Tuesday, May 5, 2020

Benefits Challenges Reflexivity Qualitative -Myassignmenthelp.Com

Question: Discuss About The Benefits Challenges Reflexivity Qualitative? Answer: Introduction Portfolio building is one of the important criteria for any job role or profession. The development of a professional portfolio is equally important within nursing care practise. It is a collection of carefully selected materials that documents the competencies and the expertise of the nurses. It provides a way for the monitoring of professional development by periodically accessing the progress. The professional portfolios could be divided into two main types which are best work and growth and development portfolio. The best work portfolio provides evidences of the expertise and competencies of the nurses. These portfolios are used as references for career ladder promotions, annual performance review, accreditations etc. The growth and development portfolios are designed for the nurses in order to monitor their progress in meeting personal and professional learning goals (Laschinger Fida, 2015). This kind of portfolio could be used by the nurses for evaluation of their own profess ional growth. The nursing professional can access their own performance through a four step process, which further helps in development of the professional practise portfolio. In the first step, the nurse would access the accounting of knowledge possessed by them and the areas, which needs further development. The second step is focused upon developing a plan for meeting with the learning needs. Some of the activities which are undertaken over here include continuing education, completing certain clinical experiences. The third step is the implementation of the plan which is done by completing a specific set of activities. The fourth step is the evaluation of the outcomes of learning which helps in highlighting the gaps in the nursing care delivery process. As commented by Regan, Laschinger Wong (2016), proper portfolio screening can help in the recruitment of experienced nursing professionals, which can improve the quality of the health and support care services. Additionally, repeated evaluation through the professional portfolio can also help in enhancement of the personal skill sets of the nursing professionals. Benefits and challenges of using a professional practice portfolio There are a number of benefits and challenges associated with the professional portfolio which have been discussed further. As commented by Kalb, O'Conner-Von, Brockway, Rierson Sendelbach (2015), developing an effective portfolio gives a sense of achievement to the ensuring professionals. The in-depth self evaluation helps in focussing upon the loopholes within nursing care practice, which could be further used in the development of long term goals (Missen, McKenna Beauchamp, 2016). Some of these long term goals help in making the nursing care services better and fit for meeting with the diverse needs of the patients. Therefore, maintaining a professional portfolio can make a nursing professional more critical of their work, which can help them in the making individual areas of nursing care strong by the nursing professional. As commented by Jefferies et al. (2018), maintaining a professional practise portfolio can act as a database where the expertise of the nursing professionals working within a particular hospital are noted down. Thus, maintaining an effective portfolio also helps in the allocation of the duties within a care setup, as per the expertise possessed by individual staffs. However, there are a number of limitations of maintaining a professional portfolio which have been further discussed. In this respect, the portfolio could simply become a piece of paper. As commented by Hickey et al. (2017), the assembling and contracting of the portfolio is a rather time-consuming process. The portfolio can simply help in identification of the functional aspects without giving a detailed outlook of the bigger concern. The portfolio for a nursing professional must be built up in accordance with the standards as specified by the Nursing and Midwifery board of Australia (NMBA standards). As commented by Bengtsson Carlson (2015), the failure to comply with the NMBA standards can reduce the affectivity of a portfolio along with making it void. Management and leadership competencies in professional nursing practise portfolio The leadership and management competencies play a crucial role in developing an effective professional nursing portfolio. The leadership and management skills are crucial to the success of a healthcare care setup. Some of these contribute significantly in maintaining an effective work flow within a healthcare organization. The management role for a nursing professional could be divided into three distinct roles that are managing the business, developing the leader within oneself and leading the people. Some of these are human resource management, where sufficient amount of importance needs to be given to the staffing and training of the nursing professionals. As commented by Kalb et al. (2015), the preceptor nurse plays a crucial role in the training of the newly recruited nursing professionals. Another key objective of managing the business is through performance improvement. For this constant performance measurement and evaluation needs to be done, which helps in highlighting the d earth in technical expertise possessed by the nursing professionals. A survey conducted can help in accessing the regulatory readiness of the hospitals. Thus, the professional nursing portfolio can help in assessment of the performance gaps of the working professionals. As mentioned by Laschinger Fida (2015), contingency planning is one of the most important objectives of nursing care. Conducting sufficient amount of internal checks of the hospital and the working can help in assessment of the internal loopholes which can help in preparing the hospital for any forms of future risk (Katsikitis et al., 2013). There has been huge amount dependence of healthcare upon information technology. This is because most of the healthcare organizations are providing healthcare services based upon implementation of electronic healthcare records. The EHR helps in fast and