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NR 393 Week 1 Discussion Reflection on Leadership and Provision of Care

NR 393 Week 1 Discussion Reflection on Leadership and Provision of Care

NR 393 Week 1 Discussion Reflection on Leadership and Provision of Care

Purpose:

The purpose of this reflection is for learners to reflect on current practice and the impact that nursing history has on their leadership and/or provision of care.

Course Outcomes:

This reflection enables the student to meet the following course outcome:

CO1: Describe persons and events in nursing history from the early years through the 19th century related to leadership and provision of care. (PO2)

Directions:

Reflection is an activity that involves your deep thought into your own experiences related to the concepts of the week. Answers should be detailed.

Use the rubric on this page as you compose your answers.

Scholarly sources are NOT required for this reflection.

Reflection Question

Reflect on your current practice. How does nursing history impact your leadership and/or care provision? Please include specific nursing history persons or events in your reflection.

One of the things that I find most rewarding about my job is when I have a moment with a patient where I feel like I made a difference. I always try to look at the situation and think to myself that they have no idea what is going on and most of the time our patients are anxious over the unknown. Even something so simple as running an EKG is terrifying because they want to know why its being done, is it going to hurt, what does the result show, among many other questions when we as healthcare professionals know it could just be as a reference pre-op or to see if their lab values are impacting their heart at all. I enjoy when I get to essentially sooth their anxiety through talking to them and educating them on what it is used for so they don’t worry about their health. I also enjoy when I can give family members peace of mind about their loved ones and let them know that everything is going well or give them updates about their conditions.

Communication is such a key part of our job because it allows us to successfully take care of our patients and provide positive outcomes. We are the ones who are with them for extended periods of time and taking care of them so its so important that we keep them involved in their care. “Skillful communication is related to improved health care outcomes, such as patient satisfaction, therapy compliance, symptom resolution, and physiological parameters or improved health status” (D’souza, Devi, and Sheilini, 2013). Taking care of patients is not just doing all the tasks of nursing but also being there and providing emotional support. Nursing history has taught us that nurses are an incredibly valued and trusted profession and that is because we are the ones who are there for our patients emotionally and physically and that is one thing that will always be at the foundation of our profession.

 

Reference:

D’souza G., Devi E., Sheilini M. (2013). Communication Pattern, Attitude Towards Importance of Communication and Factors Affecting Communication among Nursing Graduates Working in Cardiac Units. International Journal of Nursing Care.

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In the early 19th century and before, nursing was done by persons, not a licensed nurse, as they did not exist, to usually make the sick comfortable before their passing.  Helping someone with comfort, kind words, or a gentle touch is timeless.  Today, this is something carried forward that I provide in nursing care.  There are times that I have a patient that is passing, and as in the past, the best that I can do for them is to provide care and comfort until the end.  I have seen in history, pictures, and movies, as well as the patients have seen, the good light that nurses are portrayed in.  I try to be a good role model as a nurse.  Patients look to me for caring feelings, physical care, and information.  Besides being there for someone who is passing, today I use evidence-based practices in nursing care that has evolved over the years, and I teach patients about preventative care.  I learned from our readings that a lot of the nursing care provided in the past was mainly done by men.  This was surprising information to me, as there were only two men in my nursing class.

Florence Nightingale is known as a caring nurse in history and has contributed to the nursing profession in many ways, such as with education, being an advocate, and research.  Just as Florence Nightingale was a nursing researcher, nursing research continues today, and I can apply new discoveries or new methods in delivery of care in my practice, as well as use this information to educate my patients.  Some of the things that Florence Nightingale spoke about in the past also impacts my nursing practice today.  They include confidentiality, building trust, observation, communication skills, and cleanliness.  These items are all necessary in the nurse-patient relationship.

Licensed nurses, like myself, go through schooling as in the past, to receive their knowledge base.  As time goes by and I am working, I am always learning something new.  History is always changing and impacting my performance and knowledge, and with new technology it can even be daily.  Some things, like caring, compassion, and empathy, do not change over time, but impact the way I view nursing.  Something as small as a smile, can change a patient’s day.

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ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.

Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.

One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.

I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately.

In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.

Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).

Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

APA Format and Writing Quality

Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).

Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.

I highly recommend using the APA Publication Manual, 6th edition.

Use of Direct Quotes

I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.

As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.

It is best to paraphrase content and cite your source.

LopesWrite Policy

For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.

Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.

Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?

Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.

Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.

If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.

I do not accept assignments that are two or more weeks late unless we have worked out an extension.

As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

Communication is so very important. There are multiple ways to communicate with me:

Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.

Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.