• Internal Code :
  • Subject Code : NURS3002
  • University : Flinders University
  • Subject Name : Nursing

Placement Experience and Standards For Practice

Table of Contents

Introduction 

Discussion 

Conclusion 

References 

Appendix 

Introduction

Registered nurse practice is based on evidence and person-centered with formative, restorative, preventive, palliative and curative aspects (Edmonds, Cashin, & Heartfield, 2016). Registered nurse works in therapeutic and professional relationships not only with the person, but also with the groups, families along with the communities. The community of Australia has a true assortment of linguistic and cultural diversity and in this context, registered nurse standards for practice are to be go through. Significance of culture and history to the well-being and health is recognized by the registered nurse standards. Being regulated by the health experts, registered nurses are held responsible through the “Nursing and Midwifery Board of Australia (NMBA)”. Moreover, registered nurses are also accountable to maintain the national registered nurse standards for practice, in terms of which registered nurses have to perceive standards of NMBA together with the guidelines and codes (Edmonds, Cashin, & Heartfield, 2016). In addition, RN practice is regarded as a multifaceted skilled endeavor which requires constant thinking and the exploration, to be competent to attain thoughtful development as well as sustain constructive relationships. Registered nurses work for determining, coordinating, and providing quality, safe nursing. RN practice is contemplated as an action that involves widespread assessment, development of plan, implementation of the plan along with the evaluation of the findings.

In this paper, the experiences are described in a detailed manner so as to identify its experiences.

Thinks critically and analyses nursing practice relating to this previous experience

It was essential for a nurse to work according to the Registered Nurse Standard of Practice, at the time of the placement at the hospital. As she got the opportunity for serving the patients at the mental health ward as well as at the medical ward, she had to think critically and analyze the practice of nursing. Even some situations were there, in terms of which she had no other choices but to think critically and analyze the practice of nursing in order to solve the practical problems as well as provide appropriate, responsive and safe service to the patients. By thinking critically and analyzing the practice of nursing she was able to solve the problem in a more efficient way.  Moreover, she received quite remarkable experience with the registered nurse standard of practice.

At the very beginning of her nursing career, she began her placement at the medical ward and this is why she got an opportunity to render service to a number of patients. Critical thinking is one of the very common aspects of registered nurse. While she pursued her study she was instructed to develop sound critical thinking for being an effective and a safe registered nurse. She perceived that this requirement is extravagant when this enters to a critical care area as in context to this area, outcome of the patient can be changed by one decision of registered nurses (Middleton, et al., 2011).

Reflects on own practice and how this impacted on the patient

However, one incident was there in the entire journey of her stunt nursing career, she can hardly remember. One patient namely, Mr. S was there who was suffered from extreme pain to such an extent that the patient turned out to be uncompromising and unruly. Mr. S was not able to tolerate that pain and this is why he constantly made complain about the pain felt by him. Being a registered nurse, it somehow felt by due to ignorance, the patient failed to attain accurate care

 With regard to this situation, the nurse had to analyze the situation by thinking critically as she had to find some solution not withstanding with her own feelings. At first, she reviewed the charts of the patient and then she made contact with the physician as she was try to discover the cordial way for alleviating the suffering of that patient (Park, et al., 2013).

Moreover, she gave the efforts to made him understand that she was trying her best to cure his pain and continued to talk with him about several aspects. She perceived that sometime it is essential to communicate with the patients constantly. By communicating with others, the concerned patient will be distracted and may get relief for some time. This is why she made an attempt to communicate with him and wanted to engaged him. Even though it was quite impossible to give him relief completely from that extreme pain, she made an attempt to distract him from that feelings. Along with that, she made sure that he comprehended that his illness is a matter of concern for the nurse and the nurse was there always to give him care and attention. As a result, he started to communicate with the nurse, gave him proper medicine so that he got relief from that extreme pain. This proved extremely effective for the patient and also the health became a bit better than before.

