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Final Analysis

Nirmala Dahal

Bon Secours Memorial College of Nursing

NUR 4140 Synthesis for Nursing Practice

Dr. Williams

April 17, 2021

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Life is a journey that does not have a destination, to begin with. I grew up in a

refugee camp in Nepal, where the future of many children is uncertain. If someone were

to ask me; what the most important thing as a child for me was, I would simply say, it

was to have enough food to eat and a roof over my head. When I moved to the United

States in 2008, I did not know I wanted to become a nurse. My early life in the United

States was focused on survival state and adapting to the new and diverse American

culture. When I first started nursing school at Bon Secours Memorial College of Nursing

(BSMCON), my fear was an English language barrier and not knowing what was needed

of me to become a nurse. It took hard work, consistency, commitment, and enthusiasm to

learn to get to my final days of nursing school.

During the last three years, I have learned so much about the nursing profession

as a result of the education I have received from BSMCON via lecture courses,

simulations, and practicum experiences. BSMCON has an extensive implementation of

different learning methods including, clinical over 900 hours with patients in the

hospitals, simulation at the clinical laboratory, and community engagement projects. At

the beginning of my nursing school, I had the experience of learning about patient care in

the classroom and laboratory before engaging with patients in different hospitals. After

passing different courses and learning about different medications from pharmacology

classes, I had the education needed to safely administer medication with the supervision

of my preceptors/faculty. When I had challenges with anything related to the language

barrier, there was someone at school who was willing to help me. For that, I am forever

thankful to everyone at BSMCON.

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In my junior and senior years, I had the privilege of learning about many different

disease processes across lifespan, including mother-infants and pediatric patients. In

addition to the knowledge received, I also had different opportunities for learning new

nursing skills that are vital for providing patient care, especially in critical care settings.

For example, placing a Foley catheter, inserting an intravenous catheter, and external

ventricular drain, nasal-gastric tube placement, and wound care were among the different

skills I got the opportunity to participate in during my clinical practicum experiences.

Similarly, I also had various opportunities to engage with patients suffering from mental

illness across the lifespan. BSMCON also provided different volunteer opportunities to

participate in patient care with vulnerable patient populations, who are victims of

different social determinants of health.

To anticipate and get used to evidence-based practice, BSMCON specifically

offered me two courses, Nursing Research and Synthesis for Nursing Practice. The

nursing research course taught me to critically appraise previously conducted research,

analyze them, and write an integrative review of my own. This process of conducting

extensive research has introduced me to the patient care practice that is vital for patients'

safety. Similarly, Synthesis for Nursing Practice taught me to synthesize materials

learned over the years and to look at one problem in the hospital setting. The quality

improvement project involved me and my group to collect data, analyze the given

problem, find out the root cause, and come up with the solution using evidence-based

practice.

Clinical immersion requiring 225 hours of clinical experience in the Neuroscience

unit was one of the best experiences I have had while at BSMCON. During this
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experience, I was able to utilize knowledge learned from lecture materials and apply them

to inpatient care. This experience was unique to other practicum experiences because of

the one-on-one preceptor I had the opportunity to work with. In addition to providing safe

patient care, I also participated in leadership and interdisciplinary rounds that build my

confidence to communicate with healthcare providers and fellow nursing staff.

Lastly, nursing is not only going to be my profession, but it is also my passion. I

love to help people and now that I am graduating from nursing school, I am better

equipped with the education and credentials needed to help people who are at their

weakest point in life. Who knew that a child who grew up in a refugee camp would one

day be a nurse in the United States of America. I have so much gratitude for everyone

who has helped me along the way to become a newly graduated nurse.