Reflective essay on nursing bedside handover using Gibb’s reflecive cycle (1998)

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Reflective essay on nursing bedside handover using Gibb’s reflecive cycle (1998)

-The purpose of this assessment is for you to demonstrate your ability to reflect on your clinical practice and understand the relationship between your practice and the NMBA(National competency standards for the registered nurse) competency standards.

*Reflecting on your practice enables:
-Alignment of practice to the NMBA National competency standards for the registered nurse (2006)
-Professional and personal growth
-Time to consider the complexities of health care delivery, in contemporary settings.

*Throughout the Intern to Register course, you have been made aware of Gibb’s reflective cycle (1998), which is comprised of the following steps:
– a description of what occurred
– a description of what you thought and felt
– an evaluation of what was good and bad about the experience
– an analysis of what was learned
– a conclusion: describing what could have been done differently
– an action plan: describing what would be done in future, if the same situation arose.

Choose the learning goal which you consider to be your significant. Using the Gibbs cycle, reflect upon your achievement of this goal. Remember to include any barriers that your encountered during clinical placement and any strategies you used to overcome those barriers and achieve your goal.

Throughout your reflection, you must demonstrate an understanding of, and alignment of practice with, the NMBA National competency standards, for the registered nurse (2006).

. Assessment/Analysis Subjective & objective data support the nursing diagnosis Discuss the diagnostic tests to confirm, clarify, and direct patient care Medication is listed including name, dose, class, indications, expected effect 2. Nursing Diagnosi

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1. Assessment/Analysis
Subjective & objective data support the nursing diagnosis
Discuss the diagnostic tests to confirm, clarify, and direct patient care
Medication is listed including name, dose, class, indications, expected effect
2. Nursing Diagnosis

Ineffective gas exchange related to altered oxygen supply (obstruction of airways by secretion). Structure diagnosis in problem related to etiology (cause) as evidenced by sign and system framework.
Connect the diagnosis with clinical/assessment findings.
Discuss the prioritization of the selected diagnosis
3. Goal Statement and outcome criteria
Discuss the 2 most appropriate goals for the nursing diagnosis
Goal must be measurable with target dates and times
4. Planning
Consider observation you make to monitor the patient condition or progress
What would be done to prevent, repair or reduce the problem is included
How and what will you teach the patient
5. Intervention
Include actions that directly relate to the patient’s goal that are specific in action and frequency
Include rational for selecting the specific intervention
6. Evaluation
Discuss how you would evaluate the patient
Discuss the implication if the goals are fully, partially or not achieved and what action you would take

Adolescence is a transitional stage from childhood to adulthood. It involves physical changes, psychological changes and development. On the other hand, depression is where a person feels low in mood and repulsion to activities which affect someone’s sense of well-being, feelings, thoughts and behaviour. There are many signs and symptoms contributing to adolescence depression.

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Adolescence is a transitional stage from childhood to adulthood. It involves physical changes, psychological changes and development. On the other hand, depression is where a person feels low in mood and repulsion to activities which affect someone’s sense of well-being, feelings, thoughts and behaviour. There are many signs and symptoms contributing to adolescence depression.

They include; change of behaviour and attitude. This is evident from problems emerging from school going children. There is also evidence from social activities and home or other sectors of life. You find that these teenagers tend to change their usual behaviour which eventually cause significant distress and problems. Most of these behavioural changes are; poor school performance and absenteeism from school. There is also tiredness, loss of energy, socially disturbed such that they tend to isolate themselves from people, there is regular complaints of headaches and other body aches leading to regular visits to nurse, they develop dangerous and disruptive behaviour, others start using drugs, there is also changes in appetite such that others loose appetite and finally, there is increased cravings for certain food leading to weight loose or weight gain.

In addition there are also emotional signs which include; loss of interest and pleasure in normal activities, there is low self-esteem, there is increased sensitivity to failure and rejection, there is the feeling of hopeless, feeling sad causing them to cry for no reason, there is thoughts of death, others think of committing suicide and feeling worthless and guilt. There are many methods of preventing teenage depression. They are divided into three categories that is; primary prevention, secondary prevention and tertiary prevention. These methods are discussed n the following three paragraphs.

Primary prevention
basically is practised at home. Normally administered by parents or guardians. The prevention involves parents or guardians talking and listening to their children. They should encourage the children to get involved in activities and programs that shape and build their behaviour and coping with their stress. Parents and guardians should get involved in the same activities as this will build the bond and reduce the emotions to teenagers. Moreover, the children will open up their problems, sharing them with their parents hence, making the parents and guardians their role models and partners in their time of need and help.

