The Independent Learning For Nursing Nursing Essay

The Independent Learning For Nursing Nursing Essay Reflection is a way to look back on what a person came across on a certain event (Bulman and Schutz, 2008). The target of this reflective essay is for me to mull over on what I have learned from my direct experiences on placement. I opt to utilise on this reflective essay, A Model of Structured Reflection, by Driscoll (2007). This Model has three questions, namely: what, so what and now what. These questions must be answered by me relative to the experiences I acquired from my placement. Hence, I chose to take advantage on Driscolls model as it is very handy to apply even with or without a paper and pen. All I need to bring to mind is the aforementioned three questions. I will discuss what I think it matters most to me during my two weeks practice placement and give analysis whether I gained knowledge and understanding based from the learning plan I prepared prior to my placement; thereby continually apply it in every situation I may undergo (Howatson-Jones, 2010). I spent my whole duration of the introductory period of duty experience in the ward. On my first day, the Ward Manager introduced me to her team. She told me that my mentor was not around on that day. Thus, she handed me over to the nurse in-charge. As I arrived on an early shift, I duly observed the handover of patients from the night shift staff to the day shift staff. Handover is a daily reporting of patients status to the incoming shift for the provision of continuity of care (Wywialowski, 2003). As a neophyte, I was a bit muddled up on how the night nurse was endorsing the patient; however, I was attentive on what she was doing so I could learn from such activity. There are acronyms on the handover that they used that I could not understand, as a consequence, I made a point that I must familiarise and memorise the medical terms. Even though I am supernumerary I strongly desire to a part and parcel of the team whilst learning (Jelphs and Dickinson, 2008). After the handover, the nurse instructed me to be with the Health Care Assistant (HCA) for the time being so that I can be acquainted with patients and adapt with the daily routine. Indeed, favoured that the HCA was willing to help me. She taught me the safer way on handling patients whilst maintaining their dignity and respect (Tschudin, 2003). She demonstrated proper use the Blood Glucose monitor and how to document it on patients chart (The Global Diabetes Community, 2013). In addition, she told me that if the patient is not on closed observation, normally they take the vital signs every four hourly. The days have gone by so quick; I was productive on my day to day experience as a student nurse. I never wasted my time just standing there without accomplishing anything at the end of my shift. Motivated with my passion of extending care to patients, I find joy and fulfilment in rendering services for them, such as assisting them to the toilet and giving a hand to those who are unable to look after themsel ves. I became certain on writing down the nursing care plan of a patient (Lloyd, 2010), observed the Nasogastric tube (NGT) (Macmillan Cancer Support, 2013) and Electrocardiogram (ECG) procedures done by the staff nurse and HCA respectively (British Heart Foundation, 2013). I volunteered myself as well to get the take away medication of the patient from the Pharmacy. Furthermore, I have learned how to fill up the Nursing Assessment forms for a newly admitted patient. I accomplished the said forms by means of communicating with the patient and family. I have mentioned the word communicating as there was a non-spoken English patient admitted because of lower back pain. In complying with the Nursing and Midwifery Council (NMC) Code of Professional Conduct (2010) about confidentiality, I will be using a pseudonym for her. I was aware that English is not her first language; hence, Mrs. C cannot speak and comprehend well. When I went to her bedside to take her vital signs, I have seen the grimace caused by pain on her lower back. I asked if she was in pain at that moment, she suddenly nodded her head whilst touching her lower back (White, 2005). I reported to the nurse right away that Mrs. C was in pain, and based on her Drug Chart she was due for another dose of pain killer. I had administrated the said medication under the supervision of the nurse (NMC, 2010). On the next day, I informed Mrs. C through the use of verbal and non-verbal gestures that she will undergo Colonoscopy to check whats causing her pain (Sully and Dallas, 2010). We waited for her nephew before accompanying them in the Gastroenterology Department as she needs somebody else to translate the procedure to be done. Since it was my first time to watch a patient undergoing such procedure, I grabbed the opportunity to request from the Specialist Nurse if I can be allowed inside to observe the procedure which she willingly approved. I was grateful that her nephew told me that his aunt wanted me to acc ompany her in the Colonoscopy room despite without asking permission (NMC, 2010). During the procedure, I sat next to Mrs. C whilst holding her hand as she was feeling uneasy with the endoscope inserted into her anus. The Specialist Nurse has given me few insights relative to what she was trying to look inside the colon of Mrs. C. I was privileged for having an exquisite time of basic understanding about Colonoscopy (BUPA, 2011). After the procedure, Mrs. C has given me a hug and was very thankful. I smiled and responded that it was my pleasure to assist her. Afterwards, we went back to the ward, and before