Discuss about the Nursing Reflection for Cardiology and Rehabilitation.
Everyone is having their own map which occupies the mind of the people making different perceptions. These maps have the power to develop a portray that lasts a lifetime and personal experience plays an important role in developing perceptions. As represented in geographical maps, in the similar way personal maps are developed by the individuals that help us to known about our environment but these are representations as per our thinking only. As per my personal experience which is capable of determining that how much of our surroundings we see actually.
At an earlier stage when I had joined the programme of Nursing, a very first thing that comes to my mind is what motivates the nurse to be successful in her profession, how well educated a nurse should be, what are the various responsibilities of nurse, how she manages the timings of her work shift, what she wears, how active she is and many questions were giggling in my mind. I had made the image of a nurse by studying various articles and hearing for many people like nurse got ready with a white uniform along with a cap on her head, she has to very punctual at her work place. People call them as Sister usually as sister stands for care and love while performing the duty.The nurse always greets all the patients with a smile on her face and filled with enthusiasm all the day. She takes care of medicines and injections to be provided to all the patients at the right time. She shows the words of sympathy which are enough for the hope of patient to get well soon. Nurse act as the right hand of the doctor when the doctor is on round to know the position of patients. Moreover, nurse jots down all the prescriptions given by the doctor very carefully and follow the precautionary measures to take care of the patients. She is also responsible for the proper diet taken up the patient as advised by the doctor (Cirocco, 2007). Her each and every action is as per doctor advice. As if any patient‘s condition demands an action then she immediately informs the doctor. She has to prepare a chart of her duty hours which includes the things to be offered to patients at which time like medicines and other things. After her hours of duty, she has to give charge of duty to another nurse at the end of her duty timings. Individuals who have the strong wish to take care and have concern for the well being of people by suggesting good health measures are the one who is interesting as well as a right candidate to join the career of nursing (Cirocco, 2007). Due to the change in demand for nurses in the health department, there is a range of employment opportunity at several places. The nurse can pursue her career in schools, hospitals, old care facilities, nursing homes, airlines, specialized organizations, research organizations, Non Governmental Organizations and several other healthcare services (Daniel, 2016). Nurses can also be the teacher for teaching health classes; she is responsible for taking care of the patient, for rehabilitation, to promoting healthy life style, providing tips to cure disease and many more activities.
As per my experience, in the hospital, a Nurse can practice in trauma or emergency unit, critical care unit, surgery ward either outpatient and inpatient, gynecology, cardiology, rehabilitation, cardiology and psychiatry. Moreover, Nurse can perform in the clinics, offices, schools, public and occupational helath sytem of physicians’ in the community. During my first year of master’s programme, I had learnt about Clinical Decision Making, Healthcare Management, Hospital Administration, Nursing Models & Development, and Trends & Issues in Nursing (Daniel, 2016). There are tremendous career opportunities like a lecturer in the university, administrator of the health department, in charge of a specific unit in the hospital, a researcher in the nursing field, CEO of the hospital. My wish is to become a registered nurse and to obtain a state license in order to work in a nursing field. Throughout my master’s programmed at the university, I had learned various skills from basics to the practitioner.
I have had hands at a clinical lab, what I had observed is totally on my experiences dealing with patients and fellows. However, there are a lot of amendments in health care business the Bureau of Labor Statistics predict an expansion of 16% in this occupation for the decade 2014-2024 (Daniel, 2016). The regular yearly wage for register nurses was $71,000 as of 2015 onwards.
Nurses are always motivated to be a reflective practitioner, which is how to reflect critically. I have learnt from many experiences of mine to deal with patients, to provide medication at the right time while taking care of a patient’s health.