Secondary prevention aims at reducing the effects and impacts of already existing behaviours. It is basically practised by treating the behaviour and practices on the teenagers as soon as possible so as to stop the damage and mend the already ruined behaviour. This is done to prevent the long term or the eminent threat that may occur to the teenager for example; the imminent suicide, addiction of drugs and bad behaviour.

Tertiary prevention involves hospitalization of the extreme bad behaviour, these includes psychological and medical therapy to the child or teenager (Bridge, Kolko & Brent, 2003). The affected person may also be taken to a rehabilitation centre to reduce the setback and reoccurrence the behaviour. This prevention includes modifying the risk factors so that it can accommodate room for recovery. The main aim for this prevention is to enable and give back the person his/ her ability to see that life is worth living

Write a -word essay describing the differing approaches of nursing leaders and managers to issues in practice.

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Write a -word essay describing the differing approaches of nursing leaders and managers to issues in practice.

Write a -word essay describing the differing approaches of nursing leaders and managers to issues in practice. To complete this assignment, do the following:

  1. Select an issue from the following list: nursing shortage and nurse turn-over, nurse staffing ratios, unit closures and restructuring, use of contract employees (i.e., registry and travel nurses), continuous quality improvement and patient satisfaction, and magnet designation.
  2. Compare and contrast how you would expect nursing leaders and managers to approach your selected issue. Support your rationale by using the theories, principles, skills, and roles of the leader versus manager described in your readings.
  3. Identify the approach that best fits your personal and professional philosophy of nursing and explain why the approach is suited to your personal leadership style.
  4. Use at least two references other than your text and those provided in the course

Search and locate an existing instrument that will be used to address your research question. 2-Post the title of the instrument selected and the level of measurement on the tool. Next, post a description of the type of scale used in the instrument.

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Search and locate an existing instrument that will be used to address your research question. 2-Post the title of the instrument selected and the level of measurement on the tool. Next, post a description of the type of scale used in the instrument.

 

 

Nursing Research Methods: Measurements

Part One: Please begin by responding to the following questions.

1. What factors must a researcher consider in selecting an existing instrument for use in a study?

2. How does a researcher locate an existing instrument?

Part Two:

1-Search and locate an existing instrument that will be used to address your research question. 2-Post the title of the instrument selected and the level of measurement on the tool. Next, post a description of the type of scale used in the instrument.

3- Include a brief discussion of data collection procedures that will be presented in your proposal.

Gibbs Reflective Cycle 1988 Nursing Essay

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I am a Paramedic registered with the health professions council and this essay will look reflectively at an incident I attended during the course of my duties. The assignment will look at the moral, ethical and legal aspects of pre-hospital care with which I was challenged during this particular emergency. Confidentiality has been maintained at all times and names of individuals have been changed, I have also gained permission from the family of the patient and for the purposes of this essay I will call the patient Mr Taylor (HPC 2008)

To analyse this critical incident I will use

Gibb’s reflective cycle

. (1988).

Description

As a Rapid response Paramedic working for the Ambulance service I attend life threatening emergencies during my tours of duty, I work alone and am frequently dispatched to jobs as a solo resource that is without ambulance back up. The incident on which I wish to reflect occurred part way through a shift that had been up to then quiet. I received a call to attend a patient who had collapsed and was semi-conscious. On arriving I was met by a lady who was obviously distressed and she showed me to the patient who turned out to be the lady’s husband, he was around 50 years old and was by this time unconscious with poor respiratory effort, I quickly requested a backup ambulance via radio and continued with my assessment of the patient and attempted to gain a history of his condition and what had happened that day. His wife told me that Mr Taylor had been well until 8 weeks before when he visited his doctor for abdominal pain and some rectal bleeding. The GP had sent him for tests at the local hospital within a couple of days he had been diagnosed with numerous tumours throughout his body, Bowel, liver & lung and was told it was terminal , he had been given between 3 and 6 months to live. Overall he had still been active and reasonably well until a couple of days before, when he started to deteriorate , that day she had been shopping and when she arrived home had found him in bed semi-conscious and with difficulty breathing. By this time I had gained some observations and placed oxygen on Mr Taylor. My back up ambulance arrived and I did a clinical handover to the paramedic on board it was at this point that Mrs Taylor called me to one side and told me that he wanted to pass away at home and not in hospital, he had expressed a wish not to be resuscitated, she explained that as she was alone with her son living in the south she felt she needed some help when she found him. I asked about a the Do Not Attempt Resuscitation (DNAR) paperwork and she told me there wasn’t any. I explained our position as Health Care Professionals and in the absence of the DNAR we had to act in his best interests. She again reiterated his wishes not to be taken to hospital or resuscitated. As my colleagues continued to assist the patient I contacted our on call Advanced Paramedic for advice , I was asked to verify there was no DNAR in situ with the patients palliative care team first, then if this was the case to contact the patients GP to see if he or she would attend as a matter of urgency. After confirming the absence of a DNAR I contacted the GP who was extremely understanding and attended within 15 minutes. Mr Taylor passed away within minutes of the GP attending.

