Growth and Development During the Practicum Comprehensive Nursing Paper Sample

Growth and Development During the Practicum Comprehensive Nursing Paper Sample

I believe that everything we do makes a difference, and through growth, we can make a difference in our professional and personal lives. With this mantra, I set three goals to accomplish during the practicum. To this end, I can confidently say that I have achieved so much and am more competent in the mental health areas I set out to improve. My first goal was to achieve independence in selecting and implementing mental health screening tools and interpreting outcomes. During the practicum, I was involved in various patient cases requiring mental health screening tools and interpreting results to guide treatment interventions. Such involvement played a crucial role in helping me realize this goal.(Growth and Development During the Practicum Comprehensive Nursing Paper Sample)

Growth and Development During the Practicum Comprehensive Nursing Paper Sample
Growth and Development During the Practicum Comprehensive Nursing Paper Sample

The second goal was to achieve independence in evaluating, documenting, and reflecting on my practicum learning goals and objectives. While this goal might have seen as non-clinical, I wasted to enhance my reflection ability, which is crucial in achieving professional growth. During the practicum, I interacted with various patients and engaged in different clinical situations, and through reflection, I was able to learn from these experiences and implement the knowledge gained in consequent cases. Lastly, I set to enhance my competency in identifying the ethical and legal dilemmas in psychiatric practice and relevant solutions. While various ethical and legal dilemmas are unique, my understanding of underlying principles has been great, and I can confidently figure out potential dilemmas for different mental health scenarios and identify ways to mitigate them.(Growth and Development During the Practicum Comprehensive Nursing Paper Sample)

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In mental health, every clinical scenario is unique and challenging, yet the clinical components have primarily been established in the literature, and with experience, a PMHNP student can mitigate most of these challenging situations. The first challenging patient I encountered was a teenager from a dysfunctional family. The teenager was diagnosed with bipolar disorder with psychotic features. She did not want her parents to be involved in her treatment at only 11 years of age. The second challenging patient was an Iranian teenager diagnosed with post-traumatic stress disorder. The client immigrated to the United States recently and has limited language proficiency, and her perception of mental health affected her culture. Lastly, I encountered an aggressive and violent patient with a history of substance abuse, leading to psychosis. The client had to be restrained and isolated, considering the risks he posed to himself and others.(Growth and Development During the Practicum Comprehensive Nursing Paper Sample)

I learned that a positive alliance with the parents of a pediatric client is crucial in exploring the family relationship and establishing a collaborative approach to care (Brown, 2020). I have also learned that limited language proficiency is associated with the underutilization of mental health services and leads to adverse mental health due to the severity of symptoms and secondary disorders (Miteva et al., 2022). Lastly, I learned that aggression and violence among mental health patients are common occurrences, and PMHNPs should be knowledgeable and competent in managing such patients to de-escalate such situations for better health outcomes (Adeniyi & Puzi, 2021).(Growth and Development During the Practicum Comprehensive Nursing Paper Sample)

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Various resources were available during the practicum. For instance, there were clinical guidelines for mental health diagnosis, such as the DSM-5 and Practioner’s Guide to Ethical Decision-Making. My preceptor was more variable during the practicum considering the guidance I got on various clinical situations. Moreover, the registered PMHNPs and other staff were supportive and guided throughout the practicum.(Growth and Development During the Practicum Comprehensive Nursing Paper Sample)

The evidence-based practices I used for the patients included cognitive behavioral therapy, motivational interviewing, and interpersonal psychotherapy. These therapy modalities were crucial in reducing symptoms of depression and anxiety, which were common among the mental health patients I was involved with throughout my practicum. Significantly, the modalities were effective in changing thought patterns for thoughts with suicide ideation and promoting coping strategies for various prognostic factors.(Growth and Development During the Practicum Comprehensive Nursing Paper Sample)

Given another practicum, I would search for a practicum site and preceptor early enough to ensure that I am adequately prepared for the practicum. Through the practicum, I helped manage the patient flow and volume through effective communication with the healthcare teams. An increase in communication was crucial in fast-tracking the admissions and discharge of patients. I might improve my skills and knowledge through practice and secondary research since many studies have been done on various evidence-based practices. To enhance my communication with the preceptor, I would let them know my interests, areas I need to learn more about, and how I can use my experience to enhance my competence. (Growth and Development During the Practicum Comprehensive Nursing Paper Sample)

Growth and Development During the Practicum Comprehensive Nursing Paper Sample
Growth and Development During the Practicum Comprehensive Nursing Paper Sample

References

Adeniyi, O. V., & Puzi, N. (2021). Management approach of patients with violent and aggressive behavior in a district hospital setting in South Africa. South African Family Practice63(1)(Growth and Development During the Practicum Comprehensive Nursing Paper Sample). https://doi.org/10.4102%2Fsafp.v63i1.5393

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Brown, J. (2020). Engaging with parents in child and adolescent mental health services. Australian and New Zealand Journal of Family Therapy, 41(2), 145-160.(Growth and Development During the Practicum Comprehensive Nursing Paper Sample) https://doi.org/10.1002/anzf.1409

Miteva, D., Georgiadis, F., McBroom, L., Noboa, V., Quednow, B. B., Seifritz, E., … & Egger, S. T. (2022). Impact of language proficiency on mental health service use, treatment, and outcomes:” Lost in Translation.” Comprehensive Psychiatry114, 152299.(Growth and Development During the Practicum Comprehensive Nursing Paper Sample) https://doi.org/10.1016/j.comppsych.2022.152299

Growth and Development During the Practicum Comprehensive Nursing Paper Sample
Growth and Development During the Practicum Comprehensive Nursing Paper Sample 1

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