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Running head: NURSING REFLECTION: EPISODE OF PATIENT CARE NURSING REFLECTION: EPISODE OF PATIENT CARE Name of the Student: Name of the University: Author note:
NURSING REFLECTION: EPISODE OF PATIENT CARE1 Introduction Reflection allows nurses as well as healthcare professionals like health support workers to identify their potential strengths and weakness as well as areas upon which they can improve themselves (Paiet al.2017). In addition to personal reflection, a key clinical practice which nurses must imbibe is the implementation of a holistic needs assessment (HNA). Nursing engagement in holistic care involves the practice of comprehensively addressing and clinically managing the multifaceted healthcare needs of the individual (Williamsonet al.2018). The following reflective paper will hence discuss upon an experience of participating in an episode of patient care and the strategies with which, a chosen patient’s psychological, physical and sociocultural needs were assessed holistically. Discussion Description I have worked previously as a healthcare support care since the year 2015, within adult mental healthcare settings within a healthcare organization of my locality (Worcester NHS Mental Health). Currently, I am engagement in my nursing placement area where I am working as a nursing student in theB'ham & Solihull Mental Health.As a healthcare support worker, my daily activities were similar to those outlined by the National Health Service (NHS 2019), which included: engaging in holistic assessments across patients with challenging behavioral issues, collaborating with patients and families, provision of referrals, participating in professional, interpersonal and therapeutic forms of communication, developing holistic support programs and care plans and participation in timely and comprehensive patient documentation.
NURSING REFLECTION: EPISODE OF PATIENT CARE2 Currently, as a part of my daily functioning as a healthcare nurse, I am required to therapeutically work with patients presenting with diverse mental health needs as well as collaboratewitharangeofinterdisciplinaryprofessionalssuchaspsychologists,general practitioners, occupational therapists, psychiatrists, healthcare assistants, social workers as well as general practitioners. Recently, as a part of my curriculum, I was required to conduct an HNA on a 60 year old man who was admitted with concerns of multiple suicide attempts and depression, under the supervision of the registered mental health nurse I was assigned to. Despite performing the entire exercise confidently and successfully, I did inquire with my supervisor concerning reasons why an HNA is so lengthy and is filled with multiple questions. Additionally, I was also stopped by my supervisor just prior to the commencement of the exercise concerning the fact that I had not communicated with the patient effectively or introduced the details of the HNA to him. This was also another incident which prompted me to question my supervisor concerning the importance of communication prior to the assessment. After the exercise, while the supervisor did clarify my concerns, she also encouraged me to engage in personal reflection concerning the same, which I have expounded upon in the following sections. Feelings Before I commenced the exercise, I was a little confused as to how will I being the HNA considering the range of sections and subsections which I had to cover, with respect to the patient’s concerns pertaining to physical, practical, emotional, family, relationship, spiritual, support and information issues. Such a contribution could be a reason behind my ignorance towards the need to introduce myself or establish a therapeutic communication with the patient. Indeed, it has been evidenced by Gallettaet al.(2017), that nursing ambiguity or a sense of
NURSING REFLECTION: EPISODE OF PATIENT CARE3 confusion and unpreparedness concerning one’s role, is a common feeling felt by nursing students during transition to professional practice when they are met with critical job roles, work pressures and the demands of medical emergencies. Still, one of the key thoughts which concerned me was reason why a nurse may need to still engage in such extensive communication when he or she already has to elaborately communicate with the patient during performance of an HNA. Another key thought which prompted me to reflect was concerning the importance of conducting such an elaborate and comprehensive assessment in the form of an HNA where instead, a nurse can already engage in a range of separate clinical screening tools such as vital signs, musculoskeletal assessments, chest examinations and abdominal assessments. Evaluation Like all initial personal experiences, recollecting this episode of care assisted me in the identification of both negative as well as positive experiences (Yu, Ling and Hu 2019). A key negative experience while performing this episode of care was when I was abruptly interrupted by my supervisor prior to commencement of the HNA. This is because despite the initial confusion, I still felt confident and knowledgeable enough to proceed with the exercise and thus, being interrupted merely because I avoid initiating an introductory communication with the concerned patient seemed irrelevant and unnecessary to me. However, a key positive experience whichoutweighedthenegativeincidentwasthefactthatmysupervisoreffectively communicated and clarified my doubts concerning the importance of communication and an HNA. Indeed, it has been evidenced by Grant and Goodman (2018), that the prevalence of open and transparent interpersonal communication between supervisors and nursing students paves the way for a supportive and harmonious environment of continuous learning, timely identification and prevention of errors as well as an increased sense of motivation for future nursing students to
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