Preview Assessment - Self Assessment

20152015FinalNURS208CourseLearningOutcomes
(201509)
NUR208PracticalNursingPractice4(PN,06Sep2015
31Dec2015)
Student:
YongYang
StudentID:
N01032414
ClinicalTeacher/Preceptor:
YeuYinHwang
ProgramCoordinator:
JudyMartin
Location:
WilliamOslerHealthCentre/EtobicokeGeneralHospital
Placement:
Agency
Unit:
L7WNM
Period:
06Sep2015to31Dec2015
RequiredHours:

FinalAssessment

168
Studenthours:
168
Validatedhours:
168

Ideclarethatthisismyoriginalworkandthesourcesusedareacknowledged.

Iagree

StudentRating

TeacherRating

1. COMPETENT AND SAFE PRACTICE WITHIN A PROFESSIONAL, LEGAL, AND

ETHICAL FRAMEWORK
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1.1Complywithregulatorystandards,relevantlegislationandthepracticesettingspolicies
andprocedures.
Y.Y.

Isticktotherequiresfromentrytopracticecompetencies,standardsofpractice,
guidelinesandlegislation,reviewthenursingpracticepoliciesfromCNOwebsite
andnursinglegalandethicalcourse.

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

1.2Actinaresponsible,ethicalandaccountablemanner.
Y.Y.

Iamtakingresponsibilityformydecisionsandactions,takingappropriateaction
whenneededandensuringthatpracticeisconsistentwithentrytopractice
competencies,standardsofpractice,guidelinesandlegislation.IstudiedtheCNO
paperssuchas"ehtics","ControlActs","therapeuticnurseclientrelationship"and

1.3Determinehowthethreefactorandpracticedecisionmakingframeworksinfluence
clientcare.

Y.Y.

Ifocusonthreefactortomakeeffectivedecisionsintheprovisionofsafeand

Y.Y.

Ifocusonthreefactortomakeeffectivedecisionsintheprovisionofsafeand
ethicalcare,andtoobtaintheoptimalconsequenceformyclientsandmore
complexclientsituationandlessstableenvironmentcreateanincreasedneedfor
consultation.Iwouldconsultwithmyteacher,primarynurseandcommunicating

1.4Useevidenceinformedpracticeandatheorybasedapproachtocare.
Y.Y.

Iapplyevidenceinformedpracticetoassistmeinmakingdecisionsaboutwhat
thebestpracticeshouldbe,IrefertotheknowledgeIgotfrommynursing
theory,pharmandethicstohelpmetoidentifybenefitsandpotentialharmof
practice.forinstanceIidentifyclientsarmbandandMarsbeforegivingtheirmeds

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

1.5Carryoutsafetybasedpracticesandriskmanagementprinciplestoensureclientsafety
andasafeenvironment.
Y.Y.

Ipracticesafelybycomplyingwiththeriskmanagementprinciplessuchasplace
thebedonthelowestposition,puttingasiderailsup,keepingthebedlow,use
ofsafeandcorrectwaytotransferpatients.

1.6Askquestionsandclarifytheplanofcare,unclearordersordirections,andwhenever
uncertain.
Y.Y.

Wheneverthereisanuncertainty,suchasphysician'sorderormedications,I
wouldconfirmitwithinthehealthcareteamoraskingmyteacherorprimary
nursetoclarifythecontentortheinstructionforsafepractice.

1.7Demonstrateprofessionalbehaviorbyseekingassistanceinsituationsinwhichthereis
unsafe,unacceptableand/orunprofessionalbehavior.
Y.Y.

Icomprehendthedefinitionsofconductaswellasprofessionalmisconduct.and
Ididtheresearchaboutthecompulsoryreportandleastrestrainpolicyto
preventmisconductoftheothersfromhappening.

1.8Demonstrateunderstandingabouttheroleofthenursewithinhealthcare.
Y.Y.

Idemonstrateunderstandingabouttherolesofnursingbyadvocatingformy
clients,providinganeffectiveassessmentandnursingintervention,andharm
prevention.Asanurse,Iputtheclient'swellbeinginthefirstprioritythroughout
mynursingpractice.

