This unit builds on the learning from Nursing Practice 3 and incorporates 240 hours of
Professional Experience Placement (PEP). The unit focuses on assisting the student to
transition to professional practice as a Registered Nurse through assessment of their
progress towards the necessary capabilities of the Nursing and Midwifery Board of
Australia (NMBA) Registered nurse standards for practice (2016). Resources
emphasising “thinking and acting like a registered nurse” will assist the student to
begin consolidating skills around reflection in action. Students will further develop
their Professional Portfolio in this unit.
On completion of this unit, you will be able to:
1. Apply contemporary, evidence-based nursing knowledge and skills to clinical
situations ranging in complexity and predictability
2. Demonstrates critical self-reflection that supports Practice Development in
preparation for transition to becoming a registered nurse
3. Demonstrates professionalism and accountability in clinical judgements and
shared decision making
4. Demonstrate capabilities against the Nursing and Midwifery Board of Australia
(NMBA) Registered Nurse Standards for Practice (2016).
Alterations to the unit as a result of student feedback
Student feedback and academic review of the first iteration of the unit in 2017
indicated stronger clarification and emphasis was required in regards to advanced
reflective practice for practice development. The unit has been redeveloped by
drawing on the principles of Practice Development in Nursing and Health Care to
provide a clearer framework for students to develop their nursing practice and
contribute to quality person-centred care.
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With the increasing professional standard in healthcare industry student nurses are transforming to Registered Nurses so that they may impart quality care and health service to patients. The present report focuses on academic reflection that focuses on demonstrating the aspects of professional communication in the clinical judgments and shared decision making (LoBiondo-Wood and Haber, 2017). Along with this, report also accompanies individual reflection with a practical plan that supports them in attaining practice transformation.
Through imparting services as nurse helper in the Orthopedic Surgical Ward I have identified two practice priorities within the ward so that I can easily deliver quality services to different patients. Two priorities mainly include professional communication and patient centered care that assist me in rendering adequate services. From both the priorities the selected individual practice priorities include professional communication (Morton et al. 2017). Thus, it has been assessed that good communication among nurses and patients plays significant role that results in delivering successful individualized nursing care to each patients.
Searchable clinical questions
• P [Population/Patient/Problem] - For adults and senior patients who are transferred in the orthopedic surgical ward.
• I [Intervention] - Usage of interdisciplinary communication format in addition to verbal communication tools for senior patients.
• C [Comparison] –Comparison with verbal communication
• O [Outcome]- Improving the clinical outcomes and satisfaction level of patietns through enbaling effective communication
In order to ensure evidence based practice I have engaged in conducting literature review strategy that supports me in evaluating communication issue within the nursing practices and allow me to transit my practices. The literature search was completed through reviewing online databases that is PubMed, Cochrane Library, CINAHL, BioMed Central, EBSCO host database. This search emphasis on searching different terms such as communication, emergency services, interprofessional relations, nursing practices, patient communication and professional communication (Masters, 2015).
a. How the evidence base has influenced your future clinical decision making if you experienced a similar situation
Clinical decision making is principally influenced by interpersonal relationships with colleagues, patient conditions, availability of resources, knowledge etc. that further affect my nursing practices in effective manner. In the past I have engaged in experiencing different situation related with managing beliefs and values of patients while delivering care and services to patient. Along with this, I have also experience differences in the practices of practitioners working in the setting that impact my communication and practices in the negative aspect.
However, the situation I witnessed in which The Physical Therapist and other nurses within the setting were trying to showcase little force so that she may try to move their body part. But the repeated communication was annoying her that does not resist the elder lady to participate in the treatment. I have also evidence that residing in Australia for many years she was unable to speak English language that results in arousing an apparent communication gap. When faced with this situation again I would engage in using different components of the professional communication that mainly includes giving attention to personal and interpersonal dynamics so that I may easily exchange the information without affecting their cognitive and emotional aspects (Boyko, Carter and Bryant?Lukosius, 2016).
Thus, evidence based study has resulted in enhancing my professional communication within the setting that assist me in building relationship with the patients and their family that enhances communication. It also supports me in facilitating patient relationship so that I can easily impart high quality and standard services to them.
