e-Portfolio: Sheril Jose, Nursing Career, Goals, and Achievements

This e-portfolio, created by Sheril Jose, a registered nurse, details her nursing career, qualifications, and future aspirations. It begins with a personal introduction, including her background, hobbies, and professional philosophy. The portfolio comprehensively outlines her educational achievements, starting with her Diploma in General Nursing and Midwifery from India, followed by various certifications and in-house training programs. Her employment history spans across multiple healthcare settings in India, Saudi Arabia, and the UK, where she currently works as a Charge Nurse. The portfolio highlights her responsibilities, duties, and the philosophy of nursing that guides her practice, emphasizing compassion, patient advocacy, and continuous learning. Her mission is to provide high-quality care to older adults in Australia. The portfolio also showcases her professional memberships and registration, and includes a detailed curriculum vitae. This e-portfolio reflects her commitment to excellence and her plans for a successful nursing career, including managing a care facility in the future.

Running head: e-PORTFOLIO
ePortfolio (nursing)
Name of the Student
Name of the University
Author Note

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Home
Name: Sheril Jose
Nationality: British
Gender: Female
Marital status: Married
Present address/ Communication address: 11 CAXTON CLOSE, GREAT SUTTON,
ELESMERE PORT, CHESHIRE, CH662QS, ENGLAND, UK.
Email Id: [e-mail]
Mobile No: 00447958186098
Profession: Registered Nurse
“Nurses dispense comfort, compassion, and caring without even a prescription.”
I welcome you all to my e-portfolio! In this website, you will be able to gain an
understanding about me, my profession, and the upcoming plans that I have formulated for
my nursing profession. Wix website provided me the prospect to assess and evaluate my
educational qualifications so far, and also assisted me enormously in steering a self-
assessment, by reflecting on the experiences and encounters, I have had been a part of till this
day. This e-portfolio also assisted me identify my strengths and flaws, thus enabling me to
chalk out my short and long term objectives for future prospects.
About me
I took birth and was raised in the state of Kerala, located in the southern part of India.
It was during my stay in my native town on the Malabar Coast that I was able to get
acquainted with the concepts of belief, devoutness, and compassion. My regular visits to the

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churches also made me gradually understand the importance of caring for people. This in turn
can be accredited to the fact that my state has been identified to contain the highest
proportion of Christian people, in comparison to other Indian states. Furthermore, I also lived
close to the Kottayam district that comprises of St Mary's Martha Mariyam Major Arch
Episcopal Pilgrim Centre, where Mother Mary is believed to have first appeared in this
world. Hence, my initial years were quite influenced by Christian thoughts and beliefs, the
uniqueness of which is in the emphasis that they place on caring for a complete individual,
while respecting all people as creations of God. During my school years, the teachings of my
religion that primarily focused on demonstrating compassion, trust and obligation not only
shaped my thoughts, but also played a significant role in helping me decide what I wanted to
be, on growing up.
I have always been intrigued by the process of caregiving, and also developed a liking
towards the nursing profession on closely observing a first cousin, who was practicing as a
licensed nurse at that time. I completed my secondary and higher secondary education from
my hometown, with high marks. In addition, I also chanced upon the occasion to volunteer
for numerous governmental and non-governmental organisations, with the vision for enabling
the sick and disabled to lead a meaningful and purposeful life. Following qualification of the
higher secondary examination, I got enrolled in a Diploma in General Nursing and Midwifery
course from the Bapuji School of Nursing, located in Davangere, in the state of Karnataka,
India.
Currently I am working as a Charge nurse at the Weather stones Nursing Home,
located in Neston, England. I plan to complete my present degree and work as a successful
registered nurse in Australia, in near future. During the course of these years that I have spent
in the nursing profession, I have had the chance to encounter immeasurable experiences that
comprised of death, birth, pain, delight, and recovery. Notwithstanding the challenges