Teacher comments for COMPETENT AND SAFE PRACTICE WITHIN A

Teacher comments for COMPETENT AND SAFE PRACTICE WITHIN A

PROFESSIONAL, LEGAL, AND ETHICAL FRAMEWORK ability:
Throughoutthetermyoupractisedinasafemannerbyworkingwellwithpeers,staffRNsandteacher.Youconsistentlyseeked
clarificationorhelpfromyourpeers,teacherorstaffwiththingsyouwereunfamiliarwithorwithnewskills.Youpractisedwithin
thescopeofaRPNstudent.

2. ACCURATE AND RELEVANT COMMUNICATION

2.1Participateinteamsharinganddiscussions.
Y.Y.

Iparticipateinpostconferenceandsharemyknowledgeaswellasreceivingthe
ideasandconcernswithmyteammatestoimprovemynursingknowledgeand
skills.

Satisfactory

Satisfactory

Satisfactory

Unsatisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

2.2Documentclearly,accurately,conciselyinatimelymannerusingwrittenandelectronic
methods.
Y.Y.

Y.Y.H.

Idemonstrateclear,accurate,uptodateandconcisedocumentationbywriting
andcomputerimputing.Forexample,Irecordthevitalsignsandbedsidereport
justafterIfinishdoingthemorningcheck.
Youweregoodatdocumentingelectronicallybutyouhaddifficultybeing
consistentwithsigningoffyourmedicationsinatimelymanner.Thiscanlead
tomiscommunicationwithintheinterprofessionalgroup.

2.3Reportrelevantinformationtotheappropriatepersonnel.

Y.Y.

WheneverIfigureoutanunusualfindingsregardingclientshealthoranything
thatpossessingapotentialrisktoapatient,Iwillinformmyteacherandnurse
managertoaddresstheproblem.Forexample,IcheckupwithPharmacistabout
therightdoseandrightprescriptionwhenthereisapatient'sconcernofstatus

2.4Usecommunicationtechniqueswiththeclientandtheinterprofessionalhealthcare
team.

Y.Y.

Idevelopmycommunicationtechniquessuchasactivelistening,establishing
trustaswellasprivacyandprovidingsafeandpeacefulenvironmentforclientand
interdisciplinaryteamtodeliverbestcarepossible.Forexample,Icheckupwith
Pharmacistabouttherightdoseandrightprescriptionwhenthereisapatient's

2.5EnsureprivacyandconfidentialityaccordingtothePersonalHealthInformation

2.5EnsureprivacyandconfidentialityaccordingtothePersonalHealthInformation
ProtectionAct(PHIPA).
Y.Y.

Iwouldlookatthedetailstoensurepatient'sprivacybyclosingthecurtains
everythingcaringforthepatients.andIkeeptheclientsinformationcredentialby
notsharingwithanyoneexceptotherhealthcareproviderssuchas
physiotherapist,occupationaltherapist.

Satisfactory

Satisfactory

Satisfactory

Satisfactory

2.6Usetechnologytoretrieveandshareinformationincludingresearch,dataandother
information.
Y.Y.

Icheckupthemartofpatientfirsttosearchpatient'smedication,medicalhistory
tohaveabetterunderstandingofpatientscurrentsituationandIalsouseitfor
documentation.Ialsorefertopatient'sresultofbloodsugarandlaboratorytest
fromthechartandcomputerrecord.

Teacher comments for ACCURATE AND RELEVANT COMMUNICATION ability:

Youconsistentlycommunicatedwithyourpatients,staffRNandteacher.Youexplainedthepatientstheirmedicationsand
nursinginterventionspriortoperformingthem.AlsoyoukeptyourclinicalteacherandstaffRNupdatedonyourpatients
progress.Youbecamemoreproficientwithdocumentingelectronicallyandgivingverbalreports.Howeveryouneedtobemore
consistentwithcompletingwrittendocumentationi.e.signingoffyourmedications.Continuetoparticipateingroupdiscussions,
youweresometimesquietbutwhenaskedtoexplainconceptsandcalculations,youwereabletodosoandhelpyourpeers
understand.

