest simulation is a team simulation designed to emulate real life group processes and the diverse range of intergroup interactions this entails. Developed by Harvard Business School, participants are grouped into teams of 5 (with an optional sixth member, the observer) that make a virtual climb up Mount Everest. Performance is assessed through both individual and team goals that are provided throughout the simulation. Members were allocated into groups randomly within tutorial groups and assigned roles within the simulation. I was assigned the role of environmentalist, but assumed the informal role as one of the team’s leaders. Our group as a whole managed to achieve a satisfactory 67% of team goals, and I managed to achieve 57% of my individual goals. The objective of this report is to critically analyse and reflect upon the intergroup interactions that lead to the successes and failings of our team. These successes and failings will be viewed through the lens of the theories and concepts developed in the course in order to gain insight into group processes and human behaviour. The report starts with analysing and breaking down human cognitive processes and social interactions through the tripartite...
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...Phillip J. Davenporte, M.B.A. MBA 5652 Research Methods Unit III Assignment For this assignment, review at least five articles according to the following instructions: • Using the criteria for “Judging a Research Study” on pages 258 and 259 of your textbook, evaluate at least five or more research articles. • Answer Questions 1 and 2 for all five articles. • Answer two questions from each of the remaining sections of the criteria questions for all five sources (14 questions for a total of 16 questions per source). • Include an APA references list for all five (or more) sources. A. “The Case for diversity in the health care workforce” 1. How Closely is the literature reviewed in the study related to the previous literature? In the first half of the study, the literature reviewed was not as closely related to the previous literature studied. The first half of the paper was used to set the contextual parameters of the study and to explain the basic epidemiology and rationale for the study. The second part of the paper was more closely aligned with previous literature reviewed. The information dealt directly with the research topic and the supporting literature and referenced articles dealt exclusively with the topic at hand. 2. Is the review recent? Are there any outstanding references you know about that were left out? I would consider this review to be relatively recent. The data contained in this research paper and the related referenced articles...
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...appropriate conclusions supported by the data. The concept of profesional journal as a means of developing reflective practice has become a popular topic in classrooms, professional journals, conferences, and continuing education programs (Boud & Walker, 1998). Many other names for profesional journal appear in nursing literature, including log, journaling, narrative pedagogy, dialogue journals, reflective practice, and reflective writing. Whatever people says, reflective profesional journal requires writing, a great deal of it. However, journals are an integral part of the teaching/learning in many nursing programs as well as in allied health programs and education in general. The purpose of this essay is to review the literature related to profesional journal and reflective practice and how it can be beneficial in the teaching/learning process. Reflective practice is a means of self-examination that involves looking back over what has happened in practice in an effort to improve performance or to encourage professional growth (Ruth-Sahd, 2003). Profesional journal is a method that is frequently used in nursing education as an active learning technique to enhance reflective practice. Why is reflective practice so important? The literature cites numerous reasons for utilizing profesional journal/reflective practice in the academic setting. According to Pinkstaff (1985), students find that ideas become clearer...
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...hospital environment. These changes are occurring throughout the organization and affect everything from ordering of supplies to length of patient stay. It has also caused great changes in one particular area of the hospital—the public relations and marketing departments. The purpose of this case study was to explain communications management during a certain period of time to ensure no encroachment on the current state of public relations for the Community and Physician Relations Department (CPRD) at Lucile Salter Packard Children's hospital at Stanford (LPCH). The change in this department reflects the overall trend in healthcare marketing and the need for hospitals to promote themselves to stay profitable. The San Francisco Bay area is being hit particularly hard by all these changes and prediction that several hospitals may close in the near future. One goal of the CPRD is to educate the community about the hospital so they will use and pay for its services. Another goal is to encourage physicians to purchase phone triage services that bring in revenue and referrals to LPCH. The CPRD has several areas of focus, but this case study did not attempt to cover them all. This case study focused on two main areas: the Pediatric Telecenter, a medically-based outreach program and Community Relations which is non-medically based outreach. It has only been in existence for 20 months...
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...Reflective Report: An analysis of Everest Simulations | Evaluating experiences | Joey Lai z3332966 | Executive Summary: This report is a reflection of the experiences of the two Everest Simulations, examining and analysing the individual’s actions and their role and the impact it has on the group. The discussion then incorporates theories of communication, leadership and organisational structure to compare and critically analyse the results of the simulations and determine the overall success of the team. The report will also analyse the changes and evaluate the impact past experience had on the decisions and results on the second simulation. Further the processes of interaction will be evaluated to determine its effectiveness, partially attributing our failure in the first simulation to poor communication and preparation. Table of Contents Executive Summary 0.0 Introduction 3 1.0 Preparation for Simulation One 3 2.1 Delegation of roles 4 2.0 Simulation One 4 3.2 Examining the medium of communication 4 3.3 Examining our roles 5 3.4 Discussion process 5-6 3.5 Simulation One results 6 3.0 Team Contract 6-7 4.0 Simulation Two: Adherence to Team contract 7 5.6 Leadership style 7-8 5.0 Comparing Results 8 6.0 Analysing Changes 8-9 7.0 Conclusion 9 8.0 Bibliography 9-10 9.0 Appendix ...
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...1) The Sarbanes-Oxley Act applies to which of the following companies? A) All companies. B) Privately held companies. C) Public companies. D) All public companies and privately held companies with assets greater than $500 million. Answer Terms: Sarbanes-Oxley Act Diff: Easy Objective: LO 1-1 AACSB: Reflective thinking skills Topic: SOX 2) Which of the following is considered audit evidence? A) Oral statements Written Auditor made by management Communications Observation Y N N B) Oral statements made by management N C) Oral statements made by management Y Written Communications Y Auditor Observation Y Written Communications Y Auditor Observation Y D) Oral statements made by management N Answer Terms: Audit evidence Diff: Moderate Objective: LO 1-1 AACSB: Reflective thinking skills Written Communications N Auditor Observation Y 3) Evidence is paramount to audit and attestation engagements. List the four basic types of audit evidence. 4) The criteria by which an auditor evaluates the information under audit may vary with the information being audited. A) True B) False Terms: Criteria which an auditor evaluates information Diff: Easy Objective: LO 1-1 AACSB: Reflective thinking skills 5) The criteria used by an external auditor to evaluate published financial statements are known as generally accepted auditing standards. A) True B) False Answer Terms: Criteria used by external auditor to evaluate...
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