Enhancing Nursing Practice through Learning and Training

The assignment content provides a learning plan for improving assessment skills, increasing comfort with vein puncture, improving medication safety, and enhancing hospital discharge planning. The plan outlines learning goals, objectives, resources/strategies, success indicators, and target dates. The learner aims to improve their assessment skills by reading nursing journals and textbooks, attending training sessions, and participating in appraisal programs. They also seek to increase their comfort with vein puncture by reviewing material, practicing in an outpatient lab, and seeking feedback from peers and patients. Additionally, the learner strives to improve medication safety by providing a overview of medication safety, understanding common sources of error, and using risk assessment tools. Finally, the learner aims to enhance hospital discharge planning by facilitating easy discharges, guiding patients and family members for care, and supporting patients in taking medications as prescribed.

LEARNING PLAN
Student Name: __________________________ Course and Semester: ____________________________ Date: _______________
Clinical Site: _____________________________ Practicum instructor/advisor/professor: ___________________________________
Learning Goal #1 Learning Objectives Resources/Strategies Success Indicators Target Date
Improve my assessment
skills
To enroll in physical
assessment schedule.
To read the nursing
journals and text books
To attend periodic
training sessions by
experts
To know feedback from
peers and colleagues
from a realistic view
To participate in
appraisal programs
conducted by hospital
management
Can be done by
implementing the search
of nursing textbooks and
journals for the
evidences
Attending training
programs
Visuals such as videos
and audios can also
increase the assessment
skills.
The efficacy of work can be measured
by knowing feedback from peers,
patients and their family members
Writing examinations for the soft skills
Periodic assessment of performance by
nursing leaders
Improving my assessment skills has
ensured that I have the knowledge to
make the best care decisions for my
patients. Increasing my understanding
about the relationship between
assessment findings and disease
process and medications has helped
me communicate with my colleagues
and physicians and recognize changes
in my patients that I may not have
recognized without this knowledge.
Dec-2016

Learning Goal #2 Learning Objectives Resources/Strategies Success Indicators Target Date
Increase my comfort
with vein puncture
To review the vein
puncture material that I
received in my
venipuncture class.
To meet with my
manager and set up a
day for me to work in
the outpatient lab to
draw blood.
To ask the expert who is
much proficient in vein
puncture
The reading material
would be used to know
the methods for the
location of vein
The theoretical
knowledge so gained
from the reading of
books and journals will
be practices in
outpatients for the
collection of blood and
injection of drugs as per
doctor recommendation
Periodic assessment from the nursing
leader for the theory and practical
skills
The extent of success can also be
evaluated by single and instantaneous
insertion of syringe
The feedback from patients for
possible pain perception during
insertion of needle. If no pain is
reported is an indication of successful
learning of skills
The speed i.e., number of punctures
per unit time. The more will be the
number, more would be the success.
When I was uncomfortable in drawing
blood, the client would have to wait
until I found someone who could
either draw the blood or guide me
through it. Now that I have increased
both my comfort and competency, I
am able to perform this skill
independently and swiftly. This means
lab results are returned sooner and I
can make care decisions more
efficiently and effectively.
Mar-2017

Learning Goal #3 Learning Objectives Resources/Strategies Success Indicators Target Date
Improving medication
safety1
To provide an overview
of medication safety
To encourage the nurses
to continue to learn
and practise ways to
improve the safety of
medication use
To understand common
sources of error and
process of error
Need of knowledge
requirements for better
understand of the scale
of medication error and
it’s risk
Nursing and
pharmacology books and
its reading to identify the
possible errors
Need of performance
Requirements to
acknowledge the
medication safety for
learning thorough
medication history
Risk assessment using failure mode
effect analysis for the possible risks
and risk mitigation
Prior to practising of activity, there
exist certain uncertainties pertaining to
adverse events. The problem would be
minimized if no or low adverse events
are observed. This indicates that the
goal has achieved.
In addition, the outcome of the patients
can be an indicator i.e., no observable
adverse events, for the safety of
medication.
July-2017

Learning Goal #4 Learning Objectives Resources/Strategies Success Indicators Target Date
Hospital discharge
planning2
To facilitate an easy
discharge of patients
from hospital
To guide the patient and
family members for care
of patients post
discharge
To support the patients
in taking the medication
as per physician
directions
To assist the patients in
guiding them for
subsequent visits for
health check up
To educate the patient
and caregivers for the
possible repercussions of
the disease and its
control with dietary and
environmental factors
A detailed plan from the
case sheets can support
in designing a discharge
plan
Discussion with the
doctor in charge for the
medications to be
prescribed and
precautions to be taken
Consultation with a
nutritionist for diet plan
The plan should consist
of an evaluation of the
patient by qualified
personnel, discussion
with the patient or his
representative for
planning for
homecoming.
In addition, referrals can
be arranged to home
care agency and/or
appropriate support
organizations in the
community for post
discharge care and
arranging for follow-up
appointments or tests.
The extent to which the patient and
their caregivers follow the instructions
can be considered as the compliance to
the instructions
The extent of adherence of patients for
the post discharge medication can
control the disease for which the
hospitalization has been done
The trust on the nurse and hospital can
increase if the patient’s problem is
solved on short-term basis. This was
less comparatively when I was at
initial stage of profession and is
increasing with gaining experience. So
the trust is expected to be increasing
for the patients to which I had
extended the support
The periodic visits after discharge as
per discharge instructions can indicates
that the patients are strictly adhering to
the instructions
Sep-2017

References
1. Improving medication safety (n.d) Retrieved from http://www.who.int/patientsafety/education/curriculum/who_mc_topic-11.pdf
2. Potthoff, S., Kane, R. L., & Franco, S. J. (1997). Improving Hospital Discharge Planning for Elderly Patients. Health Care Financing
Review, 19(2), 47–72.