3. CARING RELATIONAL PRACTICE

3.1Useeffectivecommunicationtechniques.
Y.Y.

Ipracticemycommunicationskillsandbuildupatherapeuticrelationshipwith
myclients.Ialsoconcentrateonpatient'sprivacyandpeacefulenvironmentwith
nodistractionsforthemtosharetheirconcernsandlistentothemcarefullyto
addresstheiremotionalandphysicalneeds.

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

3.2Establishtherapeuticcaring,compassionate,andculturallysaferelationshipswith
clientsandhealthcareteammembers.
Y.Y.

Idemonstratesaccountability,integrityandculturerespectinallprofessional
communication.It'sconveniencetostartthecommunicationfromthemorning
nurseround.

3.3Demonstratetherapeuticuseofselftofosterclientwellbeing.
Iamclearthattherewouldbechancestoworkwithclientswithadifferent

Y.Y.

Iamclearthattherewouldbechancestoworkwithclientswithadifferent
culturalbackgroundthanIwouldneverimposemyculturalvaluesandbeliefsto
othersandshowmyproperrespecttoalltheculturesequally.forinstancethere
wasonetimeihelpanclientonmentalproblemtocopewiththestressofillness

Satisfactory

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3.4Useselfawarenesstoidentifytheeffectsthatbeliefs,values,andpersonalexperiences
haveonrelationalpractice.
Y.Y.

Ireflectonmyownvalues,beliefsandexperiencesinrelationshipswithclients,
andrecognizespotentialconflictswhileensuringculturallysafeclientcare.for
instanceinmyexperiencewithfemalepatientprefertohaveafemalenurseto
showerher,soIcalledthehelpofmyfemalecoworkerstohelptofinishthe

3.5Collaboratewithclientsandmembersoftheinterprofessionalhealthcareteamand
consultappropriately.
Y.Y.

ipromoteinterprofessionalcollaborationthroughapplicationofprinciplesofrole
clarification,teamfunctioning,conflictresolution,sharedproblemsolvingand
decisionmaking.Icommunicatewithinthehealthcareteamtocomfirmtheorder
andtoexpressthepatient'srequest.

3.6Supportthediversityofclientsandtheinterprofessionalhealthcareteam.

Y.Y.

Iunderstandtheuniquenessandimportancethedifferentcultureandbackground
toeachperson,nomatterclientsorotherhealthcareprovidersandforthat
reasonitrytounderstandtheirbeliefs,valuestomaintainarespectfuland
peacefulrelationshipwiththem.

3.7Displaysensitivityandrespectforclientscultural,religious,andotherbeliefsand
valuesinfluencingtheirchoicesanddecisions.
Y.Y.

Onfewoccasionsclientsrefusedoftakingthehospital'sfoodduetoappearance
andtasteandaskedfortheirhomemadefoodortheyrefusedthemedoutof
misunderstandingofthefunction.iwouldexplaintheuseofmedandprivilegeof
food,meantimeIrespectthefinaldecisionoftheirown.

3.8Provideeffectiveclienteducation.
Y.Y.

Ihaveprovidedeffectiveeducationbyansweringthepatient'squestion
accordingly,andcutdowntheirrelevance.Iwouldsatisfythepatient'smedical
optimalneedifthereisnocontraindication.

Teacher comments for CARING RELATIONAL PRACTICE ability:

Teacher comments for CARING RELATIONAL PRACTICE ability:

Youconsistentlypractisedgoodtherapeuticcommunicationwithyourpatientsandtheirfamilies,youaccommodatedtheirneeds
andrespectedtheirwishes.Youattemptedtoexplainmedicationandprocedurestopatientsandwhenyouneededassistance,
youdidn'thesitatetoask.Youtreatedpatientsasuniqueindividuals.Youalsobecamemorecomfortablewithcollaboratingwith
theinterprofessionalteami.e.SLP,pharmacist.