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encountered, on most occasions, I have been able to meet the expectations and demands of
my patients, which in turn convinced me of a correct profession selection.
Hobbies
 Reading
 Writing
 Art
 Music
 Sports activities
 Physical exercise
Major responsibilities and duties
My accountabilities and liabilities as a charge nurse comprise of, but are not limited to the
following:
• Administration of oral, subcutaneous, intravenous and PR drug
• Administration of TPN, NJ, NG, and PEG feeds
• Ensuring that highest conceivable standards of care are preserved on a day-to-day
basis
• Maintaining care records for all resident care plan, after the completion of shift
• Ensuring maintenance of complete privacy and dignity for the bereaved and the dying
• Ensuring that a suitable resident is referred to, following recommendation by a doctor
from the Liverpool Care Pathway
• Developing an association of bond and relationship with patient and their families
• Offering patients and their kin with a comprehensive care plan on a quarterly, half-
yearly, and annual basis
• Attending to the wounds of all patients as per care plan

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• Encouraging patients to participate in different types of leisure activities for
enhancing health outcomes
• Administering medications with utmost attention and care, at correct dosage, time,
and route of administration, followed by correct medication dispensing
• Ensuring lockage of all drug trolleys, and that they are not left unattended
• Contributing to staff training
• Showing adherence to infection control practices and ensuring adequate PPE
• Maintaining professional competencies and knowledge
Qualification and membership certificates
Given below are the academic qualifications that I have acquired over the years:
1. Attained DIPLOMA IN GENERAL NURSING AND MIDWIFERY from the Bapuji
School of Nursing, a part of Bapuji Hospital, located in Davangere, in the state of
Karnataka, India. Attended this course from September 1995 to November 1998.
2. Secured the credential of a TISSUE VIABILITY NURSE, as a part of a certificate
course in wound care that was focused on innovation and tradition, December 2005.
3. Attended a course in May 2011 and successfully received the licence of
VERIFICATION OF EXPECTED DEATH that allowed me to decide whether an
individual is actually deceased.
4. Successfully completed a course in June 2011 and got awarded with the END OF
LIFE CARE PATHWAY document that acted as a guide for the steps that must be
implemented while delivering high quality care services to residents, during their last
few days of life.
5. Received training in June 2011 for the administration and usage of SYRINGE
DRIVERS that comprise of a battery-powered pump, which helps in the delivery of
medication at a continuous rate all over day and night

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6. Attended a course for ADVANCE CARE PLANNING in July 2011 that encouraged
me to identify the importance of my role as a nursing professional in providing
assistance to older residents, under circumstances when they are critically ill, or
incapable of any decision-making capacity.
7. Got enrolled in a workshop for TISSUE VIABILITY EDUCATION AND
DEVELOPMENT in October 2011 that comprised of several modules and sessions,
each of which focused on different educational aspects like principles of care, risk
assessment, tissue breakdown factors, skin structure and function, skin damage
grading, management and prevention techniques, wound healing and infection
control.
8. Attended a SPECIALIST VISUAL IMPAIRMENT TRAINING in February 2012, for
serving the needs of adults and children with visual impairment.
9. Awarded the LEVEL 2 CERTIFICATE in UNDERSTANDING THE SAFE
HANDLING OF MEDICATION in Health and Social Care in March 2012.
10. Re-awarded the LEVEL 2 CERTIFICATE in UNDERSTANDING THE SAFE
HANDLING OF MEDICATION in Health and Social Care in July 2014.
11. I have also received in-house training as well, and am updated with all mandatory
training requirements that are congruent with the policies of the organisation that I am
currently employed in such as, manual handling, food hygiene, CPR, infection
control, dementia, safeguarding level 2, and medicine management.
Professional membership and registration
1. I am a life member of the Karnataka state nursing council in India, since 1999.
2. I also have a professional membership of the Nursing and midwifery council (NMC),
in the UK.