Demonstrates a clear link between their one chosen professional standard and their own practice in this previous Professional Placement Experience.

The above mentioned case was an exceptional case for her throughout the journey of her career till now. Even though she had meet a number of patients who were experiencing pain, he was the first person to meet who was so wild, so stubborn as well as so in pain. Various cases were there when she had to think critically as well as analyze the practice of nursing to made critical decisions when physician was not there. It was never assumed by her that she had to go through such a case as well as she had to handle a patient by whom her own life will be threatened (Birks, et al., 2016).

Even though she did not have any experience to handle this sort of patient, and at that time, she was not skilled enough to handle this patient carefully and efficiently, she had no other choice but to think critically in order to get rid of this situation as well as handle that patient carefully. Critical skills in the field of nursing is essential, yet ability to think critically is at the core of being a good nurse. Generally, the ability to think critically can be developed by the way patients are viewed by the nurse and the types of problems nurses have to manage in their entire journey.

In addition, this was the experience by means of which she became sure that she was able to fulfill her duty and she need to think more critically to handle such type of situation. Being a registered nurse it was her duty to look after her patients and give her best to cure them (Gardner, et al., 2010).

She perceived that physician along with the nurses must maintain the coordination as well as the communication with the patients continuously for certifying the delivery of the care to each patients and the patients will be felt valued and heard. Along with that, an effective communication among the nurses and the physicians is important handle every patient carefully (Joyce & Piterman, 2011).

At the time of pursuing her studies, she was taught to deal with different sorts of patients. As one patient is different from other, it was essential for her to think critically and analyze the practice of nursing to deal with the different sorts of patience. Moreover, some situations were there when she had to take the decision of her own by thinking critically and analyzing the practice of nursing as the outcome of the patient depended on her decisions (Mellor & Greenhill, 2014).

Throughout her journey she had seen that a patient can either be very cooperative or non-cooperative at all and is regarded as a very usual scenario inside a medical ward. Along with that, the life of the registered nurses will also in danger if this sort of patient will not handle by them tactically so as to ensure the positive outcome of the patient. This is why she was required to think critically and analyze the experience of nursing to handle this sort of patient and fulfill her duty.  Moreover, registered nurses and other physician must look into this type of incident, in order to avoid any mishaps (Mellor & Greenhill, 2014).

She taught so many things at the time of dealing with this type of candidates and she will be capable enough to handle any situation in upcoming days. She perceived that the ability to think critically in the field of nursing is a logical as well as purposeful procedure by which the powerful outcome of the patient will be imparted.

In order to think critically and analyze the practice of nursing, at first she has to make the interpretation along with exploration of the problems. As she had face some situation regarding decision-making in patient care and the outcome of her patient can be impacted by her decision, she had to think critically before taking any decisions.  Skills of critical thinking in the field of Nursing drive the procedure of decision making as well as influence the excellence of care that are provided by the registered nurses (Coyne & Needham, 2012).

Conclusion

As she knew that the essential step to develop the skills of critical thinking, it is important for a registered nurse, to learn from the critical or unique situation by means of a sturdy base of hands-on experience. The team must contain a physician, a registered nurse along with the expertise who have the essential knowledge to handle that sort of situation (Franklin & Melville 2015). That was an exceptional experience for her and it made her understand that she must be accurate, precise and logical before taking any decisions regarding her patient especially when there is a critical condition or a unique case. Moreover, being a registered nurse she perceived that she must learn from her past experience and she must get rid of illogical, inconsistent and irrelevant thinking (Street, et al., 2011).

References

Birks, M., Davis, J., Smithson, J., &Cant, R. (2016). Registered nurse scope of practice in Australia: an integrative review of the literature. Contemporary Nurse, 52(5), 522-543.

Cashin, A., Heartfield, M., Bryce, J., Devey, L., Buckley, T., Cox, D., ... & Fisher, M. (2017). Standards for practice for registered nurses in Australia. Collegian, 24(3), 255-266.