Feelings

Situations that deal with someone losing their life are always hard to deal with and cause an array of emotions, in this case sadness, that this lady was losing her husband of 30 years and he was only 50, frustration and irritation of paperwork that should have been in place but was not. The Health professions council (HPC) list one of my duties as a registrant as , “act within the limits of my knowledge, skills and experience and if necessary , refer the matter to another practioner” (standards of conduct performance and ethics, p3 2006) on this occasion we did this and it is On occasions like this when there is a group of health care professionals I try to include everyone in the descsicon making process and it was agreed it would be wrong to ignore a person’s wishes in these circumstances. His wishes had been explained to me by his wife, his palliative team and his general practioner. The Lasting memory for this lady and her family would be that her life partner died at home with his wife, exactly as he had wished.

Evaluation

As with any emergency situation our priority is safety and ensuring we are aware of any potential danger on scene, and performing dynamic risk assessments during the emergency. My responsibility for safety covers myself, colleague, patient, relatives and any further agencies requested to attend scene. The health and safety at work act (1974) states I should take reasonable care for my own health and safety and also that of others who could be affected by my acts or omissions. On this occasion everything was safe.

Looking at the incident I feel there were lots of positives , these include fast and effective communication with the patients relative, and fast assessment of the scene, decision makimg was also quick and effective and minimised any further upset and stress to the patients wife. Conversations with our own AP and the Palliative care staff and GP all fell into place on this job and this is not the norm , we often encounter difficulties contacting various agencies within the NHS .

Negatives included understanding of the DNAR side of our advanced decisions policy. I’m sure most HPC’s would agree that with so many modern policies and proceadures we cannot be expected to know everything , let alone little used sections of certain policies.

Morally I was challenged too as my professional guidelines state that in the absence of a DNAR then you must commence resuscitation (JRCALC).2006).

Epidemiological Analysis of Malaria Disease

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Epidemiological Analysis




of Malaria Disease

Malaria Disease is a “serious and sometimes fatal disease, caused by a parasite that commonly infects a certain type of mosquito which feeds on humans” (CDC, 2019, para. 1). People with malaria will suffer from high fever, chills, and flu-like illness. There are four kinds of malaria that can infect the human body: Plasmodium falciparum, P. vivax, P. ovale, and P. malaria. According to the CDC, “About 1,700 cases of malaria are diagnosed in the United States each year” (CDC, 2019, para 2). Travelers and in most cases, immigrants returning from parts of the world where malaria can be transmitted, including sub-Saharan Africa and South Asia.

The World Health Organization estimated that in 2016, 216 million clinical cases of malaria occurred, and 445,000 people died of malaria, most of them children in Africa (CDC, 2019, para 3). Malaria causes illness and even death which decreases the population and the national economies. The poorer the counties the higher infection rate, the cycle of disease is a vicious and will continue to cause deaths. The NIAID “is the leading agency in the United States federal government supporting malaria research and development”(NIAID NIH, 2016, para 1).

The NIAID is also conducting and supporting research to understanding and developing effective alternatives in treating outbreaks of infection. Researching the people that are already known to have malaria clinically apparent.  People that are immune to subsequent malaria infection will be the next step. Having subclinical cases of malaria that went undetected (but the subject may still be immune). Vaccination are they provide in the communities and conferred immunity. Have the vaccination failed to work in the community?

Gathering more information by going out in the community and collecting blood samples. I would perform a study called Cohort Study, a study that is a “group” of people who I would follow over a period, to assess what happens to them, i.e., health outcome.  This will allow me to come up with a hypothesis about what factor that at associated with the risk of getting malaria.


For Example


The Cohort Study of Malaria

I suppose the outcome of interest in the development of malaria. I have point out in my chart where and how to treat the exposure to malaria. The need for vaccine research in this area is very important for the population in these countries to be successful and stay healthy. After gathering my information, I can now see that the communities must be vaccinated.