I left Mrs. C on her bed with the assurance that she was comfortable and safe, her nephew expressed his appreciation for looking after his aunt whilst he was not around. Moreover, Mrs. C told him about me being there rubbing her lower back when she was in agony. I felt flattered on how they recognised my presence in assisting and comforting her. On the above scenario, I suppose I have achieved one of my learning needs, that is, the effective communication between patient and me as a student nurse. Despite the inability of Mrs. C to express herself verbally, I was so sensitive observing her gestures and actions, thus, I can extend the appropriate care and assistance she needed. By intently looking at her countenance, I can interpret what she was trying to convey to me; henceforth, I was able to address her needs. I have realised that verbal and non-verbal communications in nursing are very vital in rendering quality care. As a student nurse, I should not let language be a hindrance in giving the nursing intervention for the patients quick recovery (Andrews and Boyle, 2008). Care of people is the priority of all nurses; this is one of the four principles of NMC Code (2010). The provision of care for the patient should be done in a holistic approach which includes their daily living activities (Newton, 1991). A simple act of ca re means a lot to the patient and therefore, this must be instilled in the heart of every nurse (Department of Health, 2010). As for me I will surely put into practice what I have learned from this placement. Another learning need that I partially accomplished was being able to observe how to perform the Colonoscopy procedure. To supplement what I have observed, I did some informative readings. In summary, I was able to see the nurses duties and responsibilities. Such as, how they manage to give the best nursing interventions in a busy ward, how they collaborate to other health professionals for updating the patients care plan and how they attend to patients with care and compassion. I am fully aware that most patients usually depend on nurses as they are the ones who provide direct care for them (Altman, 2010). I do believe that nursing is a never ending process of learning; hence, nurses are oblige to update their trainings and continue to learn more by reading evidence-based practice resources for self-enrichment (Sackett et al., 1996). As a student, I have to be dedicated, motivated and inspired to achieve my ambitions in life; continually accepting any challenge for my personal development (Maslow, 1954). For the meantime, I will set my goals on what I want to learn; recognising any learning outcome on my learning plan as this will draw me closer to my aspiration, to b e a Qualified Nurse (Peate, 2006). My two weeks practice experience was superlative. The Faculty of Nursing in the hospital provided teaching sessions that will develop us to become competent in our chosen field (McNiff, 1993). All the staff in the ward where I worked with were supportive and compassionate. I am looking forward for my next placement, for me to implement what I have learned from my previous one, and be able to identify new learning opportunities. In conclusion, practice placement is an opportunity of experience, an opportunity of new learning and an opportunity of development.

Travel to Europe

â€Å"Part of us believes the new car Is better because it lasts longer. But, In fact, that's the worst thing about the new car _ It will stay around to disappoint you, whereas a trip to Europe is†¦ Over. It evaporates. It has the good sense to go away, and you are left with nothing but a wonderful memory' – Daniel Gilbert â€Å"Europe and my metamorphosis. † I was excited and nervous. I'd have to think really hard and long to go back to the previous time I felt this way. I put a finger on my wrist Just to feel my blood thump against my thumb at an accelerated rate. I smiled to myself.It was finally happening. I was going to Europe. It all started when I thought about applying to the Exchange Program my college was offering of four-months,'l semester. The College they were sending the students was in Rennet. SEC Rennet School of Business. Finally, something that appealed to me. Living in Delhi had somehow numbed my senses to such an extent that I had become devoid of any sort of feeling. I needed to escape from this place or a while and this seemed Like the perfect opportunity. Carper Idle. I seized it. Voila, I was in Europe. I found time to backpack over all of Europe and when I couldn't find it I made it.I loved staying In the hostels and Interacting with new people on a dally basis. Some of them even became good friends. It was absolutely necessary for me to visit a few cities that old heard so much about that I was k if my grades took a toll. I knew I wouldn't get this chance later and I wanted to make the most of it. I thought I'd write a little bit about the cities I visited whilst there. Paris: ‘Wow was the first word that escaped my mouth when I looked around and found myself In Paris. The City of Lights never ceases to amaze and is one of the most beautiful cities I came across in France.Market District, the cobbled streets, the musicians, the poets, all in one place. The romance was In the air. I saw the Notre Dam Cathedral and visited the Place des Vogues Old Square. The Peer Liaises cemetery was hauntingly beautiful and what to tell you about the Eiffel Tower. It was just well exquisite. I was reminded of Ernst Hemmingway and what he had said about Paris and how right he was. â€Å"If you are lucky enough to have lived in Paris as a young man, then wherever you go for the est. of