Nursing Assignment: Reflection On Improving Professional Practice

Question

Task: 1. Providearesponsetothefollowing:
a. Brieflydescribewhata“reflective practice approach?”is.
b. Give three(3)reasons to justify why the reflective practice approach is unimportant type of work method and practices which can improve nursing care quality?
2. Research the ‘Nursing Professional Standards ’that include Code of Conduct, Standards for Practice and Code of Ethics on the website of the Nursing and Midwifery Board of Australia, and answer the following questions.
a. What are the continuous professional development and supervision requirements throughout your nursing practice?
b. Definethetermof'nursing duty of care’ using an example in your practice.
c. List three (3) measures that healthcare professionals can use to assess whether their practices are inline with the practice standards.
d. Stateatleastthree(3)measures that a nurse can keep nursing professional boundaries for therapeutic relationships with clients in the practice.
e. State two(2) responsibilities ofnurses in Research.
f. List two(2)rights that nurses have.

3. Review the Code of Ethics for Nurses developed by the Nursing and Midwifery Board of Australia. Selectone(1) of eight(8) Value Statements and describe how you would use it to review and improve your practice as a EN.
4. Identify three(3) principles and techniques for each of the following concepts in self-evaluation.
a. Goal setting
b. Performance and progress measurement
c. Setting realistic time frames
d. Establishing a personal developmentplan

5. List and briefly describe a minimum of four(4) different types of learning styles.
6. Briefly explain why it’s important for nurses to constantly reflection the effect of their own values,beliefs and behaviour in their practice. Provide at least two(2) reasons.
7. It is important that you feel comfortable in all aspects of your job role, supported by the workplace you are part of and share two-way feedback with your co-workers.“Your”physical and mental health is as important as the health of the people you work with.
List at least two(2) examples of how you make sure you are taking care of your self physically and mentally?
a) Physically
b) Mentally

8. List three(3) reasons for why, as a nurse, it’s important to engage in industry networking.
9. Describe briefly one (1)self-reflection models that are commonly used in nursing practice.
10. Asanurse, you must work within your scope of practice and seek further support or specialist advice where need is identified.Complete the table below identifying

• Which of the following situations would be within the scope of your responsibilities asan EN
• Which would require you to seek additional support
• Who would be the person responsible in eachsituation?

CaseStudyScenario
1. Identifyaminimumof two(2)wayshowfeedbackcanbepassedonsothatitisproductiveanduseful
2. Lisais abletogetsome goodfeedbackfrom herstaffatthe performancereviewsabout
howprocessescanbeimprovedattheirpractice.Shewouldstillliketoknowwhatthepatientsthink.

? List a minimum of two (2) ways how she could go about actively seeking feedback from this group. Lisanow has all of the feedback and is deciding what she should do with it. Suggest at least three (3) thingsLisashoulddowiththefeedbackprovided.

3. List a minimum of three (3) ways how Jane could have found out more information about whether sheismeetingthestandardsofnursingpracticeandfacilitatingherongoingprofessionaldevelopment?
4. LisaalsoletsJaneknowthattheyhavesomemoneyinthebudgetforprofessionaldevelopmentofstaff.Shewantstoknowifthere isanyparticularareathatJanewouldliketoattendaworkshoponinthefollowingyear.
Identifytwo (2)factors Janeshouldbe thinkingaboutas sheconsiders which typeofworkshop toattend?

Answer

NURSING ASSIGNMENT TASK 1 – QUESTIONING
Answer 1
a.Reflective approach practices are the techniques and procedures which help the groups and individuals to reflect upon their actions and experiences to engage themselves in the procedure of continuous learning.
b. The reflective practice is important because of the following reasons:
• It helps in cumulating self-awareness which is considered an integral part of emotional intelligence.
• There is the development of better understanding because of the reflective approach practices(Koshy et al., 2017).
• Further, it helps in developing skills of creative thinking and also inspires active commitment in work practices.

Answer2
a.The practices of midwifery and nursing are regulated by the Nursing and Midwifery Board of Australia, also there are minimum requirements set out for continuing professional development (CPD) for the registered and enrolled midwives and nurses. As per the standards, there are expectations for the nurses to participate in 29 hours per year of CPD. THE CPD must be applicable or relevant to the nurse’s work environment.
b. A nursing duty of care is defined as the legal responsibility of a healthcare organization or a nurse to foresee and avoid any omissions or behavior that could injure or harm others(Rivaz, 2017).For instance, providing the nurses with the specialized equipment that will help in the treatment and completing the tasks.
c.The following measures can be used by the health professionals for assessing their practices:
• Interpreting information from a variety of sources for contributing to the planning of appropriate care.
• Communicating and user documentation for information and reporting care.
• Practicing within the guidelines and standards of quality and safety improvement.

d.A nurse can keep the nursing professional boundaries for therapeutic relationships with the clients in the following ways:
• Ensuring the behavior affiliates with the best interest and needs of the patients.
• Ensuring the care is objective and not conflicting with the relationship that the nurse has or had with the patient or does not follow the means of favoritism.
• Reflecting over the practices on a regular basis and discussing the same with the manager or colleagues in the suitable forum.
e. The following are the responsibilities of the nurses in Research:

• Ensuring all the necessary information is provided to the patients for allowing them to make decisions regarding their participation in the study(Oermann et al., 2019).