4. LEADERSHIP AND ADVOCACY

4.1Applyappropriateconflictresolutionskillsintherapeuticclientandotherinteractions.
Y.Y.

IdemonstrateconflictresolutionskillsbyexplainingwhatI'mdoingandprovide
therationaltopreventmutualmisunderstanding,Iwillshowmyattitudeby
remainingCalm,nondefensive,andrespectfulandrecognizingandresponding
appropriately.

Satisfactory

Satisfactory

Satisfactory

Satisfactory

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Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

4.2Evaluateandrefineleadershipskillstodevelopsolutionsandcreateapositivework
environment.
Y.Y.

Idemonstrateleadershipskillsbyproviding,facilitating,andpromotingthebest
possiblecaretopatients.Icheckupandlocatetheresourcesandpoliciesinthe
hospitalbeforeIperformnursingpractice.

4.3Providefeedbacktopeersandacceptfeedbackfrompeersandmembersoftheinter
professionalhealthcareteam.
Y.Y.

Istraightlysendmypeerfeedbackandacceptfeedbackbetweenmypeersto
remindthemtheirstrengthsaswellastheirweaknesstoworkontoimprovetheir
nursingskills.IwouldstraightlytellmyclassmatesoftheirshortcomingswhenI
identifythem.

4.4Advocateforclients,self,others,andqualitypracticeenvironment.
Y.Y.

Imaintainthehealthcarequalitybyclarifyingandidentifyingtheirproblem,
provideclientswithfactualinformationandsupport,listenwellandwithrespect,
andcommunicateclearlyTohelpexploreandevaluateoptions.

4.5Supportclientsrightsforselfdeterminationandchoice.
Y.Y.

Iadvocateforclienttomakearightdecision,andrespecttheirrighttohavefull
powerovertheirownlives,Iwouldshowtherationalandavailableoptions
accordinglyandfinallyrespecttheirdecisionbylettingherdoherADL'sand

4.6Respondappropriatelytounsafe,unacceptable,andunprofessionalbehaviours.

Y.Y.

Itakemyresponsibitytoreportanyofmyunsafeandunprofessionalbehaviors,
andreporttothemanageraboutotherhealthcareprovidersoftheirmisconduct.
ithasnothappenedtomeduringthisclinicalexperiencebutiknowmy
responsibilityistoadvocateforclientsbyreportinganyoptionalharmsuchas

Satisfactory

Satisfactory

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Satisfactory

4.7Collaborateandconsultwhenimplementinghealthcareandnursingpracticesthatare
inthebestinterestsofthepublicandprotectthepublicthroughcollaborationand
consultation.
Y.Y.

Ialwaysconductinthebestinterestofmyclientsinaccordancewithclients
wishesandthestandardsofpracticeandprotectthepublicfromharm.For
example,Ikeepthebedinlowestpositionaftermynursingassessmentandother

4.8Contributetothecreationofqualitypracticesolutionsandstrategies.
Y.Y.

Iwouldliketoprovidemyfeedbackwithmyrationaleasawaytocontributeto
thecreationofqualitypracticesolutionsandstrategies.

Teacher comments for LEADERSHIP AND ADVOCACY ability:

Youbecameastrongleaderamongyourpeersasyouwereaconsistentresourceandhelpedthemwithouthesitation.You
advocatedforyourpatientswhenabletowiththeprimarystaffRN.Youwereappreciativetoacceptconstructivefeedbackand
incorporatedittolearnandimproveasaclinicalstudent.

5. PLANS OF CARE: MEET CLIENTS NEEDS AND MUTUALLY AGREED EXPECTED

OUTCOMES
5.1Incorporatetheclientsuniqueneedsandexpectedoutcomesintoholisticandclient
centredplansofcare.
Y.Y.

Icareforthepatientsindividualneeds,byassessingtheirphysicalandemotional
stateandaskfortheirrequest.forinstanceiaskedthemhowwasyoursleeplast
night,andifyoudidnotgetenoughsleepwhatcausingit.

