NURS3004: Transition to Professional Practice 1. Assignment 3: Reflection on practice and learning (1500 words) · In this assignment you will need to reflect on an ethical dilemma that you were...

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In this assignment refection need to be done.


NURS3004: Transition to Professional Practice 1. Assignment 3: Reflection on practice and learning (1500 words) · In this assignment you will need to reflect on an ethical dilemma that you were involved in during your nursing experience. Use one of the models of reflection such as the Gibb’s (1998) model to guide the reflective process. · This must be an event that you were involved in, it MUST NOT be a scenario from a journal or book that you adapt for this assessment; we want to read about your thoughts and experiences. · You will need to critically describe the scenario, explaining and analysing the ethical dilemma(s) involved. · Pseudonyms must be used; the names of the hospitals and individuals MUST be deidentified. · The ICN Code of Ethics for Nurses (2012) must be used to assist your reasoning and you need to identify which provisions are most relevant to your scenario. · The NMBA decision making framework (2020), as well as the Ethical Decision Making Framework as outlined in Chapter 2 of the set Text are also to be used, and you need to describe how you worked through the ethical dilemma(s) to resolve it. · The discussion needs to include the relevant Bioethical Principles and information within the topic content that you considered when resolving the dilemma. · The NMBA Standards of Practice for Registered Nurses (2016) and the NMBA Code of Conduct for Registered Nurses (2018) may be useful to assist your discussion. · As a reflective paper, it is appropriate for you to write in the FIRST person, that is you should OWN your experiences by writing I, me or my. · Referencing is required for this paper (APA 6th edition). Use as many references as you need to adequately support your discussion. · In preparation for writing this assignment, here are some things for you to consider to help you plan. 1. What happened, why, what events lead up to this situation? 2. Were there any precipitating causes or occurrences? 3. How did you deal with the situation? 4. What was going on in the environment, did this impact the event? 5. What bioethical principles were evident, if any? 6. What were/are the long-term effects of this incident? 7. Could you have considered the perspectives of others differently? 8. Were you acting to help the patient, or just because you had an order to do so? Step 1: Describe the experience – What happened, who was there, where did the event occur, what did you do, what did other’s do? What impact might your values, beliefs, assumptions and biases have had on the situation? What were the possible consequences of your actions or inactions? Create a mental picture of the issue for the marker. Step 2: Describe your emotional reactions to the event, what were you feeling both before and after the event, what emotions might others be feeling? Did these reactions trigger a change in your perspective of the event? Step 3: Bringing the theory and the experience together. Analyse the experience of the dilemma using Bioethical theories or principles, the NMBA decision making framework (2020), the ICN code of conduct (2012), the ethical decision-making framework from Chapter 2 of the Text, and other relevant supporting literature. Use current information applicable to the Australian context. Step 4: Where to from here? Lessons for future nursing practice · What have you learnt? How will you use the insights gained from this experience? · If the same thing happened again, what would you do differently. Be specific. · What specific steps can you take to build on your knowledge and skills? Academic writing and referencing When formatting and presenting your assignment 1. Line spacing should be set to 1.5 or 2.0. 2. Left and right margins should be at least 2cm wide. 3. Assignment text must be in Verdana 10 pt or Calibri 12 pt. 4. All pages must be numbered and include your name and student ID as a Footer. 5. If a template is supplied for your assignment, you must use it. Check the assignment instructions for full details. 6. The assignment word count includes any words in the body of the assignment, including headings, in-text references and quotations, but not the title page, reference list or appendices. 7. Pay particular attention to the specified length (word count) of your assignment. Keep your word count to within plus or minus 10% of the specified length. Be aware that to be fair to all students, the marker will cease marking after the additional 10% word count has been reached. 8. Always keep a copy of your assignment as a backup. Things can go missing or technical problems can occur. It is your responsibility to have a spare copy of your work if needed. This is especially important for any documents relating to your clinical placements. When referencing your assignment 1. Use APA style (6th edition). 2. Endnote bibliographical software is available free for students and will help you manage references and citations. When submitting your assignment 1. Your assignment must be typed and submitted electronically. 2. Check the assignment instructions for the type of documents you are allowed to submit for your assignment (e.g. Word, PDF etc). There may be restrictions you need to comply with. 3. You do not need to use a cover sheet. 4. Name your assignment file as: your FAN_Topic code_Assessment number e.g. brea1234_NURS3004_Assignment1 5. Ensure you click the submit button - do not leave your submission as a draft. It will not get marked. 