At the start of clinical practice, I was a bit anxious about how to deal with the patient. I had some difficulties experienced at the beginning of clinical decision making disquieting about providing the incorrect information to the patient was among one of the issue that always makes me nervous. Although as a beginner, I am full of enthusiasm to fulfil all aspects of my responsibility. I remember during my primary day I was worried about giving the incorrect chunk of information to the patient as I memorize that one of the patients point out me about his diagnosis report and at that time, I said ‘I don’t have an idea’ then he screams on me and asked me how you will be able to look at me as if I do not know about the diagnosis results of the report. At that time Doctor just arrived and handled the situation. In this way, I got the lesson that before going to the patient, we must have knowledge of the patient’s diagnosis. We have started making a chart of medications given to the patient by jotting down the information prescribed by the doctor after that day. I usually stand at the right side of doctor to understand each and every aspect of patient’s medication and diet schedule. In this respect, I had started giving proper medicine to every patient in my ward assigned to me and I had started making personal concern with every patient to motivate them to get well soon. In this way, many patients started calling me as a sister. I feel elated to hear and patients started sharing their problems without hesistation which results in their early recovery. I used to take patients outside the ward to enjoy the natural environment who are handicapped. Whenever a patient enters the hospital I always help them to proceed with their treatment.
Overall I can say that the first month of my training in the clinical lab was full of nervousness, although I thank my fellows to motivate me to complete my training successfully. The moment we progressed in our training and having hands on experience of day to day, my nervousness fades away. I had started handling the situation with more confidence. During this programme which has given me flexible time, I was selected as Head Nurse in a health care department where I had started instructed new interns. Later I had choosen the field cardiac cath lab where I was working as Head nurse for 5 years. I had many experiences with patients. Still, while working, I realize the need to persue masters in Nursing after my Bachelors in Nursing.
As per my personal experience, I had learnt the duties of a nurse; I had work in hospitals where I got the opportunity for providing care to patients by managing their medication chart and observing the condition of the patient at different time intervals, maintaining records and having advised from doctor to do my duty. Not only care and physical support are provided rather I had provided emotional support to patients as well as patient’s family members. I remember one patient who had no hope of getting well but I had supported her emotionally and motivated her to live a healthy life. I had given a detailed background of the disease causes and effects and how to cure after treatment. Even special diet plan card I had made personally as per condition of a patient by communicating with the doctor. Moreover, home care strategies after treatment are provided to the patient and some tips how to take care of self with the proper medication schedule (Daniel, 2016).
Another experience which I faced are the changes in the dressing of my 21years old patient. This task took almost 30mins to change the dressing. I had gone to the clinic number of times to bring the stuff needed to change the dressing and my hands were shaking at that time. I was feeling embarrassed as the patient gets irritated and my instructor was observing my way of dealing with a patient. That day I came to know about some of my weaknesses and further my instructor guides me to handle such situation with calm.
I have realized that Nurses are the most faithful healthcare professionals. We are with patients while their treatment in the hospital.I personally play the role of not only of the nurse but the role of teacher, care giver, advocates, innovator and a critical thinker as per any situation arises as the patient comes under my unit of duties. Nurses are a teacher, advocates, caregivers, critical thinkers, and innovators. I feel honor while performing my duties in a professional environment and I proudly say that nurses are the heart and soul of the healthcare system of any country.
Every student feels that there in the gap between theory and practice as we learnt so many different aspects of nursing, but there are not many opportunities to do them in practice. One incidence which relates my theory and practice class when I got theory lecture on a disease such as diabetic mellitus then very next morning I went to the ward and have observed the patient suffering from diabetic mellitus then I had recalled all my theory content and this way all remain in my mind. As what I had read in the lecture was same as what I had observed practically. So practical plays a vital role. Try to always relate what you had studied in practical form. I had started reflecting my ideas for the clinical practice by learning theory aspects of nursing. In this way, the gap between theory and practice will be obsolete.
Moreover, we are typically trained by the Head Nurse or other Nursing staff. The other ward staff is having no concern about what students learn or not, they are busy with their duty schedule and are unable to have both an educational and a service role. Some of the nursing staff has good interaction with nursing students and they are interested in helping students in the clinical placement but they are not aware of the skills and strategies which are necessary for clinical education and are not prepared for their role to act as an instructor in the clinical placement (Gallus, 2014)
During Practice, the instructor acts as an evaluative person and majority of students had the perception that their instructors have a more evaluative role than a teaching role (Gallus, 2014).