• Identification and screening of probable patients and confirming that proper consent is given by the patients before enrolling themselves in the study.

f. The rights of nurses are as follows:
• The nurses have the right to flexibly and without restrictions advocate for the patients and also for themselves.
• The nurses have the right to reasonable compensation on the basis of their experiences, professional responsibilities, and knowledge.

Answer 3
One of the eight codes of ethics for nurses: A culture of safety in healthcare and nursing is important to nurses(Nursing and Midwifery Board of Australia, 2016). This conduct guides the ethical practices and decision-making and indicates the community of the ethical values and standards of human rights which can be expected of the nurses and further improves the practice as an EN.

Answer 4
The principles and techniques of the concepts in self-evaluation are:
a.
• The goal must be well-defined and clear
• In order to achieve the goals successfully, there must be full commitment.
• The goal needs to be achievable but it must also be able to challenge and stretch.

b.
• The performance measures must be able to expose the weakness to improve the same.
• The performance measures must be visible highly and the display needs to be existent.
• There must be a correct balance of the leading and lagging indicators.
c.
• To set achievable and realistic goals the goals need to be measurable, specific, realistic, timely, and attainable.
• There needs to be adequate time taken for the things that need to be done.
• The plans need to be revisited regularly and adjustments must be made whenever necessary.

d.
• The goals should be set and prioritized.
• The setting of deadlines for achieving the goals.
• Recognizing the opportunities and threats.

Answer 5
The four learning styles are as follows:
• Visual: The ability to retain information is more in the visual learners as there is a presentation in graphic depiction like charts, diagrams, symbols, and so on.
• Reading and Writing: These learners focus on written words and succeed with the information that is written on the worksheets, text resources, and presentations.
• Auditory: These learners learn from listening to information that is presented vocally(?lçin et al., 2018).
• Kinesthetic: These learners are hands-on and flourish when they use all of their senses throughout the coursework.Because the training includes a hands-on lab component, these students excel in scientific subjects.

Answer 6
Explaining the beliefs, values, and behavior helps the nurses in the identification of their self-awareness concerning what initiates their professional conduct. Further, it is necessary as the values of individuals affect their ethics, culture, social group, and education mighthave a negative or positive impact on a nurse.

Answer 7
a.Physically: Eating a healthy and balanced diet.
Keeping immunization up-to-date and exercising regularly.
b. Mentally: Getting plenty of sleep and managing stress.
Getting ample sunlight and meditating.

Answer 8
A nurse needs to engage in industry networking due to the following reasons:
• It gives nurses an improved understanding of the existing trends in the healthcare sector.
• There is an upsurge of engagement in the healthcare news and policies.
• It increased career opportunities and career advancements through personal connections.

Answer 9
There are various self-reflective models one of which is the Gibbs reflective model. It is a management and self-reflection tool which helps individuals to think systematically and properly regarding the divergent experiences they faced in certain activities or similar kinds of circumstances to conclude (Dube & Ducharme, 2015). This model is effortlessly understandable and unchallenging to use and allows to learn over time based on self-experiences.

Fig1: Gibbs reflective model
Source: (MindTools, 2009)

Answer10

ASSESSMENT TASK 2 – CASE STUDYM
1.Various ways of passing feedbacks ensure that the feedbacks passed are useful and productive:
Being positive and specific: It is necessary to give as much positive feedback as negative feedbacks are being given. The reward centers are stimulated in the brain through positive feedbacks which leaves the recipients open for taking new guidelines. On the other hand, the negative feedbacks tend to indicate there is an adjustment required to be made which activates threat response and defensiveness.Also, the feedback must be specific and to the point of accomplishing the tasks(Cashin et al., 2017).Thus, there is a need of putting the negative and positive feedbacks together and following it for coming up with a suggestive outcome or solution.

Being immediate and tough: Through getting caught in action the adult brain learns fast and best. If there is enough time taken to give feedback over something which needs immediate action, then there is a chance of taking a longer duration for the changes. So, to provide productive feedback, it is necessary to be provided frequently. Also, when some blunders and mistakes are being made, there must be a proper way of interrogation and seeking perspective on the situation aroused instead of pointing out the mistakes abruptly. This ensures that the feedbacks provided are useful and productive.

2.To improve the performance at work the following steps can be utilized by Lisa:
• The group must be regularly asked for critical feedback which is necessary for improving the performance. There shouldn’t be any competition of reaching the feedbacks provided rather the steps must be taken for improving the performance. The reaction to the feedback is critical, it is necessary for manager Lisa to remain calm and have a careful observation over the feedbacks provided by the staff instead of getting annoyed. If anger reactions are being received by the staff, then the result and impact might be negative as the staff would not be willing to give appropriate feedbacks the other time. Thus, there should be a positive reaction to every feedback being provided including the negative ones, and the necessary steps to tackle the same must be taken by the manager taking suggestions from the staff members.
• If the feedbacks are sometimes perceived as surprising it might be a matter of misperception and miscommunication, hence asking questions from the staff will provide a clear and strong picture. Being clearheaded for seeking queries and listening to specific suggestions will help the manager to understand the feedback’s scope and the various ways needed to take action for improvement. The manager must take enough time to digest the feedbacks which is difficult to take to respond constructively and efficiently. Thus, in order to seek feedback for improving the performances, there must be enough time taken to digest the negative feedbacks and further clarify the misconceptions which will assist in taking necessary steps for improvement.

