REFLECTION ON NURSING PRACTICE.

i just finished my nursing placement in hospital in ICU ward.This assignment is regarding to the any placement event that needs to written with 7 stanadars of nursing practice. these are:1)Thinks critically and analyses nursing practices 2)engages in therapeutic and professional relationships 3)maintain the capability for practice 4)comprehensive conducts assessments 5)develop a plan for nursing practice 6)provide safe, appropriate and responsive quality nursing practice 7)evaluates outcomes to inform nursing practices and DM theory are 1)information process theory 2)expected utility theory 3)social judgement theory 4)cognitive continuum theory select one among these 4 theories based on the event mention in 7 standards please follow the marking rubric assignment guidelines strictly and you can assume any patients any age who csn be admitted in ICU.Any questions please let me know i dont have time to re do this assignment and its 70% marks

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

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REFLECTION 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

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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).

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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).

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3) Maintain the capability for practice
This standard refers to the factor of continued care and also helping patients acutely. This
standard also refers to the factor of the knowledge and skill development fo further development
of the nurse in the clinical sector. The factor of knowledge development can be done with help of
observation and the interaction with the patient based on the clinical setup and the requirements
of the patient. The experience gathered from the case would help the nurse in the future clinical
care providence of other patients. The factor of the knowledge development from James' case
helped me in the proper care providence in the emergency and acute cases of cardiovascular and
pulmonary diseases. The factor of interaction was done in this case with family members on the
context of past condition of patient and developing knowledge about causes of the diseases of the
patient (Fitch, Fliedner & O’Connor, 2015).
On the other hand, the factor of the interaction can be helpful in the process of the
interaction with the doctor and the knowledge development about the required care for the
patient. Hence, in this context, I can be able to state that I was properly delivering the care on the
basis of the doctor's consent and also assessing the past medical history of James. Thus this
experience would help me in the assessment of further cases in this same context. On the other
hand, the emergency situation of James for the admission in the ICU ward also helped me in the
knowledge development about the proper emergency care of the patient in order to sustain
against these acute and severe conditions. The process refers to the standard maintenance from
my end as well (Chamberlain, Pollock & Fulbrook, 2018). The factor of the maintaining the
capability of practice would refer to the proper and acute providence to the patient by means of
the patient-centred care as well which was done by me also for helping James in his critical
condition of COPD.

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4) Comprehensive conducts assessments
This standard refers to the factor of the primary care providence by the nurse in order to improve
the condition of the patient. The proper care in the primary and emergency conditions would be
helpful in the improvement of the condition of the patient. The factor of the primary assessment
of the patient's condition, along with the assessment of the past medical history of the patient
would also refer to this standard. Thus in this context, I can be able to state that the factor of the
primary assessment was done by me in the context of James. The vital sign checks up and on the
basis of the assessment providing him with supplementary oxygen and also the medication
required for the sustainability of him by utilising the doctor's advice (Decker et al., 2015).
Hence, the factor of the standard of comprehensive conducts assessment was accurately
followed by me in order to provide improved care to the patient as well. This standard refers to
the patient-centred care providence with the utmost priority to the patient's health condition.
Thus in this context, I can be able to state that the standard was followed by me as I was
assessing the condition of the patient in the primary and emergency basis as of to develop the
proper knowledge about the present severity of the patient's health condition and also to deliver
the proper situation to the doctor. On the basis of the doctor's decision for James, the medication
and care were provided to him in order to help him sustain against the adverse condition of his
COPD. However, the consent of the doctor is also a factor that should be followed by the nurse
before taking the decision for the patient, and I was following the consent of the doctor as well
which helped me in the proper assessment and care providence to the patient. Thus it can be said
that the standard of the assessment of the comprehensive conduct was followed properly in order
to provide the proper care to the patient as well (Edvardsson, Watt & Pearce, 2017).

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5) Develop a plan for nursing practice
The assessment of the patient's condition helps the nurse in the development of the
knowledge about the condition of the patient. It also helps in the development of knowledge
about the possible requirements of the patient at the time of the treatment. Hence, on the basis of
this knowledge, the nurse can be able to develop the proper planning of care that can be able to
help the patient in a short period of time and in an effective way. Thus the knowledge of the
nurse helps in this process as well. The experience of the nurse helps in the proper analysis of the
situation of the nurse and helping the patient in an acute way.
On the basis of this context, I can be able to state that I was using my knowledge of the
clinical care providing processes and also assessing the present condition of the patient. Thus the
standard of developing a plan for nursing practice was followed by me in this context (Sharp,
McAllister & Broadbent, 2016). The factor of the plan development, on the other hand, depends
on other aspects such as the doctor's consent and the past medical history of the patient thus the
assessment was done by me with the proper process in order to help James. This standard helped
me I the knowledge development as well for the proper planning of care that includes the
medication administration, time management, hygiene management and other factors of clinical
set up as well including the documentation and observation.
Thus it can be stated that the plan development is an important factor in the nursing
practice and for the proper care providence in a systematic way and the standard of the plan
development should be considered with utmost priority. Hence the condition of James could be
evaluated, and on that assessment, I should be able to understand and plan the proper care of the
patient so that the severity of the patient reduces to a minimum scale. I have followed the