6. If you have submitted correctly, you will receive an email confirmation. If Endnote is used, please revert the file to plain text before submission to facilitate marking Please refer to the Rubric, Assignment 3, for more details about the criteria that will be used in the marking of your paper. NURS3004: Transition to Professional Practice 1. Assignment 1 Rubric: Reflection on practice and learning Please read all feedback notes and comments supplied by your Class tutor regarding your grade, before contacting them for further clarification. Category Weighting Advanced (HD & D) Proficient (C) Satisfactory (P) Unsatisfactory (F) Introduction Concise description of the aim or purpose of the paper, how the answer will be structured, and identification of the ethical dilemma 10% ☐ Purpose of paper comprehensively stated and described. Comprehensive outline of all key points to be discussed. Succinctly outlines essay structure. All key terms clearly and concisely defined. ☐Ethical dilemma scenario is clearly and concisely identified. ☐All other participants and Hospital details have been deidentified ☐ Purpose of paper clearly stated and adequately described. Outlines most key points to be discussed. The introductory paragraph clearly outlines the essay structure. Key terms clearly defined. ☐Ethical dilemma scenario is clearly identified ☐All other participants and Hospital details have been deidentified ☐ Purpose of paper stated. Some indication of key points to be discussed. Some outline of essay structure. Most key terms are defined, but some are missing. ☐Satisfactory identification of the ethical dilemma scenario. ☐All other participants and Hospital details have been deidentified ☐ Inadequate/absent purpose of paper. Unclear/absent outline of key points to be discussed. Unclear/absent outline of essay structure. Key terms are not identified/clearly defined. No introduction provided. ☐No or poor identification of the ethical dilemma scenario. ☐All other participants and Hospital details have NOT been deidentified Reflection 1. Describe the account (10%) 2. Emotional reactions (10%) 20% Description serves the reflective process. Account recognises that the frame of reference for an event can change. Events are understood in a historical, social, political or cultural context that influences reactions to them—in other words, multiple viewpoints are considered. An advanced awareness of assumptions, values and possible bias, and consequences of actions Emotional reactions are recognised, both in the sense of shaping ideas and in considering how they can frame the account in different ways. Reactions may trigger or support a change in perspective. Account is descriptive and accents points for actual reflection. There is reference to other viewpoints and external ideas, and analysis of the actions of self or others. There is some standing back from events in order to recognise the effect of the events on the self. A clear awareness of assumptions, values and possible bias and consequence of actions Emotional reactions are recognised, and their influence is questioned. An attempt is made to consider their role in analysing behaviour of self or others. Account is descriptive and signals points for possible reflection. Events are treated as though they might raise an important question or questions to be asked and answered. There may be reference to another viewpoint. Some awareness of assumptions, values and possible bias and consequences of actions Emotional reactions of self or others are mentioned or clearly influence the writing. Such influences are noted and questioned. Account is descriptive, with little or no reflection. A story is told, but mainly or entirely from one viewpoint. Ideas or recollections of events are linked by sequence rather than meaning. No awareness of consequence of actions There are no references to emotional reactions, or if there are, they do not get explored or related to behaviour of self, or others. Reference to the broader literature and theories. Standards, Codes of conduct, Decision making framework and ethical theories/bioethical principles. Information needs to be relevant to the Australian context 40% There are references to current and updated Standards, Codes, Decision making Frameworks and bioethical theory/principles showing an in depth understanding and application, as well as a questioning stance. Theoretical information helps to trigger a transformation of perspective—a review of presuppositions from prior conscious or unconscious learning. There are references to the current Standards, Codes, Decision making Frameworks and bioethical theories/principles, showing both an understanding and an application. Concepts are interpreted in relation to nursing experiences, or situations encountered in practice are considered and discussed in relation to the theoretical information. There is some reference to the required current and theoretical information in the topic, with an attempt to understand it. However, concepts are treated just as theory, without being related to nursing experiences or practical situations. There are no or outdated references to the required theoretical information in the topic, or if there are, they are made without apparently trying to understand them or form a view on them. Where to from here? 10% A clear and succinct indication of how the student will use insights and skills gained, and what development/training might be needed to build knowledge and skills for the future. A clear indication of how the student will use insights and skills gained, and
Answered Same DaySep 19, 2021NURS3004Flinders University

Answer To: NURS3004: Transition to Professional Practice 1. Assignment 3: Reflection on practice and learning...

