Journal Entry Week 11 Assignment-A Comprehensive Nursing Paper Example

Journal Entry Week 11 Assignment-A Comprehensive Nursing Paper Example

Goals and Objectives

During the course, I have made significant progress towards achieving my goals and objectives, as I can now confidently conduct psychiatric evaluations and assessments. I have conducted over five psychiatric examinations within the 11 weeks and communicated to the preceptor regarding every evaluation. I have also integrated relevant evidence-based materials towards completing these assessments. I have acquired the skills to conduct and interpret psychosocial assessments and gather family psychiatric histories. Embracing evidence-based practice has helped improve my clinical judgement and decision-making to ensure patient care quality and safety (Abu-Baker et al., 2021).(Journal Entry Week 11 Assignment-A Comprehensive Nursing Paper Example)

Additionally, I have equipped myself with the competencies and knowledge to complete diagnosis per DMS-5 criteria for the patients encountered over the 11 weeks. I can rule out a diagnosis by accurately aligning the identified symptoms with the DMS-5 criteria. I can also identify differential diagnoses for disease and comprehensively describe why a specific diagnosis was confirmed or refuted. Conclusively, I have achieved most of my course goals and objectives and intend to continue to meet them to improve my career readiness(Journal Entry Week 11 Assignment-A Comprehensive Nursing Paper Example).

Challenging Patients

I have encountered multiple patients during the practicum. Most were cooperative, except for two problematic patients and one patient who was reluctant to provide vital information to help with the diagnosis for personal reasons. One of the patients thought I was not good enough to provide appropriate care despite me being the only available nurse to take care of him during a busy shift. I was assigned the patient as my preceptor, and other experienced nurses cared for more critical patients. However, the patient felt I was a novice, and it was not respectful and ideal for him to be assigned to me. It was detrimental to my confidence, but I understood it is typical in the workplace, particularly for nurse students. I also encountered an aggressive patient who felt we were not quick enough to treat him and threatened to sue us in case something happened to him. The third patient refused to share data needed for a diagnosis for personal reasons. The patient feared that I would judge her on the information she would provide. My preceptor and other experienced providers were resourceful in all three instances. Specifically, they helped convince the patients that every provider at the facility could take care of them, which was uplifting. I also adopted insights from the literature on dealing with problematic patients (Tanoubi et al., 2021; Jackson et al., 2021). If I encounter difficult patients in the future, I intend to use the effective communication skills I have acquired to engage the patients and better manage the situation.(Journal Entry Week 11 Assignment-A Comprehensive Nursing Paper Example)

Communicating and Feedback

I have grown tremendously over the 11 weeks and am a better individual and professional. However, there are areas I still need to improve, particularly patient engagement, considering I had issues communicating with several “difficult” patients. I intend to enhance my patient engagement skills and develop therapeutic relationships. To achieve this goal, I will improve my communication skills, physical and psychological endurance, critical thinking skills, empathy and compassion, and technology skills for digital engagement. I intend to seek feedback from my workmates and preceptor regarding my skills and knowledge development progress. I will also use performance appraisals to measure goal and objective achievement and overall progress. I will engage in research and evaluation to acquire the competencies needed to improve my practice experience and capacity to care.(Journal Entry Week 11 Assignment-A Comprehensive Nursing Paper Example)

Moreover, I will share my goals and objectives for improvement through informal meetings with my preceptor. I also share a checklist with the preceptor regarding my achievements and performance self-assessments. My preceptor has been integral in my continuous improvement, providing timely and meaningful feedback. Informal feedback was given through typical conversations during practice and patient care, effectively improving my on-the-job skills and knowledge. The preceptor also provided formal feedback through performance appraisal forms, commenting on my progress and what areas I needed to improve.(Journal Entry Week 11 Assignment-A Comprehensive Nursing Paper Example)

References

Abu-Baker, N. N., AbuAlrub, S., Obeidat, R. F., & Assmairan, K. (2021). Evidence-based practice beliefs and implementations: A cross-sectional study among undergraduate nursing students. BMC Nursing, 20(1). https://doi.org/10.1186/s12912-020-00522-x(Journal Entry Week 11 Assignment-A Comprehensive Nursing Paper Example)

Jackson, J. L., Kay, C., Scholcoff, C., Becher, D., & O’Malley, P. G. (2021). Capturing the Complexities of “Difficult” Patient Encounters Using a Structural Equation Model. Journal of general internal medicine, 36(2), 549–551. https://doi.org/10.1007/s11606-020-06013-8(Journal Entry Week 11 Assignment-A Comprehensive Nursing Paper Example)

Tanoubi, I., Cruz-Panesso, L., & Drolet, P. (2021). The Patient, the Physician, or the Relationship: Who or What Is “Difficult”, Exactly? An Approach for Managing Conflicts between Patients and Physicians. International journal of environmental research and public health, 18(23), 12517. https://doi.org/10.3390/ijerph182312517(Journal Entry Week 11 Assignment-A Comprehensive Nursing Paper Example)

https://www.ncbi.nlm.nih.gov/