Tuberculosis among people with HIV/AIDS

Public Health Officers are people that “focus on the overall health of communities instead of treating individual patients” (Chron, 2019, para. 1). I’m a health officers for a rural county health department and have been assigned to study the frequency of an infectious disease known as HIV/AIDS.  HIV stands for “human immunodeficiency virus, and it weakens the immune system by destroying important cells that fight disease and infection” (CDC, 2017, para.1). AIDS is stand for “Acquired immunodeficiency syndrome” the most severe phase of HIV infection, it damages the immune system which cause the person to get an increasing number of severe illnesses, called opportunistic illnesses” (CDC, 2017, para.9). According to the CDC “people typically survive about 3 years” (2017, para.9).  Research show that rate of the increase in HIV has been diagnosed rural areas at an alarming rate. A high rate it was report in rural areas there was approximately 1.2 million persons estimated to have HIV. After testing the number that was infected was 898,000 were positive for the disease.

The HIV epidemic is active in major rural areas over the past years it has increased, and is impacting, minorities, older adults. The Center for Disease Control and Prevention (CDC) report that in the early 1990s 5% to 8% of the AIDS cases have been diagnosed among those who live in a non-metropolitan area. The rates in the South living with AIDS is 99.5 per 100,000 in the rural area. In rural areas highly populated by African American, Indian, Latinos, Alaska Natives, and Whites are at a percentage of how that are contracting HIV/AIDS. African American women and men are at 50%, white 38%, Latinos 10%, Indians and Native 2%. In this case I would conduct a case-control study on the disease known as HIV/AIDS to come up with a way to prevent the spread of the disease in the community. A case-control study will be a clear study of two groups of people at the start. In the groups we will study the one with HIV/AIDS and people without HIV/AIDS, to found out the outcome of the disease in both cases. I will determine the exposure rate and the risk factor of the groups. I disgust the disadvantages and the advantages of the studies. The case-control study can move at a faster rate that and is cheaper to perform my study. There was a case-control study done on the risk factors of people with Tuberculosis that have HIV/AIDS.


Example of:



Case-control Study of People infected with HIV/TB

Detection of Tuberculosis in HIV-Infected and -Uninfected African Adults Using Whole Blood RNA Expression Signatures: A Case-Control Study (Figure 1) Diagnostic process to identify TB cases, LTBI cases, and other diseases cases. Published: October 22, 2013,

https://doi.org/10.1371/journal.pmed.1001538

The Tuberculosis (TB) “is a disease caused by bacteria that spread in the air. TB can spread from person to person” (AIDS info, 2019, para. 1). The body can be inactive, active is when you are has TB disease, and inactive is latent TB. HIV is known to weaken the immune system, in people with the you are at a higher risk for get TB. It’s stated that people that have both TB and HIV must be treated for both diseases. The treatment will depend on the individual condition determines when treatment should start.

TB is known worldwide and one of the leading causes of death among people with HIV.  In the United States there are medicines they are used, and few people will get the disease unless you are from a rural area outside the United States. People with HIV should always get tested for TB.  The Center for Disease Control and Prevention (CDC) stated “without treat for TB can progress from sickness to death” (2016 para. 1).

In conclusion Malaria, HIV/AIDS, Tuberculosis are well-known diseases/ infections that are affecting the community we live in. The cohort study and case-control study cover the information need to make a difference in solving and preventing an outbreak on a rural county. The intervention is priority, avoiding risky behavior in order to prevent the spread of disease. Vaccinations is also important and making the community aware of the options to prevent Malaria is key.


Related content

Assignment: Recovering from Schizophrenia

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ORDER NOW FOR AN ORIGINAL PLAGIARISM-FREE PAPER:  Assignment: Recovering from Schizophrenia

Assignment: Recovering from Schizophrenia

Assignment: Recovering from Schizophrenia

# 1.66

(1 pts.) Martha is a recovering from schizophrenia. She has been taking high doses of antipsychotic medications for a very long period of time and has begun to experience uncontrollable movements of her mouth and tongue that make her appear as if she were chewing food in a very exaggerated way. Martha is experiencing the symptoms of

A) tardive dyskinesia.

B) Parkinson’s disease.

C) Graves’ disease.

D) Tourette’s syndrome.

# 1.67

(1 pts.) Judy has schizophrenia and walks around the hospital ward constantly rubbing her hands together and twisting her hair for no apparent reason. This behavior is illustrative of

A) catatonic excitement.

B) catatonic stupor.

C) catatonic rigidity.

D) residual catatonia.

# 1.68

(1 pts.) Jerry has schizophrenia, but no single symptom seems to be dominant in his case. He exhibits a variety of symptoms such as disturbances in sense of self, stereotyped movements, flat affect, and delusional thinking. Jerry might be diagnosed as having which type of schizophrenia?