5.2Developtheorybasedplansofcarethatareholisticandclientcenteredandare

Satisfactory

Satisfactory

articulatedcompetentlyinwritingandorally.
Y.Y.

Satisfactory

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Ideveloporganisedcareplanincludingholisticcareandthroughouttheshiftand
Iassessandevaluatemyresulttomakesurealltheneedshavebeenmet.For
example,Icheckupmyclient'sfilefirstandformulatecareplanaccordingtodo
thenursingassessment.

5.3Useknowledge,skillandjudgmenttoassessclients,prioritizeneedsandoutcomes.
Y.Y.

Iuseknowledgeandskillstoassessclientseffectivelyandprioritizetheirneeds.
forinstanceoneofmyclientwasagitatedduetothebeliefthatimnotbringthe
towelssherequested.howeverigivetheprioritytomedicationadministration,
andthenbringherthetowels.sheapologizedtomyatlast,thepointisIbuildup

5.4Collaborateintheevaluationandmodificationofplansofcare.
Y.Y.

Imaketheplanpriortoanyactionimaketopatients,andfinallyevaluatemy
findingsandcomparethemwithmyexpectation.whenthereisadeference,Iwill
makecorrectionfornexttime.

5.5Safelyandcompetentlyimplementandevaluatenursingassessmentsandnursing
interventionsinamannerthatdemonstratesknowledgeandskill.
Y.Y.

Irefertotheknowledgeandskillsacquiredfromtheclassandtextbookto
improvesafeassuranceandpracticecompetencythroughoutthewholeprocess
ofmyclinicplacement.IalsoreadtherelevantchaptersoftextafterImynursing
interventionforevaluation.

5.6UsetheThreeFactorandpracticedecisionmakingframeworkstoguidepractice.
Y.Y.

Imakeuseofthethreefactorsandconsidertheclient,thenurseandenvironment
tomakeaccuratedecision,anduseitasaguidanceofmyperformance.Iassess
thecomplicationofpatientstatusandmypreviousrelevantexperiences,andthe
backupresourceswheneverIstartwithanewpatient.

5.7Prioritizenursingcareandnursinginterventionsinordertomanageworkload,time,and
physicalresources.
Y.Y.

Ireadthemartsanddoassessmentonthepatienttomakeadecisionofpriorities
accordingly.Basedontheirneedsiprovidenursingcarewiththeirimmediate
needs.

Teacher comments for PLANS OF CARE: MEET CLIENTS NEEDS AND MUTUALLY

Teacher comments for PLANS OF CARE: MEET CLIENTS NEEDS AND MUTUALLY
AGREED EXPECTED OUTCOMES ability:
Youshowedimprovementonyourprioritizationandcriticalthinkingskillsthroughouttheterm.Bytheendoftheterm,you
becameproficientincaringfora2patientassignmentbycompletingallassociatednursingcareandinterventionsinatimely
manner.Astimeprogressedandyourcomfortlevelworkingonthefloorandwiththestaff,youbecamemoreconfidentinyour
nursingassessmentsandunderstandingyourpatient'sdiagnosis,medicationsandplanofcare.Youaskedappropriatequestions
tobetterunderstandtheoreticalconceptsrelatedtoyourpatients.

6. COLLABORATIVE PRACTICE: INTERPROFESSIONAL HEALTH CARE TEAM

6.1Collaboratewithclientsandmembersoftheinterprofessionalhealthcareteamto
assessclients,determinehealthneeds,andtoachievemutuallyagreedexpected
outcomes.
Y.Y.

Satisfactory

Satisfactory

Satisfactory

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Satisfactory

Satisfactory

Everypatientisuniqueanddifferentwithindividualneeds.Forinstanceoneof
myclientsufferedinlotsofpainandIaskedPRNanalgesicmedstohelpthe
patienttomanagethepain.

6.2Contributeasamemberoftheinterprofessionalhealthcareteamtorespondtothe
changingneedsandexpectedoutcomesofclients.
Y.Y.

