UNE BSN 2022

Author: esimpson3 (Page 2 of 8)

Post Interview Reflection

Through this interview with a nurse that I know who I feel encompasses all the characteristics of a leader, I learned that there are multiple different types of leadership. I would consider this individual a “silent” leader, who leads more by example. A leader does not have to be loudest or most controversial person in the room. Her characteristics line up pretty similarly with mine, so it was interesting to hear how she sees herself as a leader. This individual has been working at the same hospital on the same floor for around 20 years. Over that time, she created strong bonds with her coworkers, creating a close-knit unit. She expresses to me that this has both positive and negative effects on her role as an informal leader on the floor. In times of conflict, she explains that it can sometimes be difficult to confront such a great friend. In that case, she communicates her concerns with a formal leader on the floor including the nurse manager or nurse educator and they can address the situation. On a positive note, having colleagues that double as friends make work more fun and allow for easier collaboration.

This nurse has adequate social and self-awareness both in and outside of the workplace. She is always considering the feelings of other individuals which I expect carries over to practice with both coworkers and patients. Although she is self-aware in the fact that she is aware of how her actions will affect others, I do not believe she understands how positive her impact in on others. She does not give herself enough credit when it comes to being a leader. I was surprised when I had to elaborate on questions that were specific to being a leader. However, I believe that the best leaders are the ones who don’t even know that they are leader. She portrays herself in a way where others want to follow in her footsteps and be like her.

Her timid responses about considering herself a leader resonated with me and is something that I will remember once I enter clinical practice. It showed me that these informal leaders who leader more by example need to be told about their impact on their peers because they may not even know that they are seen as a leader. I am going to make a point to acknowledge individuals like her. It is important that these individuals understand how they are portrayed and valued in the workplace. Following this interview, it strengthened my respect for this individual even more than it already was. Her humbleness about being a leader in the workplace is something that I admire. I hope to work more closely with her as I approach clinical practice to leader even more from her. Leaders come in all different forms. It is important that we recognize this and do not discredit the “silent” leaders like this extraordinary individual that I interviewed.

Preparation for Licensure (ATI Maternity CAT Quiz)

This ATI adaptive quiz went well for me! I really enjoy the maternity information that we learn in class so doing this ATI helped me to learn more. This content is all new to me so taking this quiz allowed me to test my knowledge that I am retaining. Because I am currently in maternity class and have not learned all the information yet, it was difficult to get all of the answers correct. Taking this quiz helped with applying the information that I am learning and using my critical thinking skills. In contrast with the other ATI adaptive quizzes that I have taken, I feel that I did not rush through the maternity one. I was invested in really taking the time on each question to get the most information I can out of this quiz. Treating each quiz just as this one would help these ATI adaptive quizzes be more beneficial to me. Overall, I am proud of my performance on this adaptive quiz because I feel that I got the most out it in comparison to the previous quizzes where I tended to rush through questions and miss key words.

Pre Interview Reflection

The subject that I have chosen is a family friend who has been a labor and delivery nurse for over 20 years. I chose her because of her charismatic and compassionate manner. I have never seen her in her element as a nurse, but I know that she is definitely a leader in her unit. The way that she presents herself in an approachable, kind manner is something that I strive to have both as a person and as a nurse. I do not believe that she has an official leadership position in her role, however, I feel that the informal leadership roles are just as important. Formal leadership comes from structure, authority, power, and can come in the form of orders or commands, while informal leadership is created from relationships and influence that the individual has on others. Informal leaders are unique individuals who have the ability to make an impact on others and their actions tend to be more focused on connections with others. My goal is to be an informal leader in the workplace. Whether, I eventually have a formal leadership role or not, having an informal leadership role is something that is invaluable and can change the whole dynamic of the workplace. I am interested in learning how this individual has gotten where she is. I am eager to hear any tips she has as an experienced nurse on how to become an informal leader, even as a new graduate nurse. I have never had this type of conversation with this individual, so I am excited to hear what she says about this topic. I would like to know how she applies her natural characteristics including authenticity, humbleness, and wholeheartedness, into her clinical practice and how she spreads these exceptional traits to her coworkers. I am glad that this is an assignment because it gives me a reason to learn from an exceptional informal leader both in and outside of the workplace.

Preparation for Licensure (ATI Pharmacology Quiz)

This ATI Pharmacology CAT quiz went fairly well for me this time. I also did this quiz prior to the semester, during winter break, so I was able to take my time with it. After doing remediations, I did realize that I got some questions that I should have known wrong. This shows that I may have been rushing through without noticing. This is most likely due to the fact that there are at least 70 questions. Something that I could do to help minimize silly mistakes and decrease the amount of remediation. Although, I am happy with my score on this quiz, I think if there were less questions I could have gotten a few more right. In future CAT quizzes, I am planning on doing a few questions over the span about a week to be able to really focus in on the questions, creating less work for myself in the long run.

