Instruction-

Document includes reflections from all weeks 1-8: To complete the assignment, students will need to copy the reflections they entered into the weekly reflection threads from weeks 1-8 into one double-spaced Word document

1. Formatting: Document should be in APA format
2. Includes a title page in APA format
3. Document is double spaced
4. Each week’s reflection is labeled with a level 1 heading listing the week number
5. Only include a reference page if references were cited in the body of the reflections. If a reference page is included, it is in APA format.

Week 1-

The main differences between the practice of master’s prepared nurses and that of a baccalaureate-prepared nurses are that a master’s prepared nurse has of greater understanding of the nursing field as well as other related sciences. The two can be differentiated by many distinctive measures hence these notable areas are such as duration, specializations, and focus. Baccalaureate degree program takes four years to complete, although other related and more improved programs are still available but depends on the level of education and experience of the nurse. The programs are also flexible courses that help nurses in continuing with their education hence not interrupting other existing careers. baccalaureate degree programs provide basic knowledge and experience for the beginning of the nursing career. This includes depth in physical and social related type of sciences as well as others in research, humanities, and public health. Master’s prepared nurses have more focus on critical thinking and professional development and have a more informed decisions about patient care.

Master’s degree programs on the other hand take two years of duration and are open to baccalaureate degree holders. Some of the MSN programs offer entry to students with health and related degree programs. MSN programs focus on areas such as clinical nurse leaders, nursing administration, or clinical nurse educators.

Nurses with a master’s degree have direct patient care at a more advanced level who conducts more research, teach online, and can impact public policy with an aim to revolutionize health care. An MSN nurse can help in moving one into a higher level of the nursing field which is likely to get paid better. A master’s prepared nurse is defined to be someone who has more knowledge and gets another degree (Atrubin et al,2018). This empowerment allows master’s prepared nurses to be autonomous hence increasing confidence and utilization of decision making and critical thinking.

Leadership is among the key skills expected of a master’s prepared nurse, especially now that healthcare is growing immensely, and changes must be conducted to address quality of life. In order to work in leadership, you must have the education and knowledge beyond a baccalaureate degree and must obtain a master’s degree (DeNisco & Barker, 2015, p. 7). This enables them to take part in high-level decision-making both in the healthcare sector as well as in other nursing practice areas. This ensures effectiveness and coordination in the comprehensive care for other patients among their families and groups. Leadership is essential for unlocking possibilities and ensuring career success. The combination of skills related to attitudes, knowledge, abilities, and values enables effectiveness in nursing which also contributes to performance in both occupational and professional settings.

References

Atrubin, K. E., Fontenot, D., Thompson, P., & Johnson, B. (2018). What a Difference Physician Engagement Can Make!. American Journal of Infection Control, 46(6), S75.

DeNisco, S. M. & Barker, A. M. (2015). Advanced practice nursing: Essential knowledge for the profession (3rd ed.).  Jones & Bartlett Learning.

Week 3-

I think person-centered care refers to a scenario where a health care professional leverages providing high-quality treatment for a patient anchored on respect and dignity. For this reason, patient-centered care often leads to desirable health outcomes. It considers a patient’s needs and preferences and constitutes a person’s health rights. However, today’s healthcare is not patient-centered, especially among patients with multi-morbidity, thus increasing the cost of healthcare. Integrating patient-centered care, for example, among patients with multi-morbidity can help enhance their health outcomes, social well-being, and satisfaction (Kuipers et al., 2019).

As a future nursing practitioner, I will apply holistic nursing by creating a mutual understanding of my patient’s psychological, emotional, and physical aspects. For example, when interacting with my patient, I will make eye contact, establish how they feel, try to establish how they are caring on with life, by smiling and with laugher. Consequently, this helps me assess my patient holistically, understand their problems and provide the best treatment plan for them (Frisch & Rabinowitsch, 2019). I can apply cultural humility by not being biased based on my patient’s culture, which will make them comfortable. Through self-reflection, I can question my assumptions and identify my strengths and weaknesses in my future career as a nursing practitioner. Eventually, I will gain insight and improve my nursing practice.

References

Frisch, N. C., & Rabinowitsch, D. (2019). What’s in a definition? Holistic nursing, integrative health care, and integrative nursing: report of an integrated literature review. Journal of Holistic Nursing, 37(3), 260-272.

Jannick Kuipers, S., Murray Cramm, J., & Nieboer, A. P. (2019). The importance of patient-centered care and Co-creation of care for satisfaction with care and physical and social well-being of patients with multi-morbidity in the primary care setting. International Journal of Integrated Care, 19(4), 315.

week 5

The adaptive system is a system that changes behavior depending on the environment. Complex adaptive systems are organizations that embrace unpredictability and can adjust to changes (Ramos-Villagrasa et al 2018). They need devotion and help from individuals to be able to deal with concerns raised. As a nurse, the main issue that affects our adaptive systems is violence in the workplace. We have had instances of patients being violent when seeking treatment. Some patients act aggressively, and this increases the risk of assaults at work and lack of occupational safety. There is no specific prediction or diagnosis that a patient will act aggressively. Therefore, psychiatric services, a high number of people seeking emergency treatment is an example of services that portray an increased risk of violence.