OnetimeIwaswithastrokepatientwithleftsideweakness.shewaswheelchair
transferaccordingtotheinstruction,however,thephysiotherapistinsistto
encouragethepatientambulancewithawalker.Ilearnedthesafewayof
transferringwiththewalkerandIbelievethisisbettertoimprovepatient's

6.3Seekoutassistanceandconsultwithmembersoftheinterprofessionalhealthcare
team.
Y.Y.

Inordertoacquirethepatient'soptimalhealth,Iwouldcollaborateeffectively
withinthehealthcareteam,andcommunicatewithotherprofessionalhealthcare
providersforlocatingthemosteffectivecareplan.

6.4Useteamwork,consensusbuilding,andconflictresolutionskillstomeetexpectedclient
outcomes.
Y.Y.

Iwouldevaluatepatient'semotionalstatus,andpsychosocialandphysicalneeds.
Andbasedonmyfindings,Iworktogetherwithotherhealthcareprofessionals
tomeetexpectedoutcomes.

6.5Useeffective,collaborative,andconsultativestrategiestomeetclientsneedswithina

changingenvironment.
Y.Y.

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Irealizethatclient'shealthconditioniseverchangingthroughouttheirhospital
treatmentperiod,inordertomeettheirneedsIwouldneedtoconsultwithother
healthprofessionalstoseekassistancetoprovidebestpossiblecare.

6.6Interactwithmembersofthehealthcareteamrespectingtheiruniqueroleand
competencies.
Y.Y.

Iamgladtoworkwithotherhealthcareproviderssuchasphysiotherapist,
occupationaltherapist,dictation,speechtherapistandsoon.Ialwaysshowmy
respecttothecontributiontheybroughttopatientshealth.

Teacher comments for COLLABORATIVE PRACTICE: INTERPROFESSIONAL

HEALTH CARE TEAM ability:
Bytheendoftheterm,Ibelieveyoubecamemorecomfortableconsultingwithothermembersoftheinterprofessionalteam
regardingyourpatient'sstatusandplanofcare.SuchashelpingtheSLPwithyourpatient'sswallowingassessment.

7. QUALITY ASSURANCE: CONTINUE AND IMPROVE COMPETENCE

7.1Actinthebestinterestsofclientsandprotectclientsfromharmthroughcollaboration
andconsultationwithmembersoftheinterprofessionalhealthcareteamandthrough
competentandsafepractice.
Y.Y.

Oneofmyprincipleistoactalwaysinthebestinterestofclientsinaccordance
withtheirwishesandthestandardsofpracticeandthesituationinwhichclients
safetyandwellbeingarecompromised,myprimaryresponsibilityistomyclients
topreventthemfromharmthroughcollaborationwithhealthcareteam.

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

7.2Engageinongoingreflectivepracticetoidentifystrengths,areasforimprovementand,
integratefeedbackintopractice.
Y.Y.

Ioftenreflectmypracticeaftermyclinicpractice,Iassessandevaluatemyaction
attheclinicalandcorrectonmypreviouspracticetoimprovequalityofcareand
myshortcomings.

7.3Create,implement,andevaluatealearningplanconsistentwiththeQualityAssurance
program(CNO).
Imakecareplanandlearningplanbeforehand,thenpracticeaccordingtothe

Y.Y.

Imakecareplanandlearningplanbeforehand,thenpracticeaccordingtothe
plan,thenreflectandevaluateonmyweakness,makecorrectionsinsubsequent
practices.IuseQualityAassuranceprogramasstandardofevaluatingmynursing
practice.

Satisfactory

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7.4Seekoutlearningopportunitiesandfeedbackthatfosterprofessionaldevelopment
and,integratetheseintopractice.
Y.Y.

Isharemyknowledgeandrecievefeedbackduringthepostmeeting,Ifrequently
reviewtheknowledgeoftheclassandtextbook,casestudies,andstudythe
onlinemodulestoincreasemynursingknowledgeandskills.

7.5Usenursingresearchtofosterprofessionaldevelopment.
Y.Y.