Career Development

The movie NURSES gives a firsthand look at the complex, yet extremely rewarding nursing practice. The nurses in this documentary have a passion for their practice. It is inspiring to see how invested these nurses are. They expressed being a nurse as a privilege. I have never really thought about it like that before but to be able to care for individuals in their most vulnerable times is truly so special. This documentary showed how important empathy and therapeutic communication is. We learn about therapeutic communication in almost every nursing class that we have taken at UNE. Through experience, I feel that my therapeutic communication will only get better. Creating appropriate nurse-patient relations will help me to become a better nurse.

This documentary portrayed many different roles that a nurse can take. One specific role that really stood out to me is the public health nurses that worked in the rural areas. We did not have a clinical rotation during our public health class. The nurses in the documentary traveled miles and miles through rough terrain including sand, rocks, and mud just to reach the homes of their patients. These nurses lack resources when doing these at home visits. The language that the patient speaks could also be a barrier. Additionally, in an emergency where more complex medical equipment is needed, EMS could be hours away. Also, the nurse in the documentary expresses that the terrain she travels on could be so bad that EMS may not even be able to make it all the way there. She expresses that they must have general “street smarts” including knowing to change a tire, directions, or jump starting a car. The role of public health nurses is extremely difficult and seem to fall through the cracks in the general role of nurses. Cultural humility is essential in this type and all types of nursing. Cultural humility refers to the respect, empathy, and self-reflection within oneself and when interacting with others. When caring for diverse populations, this concept is extremely important. Specifically, with the public health nurses, the nurse must be ready to encounter different cultures, view, or health practices. The patients whose they visit with may not have resources to treat their disease which can be frustrating, they also may not believe in certain medical practices due to their culture. It is important for the nurse to have self-awareness of their own views prior to meeting with patients. An open mind and respects for an individual’s culture and values is a priority as a nurse. I hope to gain more experience caring for diverse populations through my time as a nurse.

When listening to the guest speakers and the recorded presentation by Career Services, I learned a lot about how to prepare for future interviews in a way to put myself apart from other applicants. I will be sure to come to the interview prepared, having done multiple practice questions with family or friends. Additionally, I will do research on the organization and understand their mission statement and values to be sure that it aligns with mine. I will formulate practical questions about their organization that will give me answers to see if it is the right place for me. I want the interviewer to be able to see my passion and commitment during my interview. First impressions are everything!

Over the years, I have gained multiple skills that will strengthen my role as a nurse. From the UNE Nursing program, I have gained knowledge and experience. The experience that I have had during clinical has given me critical thinking skills and professionalism. I have been playing soccer ever since I can remember and even continued into college. Being an athlete has given me many skills including communication skills, collaboration, hardworking and teamwork. My parents have also passed down many strengths to me including empathy, positive attitude, and optimism. I am so lucky to have had such great experiences throughout my life that have made me the person I am today.

Although, I am thankful for all the strengths that I have gained as a person, I know that I do have some weaknesses that I need to work on. One of them being confidence. I am a confident person but also have a fear of disappointing people or messing up so I constantly am questioning if I am doing the right thing. I feel in some cases this is a good trait but in others it can definitely be a challenge feeling that I am constantly questioning myself. This is something that I strive to work on through gaining more knowledge and just being more care free, not stressing about the little things. Specifically, in the nursing profession, confidence is key. If I do not feel confident in myself, then how will my patients feel confident in me? I feel that through more experience and reassurance, I will help to address and solve my weakness. I feel that as I get older, I am already starting to fix these issues.  

Preparation for Licensure (ATI Med-Surg CAT Quiz)

The ATI Med-Surg CAT quiz went well for me this time around. I am happy that we were told about it prior to the semester starting because it allowed me time to get it done over winter break. When I was doing these quizzes last semester, I would rush through them because I had a significant amount of other work to do. With that being said, the ability to do these quizzes before we are assigned our other work helped greatly. I felt that I got more out of it and got more questions correct because I was able to take my time and not stress about all the other work that I must do. Additionally, doing the ATI Nurse Logic quizzes prior to doing these quizzes helped me with my test taking strategies and choosing the best answer. Being able to take my time on the Med-Surg CAT quiz, I got less questions wrong which gave me less remediation to do. The remediation is very tedious so having less questions to remediate was helpful and took less time.

Prepare for Transition!

These past four years have gone by faster than I could ever imagine! I cannot believe that it is finally my senior year and I will be graduating in May. I look forward to celebrating this milestone with my family and friends. I feel proud of what I have been able to accomplish, and I cannot wait to share this special time with them. I am so excited to begin this new chapter. I am looking forward to putting everything that I have learned these past four years together to be the best nurse that I can be. The nursing shortage motivates me even more to want to get into the real world. I want to be able to help. With all this excitement, I am also feeling pretty anxious about graduating. I am nervous about being overwhelmed or being put on my own too quickly. I feel anxious about not knowing things that I should. I just keep reassuring myself that every nurse has been in this position before and I am not alone.

               Going into this semester, I am trying to keep strict goals for myself in order to finish strong. Each Sunday I plan to make a list of every assignment that I have to complete during that week and keep it visible on my laptop so I do not forget any. Additionally, I want to try to get all my work done during the week so I will time to relax and enjoy myself during the weekend. Self-care is also something that I want to work on during this semester. It is easy for me to get caught up in all of the stress of nursing school. I am learning to find new ways to decompress, including yoga, meditation, working out, and walks outside. This semester is going to be difficult, but I am eager to finish strong!