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Employment history
Soon after my diploma training in India, I received an employment as a staff nurse at the
surgical ward of the same Bapuji Hospital, which allowed to me to exert my clinical
knowledge and capabilities acquired during the course, in real-time settings. I also worked as
a staff nurse in the intensive care unit (ICU) of another healthcare setting, Guru Nanak
Hospital, in Mumbai, for the next year. I also enhanced my experience by working as a staff
nurse in another Mumbai based facility, St Elizabeth Hospital. With the aim of increasing my
clinical proficiency and skills, I applied for the position of staff nurse abroad, and got
selected at the Jeddah Psychiatric Hospital, Saudi Arabia, where I worked for two years. I
was successful in my later job roles as an Adaptation Nurse and Senior Care Assistant. I am
currently employed at the Weather stones Nursing Home, in Neston, England as a Charge
Nurse, since April 2012, and my duties encompass the following:
• Facilitating high standards of care through written care plans
• Assessing, planning, evaluating and implementing care process
• Maintaining individuality, choice, and dignity of the clients
• Coordinating induction sessions, trainings, and supervision of juniors and colleagues
• Maintaining care standards, according to NMC code of professional conduct
Philosophy of nursing
I define the nursing profession as the promotion, protection, and optimisation of
abilities and health, which helps in effective prevention and management of injury or illness,
and also facilitates the process of healing. I hold the personal belief that as a nursing
professional, it is essential for me to act in a manner that works effective in alleviating the
suffering that my clients have to endure on a regular basis, and this can be accomplished
through patient advocacy and empowerment. Development of a personal philosophy related
to nursing has become a crucial element for the career advancement of a nurse educator, and

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also enhances the quality of life of patients (Matua, 2015). My core nursing beliefs and
values are based on the manifestation of honesty, compassion, understanding, integrity,
collaboration, and hard work. With the aim of generating an accurate nursing philosophy,
gaining complete awareness and familiarity with the expectations and preferences of the
patients is of utmost importance. In addition, I also hold the outlook while accomplishing the
common goals, the perceptions and values of patients must also be given due importance, at
the time of clinical decision making (Strandås & Bondas, 2018). My current nursing
philosophy is based on my aspiration to treat all patients with empathy and compassion,
while providing them comfort at their physical, emotional, and social levels.
It has often been reported by nursing professionals that viewing patients as associates
in their own care, facilitates the process of learning, and also helps in enhancing the quality of
life, by proper decision making. I comprehend that there must remain an intrinsic power
differential in the relationship between a nurse and a patient, which is imperative for treating
patients with utmost priority. Most nurses report burnout that refers to their emotional,
mental, and physical exhaustion. In addition, it has also been found that while stress occurs
due to over-engagement of the nursing professionals in their daily errands and
responsibilities, disengagement leads to burnout (Khamisa et al., 2015). Hence, the present
nursing philosophy focuses on developing a rapport with the patients, in order to help them
recover at a faster rate.
Under most circumstances, I have come across as a dedicated, hardworking,
compassionate and honest professional nurse, who takes all efforts to collaborate and foster
cooperation with interdisciplinary team members. Time and again it has been reported by
researchers that the profession of nursing encompasses unceasing learning of novel
technological improvements in the arena of caregiving. (Chapman, 2016) Thus, my personal
nursing philosophy is also focused on the concept of empirical knowing that is based on

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collection of factual information from different scientific sources, in order to provide best
available care to the patients. In addition, while delivering care to all patients based on a
person-centred approach, the clients generally report a sense of attachment with the
professionals who are involved in the direct caregiving process, and are also able to recognise
that there is a readiness and inclination, on the part of the nurses to facilitate their journey of
recovery. Therefore, I feel that respecting the patients, and developing trust in them acts as a
major form of patient empowerment and enhances their treatment process.
Mission statement
My mission statement, in relation to my future role as an aged care nurse in Australia
focuses on delivering high quality care services to older adults, in a safe and appropriate
environment, in addition to assisting them to live with independence in their community. I
hold the belief that older adults of the community must be provided with adequate access to
services and amenities where the nurses demonstrate respect and dignity towards their
independence, preferences and privacy, thereby enhancing their quality of life. I intend to
adorn the role of a nursing professional in near future, where I am able to establish a sense of
justice and equality while delivering the treatment modalities, and also ensure that the elderly
patients feel safe and comfortable in the healthcare setting. It is also my vision to show
adherence to my nursing philosophy and approach by undertaking initiatives that are
responsive to the expectations and needs of older adults, and allow me to continuously
improve the care services.
I also intend to ensure delivery of services that are in alignment with the cultural
values and preferences of the patients, and also want to abide by the regulatory requirements
of the organisation, where I shall be employed. In other words, my mission is to enhance and
promote the quality of life of older patients, who are entrusted into my care, by making my
patients the focus of my nursing actions. I can accomplish this in an environment that fosters