Coyne, E., & Needham, J. (2012). Undergraduate nursing students’ placement in speciality clinical areas: Understanding the concerns of the student and registered nurse. Contemporary Nurse, 42(1), 97-104.

Dignam, D., Duffield, C., Stasa, H., Gray, J., Jackson, D., & Daly, J. (2012). Management and leadership in nursing: An Australian educational perspective. Journal of nursing management, 20(1), 65-71.

Edmonds, L., Cashin, A., &Heartfield, M. (2016). Comparison of Australian specialty nurse standards with registered nurse standards. International Nursing Review, 63(2), 162-179.

Franklin, N., & Melville, P. (2015). Competency assessment tools: an exploration of the pedagogical issues facing competency assessment for nurses in the clinical environment. Collegian, 22(1), 25-31.

Gardner, G., Gardner, A., Middleton, S., Della, P., Kain, V., &Doubrovsky, A. (2010). The work of nurse practitioners. Journal of Advanced Nursing, 66 (10), 2160-2169.

Gill, F. J., Leslie, G. D., Grech, C., &Latour, J. M. (2012). A review of critical care nursing staffing, education and practice standards. Australian Critical Care, 25(4), 224-237.

Hammad, K. S., Arbon, P., &Gebbie, K. M. (2011). Emergency nurses and disaster response: an exploration of South Australian emergency nurses’ knowledge and perceptions of their roles in disaster response. Australasian Emergency Nursing Journal, 14(2), 87-94.

Joyce, C. M., &Piterman, L. (2011). The work of nurses in Australian general practice: A national survey. International Journal of Nursing Studies, 48(1), 70-80.

Mellor, P., & Greenhill, J. (2014). A patient safety focused registered nurse transition to practice program. Contemporary nurse, 47(1-2), 51-60.

Mellor, P., & Greenhill, J., (2014). A patient safety focused registered nurse transition to practice program. Contemporary nurse, 47(1-2), 51-60.

Middleton, S., Gardner, A., Gardner, G., & Della, P. R., (2011). The status of Australian nurse practitioners: the second national census. Australian Health Review, 35(4), 448-454.

Park, M., McMillan, M., Cleary, S., Conway, J., Murphy, L., & Griffiths, S., (2013). Practice-based simulation model: A curriculum innovation to enhance the critical thinking skills of nursing students. The Australian Journal of Advanced Nursing, 30(3), 41-51.

Street, M., Eustace, P., Livingston, P. M., Craike, M. J., Kent, B., & Patterson, D., (2011). Communication at the bedside to enhance patient care: A survey of nurses' experience and perspective of handover. International Journal of Nursing Practice, 17(2), 133-140.

Appendix

Another example she can hardly remember while she was at mental health ward and she met a patient namely Mr. X, who was so aggressive that he always refused to take any kind of medicine, and he did not like to talk anyone and heed to anyone. Being a registered nurse she had to look after him continuously to provide essential care as well as to ensure the safety of the patient. But as she has already mentioned that he was too aggressive to heed to anyone, she had to think critically before doing anything, and being a registered nurse she always thought what would be the consequence of her deed. Consequently, the nurse came to know that only person he listened to, was a priest, who lived in his village. Then through recording the voice of that priest, she finally made him less aggressive and made him to take the medicine. In this way she was able to create a more conductive situation for providing proper care. 

Even though this situation was quite exceptional for her, she knew that patients who are suffering from mental problems are well-known to be aggressive from time to time. But in this case that patient did not listen to his family members also. As he had respect only for the priest, he became less aggressive only by hearing priest’s voice and this is a very rare case. Generally, she made contact with the family member of the patient as she knew patient became happy by seeing their family members but in this case she has to think critically what should she do as a registered nurse and what not. As soon as she came to know that he only listened to his priest, she had to record the voice of priest to made the patient calm. 

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