               The ATI Nurse Logic 2.0 Modules gave me a better idea on how to answer multiple choice questions efficiently during ATI assignments, exams, and for the NCLEX. I learned how to utilize my knowledge to make decisions using critical thinking skills. I was reminded of the nurse’s role in the clients care. Patient centered care is essential in nursing and the nurse must be an advocate for their patient. The module that helped me the most for answering questions was the Priority Setting Frameworks module. This module focused on what the main concern is on many different levels including safety, the Hierarchy of Needs, ABCs, and least invasive. The final module, Testing and Remediation, helped to give tips on how to answer specific types of questions and different test taking strategies. I am glad that I will have access to these modules during this semester because they will be a great help when answering questions.

Course Description and Objectives

COURSE DESCRIPTION

This course is designed to facilitate the transition from student nurse to professional registered nurse. Emphasis is
placed on the knowledge, skills, and behaviors required for licensure, development of professional identity and social
conscience, and career advancement.

COURSE OBJECTIVES
Upon successful completion of this course, the student will be able to:
1. Demonstrate development of clinical judgment necessary for provision of safe, evidence-based nursing care that
improves health outcomes for individuals, families, and communities. (Clinical Judgment/Evidence-based Practice)
2. Demonstrate use of data to develop knowledge, skills, and behaviors necessary for successful licensure by
examination. (Informatics)
3. Demonstrate professional communication skills necessary for gaining entry into practice. (Leadership)
4. Demonstrate the knowledge, skills, and behaviors necessary for effective collaboration with
the interprofessional care team. (Interprofessionalism)
5. Demonstrate personal responsibility for professional growth through reflection and remediation.
(Professionalism/Self Care)

Westbrook College of Health Professions
NSG 447A Transition to Practice
Spring 2022

Disaster Nursing

Nurses can hold such a wide range of responsibilities in the event of a disaster. Prior to a disaster even occurring, nurses play a huge role in the disaster response planning. They work to develop an understanding of the disaster preparedness and response plans. Additionally, they may educate patients and the community about the knowledge needed to make it through a disaster. This can help to reduce overall fear and anxiety during a disaster. In order to protect their families, nurses may implement personal preparation with an emergency plan and supplies within their homes so that they are prepared in the case of a disaster. During a disaster, nurses will be assigned a variety of responsibilities. They will implement the disaster plans at their workplace, triage, provide emergency treatment, and coordinate evacuations and transportations of patients. They could be tasked with delivering basic first aid and mediation and assessing the overall state of the victims. It is important that nurses understand what they are expected to do in a time of disaster and that preparation is in place.

In a time of disaster, the compassionate nature of nurses will come out, compelling us to help other that are in need. Provision 2 of the ANA code of ethics states that the nurse’s primary commitment is to the patient, while provision 5 talks about how nurses owe the same duties to self as to others. These two provisions are contraindicatory of each other leading to the potential of ethical situations. My thoughts on this topic are that nurses must take care of themselves in order to care for others. In the event of a disaster, nurses play a key role in the first aid and triaging of patients. If nurses are not protecting themselves then they will not be able to perform the tasks that they need which could inhibit the safety of multiple individuals. If the nurse is protecting themselves, then many more people will be saved, and the overall outcome of the disaster will be better. With all of this being said, nurses are essential in the event of a disaster so if their safety if taken away then it will take away the safety of many others.

Presenting Changes

My team members and I are awaiting feedback on our dissemination project. I am looking forward to getting this feedback to see how it can be applied to clinical practice.

The topic of our project is emphasizing the importance of accurate intake and outputs. Through the research that my group and I did, we found how important intake and output is. With extra research done with this topic, I know that I will be sure to chart accurate intake and output, including the IV fluids. Understanding the importance of accurate intake and output could also allow me to have positive effect on my colleagues. Charting IV fluids or drinks are intake numbers that can sometime be forgotten in healthcare.  Additionally, we also discovered the automated urine output devices. I had never heard of this device before, so this new information would be helpful to bring into my career, especially if the place I work at does not have this device.

              I felt that I played a positive role on the impact of the team. I usually sit in the background and just put in my part and someone else takes charge. However, I feel that with this project, I took more of a leadership role. Of course, I collaborated with all members of my team, but it felt good being able to play a leadership role in this process and I think it will help me to take charge in other situations, which I don’t normally do. This is something that I could let me future employer know about to show that I can work as a team in both the leadership position and the team member contributor position. I will let them know that I am an easy person to collaborate with and that I have past experience in quality improvement and evidence-based practice initiatives.

            The team members and I all worked really well together, and everyone played their part. Although, we had 8 members of the team, I feel that we all did an equal amount of work. I was worried about this going into beginning this project because I know that when there are multiple people working on one project, the process can be a bit difficult. With all of this being said, I am proud of what my team and I have created, and I hope that the final product is able to provide positive intervention in clinical practice.

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