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patient empowerment, develops a sense of belonging, and emphasises on pride and respect. I
also strive to develop a reputation in health and social care domain, for delivering excellent
standard of care, with a primary focus on unremitting quality improvement.
Goals
My short term goal is to obtain a registration from the Australian Health Practitioner
Regulation Agency. The SMART goal for this objective are provided below:
S (specific) Work as a registered nurse under the
Australian Health Practitioner Regulation
Agency (Spittal et al., 2016)
M (measurable) Assess clinical competencies at a regular
basis
A (attainable) Charge nurses are hired by different
healthcare institutes and provided the charge
of a particular ward
R (realistic) Requires a minimum 5 years of RN
experience
T (time bound) Will get completed by end of this year
Table 1- SMART components for short term goals
My long term goal is to manage a complete healthcare setting in Australia. The
SMART goal for this objective are provided below:
S (specific) Effectively manage a healthcare institute for
the aged people
M (measurable) High workforce, patient satisfaction and

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reduced readmissions
A (attainable) Obtain legal forms for buying such facilities
R (realistic) Aged care facilities are important for
providing accommodation and care support
to aged and frail residents (Nichols, Horner
& Fyfe, 2015)
T (time bound) 5-10 years
Table 2- SMART components for long term goals
Reflective journal in nursing
Reflective journaling refers to a comfortable medium for nursing professionals that
helps them adopt an open attitude towards their experience and professional journey. It has
often been found that nursing professionals undertake a scientific kind of reflection, and/or
introspective reflection (Howatson-Jones, 2016). I also undertook an introspective reflection
that allowed me to relate my feelings, thoughts, and beliefs about my professional experience.
Thus, maintaining a reflective journal increased my creativity, self-confidence, an also helped
me to adopt a non-judgmental and honest approach towards my profession. Although I had
always been intrigued by the nursing profession and wanted to provide care to the distressed
and sick, I was also apprehensive and worried about the critical cases that I might have to
encounter, during my practice. Though I secured credit marks during my diploma course, the
transition to the surgical ward as a staff nurse was not a smooth one. The transition required
delivery of care to patients in complex healthcare settings, and also increased stress and
anxiety. Time and again it has been established that stress acts in the form of a significant risk
factor for practice errors, and actions that violate patient health and safety (Chen et al., 2017).
However, the transition process gradually became a smooth one, and was in accordance to the
different stages of practice that were proposed by Patricia Benner such as, novice, advanced

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beginner, competent, proficient, and expert. It has often been established that during the
development and acquisition of necessary nursing skills, a nurse generally passes through the
aforementioned five stages that helps in increasing their awareness and proficiencies, over a
significant point of time, besides increasing experience of the nurses (Fitzpatrick &
Gripshover, 2016).
At the time of transition, I encountered several experiences where the health and
safety of the patients were violated due to negligence, lack of understanding, and confusion. I
noticed that novice nurses were more inclined to make surgical errors that involved errant
incision in some unintended membrane or muscle. This made me realise that delivering
appropriate care in such complex environment requires adequate clinical expertise and
experience. According to Dorothea Orem, patients generally display a wish to care for
themselves, and are able to recover holistically and rapidly, if provided with the opportunity
of performing self-care activities, to the best of their capabilities (Santos, Ramos & Fonseca,
2017). This self-care deficit nursing theory formed an essential part of my nursing profession
since I was quick to realise that when the patients display an incompetency to meet their self-
care needs, there occurs a deficit. This calls for a registered nurse to identify the deficits, and
implement a care plan that provides necessary support to the patients. In other words, the
theory also makes it imperative for nurses to rate dependencies of their patients, in order to
enhance their health outcomes. I tried to assign support modalities to my patients in the
surgical ward, and later on as a charge nurse based on several self-care requisites such as,
water, food, air, activity and rest, elimination, hazard prevention, social interaction, and
promotion of normality.
According to the Theory of Human Caring by Jean Watson, the process of caring
renews life energies and enhances the nursing capabilities. The welfares are endless and
endorse self-actualization on a professional and personal level (Sitzman, 2018). One such