accurate delivery of health and support care services. Therefore, possessing such technical It skills can help in making the nursing care more comprehensive. As commented by Wilkinson (2012), the more the number of skills mentioned within the professional portfolio the better are the chances of recruitment. Therefore, possessing multiskill abilities can help in improving the quality of the servic es offered by the nursing professional (MacPhee, Skelton?Green, Bouthillette Suryaprakash, 2012). As commented by Jefferies et al. (2018), past work experience in similar clinical scenario can help the nursing professional in developing an understanding contingency planning. Some of the leadership competencies which could be described over here with regards to nursing care are provision of effective training to the nursing staffs. Some of the clinical experience of the nursing professionals can be documented within the professional portfolio under the job experience and responsibilities section. This further helps in the allocation of the duties and the roles of the nursing professionals within a healthcare setup. Description of a professional situation In this respect, focussing upon a real life situation can help in the understanding the nursing professional standards. In the current situation, the nursing standards as highlighted by the NMBA board have been focussed upon. The standards have been developed for improving the quality of the services offered by the Australia based hospitals and healthcare centers. The criteria need to be evaluated in the context of the working of the registered nurse. As commented by Alexander Stewart (2016), the criteria are not exhaustive and enable the development of individual registered nurse scope of practices. In this respect, a professional scenario has been taken into consideration for understanding the effect of the professional nursing standards within a clinical scenario. I have been working as an enrolled with an aged care where I had to go through some actual clinical experiences which helped me develop my knowledge over the professional standards of nursing. I was responsible for looking after an aged care ward. During my practise one such patient was admitted to the hospital with psychological trauma and also had a past history of dementia. The patient had reduced cognitive abilities along with poor memory which made it difficult in handling and management of the patient. Therefore, maintaining an effective note taking could help in keeping a track of the present and past health condition of the patient. This could have made referral and dissemination of treatment much more effective. However, being an enrolled nurse I lacked the expertise of effective note taking. I also lacked sufficient knowledge regarding the use of electronic health record systems. Hence I failed to make effective note taking regarding the medications to be followed by the pa tient, which resulted in wrong doses being given to the patient. This could further deteriorate the health condition of the patient along with leading to medical negligence. Hence, I should have abided by the standard 4 of the NMBA standards. The standard 4 focuses on the importance of implementation of assessment techniques for effective data collection within the healthcare settings. The situation made me realize of the NMBA standards as compliance with those standards can help me improve the professional care and practices. Critical discussion of the professional nursing NMBA standards As discussed earlier, the NMBA standards help in compliance monitoring by the registered nurse. As mentioned by Danielson (2011), following the NMBA standards helps in controlling the rates of service gaps. There are a total of seven NMBA standards some of which have been discussed below as follows: Therefore, reflecting upon the scope of practices helped me develop my professional skills further. Focussing upon the individual professional nursing standards helped me understand my strengths and weaknesses. I think working as an enrolled nurse I lacked the effective communication skills, which kept me at distance with some of the patient groups. Hence, developing the therapeutic communication skills could further help me in relation with my patients as well as understand the grievances faced by them. I also think less knowledge regarding the assessment techniques hampered the quality of data collection practices as per standards 4 of the NMBA standards. Hence, I would need to develop my data collection skills which would help me in accessing the situation and condition of the patient. As commented by Oakley, Pegrum Johnston (2014), developing knowledge in some of technical health accessibility factors could provide me with a competitive advantage. As per the standard 3 of the NMBA regulations, the registered nurses are responsible for ensuring they are safe and have the capacity for practise. Under such directives the RN is responsible for self management and also ensures capability for practise for other health professionals (McNamara, 2013). Under this the RN needs to take accountabilities and responsibilities for their actions or decisions and also others to whom they have delegated important responsibilities (Yanhua Watson, 2011). This had been done in the form of effective delegation and communication across the team. The briefing sessions held for an half an hour every day also helped us fulfill our responsibilities effectively within the healthcare setup. Report on peak professional nursing organization relevant to career path Development of a career path is crucial to receive success as a nursing professional. Therefore, working as a nursing professional I have always felt special interest for critical care nursing. I feel that developing my skills in this particular area of nursing can help me in handling and management of the emergency and trauma care cases better. The nursing care organization relevant to my career path would be Australian College of Critical Care Nurses (ACCCN). The ACCCN is a professional organization contributing to the sector of critical care in Australia ("About Us - ACCCN - Australian College of Critical Care Nurses Ltd", 2018). The members of the organisation are clinical nurses, nurse