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Be sure to delete any blank pages that appear between the weekly entries. Note: This document will serve as a cumulative journal. For each submission, you will add to the document so it contains all of your journal entries.
Using no fewer than three peer-reviewed sources, analyze what you have observed within the context of your specialty using appropriate concepts, principles, and theories, giving special attention to observed events that vary from scholarly literature. (30 points)
Explain how the problem, situation, or issue was handled in a manner that is consistent and a manner that is inconsistent with the theory, concepts, and principles detailed in the evidence. (30 points)
There was a situation during my practicum experience where a day shift nurse was running over at 7.30 pm consequent to a patient experiencing a seizure 30 minutes prior. The day shift nurse could therefore not hand off all her patients as she was behind schedule. When the nurse supervisor was called, the night nurse stated that the situation would cause her to start her shift late and that it was unfair to her. According to Berkenstadt et al. (2008, p.159), the outgoing nurse must inform incoming nurse in regards to "Patient status and care, treatment and service, and any recent or anticipated changes in the condition of the patient". Conversely, bedside shift reports have become the conventional technique of handing off as it increases levels of patient satisfaction (Wakefield, Ragan, Brandt, and Tregnago, 2012). The fact that the night shift complained of unfairness is proof that she was not inclined towards bedside report hand off as an option as dictated by scholarly literature. A research aimed at establishing effective ways for hand offs cited by Philibert (2009, p.261) showed that "Frequent and time-constrained hand offs may frustrate the aims of the duty hour limits". This finding validates the night shift nurses concern that her shift would be affected.
In terms of
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The section of the text ‘Where I lived, and What I live for’ outlines the various aspect surrounding Thoreau’s habitat and his general philosophy in moving to Walden Pond. While there is a great amount of narrative information that is supplied in the context of this chapter, without a doubt the most interesting elements are the insights into life and human nature that are interspersed throughout the chapter.
The change agent is described as “undeserving victims of the irrational and dysfunctional responses of change recipients” (Ford, Ford & D’Amelio, 362). This suggests that change in an organization is dynamic and involves considerable stress stemming from illogical or absurd attitudes from employees or managers who are defiant against adopting a proposed change principle.
First and foremost, I am now able to participate actively in the delivery of clinical care to patients. In this regards, I am now in a better position to organize employment schedule around clinical times which enables me to attend to patients interviews, carry out physical assessments, obtain the necessary laboratory specimens as well as utilizing specialty equipment.
He lives with his wife Skyler and his son Walter Junior. According to the storyline, he was told to survive approximately for two years only. Viewing the end of his lifetime, Walter realizes that he has lost everything in life. Consequently, he becomes highly determined to ensure a safe and secure future for his family in his absence.
Among other theories that I found useful in my practicum were the attachment theory, interpersonal theory and the feminist theory, which are critical in understanding the aftermath of delivery. I undertook a thorough study of existing literature about postpartum complications and systems.
This discussion gives a description of my proposed practicum project, rationale of the selected focus, the overarching project goal, and outlines questions that my colleagues may be able to help address as I proceed with planning for my practicum
The focus of my project practicum is implementation of various best practices related to nursing operations: purposeful rounding; bedside reporting; and multidisciplinary rounding. In terms of the goal, the learner will