The role of mentor in guiding the student nurses to grow towards excellence is necessary. Around half of the students in my programme section mentioned that some of the Manager of nursing unit and Staff Nurses are very good in guiding us during clinical practice. The clinical mentors can play a vital role in nurses to build up confidence, enhancing view point in society, and motivated to work independently (Gallus, 2014). I personally feel that a good mentor always support, guide and provide us social front to do our role of being nurse perfectly. Clinical practice skills are very important in nursing education because the theory can be read by anyone but the real practical experience is the power in hands of nursing profession.
In our university, nursing faculty is concerned about solving student problems in education and clinical practice. The Faculty of Nursing plans the nursing curriculum in a way that nursing students be involved actively in their education.
Reflection is the diagnosis of individual’s thoughts and actions. There comes a stage when confidence was building up in me to deal with the patients then I had started interacting with my colleagues and I was very well aware of the environment in which I have to work as a nurse. I got a chance to know my strengths and to do my tasks appropriately. Everything is aligned with my beliefs and values as I have hands on experience of nursing.
I have started recalling my past experiences to improve my present tasks in a nursing environment. In this way, I have started my journey towards better and effective ways for nursing. Sometimes I feel negative about acting in specific behavior but at last, I found the ways to realize the things in positive ways which are more effective and motivate patients also to live in a healthy environment by following proper medication. I have started working in a professional environment.
Further, I have started observing my own actions in dealing with different patients. As I am getting experience, I got a habit of improving my ways by comparing with other professionals.
Reflective practice or experience is critical for each person specifically nurses as they need to extend the medical facilities with focus basis their acquired knowledge through education and conduct in the treatment of patients and their families members to meet the challenge.
It is more serious when we look at it from point of ever changing and update in their area of work. On one side technology is updating and changing the way one has to work and update their acquired professional skills and other side customer being having knowledge of treatment being given to their members. Attending reviews and meetings in their fields helps them to gauge challenges and opportunities of future and do SWOT analysis to strategies their future plans.
To add to this, they need to be very interactive and communicative with their colleagues as this profession rely more on mutual support as compared to any other field of area. Though they should always be in touch with the ever changing environment, they should also learn to be sort of self dependent.
This goal can only be realized by them if they are attentive to feedbacks of the stake holders i.e. patients & their families, their colleagues and the Institution they are working for and making the best use of given exposure.
To be reflective is a really big challenge in given a set of lifestyle. You would not have enough time to meet deadlines not only in professional life but also in personal life. One can be under enormous pressure to achieve this goal. Here we are listing tools or area which can be optimally used in fast pace life to be reflective in real sense and ensure your growth in the future.
Feedback is the critical and central area in the process of reflection as to what you are today is only on basis of what you were being told by stakeholders in past as one is always acknowledging the verbal or written feedbacks from others for our skills, efficiency and even how we conduct in public space.
But the question is “Do I know correctly what I have seen or listen?”
By nature, all of us are grown with certain sort of views and perception and with it we all have a different set of view of the world not only in terms of how we look at the world but also how world look at us or a particular incident around or in the world we are living. A simple way of achieving this is to develop the habit of getting feedback or understanding perception of other people about a particular incident is by being proactive in interacting with the people around or simply asking for feedback on your services. Yes, the people you are interacting should be one you can trust and is honest with his view and even more, you can rely or value upon.
That person can vary from place to place, say, at work, that can be your senior or even a junior colleague who is in position to give you another angle to your thinking or approach to a particular situation to add to your learning. Remember, though, you need to be active enough not to take his feedback as the “truth” always but yes make sure you give due regard to the opinion.
One should be motivated enough to be reflective to accept responsibility and challenge to “ASK”- what, when and where – how they perceived your behavior without thinking too much as some will, some would not but so what. For illustration, one should ask “can you give me some feedback as to how I handle to that patient?’
