REFLECTION ON NURSING PRACTICE.

Running head: REFLECTION ON NURSING PRACTICE
REFLECTION ON NURSING PRACTICE
Name of the Student
Name of the University
Author Note

1REFLECTION ON NURSING PRACTICE
Outline of scenario
James is a 55 year old male living in Sydney for 30 years before which he was a resident
of Tasmania. He was a worker in a metal factory for 25 years. He also was a heavy smoker. He
has two sons, and his wife died two years ago. He has a medical history of lung disorder and
high blood pressure.
James admitted with a medical history of COPD and admitted to the ICU with severe
chest pain and shortage of breath. On the time of admission process which has taken a long time,
and thus the severity of the patient's condition proceeded to an extreme condition. However, as a
nursing student, I have been told by the registered nurse to assess and diagnose the patient with
the primary health check-up processes that are the vital sign detection. The vital sign detection
process included the blood pressure check-up, breathing rate and signs check-up, pulse and heart
rate check-up, and oxygen saturation level check-up. This check-up highlighted that the BP of
the patient wad 150/90, breathing rate 12, and oxygen saturation level 89% and the pulse rate
was 90. Based on this, the patient was provided with supplementary oxygen supply as he could
not be able to breathe properly (Moy et al., 2016). I was communicating with the registered nurse
and the doctor as well to support the patient and help him to sustain against the condition. Hence,
based on this scenario, my attributes as a nursing student with the nursing standards and the
nursing theory of Information process theory would be discussed in the following section.
Nursing Standards
1) Thinks critically and analyses nursing practices
Based on the critical situation of the patient, I was evaluating the condition of the patient and
was trying to support the patient by utilising the resources that could be helpful for COPD

2REFLECTION ON NURSING PRACTICE
patients. Hence, I can be able to state that the primary requirement of the patient was the support
for his breathing and the primary medication to sustain against the adverse condition of the
patient. I was there as the responsible nurse for the patient and was monitoring the condition of
the patient and helping the patient with the primary requirements as well (Gorski, 2017).
Thus I can be able to state that I maintained the critical thinking and analysis in nursing
practice. The critical thinking and the analysis practice refers to the fact of addressing
emergencies such as James' situation. Hence, critical thinking and the analysis skills helped me
in the proper assessment of the condition of the patient and also providing him with proper
intervention with the help of the doctor. The critical thinking and the analysis process includes
the vital sign evaluation and also assessing the effectiveness of the processes of the health care
provided to the patient based on the past medical history assessment. Hence, the documentation
process would also play a key role in the critical thinking and analysis process.
The importance of this standard is to develop a clear idea about the condition of the
patient. The proper health care also provided. The standard refers to the factor of the patient-
centred care providence, which is the process of the prioritisation of the patient's health and
needs over any other aspects. Thus the maintenance of the critical thinking standard is an
important aspect as this helps in proper assessment and the planning for the health care of the
patient. Client satisfaction and the clinical processes are needed to be perfect as it would properly
deliver the aspect of prioritised care. Hence, the critical thinking and the analysis of James'
condition was needed at the time of the admission. This will help in proper planning of the health
care required for him. The support towards him was provided with proper aspect of the clinical
set up as it was done with the help of the doctor (Neuss et al., 2016).

3REFLECTION ON NURSING PRACTICE
2) Engages in therapeutic and professional relationships
As per the case of James, requirement of assessment of the condition was the utmost
priority for me as the responsible nurse for him. On this context, it can be said that the patient
was in a critical condition and the professional relationship development could achieve the
requirement of the proper diagnosis by the nurse (Halcomb et al., 2016).
Thus the engagement of therapeutic and the professional relationship would be needed.
Based on this discussion and the case scenario, it can be stated that I was interacting with the
patient and the family members to gather knowledge about the patient's past medical condition.
Hence, the professional relationship with the patient and the family members are one of the
crucial factors that would be required in order providing the proper care to the patient. The factor
of the relationship development would be done with the help of the assessment of the mental
condition of the family members. Based on the assessment, the nurse should be able to support
and provide all the information to the patient's family members to develop the trust. Trust
between nurse and patient also is an important factor which would help in the communication
about the clinical and the required personal details. Hence, the standard of engaging with
therapeutic and professional standard would be required. I think I was successfully maintaining
the standard as well as I was interacting with the family members. Also with patient by non-
verbal communication skills to know the feelings of the patient. Thus the standard of
professional and therapeutic relationship build-up was properly done by me to provide the
improved care to the patient (Harrington et al., 2016).