Nursing reflection journal working in primary setting and with geriatrics

Posted: January 12th, 2023

Nursing reflection journal working in primary setting and with geriatrics.

Details:
Students are required to maintain weekly reflective narratives throughout the course to combine into one course-long reflective journal that integrates leadership and inquiry into current practice as it applies to the Professional Capstone and Practicum course.Nursing reflection journal working in primary setting and with geriatrics

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In your journal, you will reflect on the personal knowledge and skills gained throughout this course. The journal should address a variable combination of the following, depending on your specific practice immersion clinical experiences:

New practice approaches
Intraprofessional collaboration
Health care delivery and clinical systems
Ethical considerations in health care
Population health concerns
The role of technology in improving health care outcomes
Health policy
Leadership and economic models
Health disparities
Students will outline what they have discovered about their professional practice, personal strengths and weaknesses that surfaced, additional resources and abilities that could be introduced to a given situation to influence optimal outcomes, and finally, how the student met the competencies aligned to this course.

While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.Nursing reflection journal working in primary setting and with geriatrics

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

Rubric

New Practice Approaches
New practice approaches are not present.
New practice approaches are present, but incomplete or otherwise lacking in required detail.
New practice approaches are present. Some minor details or elements are missing but the omission(s) do not impede understanding.
New practice approaches are present and complete. The submission provides the basic information required.
New practice approaches are present, complete, and incorporates additional relevant details and critical thinking to engage the reader.
10.0 %Intraprofessional Collaboration (4.3)
Intraprofessional collaboration information is not present.
Intraprofessional collaboration information is present, but incomplete or otherwise lacking in required detail.
Intraprofessional collaboration information is present. Some minor details or elements are missing but the omission(s) do not impede understanding.
Intraprofessional collaboration information is present and complete. The submission provides the basic information required.
Intraprofessional collaboration information is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.
10.0 %Health Care Delivery And Clinical Systems (4.1)
Health care delivery and clinical systems information is not present.
Health care delivery and clinical systems information is present, but incomplete or otherwise lacking in required detail.
Health care delivery and clinical systems information is present. Some minor details or elements are missing but the omission(s) do not impede understanding.
Health care delivery and clinical systems information is present and complete. The submission provides the basic information required.
Health care delivery and clinical systems information is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.
10.0 %Ethical Considerations In Health Care (5.4)
Ethical considerations in health care information is not present.
Ethical considerations in health care information is present, but incomplete or otherwise lacking in required detail.
Ethical considerations in health care information is present. Some minor details or elements are missing but the omission(s) do not impede understanding.
Ethical considerations in health care information is present and complete. The submission provides the basic information required.
Ethical considerations in health care information is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.Nursing reflection journal working in primary setting and with geriatrics
10.0 %Population Health Concerns (5.3)
Population health concerns information is not present.
Population health concerns information is present, but incomplete or otherwise lacking in required detail.
Population health concerns information is present. Some minor details or elements are missing but the omission(s) do not impede understanding.
Population health concerns information is present and complete. The submission provides the basic information required.
Population health concerns information is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.
10.0 %The Role Of Technology In Improving Health Care Outcomes (4.3)
Information on the role of technology in improving health care outcomes is not present.
Information on the role of technology in improving health care outcomes is present, but incomplete or otherwise lacking in required detail.
Information on the role of technology in improving health care outcomes is present. Some minor details or elements are missing but the omission(s) do not impede understanding.
Information on the role of technology in improving health care outcomes is present and complete. The submission provides the basic information required.
Information on the role of technology in improving health care outcomes is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.
10.0 %Health Policy
Health policy information is not present.
Health policy information content is present, but incomplete or otherwise lacking in required detail.
Health policy information content is present. Some minor details or elements are missing but the omission(s) do not impede understanding.
Health policy information content is present and complete. The submission provides the basic information required.
Health policy information content is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.
10.0 %Leadership And Economic Models
Information on leadership and economic models is not present.
Information on leadership and economic models is present, but incomplete or otherwise lacking in required detail.
Information on leadership and economic models is present. Some minor details or elements are missing but the omission(s) do not impede understanding.
Information on leadership and economic models is present and complete. The submission provides the basic information required.
Information on leadership and economic models is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.
10.0 %Health Disparities (1.5)
Information on health disparities is not present.
Information on health disparities is present, but incomplete or otherwise lacking in required detail.
Information on health disparities is present with minor elements missing that do not impede understanding.
Information on health disparities is present and complete. The submission provides the basic information required.
Information on health disparities is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.
5.0 %Presentation
The piece is not neat or organized, and it does not include all required elements.Nursing reflection journal working in primary setting and with geriatrics
The work is not neat and includes minor flaws or omissions of required elements.
The overall appearance is general, and major elements are missing.
The overall appearance is generally neat, with a few minor flaws or missing elements.
The work is well presented and includes all required elements. The overall appearance is neat and professional.
5.0 %Mechanics of Writing (includes spelling, punctuation, grammar, language use)
Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.
Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, or word choice are present.
Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used.
Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used.
Writer is clearly in command of standard, written, academic English.
100 %Total Weightage

* THIS IS OVER A TEN WEEK PERIOD DATE EACH ENTRY WEEK 1,2,3 etc. make some entry stating I have worked with CHF patients.