At first, you may be surprised as you will find people bit hesitant in providing feedback but slowly when they feel or realize that you may ask for their view, they are likely to come up with valuable suggestions full of information and useful resources for you. Rather I was astonished to find people coming to me for feedback for their work.
To attain as intention a image as likely of yourself, the actions or yours and the colleagues, attempt the subsequent exercise. Remember an event from the current past, one which concerned you and an additional person or other people. Now envisage yourself at the theatre. On the phase are the group of actors in the scene in which you were concerned. Look as cautiously as you can at what you are burden and proverb and at what the other person is doing and saying. Gaze at the communication, connecting you and the other person, and look at the role you are playing. Do you observe anything dissimilar from this viewpoint and, if so, what? How does this have an effect on you now?
Practising this means of looking back on an knowledge can help you build up reflection-in-action skill. Being a participant observer of your own experience is a sophisticated skill and can enable you to process the underlying elements of a personal experience.A useful way of reflecting on an interaction, possibly one that has involved you in a conflict of some kind, is to adopt an empathic position to try to see, hear and feel what the other person may have experienced.
Even though many events perform in a cath lab are planned during daytime hours, emergency occur that necessitate cath lab nurses to be accessible around the clock. Employment opportunity for cath lab nurses can be bring into being in hospitals, private clinics and cardiac catheterization laboratoarys. As with the majority specialty in nursing, salary will differ depending on years of experience, credentials and geographic area. The standard salary for a cath lab nurse in 2013 was between $65,000 and $83,000 a year according to a survey completed by Springboard Inc., which is a medical staffing agency (Hamlin, 2004).
Nurses who are interested in working in a cath lab should be detail-oriented. They work very closely with cardiovascular technicians and physicians and should work well as part of a team. The work can become stressful, and emergency situations may develop quickly. Cath lab nurses should have a calm demeanor and work well under pressure (Hamlin, 2004). Medicine continues to evolve, and new technologies are always emerging, especially in cardiovascular care. Nurses who work in the cath lab should enjoy learning and stay on top of the latest information
Sometimes people decide to become nurses rather than doctors, because the nurses will be able to help patients directly, by talking to them, doing things they need, carefully watching that nothing goes wrong, and then seeing them as they get better (Hamlin, 2004).
Like doctors, nurses can choose what work they do. Some nurses train and work to help during the surgery. Some nurses train to help people understand health problems like nutrition (what to eat), and disease (what can make people sick). Nurses can do many different jobs to help people.
Conclusion
Nurses are in demand because there are not enough nurses to handle hospital needs. Because of this shortage, nurses will sometimes travel to another location to work for a few months in what is called travel nursing.
My life experiences have helped me to realize that nursing is my calling. I feel the best about myself when I am given the opportunity to help and care for others, and it would be my dream to complete the Nursing Program at your incredible institution.
My first memorable experience working with nurses happened at 17 years old when I became pregnant. This time in my life was incredibly scary and I got through it with the help from my wonderful family and caring visiting nurse staff. I was so empowered by the nurses support, education, willingness to help and their positive influence that they helped me believe that I could be successful.
References
Cirocco, M. (2007). How Reflective Practice Improves Nurses?? Critical Thinking Ability. Gastroenterology Nursing, 30(6), 405-413. https://dx.doi.org/10.1097/01.sga.0000305221.78403.e9
Daniel, E. (2016). Music used as anti-anxiety intervention for patients during outpatient procedures: A review of the literature. Complementary Therapies In Clinical Practice, 22, 21-23. https://dx.doi.org/10.1016/j.ctcp.2015.11.007
Gallus, P. (2014). One nurse?s inspirational journey. Nursing Critical Care, 9(1), 7-8. https://dx.doi.org/10.1097/01.ccn.0000438646.27086.f7
Hamlin *, K. (2004). Beginning the journey: supporting reflection in early field experiences. Reflective Practice, 5(2), 167-179. https://dx.doi.org/10.1080/14623940410001690956
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