NRSG267 Integrating Practice
Question:
Scenario
Workshop class was held with a case scenario where there was an old lady with COPD and she has caught infection whilst in the hospital which made her to stay longer in the hospital. She was very concerned about her infection and would not let anyone touch her. We had to take vital observation from this patient which was challenging as she would not let anyone near her. There was one student nurse trying to approach the lady under the supervision of two tutors and 7 students in the front row which were supposed to take turns to approach her and try and convince to get vital observations. The students asked for permission from patient, applied hand hygiene and explained what they were going to do, before the procedure. They used good communication skills, maintained dignity throughout the procedure and were successfully able to note the vital signs from the patient.
So this happened in the class. Need to write the refelction on this and please make sure you add following things and must add intext citation after 100 words. Please check the grammer.
Reflection
- Reflect upon your learnings, understanding and the simulation sessions, to develop a reflection that demonstrates understanding of the importance of resilience in health care.
- Demonstration of analysis, synthesis and evaluation of information that contributes to clinical practice.
- Using Gibbs Reflective Cycle, the Student demonstrates critical links between patient behaviour and the delivery of quality and safe nursing care.
- Sentence and paragraph structure and intelligibility.
Answer:
Description-
What happened in the immersive simulation resilience scenario?
NRSG267 workshop class was held with a case scenario where there was an old lady with COPD and she has caught infection whilst in the hospital which made her stay longer in the hospital. She was very concerned about her infection and would not let anyone touch her. We had to take vital observation from this patient which was challenging as she would not let anyone near her. There was one student nurse trying to approach the lady under the supervision of two tutors and 7 students in the front row who were supposed to take turns to approach her and try and convince to get vital observations. The students asked for permission from patient, applied hand hygiene and explained what they were going to do, before the procedure. They used good communication skills, maintained dignity throughout the procedure and were successfully able to note the vital signs from the patient.
Feelings
What were you thinking or feeling during the scenario?
During the workshop class, I was anxious because the entire scenario was new and I was worried that my tutor would shoot the random questions. I was also anxious when I was standing before the patient because it was a complicated issue to handle as a student nurse. But handling the case scenario with the support of tutors encouraged me. The tutor explained the case scenario which improved my understanding. This case scenario helped me to understand the importance of effective communication and the therapeutic relationship. I learned that each patient is unique and the nurse needs to approach each patient differently. I also learned that nurses should acquire professional qualities to communicate with the patient to overcome this clinical problem.
Evaluation
What was good/bad about the simulation? What impact did the simulation have upon you? Include references in this section
Evaluation is a vital part of simulation learning. Discussion on the good and bad aspects of the simulation helps to analyze the clinical problem critically. There were good and bad aspects of the scenario at the workshop class. According to my observation implementation of effective communication skills and decision making ability aids in approaching the patient and collect the vital signs. General observation shows that the entire scenario was good but the critical analysis of the scenario reveals the limitations. The bad thing in the case scenario was the time taken to convince her would affect the care of other patients. Nurses are prone to physical violence which may significantly affect the nurses emotionally. Some of the nurses were unable to meet the goal due to the odd behavior of the patient. Good aspects in the case scenario are the benefit of building trust and good rapport, maintenance of respect, and effective communication skills. Another good aspect is proper explanation would ease the situation. (Morley, Bettles, & Derham, 2019). The feedback about our role play helps us to improve professionally. Bad things in the scenario help me to understand the expected consequences of approaching a patient with building rapport and good communication. The professional way of approaching a patient was showed to us through a role-play which helps us in the professional edification (Najjar, Lyman, & Miehl, 2015).
Analysis
Access current literature and relate the information that you have learned. What is in the literature that suggests how to manage the situation? Include references in this section.
Current literature states that the simulation is essential for nursing students. It ensures safe and quality nursing care (Alison, 2013). It also proves that simulation improves clinical knowledge and decision making capability of the nurses. This workshop improved my understanding of the way of approaching the patient. I learned the importance of prompt communication in nursing practice. Literature suggests implementing nursing knowledge and ethical principles in decision making (McGaghie et al. 2010).
Conclusion
Appraise how the experience of attending the simulation has informed your understanding or changed your perception. Consider what could you have done differently to improve the learning experience.
This workshop class helps with professional edification. I understood that effective communication skill and prompt decision making supports the nurse to handle any kind of situation and patient. It helps the nurse to approach the patient with plan of building trust and rapport, and effective communication which would ensure quality nursing care is provided. I learned the new skills to communicate and to implement the nursing care to my patients. This workshop improved my problem-solving skills. The feedbacks were encouraging.
References
Alison, L., van den Heuvel, C., Waring, S., Power, N., Long, A., O’Hara, T., & Crego, J. (2013). Immersive simulated learning environments for researching critical incidents: A knowledge synthesis of the literature and experiences of studying high-risk strategic decision making. Journal of Cognitive Engineering and decision making, 7(3), 255-272 Retrieved from https://journals.sagepub.com/doi/abs/10.1177/1555343412468113
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