Week 1
The management of congestive heart failure in geriatrics demands a comprehensive approach. During the course and my clinical experiences, I have been able to learn and apply medical knowledge in caring for the old population. For instance, in week 1, Ilearned of new approaches to the disease including the prescription of combined medications effective in alleviating the symptoms of heart failure.Nursing reflection journal working in primary setting and with geriatrics My interaction with the elderly made me discover the sensitivity and complexity of their care considering their declining immunity. However, my excellent communication skills helped me obtain relevant information from the clients. My increased interaction with the elderly creates strong personal attachments which affect me when the patients are discharged and thus, I consider it to be a weakness that I need to improve. To improve my clinical experience, I have learned to conduct and apply new evidence-based approaches in care particularly in clinical dilemmatic situations and also inquire from my preceptor on areas that need clarifications.
Week 2
Effective management of congestive heart failure among the elderly demands diversified expertise. During week 2, I was engaged in intraprofessional collaboration whereby professionals from different fields assisted in maximizing the outcome of the patients. In this case, my inquisitive nature and desire to learn new things helped me to actively engage in team building and formulation of appropriate treatment plans. Here, I discovered that my increased compassion for care made me too sensitive and critical towards ideas that I considered to increase the patient’s suffering even though they sought to improve their eventual recovery. To influence optimal outcomes, I intend to interact with more professionals to learn how to become more open-minded and flexible to new ideas regarding healthcare. I also plan to learn how to manage m emotions while employing painful approaches that cause physical suffering of the patient but provide long-term positive results.Nursing reflection journal working in primary setting and with geriatrics
Week 3
In week 3, I learnt about healthcaredelivery and clinical systems. This entailed the management and provision of healthcare through processes, operating, information and decision-making systems in a healthcare organization. In my practice setting, informed decision-making involved all the stakeholders of the organization including the patient representatives, administration and workers from all departments. My greatest strength was good leadership and communication skills. These gave me the confidence to address issues affecting the elderly as well as the nurses and propose the best possible solutions for the optimization of care delivery. However, I discovered that I had a weakness in allowing procrastination of projects related to clinical and healthcare delivery. I always advocated for instance solutions without considering the lengthy processes involved in the introduction and implementation of organizational changes. As such, I intend to improve my knowledge on the organizational structures and their role in imposing changes in clinical and healthcare systems.
Week 4
Ethical consideration governs the delivery of care to patients. During week 4, I learnt ethical nursing practice guided by the ethical principles which include beneficence, non-maleficence, autonomy,and justice. During my practice, I encountered several ethical issues related to care. In a particular incident, an 83-year-old patient decline treatment claiming that it would only increase his suffering. Following the ethical principle of beneficence, I understood discovered that my priority, in this case, was to adopt approaches that improved the benefits of the patient. With my strong persuasive skills, I managed to convince the client to comply with the treatment to help alleviate his suffering. However, after resolving the ethical dilemma, I realized that I had a weakness of considering other perspectives which discouraged me from engaging my supervisor for an informed decision.
Week 5
During week 5.3, I handled population health concerns. These included the management of increasing chronic diseases as well as the number of older adults in the society. Cultural diversity also contributed to the major population health concerns. Using my cultural competency strengths, I was able to interact with the diverse population and practice cultural-based care without discrimination. However, lack of knowledge of multiple languages was my major weakness which compelled me to get a translator. To improve this, I intend to take up courses on the most commonly used languages in my community to optimize patient outcomes.
Week 6
Technology has improved the convenience, effectiveness,and speed of care delivery. During week 4.3, I learnt and practiced the use of electronic health records and telehealth and their impacts in the healthcare setting. My information technology knowledge and excellent computer skills facilitated my quick learning. My enthusiasm was also a notable strength that enabled my effective practice and increased mydesire to learn. The weakness discovered at this point was the increased independence of operation which denied a collaborative opportunity to others. In this case, I intend to learn to be more accommodative to others through increased flexibility. This would help optimize the role of technology in improving healthcare outcomes.
Week 7
During this week, health policies were learnt. The course included the actions, plans,and decisions carried out to attain specific goals of healthcare in the society. During my practice, I was involved in the formulation of healthcare organization policies whereby I used my health policy knowledge to propose effective approaches towards thedevelopment of hospital visions and the plans for achievement. I was selected to communicate with my colleagues on suggested changes in the organization and their impacts and also take their opinions on the issue. This was influenced by my good communication and social skills. The weaknesses discovered in this week included talking too much which resulted in the assimilation of other’s opinions on my own. I intend to improve this by controlling my expressive nature and allowing others a chance to air their views without my influence.
Week 8
This week entailed learning and practicing leadership and economic models. I discovered that leadership is essential in developing ideas, making social, economic and political decisions and formulating approaches in the management of CHF patients. In my practice setting, I provided support to the staff and held them accountable for their performance of the nursing duties. My leadership strengths included being supportive, disciplined and goodcommunication. My weakness was that I was so rigid and demanding of myself and others. I intend to improve this through practicing service leadership and learning from other leaders. My knowledge in finance also helped me to oversee the successful formulation of my department’s budget.
Week 9
This week involved the exploration of health disparities. These included racial and ethnic discrimination, gender and social status among others. I discovered that effective healthcare delivery was affected by disparities and thus, using my culturally based approaches, I was able to collaborate with the administration to cultivate a culturally sensitive healthcare setting. My weakness in this week was domineering whereby I was focused on having the changes imposed my way. Through the development of accommodative capabilities, I will be able to manage this weakness and improve the patient outcomes.Nursing reflection journal working in primary setting and with geriatrics