your life It stays with you, for Pans Is a movable feast†.Amsterdam: Man o Man what to say about Amsterdam. I loved it. It has absolutely everything. The Dutch are Insane. What spirit they have. Prepare to be infected with It while you are there because no one can escape it. It was a god damn party every bucking night I was there. I had no sleep at all and my time-space orientation got distorted for a few days I guess with all the kind bud I could get my hands on. The coffee shops were well just misnomers. The Architecture was amazing; I was Just taken In by It. The canals were great too. I love Amsterdam approach on legalizing prostitution.You have to see It for yourself. The place was so lively. Berlin: A city cemented in history. Definitely worth watching and visiting. Starting should see in ones lifetime. I can't thank my friend Goblin enough for being such a gracious host and showing me around Berlin. Yes I know you want me to bust that myth for you that Germans drink beer like its water. Well that isn't a myth, one visit to a local pub and my hopes were dashed. It is not a myth. Germans do love their beer a lot, and it loves them back! Warlock was beautiful. Small, quiet and peaceful. Just hat I had wanted that weekend.Some place where I could relax and unwind. I stayed at The Grammar Hostel and man you guys are the best. It is an old town really and there is not much to see except the Market Square. It was lively with so many people there and they were so different from the rest of the Europeans I had met. They were unique I must say. They could find beauty in the simple things in life. P rague. Pariah. The name actually means â€Å"threshold†. It was magical. The city was a portal between the life of the good and the other. A city caked in grime: ancient, Soot- blackened. History lived in every detail.I wandered the streets in disbelief, photographing everything like mad. I wish I had spent more time there. The wind carried the memory of magic; revolutions, violins and the cobbled lanes meandered like creaks. I fell in love there. I don't know whether it was a good idea or not. I Just wanted to get lost there. Span. Ever since I had learnt Spanish in school I had wanted to go there. I was not too good at it though I remember. By the time I got the chance to visit Spain I had forgotten all my Spanish. The people were wonderful and Madrid is Just Madrid, so exciting, full of life and zest.You've got to see it to believe it. I visited Barcelona as well and it was amazing. The Gaudier(Antonio Gaud) architecture was Just stunning. You must visit Case Battle (The f amous Skull and Bones balcony). It is the most interesting and unusual of houses in Barcelona. This is my take on the various cities I visited when I was in Europe. I made a lot of friends, had loads of crazy nights but most of all I made memories that will be with me for a lifetime. I hope you enjoyed reading and I hope this inspires you a little not much but a little to get away from your comfort zone and Travel, Dream and Explore.

Challenges Faced by Management - 1681 Words

Challenges Faced by Management Managing and supervising people are not an easy job. Every day we are facing different problems and challenges. Maybe a small or big problems that we must enhance or motivate our people, talk with them and even sometimes help them to solve their day to day problems. Every individual has his own characteristic to portray. Variations of people should take into consideration in managing them. Factors like timing, place, and situation would work well for the managers. With the fast changing world, we need to cope up with things that could hinder the development of one’s managerial skills. Here are the most common problems in management and how to solve them. Employee motivation: Motivating the employees†¦show more content†¦It will become a challenge to engage all staff in this endeavor, and not only those in the sales division, because customers may, for instance, leave the firm because of the technical or support staff, or because of an incorrect billing. Competence-based Strategic management: Competence-based management is a relative new way of thinking about how organizations gain high performance for a significant period of time. Competence-based management originates from the theory of competence-based strategic management. In spite of the unpredictable character of the future competitive position of organizations, a controlled development of competitive advantage is not unthinkable. Since the beginning 90’s of the previous century competence-based strategic management explains how organizations can develop sustainable competitive advantage in a systematic and structural way. The idea behind competence-based management is that an organization has access to a unique mix of resources. Resources are all elements, tangible or intangible, which an organization can use for the arrangement of products and bring services on the market. The resources an organization can use may be either organization-specific of organization-addressable. Vermeylen and Heene (1999) define resources in the simplest form as all inputs used in a production process, resulting in products and/or services. The difference of the mix available resources between organizations, the speed with which resourcesShow MoreRelatedChallenges Faced by Sports Management730 Words   |  3 PagesThe world of sports management can be filled with many challenges. Jobs in the industry require the skills to troubleshoot major problems and turn them into positives. I have chosen to touch on three issues faced by teams, managers, and players alike. They are doping, public image, and ticket prices. 1. Doping The use of performance-enhancing drugs by professional athletes has been a controversial issue for many years. According to the World Anti-Doping Agency, the use of performance enhancing drugsRead MoreChallenges Faced By Senior Management1559 Words   |  7 Pagesenvironment of today is complex; thereby faster decisions have to be made and better allocation of resource is essential with a clearer focus of the future. This poses a major problem to senior management because organizations consist of a changing mix of large and small projects which brings new challenges in prioritization of projects, resource planning and monitoring (Elonen and Artto, 2003). 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Corporate Social Responsibility Ethical Responsibility

