These feedbacks are not to be accepted as a whole, but at least some consideration might be given about them Chornick, The learning curve The nursing care specialists should ask themselves as to what they have learnt in a whole working day.
If they find something that had upset them, they should think of ways to overcome such incidents in future. It is the best process through which nursing care specialists develop new skills and capabilities and develop their reflective skills. Acknowledging strengths The nursing care specialists should make some time available to ponder upon the various things that have been very satisfying. This should not be done to just celebrate one's success, but to improve them.
Ponder upon experiences The best way towards a successful method for developing the clinical nurse specialist practices is to recall some recent past happening in which the nursing specialist was involved with someone else. By adopting empathic position and trying to think of being at the place of that person with which this uncalled for incident happened, can be tremendously helpful to analyze the specialist's own perspectives. Diary of events Writing all reflections in a diary including remarks can be helpful in the long run when the specialist needs to have some future plans, as through this diary the specialist can easily compare what happened and what could have been averted.
Although it looks like a huge task yet it can be helpful in deciding priorities. Planning future to develop nursing skills The best outcome of reflective process is planning the future after making sense of reflective practices. Planning to make some critical changes the behavior of nursing specialist is at times very effective for the development of nursing practices; especially for those who are involved as a clinical nurse specialist for the rehabilitation of older persons.
Competencies It is mandatory that clinical nurse specialists have a considerable expertise within a specific practice realm and can be accessible to patients or older people in need of rehabilitation. Posts like these have already been founded successfully in the health care realm, especially in America and the UK.
Technology has advanced so much that it has turned complex to manage them properly in health care disciple, the intricate surgical operations and methods have made the nursing specialists' job even more demanding hence there is an acuity of patient care delivery. Today the old age rehabilitation centers are not meant just for patients with chronic diseases or with mental disorder syndromes, it also accommodates old age patients who 6 7. The rehabilitation centers provide inpatient rehabilitation services in an environment which looks more like residential, rather than a clinical setting.
These old age rehab centers can be either located in a hospital premises or a specially built housing which is assisted with nursing care and living facilities. Rehab centers offer twenty four hours care and treatment and the patient's progress is also consistently monitored. Sometimes, when a person's medical condition is such that all the services including treatments required could not be offered in an alternate setting, then it calls for an acute inpatient rehabilitation. Rehab centers provide all sorts of treatments which is mandatory in rehab centers in America, these consists of treatments for restoring communication capabilities, mobility improvement, training to use wheel chairs and walkers as well as carrying routine chores like taking a shower and dressing besides all care and holistic support is given to manage emotional support which is common with such patients.
The clinical nurse specialist promotes the improvement of nursing care through education, consultation, research, and in the role of change agent in the health care system" ANA, , p. Therefore the urgency and need for clinical nursing care specialists with an advanced knowledge and skill is the demand of all health care organizations, especially rehabilitation centers. CNS with the ability to work with other medical and Para-medical staff, organize, manage and coordinate the care of patients either in hospitals or rehab centers are a major requirement by all health care institutions Martin, Hamilton, Sutton, Ventura, Menacker, et al.
For a clinical health care specialist, it is often tough to truly describe their role as their roles are consistently changing in order to face the challenges posed in the health needs of an equally changing patient population across the globe. To measure the impact the clinical health care specialists make on patients outcomes, is difficult due to the role ambiguity.
The professional nurses who are registered and have earned graduate preparation at the Master's level are known as the CNS. The dire need of nurses having wide knowledge and broad expertise, those who can get involved with other members of the staff to asses, chart out future course of action, implement the plan and evaluate the results for the patients, is always present. Developments never stops, it is an ongoing process in all parts of profession including nursing specialists. The core competencies 8 9. As a specialist nurse, it the duty of every CNS to make sure that all the members of the staff along with students remain focused on the wellbeing of the patients, but it does not mean that small tasks like dressing of clothes and washing of utensils should also be included in their task.
When a patient is healthy enough to do it, it is better to let him or her do it because patient motivation helps in more ways than one. To make them think that they are now better than the day they were brought, triggers the healing effect which is completely psychological and emotional.
Scope of Practice APN education is about getting to know about nursing well. Numerous researches were conducted to ascertain and classify the phenomenon of mental concern to the nurses; these studies have been fruitful in the understanding of the scope of nursing practice. According to a regulatory framework, the scope of practice is determined by focusing on population, while other initiatives delineate the substantive basis of nursing NANDA.