A) catatonic

B) disorganized

C) hebephrenic

D) undifferentiated

# 1.69

(1 pts.) Ellen has forsaken the religious beliefs of her own mainstream upbringing and has started to adhere to the strange delusional religious beliefs of her very dominant husband, who believes that he is the direct descendant of an ancient Greek god. She now has no qualms about her husband sleeping with other women since, according to her husband’s interpretation of the Bible, it is a man’s given right. Ellen might be diagnosed as having

A) a brief psychotic disorder.

B) shared psychotic disorder.

C) schizoaffective disorder.

D) delusional disorder, jealous type.

# 1.70

(1 pts.) The case of the Genain quadruplets, who developed schizophrenia, provided evidence regarding the

A) difference between the paranoid and disorganized types of schizophrenia.

B) role of dopamine in development of schizophrenia.

C) interaction of genetic and environmental factors in the development of schizophrenia.

D) cross-fostering of schizophrenic traits among siblings.

# 1.71

(1 pts.) Why might it be difficult to utilize psychological methods to treat a client with schizophrenia in the active phase of the disorder?

A) During the active phase, many individuals with schizophrenia need to be restrained because of violent outbursts.

B) During the active phase, the individual is very much out of touch with reality and may not respond to reason.

C) During the active phase, the individual is so exhausted from the intensity of the symptoms that it is difficult to stay awake. ‘

D) During the active phase, the personality changes experienced by the people with schizophrenia are very rapid.

# 1.72

(1 pts.) Dr. Carson defines sexual deviations as

A) practices and behaviors that are of harm to the individual or to others.

B) aberrations from what society considers normal.

C) behaviors diverging from a common biological pathway for human sexual behavior.

D) societal taboos.

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NursingPapers

Quality and Safety Education for Nurses (QSEN) Assignment

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Quality and Safety Education for Nurses (QSEN) Assignment

• The purpose of this assignment is to identify a problem in the clinical area and to utilize evidence-based

strategies to improve the quality and safety of patient care. For more information about the QSEN, go to

https://www.qsen.org/ksas_prelicensure.php
• In 2008, a committee of healthcare experts proposed 6 competencies to ensure that nursing students develop the

knowledge, skills and attitude (KSA) necessary to provide quality and safety patient care.

1. Patient-Centered Care
2. Teamwork and Collaboration
3. Evidence-Based Practice
4. Quality Improvement
5. Safety
6. Informatics
Assignment Criteria:

A. Identify an event that happened in the clinical area during practicum; discuss how this could have caused or

did cause a negative patient outcome.

B. Develop a scenario to illustrate the problem. Patient’s identifiers are not to be used.

C. Discuss how each of the 6 QSEN competencies were or were not followed and ultimately caused, or could have

caused a negative patient outcome.

D. Discuss the importance of integrating the QSEN competencies into the following areas; clinical practice,

nursing education, and nursing research. Each point must be specifically addressed in a separate section.

Instructions for Formatting and Submitting the Assignment:

• Utilize a minimum of 3 EBP articles from peer reviewed journals no older than 5 years.
• The paper is 5-7 pages not including the cover and the reference pages.
• APA (6th ed.) format is required with no grammar, spelling, and punctuation errors.
• Please utilize the writing center services before submitting the final work.
• Before the final submission to Blackboard, please post the paper to Turnitin.com and review the report.

Similarity index is to be <15%.
o Please note that 5 points will be deducted if the assignment is not posted to the “Assignments Drop-box” tab by

the due date.
o An additional 5 points will be deducted if the report from Turnitin.com is not posted to the “Assignments

Drop-box” tab by the due date.

Analyze your communication style using one of the tools presented in the course.

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Analyze your communication style using one of the tools presented in the course.

Assignment 2: Personal Philosophy of Nursing

In a 6- to 7-page paper in APA format describe your personal approach to professional nursing practice. Be sure to address the following:

Which philosophy/conceptual framework/theory/middle-range theory describes nursing in the way you think about it? Discuss how you could utilize the philosophy/conceptual framework/theory/middle-range theory to organize your thoughts for critical thinking and decision making in nursing practice.
Formulate and discuss your personal definition of nursing, person, health, and environment.
Discuss a minimum of two beliefs and/or values about nursing that guide your own practice.
Analyze your communication style using one of the tools presented in the course. In your paper, discuss the strengths and weaknesses associated with your style of communication and the impact on your ability to collaborate as part of an interdisciplinary team.
On a separate references page, cite all sources using APA format.
Use this APA Citation Helper as a convenient reference for properly citing resources.
This handout will provide you the details of formatting your essay using APA style.
You may create your essay in this APA-formatted template.