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Practicum Journal 1 - Term Paper Example

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If you are not on-site for a week in which a journal entry is due, reflect on experiences from any of the previous weeks of this course. Journal entries are due in Weeks 3, 7, and 11…
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Practicum Journal 1
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NURS 6600: Capstone Synthesis Practicum Journal Tonya Peten E-mail Address: [email protected] Practicum Placement Agencys Birmingham VAMC
Preceptor’s Name: Alice Oswalt, MSN
Preceptor’s Telephone: (205) 933-8101 Ext 5295
Preceptor’s E-mail Address: alice.oswalt.va.gov
Practicum Professional Development Objectives
1. I will demonstrate the skills and competency in managing a diverse population of staff and patients at the end of the practicum experience.
2. I will work within a complex system to develop leadership abilities appropriate for the management role of Nursing Coordinators (night supervisors)
Project Objectives
1. The learner apply nursing theories and relevant research in creating an implementation plan for best practices.
2. The learner acquire the ability to identify and analyze leadership approaches used in managing multidisciplinary groups
3. The learner will have the capacity to apply best practices in nursing in order to drive performance.
(Continued on next page)
NURS 6600 Practicum Experience Journal
You must submit a journal entry in each assigned week, even if you are not on-site that week. If you are not on-site for a week in which a journal entry is due, reflect on experiences from any of the previous weeks of this course. Journal entries are due in Weeks 3, 7, and 11. Place the references for each week’s entry immediately after that week’s content. Remember to use APA style when writing your journal entries and listing references.
Begin each journal entry on a new page. The template has a “new page” command inserted before each weekly label. 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.
Journal Entries
Describe a problem, issue, or situation that you have observed during your Practicum Experience (no more than a half page) (10 points)
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)
Given the various evidence-based approaches that can be used in handling the problem, situation, or issue, formulate a plan for approaching the matter differently. (30 points)
Include references immediately following the content.
Use APA style for your journal entry and references.
Note that Faculty may deduct up to 20 points for writing style issues/errors and/or citation- or reference-related APA errors.
Practicum Experience Journal Entries NURS 6600
Week 3 Journal (references should immediately follow the content)
Practicum Journal 1
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 inconsistency in handling the situation, bedside report hand off approach could have been utilized whereby both the dayshift and night shift nurse could have rounded together to allow the dayshift nurse to wrap up whatever she had left and also allow the both nurses to hear the new orders given on the new patient. In terms of consistency, the dayshift nurse waited until she completed all her responsibilities before handing off to the day shift nurse. As mentioned earlier, my idea would have been for both the nurses to round together in order for the dayshift nurse to hand off to the night shift nurse at the bedside as it would have allowed them to also involve the patients in the hand off.
References
Berkenstadt, H., Haviv, Y., Tuval, A., Shemesh, Y., Megrill, A., Perry, A.,... Ziv, A. (2008). Improving Handoff Communications in Critical Care: Utilizing Simulation-Based Training Toward Process Improvement in Managing Patient Risk. Chest Journal, 134(1), 158-162.
Philibert, I. (2009). Use of strategies from high-reliability organizations to the patient hand- off by resident physicians: Practical implications. Quality Safe Health Care, 18, 261- 266.
Wakefield, D. S., Ragan, R., Brandt, J., & Tregnago, M. (2012). Coordination of Care: Making the Transition to Nursing Bedside Shift Reports. The Joint Commission Journal on Quality and Patient Safety, 38(6), 243-254.
Practicum Experience Journal Entries NURS 6600
Week 7 Journal (references should immediately follow the content)
Practicum Experience Journal Entries NURS 6600
Week 11 Journal (references should immediately follow the content) Read More
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