E-portfolio

This e-portfolio showcases the qualifications, employment history, roles and responsibilities, and nursing philosophy of a registered nurse. It provides evidence of competence and capabilities in compliance with regulatory requirements.

Running head: E-portfolio
E-portfolio
Name of the Student
Name of the university
Author’s note

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E-Portfolio
PERSONAL DETAILS
Name: MATHEWS JOSE
Address: 16/A Nikau, Street, Stoke, Nelson7011
Contact details: Email:[e-mail]
Mobile: [phone]
Professional registration details
 Enrolled Nurse in New Zealand -Reg No.183265
Registered Nurse in India- Reg. No. 55965
Profession: Presently working as an Enrolled Nurse/Serviced apartment nursing co-ordinator
“Sometimes I inspire my patients, most often they inspire me”
Hello! You are visiting my e- portfolio, where you can get an insight of my interests, hobbies
and my future plans as a registered nurse. I have used this platform for providing documentary
evidence of my educational qualifications and the skills that I have gained throughout my
academic career as a nurse. This portfolio had helped me to reflect on my skills and learning, that
will help in our future professional development. The portfolio has also helped me to develop the
different long term and the short term achievable goals, which will help me in the future to
remain focused about my future career.
I am a Registered Nurse from India and is currently working as a Serviced apartment
coordinator (Enrolled Nurse) in New Zealand. The main roles and responsibilities as a
coordinator is that I have to run the unit, which included staff management and looking after the
Photo

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residents of the unit. However, I believe that I possess the necessary clinical leadership and
relation building skills. I believe that I and hardworking and is gifted with a healing hand. My
past experiences as a nurse have always boosted up the confidence in me to work as a competent
nurse.
SUMMARY STATEMENT
This e-portfolio has been developed in order to provide evidence of my competence and
capabilities as a registered nurse as a part of the regulatory requirements in compliance with the
Nursing Council of New Zealand. This will also validate my career as a registered nurse in the
field of acute care. In order to accomplish this the registered nurse competency standard has been
uses as the main framework based on which my competency has been measured (Wassef et al.,
2016). Again the objectives of the course modules has also been used as the portfolio framework.
QUALIFICATIONS AND CERTIFICATES
Listed below are my qualifications:-
 Competence Assessment Programme,( New Zealand) (NZQA LEVEL 6)
 Diploma in Nursing, Alva’s Institute of Nursing, Mangalore, India
EMPLOYMENT HISTORY
 In have worked as a Registered nurse with 3 years in India, Enrolled Nurse with 6 years
of experience, and 5 years of experience as a caregiver in Aged care sector in New
Zealand.

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 Worked as an Enrolled Nurse in the Ernest Rutherford retirement village hospital, New
Zealand.
 I am currently working as an Enrolled Nurse/Serviced apartment Nursing co-ordinator
 I have a one year experience in aged care as I worked as a personal care giver for Greg
Saville.
 From 06-02-2008 to 08-06-2012, I had gained experience as a health care assistant at
Otumarama Home and Hospital (Oceania Group).
 From 13-02-2006 to 30-12-2007, I worked as a Registered Nurse at the Amala Matha
Hospital in India and have gained experience in A&E department.
 From 01-01-2005 to 02-02-2006, I worked as a Registered Nurse at the KLES Hospital
and Research Centre and have gained considerable experience in the A&E and NICU.
 I have participated in a number of professional developments plans such as :
 InterRai assessment
 V Care Kiosk Training- Nursing Assessment and Care planning
 Competency Programme in Syringe driver
 First Aid Workshop Certificate (Red cross & city first aid 2013)
 Safe Manual handling
 Restraint minimization
 Certificate of professional Development (NMDHB)
 Certificate in chemical safety and awareness
 Liverpool care pathway in Residential care
 Palliative Care Education
 Managing the Effects of shift work and stress

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 Health and Safety at work
 Communication and SAC training
SKILL SUMMARY
 I have 15+ years of experience in Healthcare sector and have worked in the aged care
sectors on both India and New Zealand.
 I have experiences in working in partnership with the other members of a health care
team.
 I have developed excellent communication skills with the ability to work with a diverse
range of the people, with the ability to establish rapport very quickly.
 I possess computer literacy skills, such as the use of MS. Office, Excel and more for
accomplishing the mandatory paper works. I also have the ability to learn about new
programs and new internal databases.
REFERENCES
1. Durham Quigley
Village Manager
Ernest Rutherford Retirement Village
Stoke, Nelson.
Phone- 035380880
Email- Durham.quigley@ernestrutherford
2. Sinto Davis
Hospital Coordinator,
Ernest Rutherford Retirement Village
Stoke, Nelson.
Phone- 035380880
Email- [e-mail]