Lisa can do the following with the feedbacks received:
• Listening to the feedback without interruption and trying to absorb more information rather than being defensive and focusing on self-response.
• There must be a good understanding of the feedbacks received and the manager must talk regarding the issues mentioned with the staff members.
• There need to be suggestions taken from the staffs for improving the performances meanwhile including the staffs in the planning of the same. This will make the staffs feel included and will effectively participate in resolving the issues.

3.The various ways through which Jane can find out more information regarding the standards of nursing practice and facilitating her ongoing professional development are:
• Thinking critically and analyzing the practices of nursing: The process of critical thinking is practical and practiced by the nurses for solving the difficulties of patients and the process of decision making for enhancing the effect with creativity. It is an important process for a skillful, efficient, and safe intervention of nursing.
• Engaging in the therapeutic relationship: It helps the nurse in building a relationship with the patient which is not personal but helps in understanding the problems being faced(Vaismoradi et al., 2020). This is done by introducing oneself to the patient and using the patient's name while talking. Further, it is necessary to make sure that the patients are provided with privacy while providing care and should be actively listened to.

• Develop a plan for the nursing practice: The plan of nursing must include all the information that is relevant for the diagnosis of the patient, the treatment goals, and the evaluation plans.

4.The factors that need to be considered while thinking of the type of workshop to attend are:
• Clear vision: There must a clear vision of where Jane wants to be and where Jane wants to do. There must be thoughtful consideration of the lengths of time, also there must be detailing of vision as much as possible.
• Understanding of the skills: The next step that is necessary to be considered while thinking of the workshop to attend is to determine the skills that Jane wants to develop and what is the importance of achieving the vision(Bindon, 2017). There must be surety of understanding whether the target is linked to the skills and vision or not.
• Understanding of the standard required to be achieved: The magnitude of the tasks is determined by understanding where an individual is and where they want to be. This further helps in determining the time that needs to be invested and the effort needed to be put in. Thus, all these factors must be considered while thinking of the kind of workshop needed to be attended for personal development.

References
Bindon, S. L. (2017). Professional Development Strategies to Enhance Nurses’ Knowledge and Maintain Safe Practice. AORN Journal, 106(2), 99–110. https://doi.org/10.1016/j.aorn.2017.06.002
Cashin, A., Heartfield, M., Bryce, J., Devey, L., Buckley, T., Cox, D., Kerdo, E., Kelly, J., Thoms, D., & Fisher, M. (2017). Standards for practice for registered nurses in Australia. Collegian, 24(3), 255–266.
https://doi.org/10.1016/j.colegn.2016.03.002
Dube, V., & Ducharme, F. (2015). (PDF) Nursing reflective practice: An empirical literature review. ResearchGate.
https://www.researchgate.net/publication/276534646_Nursing_reflective_practice_An_empirical_literature_review ?lçin, N., Tomruk, M., Ye?ilyaprak, S. S., Karadibak, D., &Savc?, S. (2018). The relationship between learning styles and academic performance in TURKISH physiotherapy students. Nursing assignmentBMC Medical Education, 18(1). https://doi.org/10.1186/s12909-018-1400-2
Koshy, K., Limb, C., Gundogan, B., Whitehurst, K., &Jafree, D. J. (2017). Reflective practice in health care and how to reflect effectively. International Journal of Surgery Oncology, 2(6). https://doi.org/10.1097/ij9.0000000000000020 MindTools. (2009). Gibbs’ Reflective Cycle Helping People Learn From Experience. Mindtools.com. https://www.mindtools.com/pages/article/reflective-cycle.htm
Nursing and Midwifery Board of Australia. (2016). Registered Nurse Standards for Practice. Nursing and Midwifery Board Ahpra. https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards/registered-nurse-standards-for-practice.aspx
Oermann, M. H., Chinn, P. L., Carter-Templeton, H., & Nicoll, L. H. (2019). The Importance of Nursing in Nursing Publications. Nurse Author & Editor, 29(3), 1–6. https://doi.org/10.1111/j.1750-4910.2019.tb00043.x
Rivaz, M. (2017). Adequate Resources as Essential Component in the Nursing Practice Environment: A Qualitative Study. JOURNAL of CLINICAL and DIAGNOSTIC RESEARCH, 11(6). https://doi.org/10.7860/jcdr/2017/25349.9986
Vaismoradi, M., Tella, S., A. Logan, P., Khakurel, J., & Vizcaya-Moreno, F. (2020). Nurses’ Adherence to Patient Safety Principles: A Systematic Review. International Journal of Environmental Research and Public Health, 17(6), 2028. https://doi.org/10.3390/ijerph17062028