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planning process in the case of James so that I can be able to deliver acute and proper care to the
patient as well (Ross, Tod & Clarke, 2015).
6) Provide safe, appropriate and responsive quality nursing practice
Safe and appropriate care to the patients is one of the crucial factors of the nurses, which
should be considered in all the clinical setup. The safe and appropriate care refers to the aspect of
the patient centred care providence procedure, and that defines the responsiveness of the care
facility. The patient-centred care is the factor that can be able to address this nursing standard of
providing safe, appropriate and responsive quality nursing practice. On this context I can be able
to state that I have been successfully following this nursing standard as the process of care I was
providing included with the person-centred care (Höglander et al., 2017).
I was following the clinical process that is safe for the patient as I was following the
nursing concepts of diagnosis and also considering the factors of the doctor's prescription for the
patient. Thus it can be said that nursing standard of the safe care is one of the most important
factors in the nursing practice and also providing the care to the patient with the priority to the
patient's requirements and the health care providers as well (Long, 2019). On this context, it can
be stated that appropriate care was provided to James on the basis of his health condition and
health requirements as well. Hence, the standard of safe and appropriate care was provided
properly. Thus I would be using this experience in the future cases and help the patients with
proper care for sustaining against the severe condition and also focusing on the improvement of
the patient from that condition.
Thus the process of safe care along with the appropriate care should be considered by the
nurse in the context of nursing for the providence of improved care to the patients in the ICU

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ward. The factor of the proper care would be helpful in the process of providing support to the
patient in terms of the elimination of the critical health conditions such as in James' condition.
The safe, appropriate and responsive nursing should be delivered by the nurses with the utmost
priority for the improvement of the health condition of the patient in a short period of time, and
that would be helpful in the client satisfaction as well (Oxelmark et al., 2018).
7) Evaluates outcomes to inform nursing practices
The assessment of the health condition of the patient and on the basis of that assessment, the
nurse should be able to plan the nursing care of the patient. Hence, the effectiveness of that plan
should be evaluated as well by the nurse. The effectiveness can be checked by the observation of
the changes in the health condition of the patient. Hence, in this context, I can be able to state
that changes in the health condition of James and also providing the proper care to him was
evaluated by me in order to develop the knowledge and experience (Feo & Kitson, 2016).
This process would be helpful in the information development of nursing practice as well.
Hence, I can be able to state that the information of the care practice would help me in the proper
development of my nursing capabilities in future and that prospect would be effective in the
process of the advanced nursing practice as well. The process thus refers to the factor of the
standard of the evaluation of outcome to inform nursing practice (Delaney, 2018). Hence, the
standard is maintained in the process of health care providence to James as well. Thus I can be
able to state that it is one of the most important standards that I should consider for the future
development of my own nursing practices. The advanced practice of nursing would be profited
by the implementation of this standard as well.

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Hence, in this context, it can be stated that the evaluation process of the health care
provided to the patients should be recorded for the further evaluation in order to provide
knowledge to the nursing students and also to the nurses (Newell & Jordan, 2015). The advanced
nursing care would be requiring these experiences for the proper development of the process of
the nursing, and the evaluation would help in the development process as well. Hence, I can be
able to state that the process of the evaluation and this standard would help the nurses in the
development of the advanced nursing skills as well.
Theory
Information process theory
The information process theory of nursing can be discussed on the basis of this case as
the information process theory refers to the psychological aspects of the nurses (Lee, Son &
Kim, 2016). The information gathered by the nurse would be processed in the brain and on the
basis of this processing the brain stores the information and delivers stimuli which actively
responses on the requirement of the situation and the response of the nurse can be stated as the
output of the process (Reedy, 2015). In this case, I was the nurse, and the proactive response to
the health condition of James was the behavioural activity. Thus the theory of information
process theory was implemented properly in this case. Hence, in this context, it can be stated that
the information stored in the brain about the condition of James would help me in the processing
of the information for future references as well.
Thus it would help me in the process of the development of the experience for the proper
action as a nursing student in the sector of the improved and advanced care providence to the
patients (Roy et al., 2016). Hence, the standards of nursing should be followed, and the nursing

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theory of information processing would help me in the processing of the nursing care plan in
accordance with the proper care to the patients. The positive approach of me at time of James'
admission was the factor of my own aspect of helping the patient with the help of the patient-
centred care providence in order to develop the improvement of the patient (Nguyen et al., 2015).
Thus the nursing theory and the nursing standards would be important for the proper nursing care
providence along with the properly developing the advance nursing skills. Hence, the
consideration of the information process theory would be important for the development of the
knowledge the nurses in the acute clinical setup.

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