Corporate Social Responsibility: Should we, or should we not. Corporate Social Responsibility (C.S.R.) is a theory practiced in the business sphere since fifty years. It refers to the duty of business organizations to adopt certain activities that will benefit the society in some way. Charity, health-awareness campaigns are few examples that a business undertakes to fulfil its objectives of C.S.R. According to this ideal, it is important for various corporations today to undertake such social activities, apart from merely focusing on their objective of profit maximization. But, is it an obligation that is most important than other objectives of business? This thought further leads us to another significant question – In contemporary settings, should corporations be guided by the concept of C.S.R.? â€Å"Businesses are owned by their shareholders - money spent on CSR by managers is theft of the rightful property of the owners-This is the voice of the laisser-faire 1980s, still being given powerful voice by advocates such as Elaine Sternberg. Sternberg argues that there is a human rights case against CSR, which is that a stakeholder approach to management deprives shareholders of their property rights.† (mallenbaker.net). This is one of the opinions which is against the concept of CSR which blames this theory for violating human rights of shareholders. Moreover, Lantos (2001), in the article ‘The boundaries of strategic corporate social responsibility’, while in agreement with theShow MoreRelatedCorporate Ethical And Social Responsibility996 Words   |  4 PagesCorporate Ethical and Social Responsibility – Apple Company Apple Company is one of the largest manufacturers of computers and electronics. â€Å"Apple Company was founded on April 1, 1976, by college dropouts Steve Jobs and Steve Wozniak, who brought forth a new company vision of changing the way people, viewed computers† (Library of Congress, 2008). The ethical and social responsibility of Apple Company should have started with its inception; however, it did not. It was not until years later with theRead MoreCorporate Ethical and Social Responsibility2423 Words   |  10 PagesBusiness Research Report Corporate Ethical and Social responsibility Presented to: Western Governors University Assessment Code: RWT1 – Competency 318.2.2 Student Name: Richard P. Shields Student ID: 92502 Date: August 7, 2009 Mentor Name: Rungrudee Suetorsak, Ph.D. Table of Contents Executive Summary 3 Introduction 4 Research Findings 5 1. Organization Environmental responsibilities: 5 2. Organizational image: 5 3. Organization Increase profits: 6 Recommendations 7 ConclusionRead MoreThe Ethical Standards Of Corporate Social Responsibility1126 Words   |  5 Pagesin corporate social responsibility for the fifth consecutive year (Orwell, 2014). Known for its exorbitant executive salaries, â€Å"golden parachutes†, and lavish management perks during the infamous financial bailouts of 2009, AIG still struggles to regain consumer confidence (Orwell, 2014). Multiple corporations grapple with how to meet the ethical standards of corporate social responsibility in today’s global economy. 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In the book management Daft states, CSR as essentially a concept under which companies voluntarily contribute towards making a better society and a cleaner environment. The book basically has divided CSR into four subdivisions: economic, legal, ethical and discretionary responsibilities. CSR needs a proper organizational environment to be effective and in such a scenario one can say thatRead MoreEthical Issues Of Walmart s Corporate Social Responsibility Using The Four Part Csr Model1052 Words   |  5 PagesWhat are the major ethical issues in the case? One of the most prevalent ethical issues in the Walmart case is their labor practice. There are several violations against Walmart regarding wages and work hours of its employees. â€Å"Its labor practices have been increasingly questioned. THe company has been accused of paying wages so low that workers cannot live off them, making employees work ‘off the clock’ without overtime pay, paying few and low benefits, and taking advantage of illegal immigrants†Read More: Critically Evaluate Corporate Social Responsibility as an Ethical Tool Basing Some of Your Argument on the Toyota Case Study1711 Words   |  7 PagesWhat Corporate Social Responsibility is Corporate Social Responsibility can be defined has an obligation beyond that required law and economics , for a firm to purse long term goals that are good for the society. This entails the continuing commitment by business to behave ethically and contribute to economic development while improving quality of the workforce and their families as well as that of the local community and society at large. Bhatia (2004) defined corporate social responsibility as a