educators, nurse managers, nurse researchers who work in intensive care units such as emergency care units, cardiothoracic units. ACCCN provides advanced life support programs annually. I think undertaking training in the ACCCN would be beneficial for me in many contexts as I will be part of a tea m that caters for ICU complexities including complex ventilation, ECMO and CRRT("About Us - ACCCN - Australian College of Critical Care Nurses Ltd", 2018). This can help me progress in my professional career manifold times. The college is a not-for profit organisation which helps almost 2300 nurses annually to progress in their careers through multiple courses such as National Adult ALS certification, National Pediatric ALs certification. Conclusion The current assignment focuses on the importance of developing an effective portfolio in professional nursing practise. The development of an effective nursing portfolio helps them in evaluating their career growth and performance over long term. An effective portfolio helps in optimum recruitment and helps in making the healthcare services more organised. Additionally, the importance of the professional nursing standards has also been highlighted over here. The professional nursing standard helps in making the care services more structured. Some of the nursing standards have been evaluated over here with in relation to practical scenario. Additionally, the leadership and management competencies required within a nursing professional have been further discussed over here. In this respect, working in an actual clinical scenario can help in developing the skills for contingency planning. References About Us - ACCCN - Australian College of Critical Care Nurses Ltd. (2018). Acccn.com.au. Retrieved 7 March 2018, from https://www.acccn.com.au/about-us/about-us Alexander, S. J., Stewart, L. (2016). Establishing and maintaining a professional identity: portfolios and career progression.Transitions in Nursing: Preparing for Professional Practice, 259-276. Retrieved from : https://books.google.co.in/books?hl=enlr=id=B_hwCgAAQBAJoi=fndpg=PA259dq=Alexander,+S.+J.,+%26+Stewart,+L.+(2016).+Establishing+and+maintaining+a+professional+identity:+portfolios+and+career+progression.+Transitions+in+Nursing:+Preparing+for+Professional+ Practice,+259-276.ots=N3NuyyDGn0sig=NjTLmDtlJ34UnWhKaReM5lXBqdg#v=onepageqf=false Bengtsson, M., Carlson, E. (2015). Knowledge and skills needed to improve as preceptor: development of a continuous professional development coursea qualitative study part I.BMC nursing,14(1), 51. Retrieved from: https://doi.org/10.1186/s12912-015-0103-9 Danielson, C. (2011).Enhancing professional practice: A framework for teaching. ASCD, 54-71. Retrieved from : https://books.google.co.in/books?hl=enlr=id=s_tQBAAAQBAJoi=fndpg=PR5dq=Danielson,+C.+(2011).+Enhancing+professional+practice:+A+framework+for+teaching.+ASCD.ots=7PhxXoh8qEsig=oahGUmqxKUjNWad6I1E49qglGjM#v=onepageqf=false Hickey, K., Rossetti, J., Oldenburg, N., Abendroth, M., Uhlken, C., Musker, K., ... Paramore, P. (2017). Moving Nursing Program Portfolio Assessment From Midterm to End of Program: Lessons Learned.Nurse educator,42(4), 172-175. doi: 10.1097/NNE.0000000000000343 Jefferies, D., McNally, S., Roberts, K., Wallace, A., Stunden, A., D'Souza, S., Glew, P. (2018). The importance of academic literacy for undergraduate nursing students and its relationship to future professional clinical practice: A systematic review.Nurse education today,60, 84-91. doi:10.1016/j.nedt.2017.09.02 Kalb, K. A., O'Conner-Von, S. K., Brockway, C., Rierson, C. L., Sendelbach, S. (2015). Evidence-based teaching practice in nursing education: Faculty perspectives and practices.Nursing education perspectives,36(4), 212-219. doi: 10.5480/14-1472 Katsikitis, M., McAllister, M., Sharman, R., Raith, L., Faithfull-Byrne, A., Priaulx, R. (2013). Continuing professional development in nursing in Australia: Current awareness, practice and future directions.Contemporary nurse,45(1), 33-45. Retrieved from: https://doi.org/10.5172/conu.2013.45.1.33 Laschinger, H. K. S., Fida, R. (2015). Linking nurses perceptions of patient care quality to job satisfaction: the role of authentic leadership and empowering professional practice environments.Journal of Nursing Administration,45(5), 276-283. Retrieved from: https://journals.lww.com/jonajournal/Abstract/2015/05000/Linking_Nurses__Perceptions_of_Patient_Care.9.aspx MacPhee, M., Skelton?Green, J., Bouthillette, F., Suryaprakash, N. (2012). An empowerment framework for nursing leadership development: supporting evidence.Journal of advanced nursing,68(1), 159-169. DOI: 10.1111/j.1365-2648.2011.05746.x McNamara, J. (2013). The challenge of assessing professional competence in work integrated learning.Assessment Evaluation in Higher Education,38(2), 183-197. Retrieved from : https://doi.org/10.1080/02602938.2011.618878 Missen, K., McKenna, L., Beauchamp, A. (2016). Registered nurses perceptions of new nursing graduates clinical competence: A systematic integrative review.Nursing health sciences,18(2), 143-153. DOI: 10.1111/nhs.12249 Oakley, G., Pegrum, M., Johnston, S. (2014). Introducing e-portfolios to pre-service teachers as tools for reflection and growth: Lessons learnt.Asia-Pacific Journal of Teacher Education,42(1), 36-50. Retrieved from: https://doi.org/10.1080/1359866X.2013.854860 Probst, B. (2015). The eye regards itself: Benefits and challenges of reflexivity in qualitative social work research.Social Work Research,39(1), 37-48. Retrieved from: https://doi.org/10.1093/swr/svu028 Regan, S., Laschinger, H. K., Wong, C. A. (2016). The influence of empowerment, authentic leadership, and professional practice environments on nurses perceived interprofessional collaboration.Journal of nursing management,24(1), 105-214. doi: 10.1097/NNA.0000000000000407 Wilkinson, C. A. (2012). Competency assessment tools for registered nurses: an integrative review.The Journal of Continuing Education in Nursing, 215-312. Retrieved from: https://doi.org/10.3928/00220124-20121101-53 Yanhua, C., Watson, R. (2011). A review of clinical competence assessment in nursing.Nurse Education Today,31(8), 832-836. DOI:https://doi.org/10.1016/j.nedt.2011.05.003

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