Integrating Practice Assessment 2022

Running head: INTEGRATING PRACTICE 1
Integrating Practice
Name
Institution

INTEGRATING PRACTICE 2
Integrating Practice
The ability to move blood around the body through the circulatory system is enabled by
the blood pressure. It also helps in the transportation of immune cells to the areas of the body
where it is needed. The measurement of blood pressure is thus important as it ensures there is
regular monitoring if the pressure is within a healthy range. Moreover, it can be used to
determine if an individual is in danger of developing conditions associated with high blood
pressure. Using Gibbs Reflective Cycle, this paper reflects on what I have learnt this semester on
the measurement of blood pressure.
Description
The measurement of blood pressure is a skill I learnt through watching the video 3 blood
pressure measurement in NRSG139 LEO, Assessments tile. In the video, the nurse first
assembled all the equipment needed to perform the measurement. This includes the stethoscope,
alcohol wipes and a manometer with the cuffs. The nurse then explained the procedure that she
will perform on the patient, in this case measurement of blood, and went ahead to explain the
essence of the procedure. She then confirmed the activities that the patient had indulged in within
the past half an hour so as to prevent dramatic increase or decrease in the blood pressure. The
nurse then prepared the environment by making it friendly so as to avoid distractions. The nurse
further explained the rules of the reading to the patient so as to enhance the accuracy. She then
sanitized her hands, positioned the patient’s arm, attached the cuff to the patient’s arm and
ensured it was aligned to the brachial artery. She then informed the patient of the procedure,
palpated the brachial pulse and used the stethoscope for auscultation. After identifying the

INTEGRATING PRACTICE 3
diastolic and systolic reading, she informed the patient and repeated the procedure on the other
arm. She then cleaned the equipment, sanitized her hands and recorded the values.
Feeling
When watching the video, I felt that the nurse executed high standards of knowledge. The
nurse competently applied his professional nursing skills and knowledge to perform the
examination. I also felt like she is shared enough information with the patient thereby making the
patient prepared and fully aware of every step of the examination. I believe the sharing of
information improved the patient’s overall experience. However, I felt nervous that I will also
conduct such a procedure on a patient during my clinical placement.
Evaluation
From the video, the nurse comprehensively conducted the assessment using appropriate
tools. The measurement of the blood pressure was done in a holistic manner. I believe that the
nurse is very responsible and is ready to take responsibility for his actions. This was
demonstrated by the nurse through the sanitization of her hands before and after the procedure.
Since the process involved coming into contact with the patient, I believe hand sanitization help
in the prevention of spreading bacteria. According to Lee et al. (2014), hand hygiene is essential
in controlling the spread of illnesses. I believe this is a good gesture as the nurse is not risking his
life or that of the patient. The nurse also demonstrated excellent communication skills by being
clear and direct in the message she was conveying. Healthcare practitioners demonstrate
effective communication through simple actions like making eye contact, referring to the patient
by his name and actively listening (Sari, Prabandari, & Claramita, 2016), a gesture which was
demonstrated by the nurse. It is through effective communication that the nurse was able to