Giuliana Harvey MN & Darlene Dawson MN

Overview of N2114 (2nd Year Clinical Course)

The Patient Voice

Post Conference Guided Questions

Reflection

Nursing Care Plan (NCP)

focuses on promoting the health of diverse individuals within the context of family and community from a holistic, interdisciplinary and collaborative partnership approach to care, considering primary health care principles

students apply pharmacology, pathophysiology, nursing practice knowledge, critical thinking and clinical judgement to the care of adults experiencing illness in hospital settings

development of clinical goals

facilitate a NCP discussion

IV medication administration and blood therapy

evidence of reflection (twice)

weekly guided questions (first reflection)

self select focus (second reflection)

weekly nursing care plan(s) for preparation

“It has been said that wherever you will find humans you will also find stories” (Colby, 2001, p. 703).

Students are encouraged to listen to the patient’s voice:

allows patient more insight into their experience(s)

relationship building

adjust priorities in the nursing plan of care

opportunity to relate theory and practice

(Beyea, Killen, Knox, 2006; Hawkins & Lindsay, 2006)

Click to edit Master text styles

Second level

Third level

Fourth level

Fifth level

validates benefit of multiple perspectives

forum to explore clinical practice experiences (reflection)

connect theory and practice

cultivate verbal communication skills, present material in logical manner

reinforces importance of patient experience in patient care

(Gaberson & Oermann, 2010, p. 239; Oermann, 2008, p. 93)

CARNA (2004) defines reflective practice as ”the review of one’s own nursing practice to determine learning

needs and incorporate learning to improve one’s own practice.” Reflection is learner-centred and related to

your personal nursing practice.

When to reflect?

twice throughout rotation -Week 5 and Week 12

first submission be based on one of the reflective questions discussed in post-conference

students decide the topic for the second submission

How to reflect?

what did you notice?

how did you respond to a situation?

what intervention(s) were implemented based on what was “noticed?”

what was the outcome of the interventions?

what happened as a result of the action(s) implemented?

how has your nursing practice changed?

What to submit as evidence of reflection?

can occur using various approaches such as discussion, oral presentation, in writing, graphically, and other creative modes

may be quite formal in some cases and informal in others

expected to submit activities that demonstrate clinical judgment and application of critical thinking, scholarship, and caring inquiry in collaboration with individuals, families and population groups

(MRBN Curriculum Committee, 2012)

)

weekly preparation for each assigned patient

a tool to assist with critical thinking

specific aspects of the NCP requires students to ask about the patient experience-requires engagement and attentiveness to the patient voice

Click to edit Master text styles

Second level

Third level

Fourth level

Fifth level

Click to edit Master text styles

Second level

Third level

Fourth level

Fifth level

When patient experiences are told in the form of a story, they catch our

attention and leave a lasting memory.

(Beyea, Killen, & Knox, 2006, p. 10)

Questions ?