Sunabh answered on Sep 22 2021
124 Votes
Running Head: NURS3004        1
NURS3004        9
NURS3004: TRANSITION TO PROFESSIONAL PRACTICE 1
ASSIGNMENT 3: REFLECTION ON PRACTICE AND LEARNING
Table of Contents
Introduction    3
Self-Reflection of the Event and Description of Experience    3
My Emotional Reactions to the Event    5
Analysis of the Experience of Dilemma    5
Learning
for Future Nursing Practice    7
Conclusion    8
References    9
Introduction
Self-reflection is one of the strongest tools, which can be used by an individual in order to decipher their weaknesses or strengths from a specific event or incident. Further, it would be essential to understand that self-reflection can also be a critical tool towards making good ethical choices. This paper would present a self-reflection upon an ethical dilemma, which I faced during my nursing experience.
Further, efforts would be made to present a comprehensive reflection by inculcating Gibb’s reflective cycle and its various steps in order to guide the reflective process. Likewise, critical analysis of the ethical dilemma would be presented through inculcation of various ethical decision-making frameworks and code of ethics for nursing.
Self-Reflection of the Event and Description of Experience
    I have been aware of the fact that ethical dilemmas are very common in healthcare, especially when you are dealing with emergency department (ED). It would be essential to understand that an ethical dilemma arises when the care providers or healthcare professionals and clients differ in their understanding of what is wrong or right. As evident from my personal nursing experience, I can say that some sort of ethical dilemmas used to arise every day; at the XYZ memorial hospital; however, the one with Mrs. K was a critical event.
    Mrs. K was a 68 year old women admitted to the ED because she was facing respiratory issues. The ED doctor immediately performed the basic analysis and reported that Mrs. K was not responsive towards verbal stimuli, normotensive, afebrile, 130 bpm (tachycardia) and tachypnoeic with close to 30 breaths per minute. Some of the basic tests and radiograph was ordered. However, it was evident from her previous clinical notes that she was suffering from a metastatic bowel cancer at an advanced stage, with bones, lungs and brain metastases.
Mrs. K did not show any improvements even after admission to ED rather, her condition deteriorated and the doctor made a referral to the ICU for closer observation and I was then tasked to take care of Mrs. K for that shift. I looked at the brief history of patient and asked the in charge doctor regarding our future proceedings as soon as Mrs. K arrives. The doctor replied that the patient has a DNR (Do Not Resuscitate) order signed; therefore, we will have to wait for her consultant’s decision until she arrives at the unit.
Mrs. K’s condition further deteriorated within 16 hours of being transferred to ICU, which made it necessary for us to discuss her situation with her family and relatives along with the proceedings to be followed in case of cardiac arrest. Her daughter was contacted and informed regarding Mrs. K’s condition and the discussion resulted to initiate the DNR order. Next day, Mrs. K’s son arrived at the hospital and upon conversing with him,...
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