Along with this, if any emergent situation arises within the healthcare then as nurse helper I must engage taking effective decision through engaging in proper communication among the colleagues and other practitioners regarding the situation. Thus, it will enable in taking clinical decision making in the future scenario that would support me in taking effective decision and further enhances in transforming my nursing practices. Along with this, it also benefit in acquiring nursing knowledge and skills to clinical situations that ranges in overcoming the complexity and predictability (LoBiondo-Wood and Haber, 2014).
b. How you will demonstrate professional accountability in actively transforming your own nursing practice
In the contemporary scenario, while transforming my practices to the Registered Nurses I need to focus on demonstrating professional accountability while performing the nursing practices so that I will take required care of patients at the time of treatment. With the help of professional communication I would easily results in maintaining active accountability in the practice that significantly benefit the patient in maintaining their health. I will demonstrate professional accountability within my own nursing practices through different ways such as-
Enabling patient safety:
Imparting quality care accordant with the requirement:
Within the nursing practice it is required for nurses to take effective decisions where they have to take large number of decisions on the basis of present condition of the patient and main focus is on improving overall condition. Clinical decision making is the toughest task where nurses and practitioners have to take appropriate decisions for the welfare of the patient.
Therefore, it is has been assessed that for transforming my own nursing practices I have engaged in embracing my professional accountability towards gaining knowledge and professional development (Moran, Burson and Conrad, 2016). With the help of developing and enhancing professional experience in the healthcare setting I would easily impart role of Registered Nurse in the future scenario.
c. Accompany your reflection with a practical plan of how you achieve your practice transformation
Since, I work as a registered nurse; therefore it is essential for me to focus on proper communication skills so that I can transfer information from one person to another. Professional communication holds crucial importance for me since this will aid me to deliver optimum services to the client. I have been observing the problems related to communication; hence I understand the significance of the same. In terms of nursing care, it is essential for me to develop a specific plan to treat the patient suffering from arthritis. Since, she is unable to keep up the force on the body; therefore I will be suggesting other alternatives regarding her treatment. I believe that there should be a common use of language which is comprehensive to everyone as that can underpin the health care service delivery.
From the above report it has been concluded that it is essential for registered nurses to engage in enhancing their nursing knowledge and skills as it would support them in assessing the clinical situations. Along with this, it also support the nurses in overcome the range of complexity and predictability in the health care system with the help of enabling professional communication so that they may impart professional services to their different patients. It also focuses reviewing the significance of professional accountability in transforming the nursing practices within the setting that overall benefit the service users in improving their health and well-being in the best possible manner.
Boyko, J.A., Carter, N. and Bryant?Lukosius, D., 2016. Assessing the spread and uptake of a framework for introducing and evaluating advanced practice nursing roles. Worldviews on Evidence?Based Nursing, 13(4), pp.277-284.
Chism, L.A., 2017. The doctor of nursing practice. Jones & Bartlett Learning.
LoBiondo-Wood, G. and Haber, J., 2014. Nursing Research-E-Book: Methods and Critical Appraisal for Evidence-Based Practice. Elsevier Health Sciences.
Masters, K., 2015. Role development in professional nursing practice. Jones & Bartlett Publishers.
Moran, K.J., Burson, R. and Conrad, D., 2016. The doctor of nursing practice scholarly project. Jones & Bartlett Publishers.
Morton, P.G., Fontaine, D., Hudak, C.M. and Gallo, B.M., 2017. Critical care nursing: a holistic approach (p. 1056). Lippincott Williams & Wilkins.
Recommendations for communication practices
It is recommended that I must engage in implementing effective hand-off communication within the setting that focuses on enabling effective communication among patient that clarify their needs and requirement by asking and replying to relatable questions. There are different forms hand-off communications that I must focus on while transferring the information to patient so that it may easily support in enhancing their health and well-being.
Another recommendation for enhancing professional communication includes setting multidisciplinary teams within the setting so that different experts and professionals can easily take effective decision regarding services that are provided to patient