Reflective practice is all about the relationships and the caring of individual needs as well as to the emotional and personal feelings which often make an impact on the learning curve of reflective practice.
Roles of a Clinical Nurse Specialist The clinical nurse specialist or the CNS has four crucial roles which demand great focus and skills, these are, a clinical expert professional, an educator, a nursing consultant and a researcher. Scherer, Y. A CNS blends all these four ingredients into her practice thus creating diversity and flexibility in a medical environment which is multifaceted. Besides these crucial roles, a CNS has other roles like providing integrated care to the old age persons who either have one or various aliments or are bed ridden due to age problems, it is also necessary for a CNS to act as a mentor and supervise the quality of care in order to improve it.
Neo natal and pediatric care are also the roles which a clinical nurse specialist has to play Gallo, A. It is mandatory to complete a four year nursing degree program in order to be a clinical nurse specialist; she also must have one year nursing experience. Today the role of CNS is undisputed, whether it is in a hospital, clinic, rehabilitation centre or in research or managerial post in any health care organization ANA. Care for the old people is nicely provided when the environment is multidisciplinary. A comprehensive, multidisciplinary care and management are the requirements of the older people who either suffer from various age factor afflictions, or disabling conditions or are in dire need of specialist care which can only be given by CNS.
Clinical nurse specialists are of different types based on their choice and expertise, like CNS in community health, old age rehabilitation, acute care, occupational health, oncology, 10 Many Reflections authors are nurses, but we also welcome submissions from other health care workers, from patients, from public officials - from anyone who offers insight into nursing practice, health, or health care. Reflections is one printed page, to words approximately three typed, double-spaced pages.
While we may review manuscripts that are slightly longer, these must be edited to the appropriate length if accepted for publication. Manuscripts over words will usually not be considered.swisarmoustatha.tk
Author Guidelines - Reflections : AJN The American Journal of Nursing
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This is a secure site; AJN editors control access to all submissions. Without self-reflection and self-assessment, says Wright , there is a tendency to blame others. When we discover meaning through reflection, we become healthier beings.
Meaning, emotion, and health go hand in hand. There is an intimate relationship between these aspects of our being, and recognizing that relationship requires us to pay attention to the inner self.
Reflective practice in health care and how to reflect effectively
Our personal journeys and life stories are relevant to our perceptions. They affect how we live, how we care for ourselves, and how we nurse. By attaching meaning to them, we allow them to be reference points for future experiences and contribute to our wisdom Dossey et al.
Langley and Brown write that the practice of reflective journaling contributes to important learning outcomes for online graduate nursing students. While acknowledging lack of adequate research and studies about reflective journaling, they identify four learning outcomes that are evident in nursing and education literature. The learning objectives identified were: 1 professional development, 2 personal growth, 3 empowerment, and 4 facilitation of the learning process.
The sense of empowerment the students felt resulted from being able to clarify beliefs and feelings. They were better able to create personal meanings, gain insights, and connect their inner realities with external realities. To promote satisfaction and empowerment Self-reflection is a necessary foundation for meaningful nursing practice that allows for feelings of satisfaction and empowerment. As such, it is a critical nursing skill with the potential for enormous benefit.
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When we learn to appreciate for ourselves the benefits that self-reflection offers, we increasingly value those nursing elders and thinkers who have demonstrated, by example, its importance. These nurses, with wisdom gained from insight into a life of nursing practice, understand the meanings and patterns of nursing care and offer us a path for holism, connectivity, and oneness within our nursing practice.
Florence Nightingale, even after she stopped actively engaging in bedside nursing care, continued to share the wisdom that she gained from reflective and thoughtful nursing practice. Though physically infirm, she wrote and vigorously advocated for changes in health care delivery and nursing education. Indeed, Nightingale lived a life of reflection, evidenced by writings that include deeply reflective letters Dossey, The image of Nightingale walking through wards of injured and sick soldiers with her lantern shining was—and is—a powerful symbol of hope.
The lighted lantern is also a symbol of her wisdom and healing presence.
The founder of modern nursing is an example of the power of self-reflection. References: Appleton, C. The gift of self: A paradigm for originating nursing as art. Watson Eds. Denner, S. The science of energy therapies and contemplative practice. A conceptual review and application of zero balancing. Holistic Nursing Practice, 23 6 , Dossey, B. Florence Nightingale: Mystic, visionary, healer. Springhouse, PA: Springhouse.
Holistic nursing: A handbook for practice. Elder, R.