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.co.nz
ROLES AND RESPONSIBILITIES
Listed below are some of the roles and responsibilities, which I was accountable of:-
 Providing emergency care to the patients
 I have assisted the registered nurses and has helped the patients as required.
 Advocating the patient while working in the primary care sector
 Working in partnership as a member of a multidisciplinary team and the helping other health
care professionals in screening and other nursing procedures.
 I often had to perform diagnostic tests and supervise the less skilled nurses or the certified
nurses.
 Advising the patients and their families on the various health condition.
 Educating patients suffering from chronic diseases like, asthma or diabetes. Educating the m
about using of glucose meter and nebulizers
 I have also developed expertise in handling and calibrating medical instruments,
cannulations, cleaning of the wounds and changing the dressings.
 I have developed expertise in aged care sector. Have assisted the residents to walk, bathe and
the conduct the daily chores.
 Measuring the vital signs of patients.
 Assisting surgeons during any medical emergencies
 Ensuring a safe patient discharge

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 Maintaining the privacy and the dignity of the patient.
 Keeping proper documentation
 Ensuring a safe venipuncture and safe administration of intravenous medications
NURSING PHILOSOPHY
As I have conducted research have fulfilled the duty as a nurse, I have learnt that each
nurse’s philosophy is dynamic. My current philosophy has changed, since I begin my career as a
registered nurse and I believe that I would continue to evolve. The types of responsibilities and
the work that I was given is different from the academic background, but I found the work to be
challenging and seek to learn the skills required for the role of a registered nurse. My personal
definition of about this profession is to take a comprehensive care of the patient, using nursing
knowledge, being compassionate and respectful to the patient. During, my academic career as a
nurse, I have gained theoretical knowledge of the nursing theories, but truly speaking, very few
of the theories could actually be applied in to nursing practice. However, I should mention that I
associate myself mostly with Hildegard Peplau , who used to believe that the relationship
between the patient and a nurse was the focus of attention, rather than considering the patients as
a unit of attention (Deane & Fain, 2016). As per the theorists, my relationship with my patients
begins as a stranger and gradually transforms in to a therapeutic relationship. I am always aware
of my professional boundaries, yet I never remains aloof from the patient and always try to put
on their shoes, in case conflict of interest arise.
My desire to pursue with the nursing career shortly began after I did my bachelor’s
degree in the nursing. The profession has not only allowed ne to integrate my thirst for the
nursing knowledge, but has also allowed me to help people each day, at the time of some critical
moments in their lives. Within nursing practice, I intend to increase the safety and the wellbeing

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of the patient. I also intend to use advanced latest technologies in the collaborative practices such
that the patients gets the maximum out of their health care experience. I believe that my greatest
strength in my nursing career is my want to develop my skills and learn new things. I am well
aware of the fact, that in order to become a successful and a competent nurse, I always need to be
updated about the current nursing findings in order to provide the best possible care to my
patients. I also believe, that I have the capacity to take decisions, based on which a terminally ill
patient receives care. In such a situation, nurses needs to keep themselves calm and take right
decisions. I hope to handle such situations with mindfulness and resilience, which I have
developed over time and is an important attribute of a registered nurse.
As a registered nurse, I believe in life long learning, as it is my belief that for keeping in
stride with my philosophy, one has to indulge in rigorous education. One can find wealth of
information through extensive evidence base research, which can be transported to knowledge I
already possess, and improve my capabilities of proving a standard care to the patient (Stevens,
2013).
As a nurse, I believe, that gender, cultural values, ethnicities and the sexual orientation of
any patient should be respected. I am quite confident of my ability to continue nursing patients,
without showing any kinds of prejudices and discrimination. Additionally, being a registered
nurse, it is my duty to preserve the basic rights of the patients such as preserving the patient
privacy an forming partnership with the patient in the decision making process of the patient. I
vow to preserve the rights of the patient and uphold my own ethical codes by the provision of a
safe nursing care. I have bestowed within myself, the seeds of cultural sensitivity, for which I
treat each and every patient as unique being and always try to provide a patient-centered care. I
strive to an educator as I believe that nurses play an important role in patient’s education, as it is