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incident where I applied this theory encompasses caring for a patient suffering from
schizophrenia, when I was working as a staff nurse in Saudi Arabia. I realised that delivering
care to patients must act in the form of a mutually valuable experience, in order to allow the
former to leave a healthy and meaningful life. Taking into consideration the fact that it is
imperative for nurses to first care for themselves, in order to deliver best care practices to
patients. In contrast, the theory on Deliberative Nursing Process also states that it is the role
of the nurse to explore and meet the immediate needs of the patient, and that the true needs
might not always be correctly represented by patient behaviour (Peplau, Travelbee &
Orlando, 2015). In addition, nursing actions should also be implemented in a manner that
brings about a favourable outcome in the patient, thus providing an indication for relief from
distress. While caring for the schizophrenia patient, I was initially sceptical of
communicating with her and executing my duties since she was not able to voice her
concerns and needs. This in turn increased my apprehensive outlook. However, I used the
theory and tried to adapt a compassionate, caring and empathetic approach, in order to ease
the process of care giving.
While working as an adaptation nurse, I had also been instructed to ensure that the
care delivered is able to meet the emotional, spiritual, social, and physical needs of the
patient. This can be associated to the holistic nursing theory that dates back to the work of
Florence Nightingale. The theory elaborates on the fact comprehensive care must be provided
to all patients, which is not merely restricted to alleviating the physical symptoms (Alligood,
2017). This is a major departure from biomedical theory that places a focus on pathology and
disease, in place of focusing on patients as individuals.
While working as a charge nurse, I was assigned the duty of caring assessing,
implementing and evaluating the care provided to all residents. It was here that I came across
several people of Bangladeshi and Pakistani origin, who had specific values and preferences,

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which were diverse to my cultural preference. Taking into consideration the fact that during
my diploma course, I had been taught about the importance of accepting the different cultural
needs of towards patients with varied beliefs, values and feelings. I was quick to understand
that my role as a nursing professional, should focus on eliminating or reducing different
forms of health disparities, notwithstanding the cultural or linguistic background of the
patients.
The concept of cultural competence in the domain of health and social care has gained
attention in recent years, and requires all healthcare personnel to deliver and implement
strategies in a manner, that are in alignment with the values, preferences, and perceptions of
culturally diverse patients (Jeffreys, 2015). I also followed the transcultural nursing theory
proposed by Madeleine Leininger, which places an emphasis on cultural care re-patterning,
cultural care preservation, and cultural care accommodation, thereby assisting to gain a sound
understanding of the cultural heritage of the patients, and meeting their needs (McFarland &
Wehbe-Alamah, 2017). Thus, it can be concluded that the reflective journal allowed me to
introspect into my encounters and experiences by far, which in turn helped me identify my
strengths and weaknesses, and prepared me for my future nursing goals.

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References
Alligood, M. R. (2017). Nursing Theorists and Their Work-E-Book. Elsevier Health Sciences.
Chapman, Y. L. (2016). Nurse Satisfaction with Information Technology Enhanced Bedside
Handoff. Medsurg nursing, 25(5).
Chen, S. H., Chen, S. C., Lee, S. C., Chang, Y. L., & Yeh, K. Y. (2017). Impact of interactive
situated and simulated teaching program on novice nursing practitioners' clinical
competence, confidence, and stress. Nurse education today, 55, 11-16.
Fitzpatrick, S., & Gripshover, J. (2016). Expert nurse to novice nurse practitioner: The
journey and how to improve the process. The Journal for Nurse Practitioners, 12(10),
e419-e421.
Howatson-Jones, L. (2016). Reflective practice in nursing. Learning Matters.
Jeffreys, M. R. (2015). Teaching cultural competence in nursing and health care: Inquiry,
action, and innovation. Springer Publishing Company.
Khamisa, N., Oldenburg, B., Peltzer, K., & Ilic, D. (2015). Work related stress, burnout, job
satisfaction and general health of nurses. International journal of environmental
research and public health, 12(1), 652-666.
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Universality. Nursing Theorists and Their Work-E-Book, 339.

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Nichols, P., Horner, B., & Fyfe, K. (2015). Understanding and improving communication
processes in an increasingly multicultural aged care workforce. Journal of Aging
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