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NUR 206 – CLINICAL SKILLS APPLICATION

REFLECTIVE JOURNAL ASSIGNMENT NUMBER 1Summer 2009

The goal of the reflective journal writing assignment is to provide an opportunity for student nurses to practice the skill of reflection in their nursing practice, in order to become more proficient in thinking likea nurse. Reflection is a skill that involves taking the time to pay attention to the moment “on purpose” inorder to notice all the significant data in a patient care situation, thinking about the situation after it occursin order to increase understanding of the total situation, as well as increasing self-awareness of the nurse’sresponse to the situation. Reflection can be a building block that leads to evidence based patient centerednursing care and maturing clinical judgment.

Directions:For each course objective, answer allof the questions related to the objective. Journal entries mustaddress all course objectives.

Course Objective 1:Minimize risk of harm to patients and providers by implementing individual

safety

measures and participating in

safety

promotion at the facility level consistent withthe PN and ADN dimensions of practice.

A.What skills did you perform during the last two (2) clinical days? Review each skill using theagency’s policy manual and related texts/ resources to make sure you are performing the skillscorrectly and competently. What variations did you find in the policy manual and what you weredoing? Were the differences you found acceptable variations or are there changes you need tocorrect in your practice? Explain your answer.B.Give an example of something you did for a patient to promote safety. How did your action promote safety?

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NUR 206 – Reflective Journal Assignment Number 1Page 2C.Describe a policy that is practiced on the nursing unit where you are assigned which promotessafety for all patients and staff on the unit. What is the rationale for the policy?

Course Objective 2:Demonstrate a working knowledge of the nursing process when providing caring,compassionate, coordinated

patient-centered nursing care

and promoting healthin a diverse population consistent with the PN and ADN dimensions of practice.

A.How many patients did you care for each time you worked during the last two (2) clinical days?Describe their level of care.B.Select a brief patient care interaction (approximately 5 minutes) with a patient you have not seen before. Immediately after leaving the patient’s room, make a list of everything you remember aboutthe patient and the room environment. Include observations of the patient, equipment (IV tubing,IV pumps, catheter bags, etc), family members present and the condition of the room. After youhave made the list, go back into the patient’s room with paper and pencil and make another list of the same type of observations. When you have time to compare the lists and reflect on your observations, answer the following questions:1.What was the greatest difference in your 2 lists?2.What was the most significant observation that you made on your second list that you omittedfrom the first list? Why do you think this was a significant omission?3.What will you do to increase your observational skills during your next patient interaction?

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NUR 206 – Reflective Journal Assignment Number 1Page 3C.Describe what you did during the last two (2) clinical days to improve your organizational skills.What is one (1) change you will make in your organization to achieve increased efficiency in your work while maintaining excellence in patient care?D.Give an example of a nursing intervention you implemented in which you considered the preference of the patient. How did you know the patient’s preference? How would the outcome of the intervention been different had you not considered the patient’s preference?E.Give an example of patient care where you included the patient’s family in your care. What werethe family members’ needs in this situation? How did you perceive the patient’s feelings about your inclusion of the family in your care? How did the family respond to your efforts to include them?

Course Objective 3:Use

evidence based practice

to deliver optimal nursing care that reflects sound decision making and quality improvement consistent with the PN and ADN dimensions of practice:

A.What nursing knowledge did you already know that was helpful in a patient care situation? Whatnew nursing knowledge did you acquire (not clinical opinion, but scientific evidence) thatcontributed to your understanding of the total patient situation? How did you acquire thisinformation?

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