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the nurses who have to remain in bedside with the patients. I also strive to be a promoter of
infection control, disease awareness, good health practices and a string believer of community
and family values. I had always believed that nursing is more than just a career and it is actually
a privilege received by persons who are passionate to use their skills and knowledge foe helping
those, who are unable to help themselves (patients).
MISSION STATEMENT
My mission statement as a registered nurse is to make a positive differences in the lives
of the patient, restore homeostasis and to address the psychological, physical and spiritual needs
of patients. I strongly believe that each and every patients and their families deserve to be treated
with compassion, respect and dignity. I uphold the conviction that all human beings are equal
and hence possess the right of being treated equally. I intend to abide by all the professional
competency standards and the codes of ethics to provide a safe care and specific care to the
patient.
I also intend to keep myself updated with the recent findings of the nurses. This requires
extensive evidence based research. There had been an increase in the demand of the lifelong
learning to match the transformation that is taking place in the health care sectors, both in terms
of the care environment and in the practices for achieving an improved outcome (Deane & Fain,
2016).
Again, at the same time, I believe that it is necessary to maintain a good and healthy life
style in order to set an example for my patients. The roles and the responsibilities of the nurses
are increasing day by day and the in terms of complexity and the different technologies involved
(Deane & Fain, 2016). Furthermore, I intend to apply my clinical reasoning skills in order to

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understand the underlying pathophysiology of a disease and will not just blindly follow a nursing
protocol. I will follow my critical thinking skills while evaluating the vital signs of the patient
and managing certain hospital acquired issues like infections, falls.
Nurses often have to work as members of a multidisciplinary team. I vow, that I would assist the
other members of the multidisciplinary team and keep patient and the decision made by the team
in the first place.
My passion is to help those, who are in need. I understand the importance of a
community and my accountability and responsibility to give back to my community. Being a
nurse, I believe in the power of recovery, the power of healing. I believe that I will be able to
improve the lives of others and influence other’s lives positively. I believe that we get very small
opportunities and I seek to cease every such possibilities to make a difference in patient’s life. I
do believe that our community can make some implausible developments for making the world a
better place for living. The key to change is developing a sense of compassion and community
about the wellbeing of the others. I believe that changes are possible when nurses are willing to
push their boundaries for helping the others. As a registered nurse, I want to dedicate my entire
life to the passion of caring for the others.
GOALS
My short goals is to get registered under the Nursing Medical council. The SMART goal
components have been listed below:-
Short term goals
S (Specific) To get registered under the Nursing Medical

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council (New Zealand)
M (Measurable ) Undertaking the post-graduation program
A (Attainable ) Obtain high marks
R (Realistic) To the continue the post-graduation degree
T (Time bound)
Long term goals
S (Specific)
M (Measurable )
A (Attainable )
R (Realistic)
T (Time bound)
REFLECTIVE JOURNAL
Journals are written dialogues between self and some chosen audience members.
Reflective journal is an opening or a way to explore what we can become without being judged.
Reflection is an important attribute for the development of the autonomous, critical and the
advanced practitioners. Deane and Fain, (2016) have stated that reflective practices should be a
continuous cycle in which experience and reflection on the experiences are related to each other.
Reflective journaling enables us to integrate the the former learning with experiences forming
relationships between the different parts of knowledge and out quest for the meaning.

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I am always amazed by the magic of medicine, and how we learn about the anatomy and
the physiology of the body combining with the technology to enhance the quality of people’s
life. My experience as a nurse over the years in my academic career has led me to develop a non
–judgmental attitude towards the patents. My transition from a BSN to an RN was definitely not
a bed of roses and I had to encounter several ups and downs. I had made several mistakes, which
has made me even stronger and have refrained me from doing further mistakes. In most of the
cases have learnt from my seniors and peers. There had been some incidents that had kept a
considerable mark in my mind and established. While working in the hospital wards, I have
come to realize that in most of the cases the nurses generally follow a stipulated protocol without
any justification, as I had always been a believer of evidence based researches. In relation to
this , I would like to draw the reference of Dr. Patricia Benner, who had introduced the concept
that expert nurses develops skills and understanding of the patients care over time by a sound
educational base as well as by a multitude of experiences (Stevens, 2013). She had proposed that
one can easily gain knowledge and skills without learning a theory, hence I have always valued
evidence based practice .
In relation to this, I would to share my experience, while I was working in the geriatric
department. Hospital acquired infection is a common condition among the hospital inpatients and
is a powerful indicator of the type of care provided Hospital acquired infections not only
complicates the comorbidities, but also brings about mortality in the patients. Considering the
baseline data, I decided to monitor some of the enrolled nurses and very naturally found out that
they had not been following the protocols of hand hygiene. I proposed for the establishment of
an environmental cleaning subcommittee. Encouraged the facility to the include practices of
daily room cleaning using disinfectants containing bleach. All the cubicles were washed at the