The act of violence occurs at the micro level, which involves interaction between individuals (Keshet & Popper-Giveon 2018). Dealing with a violent patient needs much care, moderation, and wisdom. As a nurse, I must remain calm when dealing with such patients by giving them room to express themselves. I also have engaged in their conversations by asking them questions that require a patient to clarify their answer and reassure them that we are invested in their recovery process. These solutions can have a significant impact on other levels of the organization. The micro level examines detailed communication between individuals, which includes studying people’s behavior during interactions (Serpa & Ferreira 2019). This level also allows analysis of a particular topic since it occurs in small systems, and this helps the macro and meso level to analyze all their issues quickly. However, health workers can use interprofessional collaboration to solve issues like avoiding medication errors, improving the patient’s treatment, and ensuring the needs of patients are catered to.

References

Ramos-Villagrasa, P. J., Marques-Quinteiro, P., Navarro, J., & Rico, R. (2018). Teams as complex adaptive systems: Reviewing 17 years of research. Small Group Research, 49(2), 135-176.

Serpa, S., & Ferreira, C. M. (2019). Micro, meso and macro levels of social analysis. Int’l J. Soc. Sci. Stud., 7, 120.

Keshet, Y., & Popper-Giveon, A. (2018). Race-based experiences of ethnic minority health professionals: Arab physicians and nurses in Israeli public healthcare organizations. Ethnicity & Health, 23(4), 442-459.

Week 7

The use of phrases like “eating their young,” “toughening up,” and “developing a thick skin” to mock bullying by nurses has become commonplace in my experience. When it comes to incivility inside an organization, it may emerge from various sources and present itself in multiple ways, as Edmonson et al. 2018 point out. As a former charge, I was often called upon to mediate between two coworkers who are feuding about workplace behavior. I’ve witnessed this regularly, with night shift workers taking an aggressive stance towards their day shift counterparts regarding ordinary tasks or duties.

When I arrived at the unit, I was criticized for trying to change an environment and culture that had been in place for several years before my arrival, which was untrue. The complaint was based on claims that one shift did not fulfil a normal duty before the end of shift. As a new charge nurse, I felt helpless in the face of a company culture that has grown so deeply entrenched that any engagement on my part may come across as forceful or unduly direct if changes are not made with caution. In my approach, I sought to address the problems of a lack of teamwork and a lack of consistency in therapy. Because of the “we vs them” mentality, patients encounter a competitive spirit that is not beneficial to them. The cohesive team that is essential to promote healthy professional growth in the unit is further strained by this attitude. Solutions to workplace bullying, such as a zero-tolerance policy that goes above and beyond a written mandate, are suggested, according to Castronovo et al. 2019. As an alternative, an anonymous workforce survey using a nationally standardized measuring instrument might be conducted, with the results being made public so that improvements can be made. Using these results, the management team will be able to perform a more precise appraisal of the problematic units. A strategy will be put in place to solve the challenges discovered as the result of the inquiry.

The first way I’ve found to combat workplace incivility effectively is to identify and help screen preceptors for new hires carefully. Members of the care team who have a strong work ethic and are excellent mentors and team members should be the only ones responsible for training new employees on the unit. After the orientation phase is over, the new hires should continue to turn to management for non-judgmental counsel and direction. Open and honest communication among employees is a sign of a productive working environment. Two or more workers with grievances should be allowed to discuss them privately and professionally. The dialogue must be favorable to deeper understanding and, finally, a compromise to convey their point of view properly. There is a common goal: to provide the best care for those in their care by working together as one cohesive team.

Reference

Castronovo, M. A., Pullizzi, A., & Evans, S. (2019). Nurse Bullying: A Review And A Proposed Solution. Nursing Outlook, 64(3), 208-214.

Edmonson, C., Bolick, B., & Lee, J. (2018). A Moral Imperative for Nurse Leaders: Addressing Incivility and Bullying in Health Care. Nurse Leader, 1540-44.

Week 8-

During this course, I’ve learned the difference between a mastered prepared nurse,  baccalaureate-prepared nurse, holistic nursing, cultural humility, and the importance of provided patient centered care. I find all of the aspect important, beneficial, and interesting as well as the importance of having great communications skills and professionalism within nursing. I’ve learned that having effective communication among other skills is indeed important in the field  to promote effective care. Being able to think outside the box and obtain others view on the same topic interests me and I think it will be beneficial moving forward. Professionalism is vital within nursing. I envision using the knowledge learned in my future career by influencing better care of patients, promote professionalism, and betting rid of workplace bullying. The steps that I would take to ensure success in my master’s programs to build a support system, talk to my professors, schedule learning milestones, and a work schedule that will ensure I am able to success in this program.