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time of the terminal cleaning process. All the pull chords were changed from cloth cords to
plastic cords to increase the ability to clean. The microfiber mop heads were changed after the
cleaning the room of the patient. I encouraged the enrolled nurses to participate in the staff
training conducted for providing education about infection control at the hospital premises.
However, after the implementation of these interventions, the rate of hospital acquired infection
was reduced to a considerable extent lower than the previous values of hospital acquired
infections. Thus, I believe that I had contributed to my best for bringing a quality change in my
clinical setting.
Again, while working in the geriatric ward, I had come across several old patients with
several complex comorbidities and I have noticed that novice nurses mostly lack effective
communication skills, that keeps most of the patient’s needs addressed. Communication
challenges involves delivery of the bad news, assisting a patient through episodes of cognitive or
functional deterioration, establishing appropriate goals of care (Kelley et al., 2016). I had always
been following the Peplau’s interpersonal relationship theory that focuses on patient- nurse
communication skills. While working in the Otumarama Home and Hospital (Oceania Group),
proposed the rationale for a staff training program educating them about the suitable
communication skills. A communication training program was tailored to the specific needs of
the geriatric and the palliative care fellows (Kelley et al., 2016). At first I assembles a list of the
core communication skills and the core communication tasks that all the health care staffs should
be able to master. Some of the skills to practice include confirming the wish of patient’s families
understand the non-verbal cues of the geriatric patients. Learning about the use of pain
assessment tools for assessing the pain among the elderly by just seeing the facial expressions.

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I once had the opportunity to care for an adolescent patient with acute blood loss. The
patient was Jehovah’s Witness and refused to undergo any kind of blood transfusion.
Understanding the urgency of the situation, I made it sure that I will have to convince the
patients’ parents in order to save the patient’s life. After much conversation with the family and
the heated up clergyman, we could successfully arrange for a blood transfusion. These are some
of the experiences that that empowers me to stick to my ethics keep the interest of the patient at
the first place. In conclusion, it can be said that this reflective journal the helped in augmenting
my expertise in providing a patient centered care.

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REFERENCES
Brown, S. J. (2014). Evidence-based nursing: The research-practice connection. Jones &
Bartlett Publishers.
D'antonio, P., Beeber, L., Sills, G., & Naegle, M. (2014). The future in the past: H ildegard P
eplau and interpersonal relations in nursing. Nursing inquiry, 21(4), 311-317.
Deane, W. H., & Fain, J. A. (2016). Incorporating Peplau’s theory of interpersonal relations to
promote holistic communication between older adults and nursing students. Journal of
Holistic Nursing, 34(1), 35-41.
Hope, A. A., Hsieh, S. J., Howes, J. M., Keene, A. B., Fausto, J. A., Pinto, P. A., & Gong, M. N.
(2015). Let’s talk critical. Development and evaluation of a communication skills training
program for critical care fellows. Annals of the American Thoracic Society, 12(4), 505-
511.
Kelley, A. S., Back, A. L., Arnold, R. M., Goldberg, G. R., Lim, B. B., Litrivis, E., … O'Neill, L.
B. (2012). Geritalk: communication skills training for geriatric and palliative medicine
fellows. Journal of the American Geriatrics Society, 60(2), 332–337. doi:10.1111/j.1532-
5415.2011.03787.x
Robert, R. R., Tilley, D. S., & Petersen, S. (2014). A Power in Clinical Nursing Practice:
Concept Analysis on Nursing Intuition. Medsurg Nursing, 23(5).
Stevens, K. R. (2013). The impact of evidence-based practice in nursing and the next big ideas.
Online J Issues Nurs, 18(2), 4.

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Wassef, M. E., Riza, L., Maciag, T., Worden, C., & Delaney, A. (2012). Implementing a
competency-based electronic portfolio in a graduate nursing program. CIN: Computers,
Informatics, Nursing, 30(5), 242-248.