Evidenceinformedpracticeisoneofmywaystomakingimprovementtomy
nursingknowledgeandcriticalthinking.ForexampleIrefertopatient'sBPvalue
beforeIadministerantihypertensionmeds,andIconfirmpatient'sbloodsugar
levelbeforeinsulininjection.

7.6Useatheorybasedapproachandevidenceinformedpractice.
Y.Y.

Theorybasedapproachprovidesatheoreticalwaytounderstandthedisease,the
regulationsandprotocol,andit'seasiertounderstandaswellastomemorize.I
checkupthepatient'sINRnumberbeforetheheparin.

7.7Applyknowledgeofchangestothehealthcaresystem,technology,andinsocietyas
theseaffectnursingpractice.
Y.Y.

Asaresultofthefactthathealthcaresystemisconstantlychanging,thenursed
shouldtakeresponsibilitytokeepupdatedregardingtothesechanges.nursing
isaselfeducatingcareer,renewingthehostilityofknowledgeandskillwasan
instinctpartofthisjob.

Teacher comments for QUALITY ASSURANCE: CONTINUE AND IMPROVE

COMPETENCE ability:
Youwerealwayseagertoobserveorpracticenewskillswhichcontributedtoyouroveralllearninganddevelopment.You
becamemorecomfortableresearchingandbuildingyourknowledgeofhowtheoryappliedtointheclinicalsettingandtoyour
patients.Youbecamemoreefficientwithaccessinghospitalpoliciesandproceduresi.e.IVmonographs,toensuresafe
implementationofinterventions.Youimprovedonyourverbalreportsonyourpatients.

8. USE CRITICAL THINKING, PROBLEM-SOLVING & DECISION-MAKING

8. USE CRITICAL THINKING, PROBLEM-SOLVING & DECISION-MAKING

8.1Usecriticalthinkingandproblemsolvingskillstoinformdecisionmakinginallaspects
ofnursingcare.
Y.Y.

Iusecriticalthinkingandproblemsolvingskillsinmanyaspectofmynursing
practice,forexampleIusecriticalthinkingtoidentifythenursingintervention
priorityformypatient,Ialsoconductmyselftobecalmdownandlocatethe
conflictbeforeIputanyactionintopractice.

8.2Usecriticalthinking,problemsolvinganddecisionmakingskillstoassessclientsandto
determinenursingdiagnoses,expectedoutcomes,nursinginterventions,andevaluative
criteria.
Y.Y.

Satisfactory

Satisfactory

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Idecidethenursingdiagnosesbymynursingassessmentonthebasisofthe
informationIresearchedfromthepatient'sfileandhistoryandassessthepatient's
physicalandmentalstatus.Thisisthewayofmycriticalthinking.

8.3Evaluatecriticalthinking,problemsolving,anddecisionmakingskillsanddesigna
plantoimprovethese.
Y.Y.

AsImentionedabove,Iwouldliketoreviewthepatient'sfileandhistoryfirst
thenmakeaspecificcareplanbymakeuseofthecriticalthinkingandproblem
solvingtechniques.

8.4Integrateknowledgefromavarietyofnursing,health,andothertheoryintonursing
practicetoprovidesafeandcompetentcare.
Y.Y.

Iseethenursingclinicalplacementasaperfectenvironmenttomakeintopractice
myknowledgeandskillsfromothernursingtheoryclassesandpharmtoprovide
safeandcompetentcare.Forinstanceiusemypharmknowledgeasaresourceto
researchmechanismofdrugsorusetheorypriciplestoimprovethediseases

8.5Prioritizeeffectively.
Y.Y.

IntheemergencysituationsIalwaysputmypriorityintheABCinterventionso
thatImaintainmyclientsafetyeffectively.

8.6Demonstrateprofessionalismandaccountability.
Y.Y.

Idemonstrateprofessionalismandaccountabilitybyalwaysbeingpatientto
doublecheckclient'sinformationtoavoidmisconduct.

8.7Usethepracticedecisionmakingandthenurseclientenvironmentframeworksto
informandguidepractice.
Y.Y.

WhenmakingdecisionsIwouldliketoinvolvenurse,clientandenvironmentinto
consideration,andalwaysevaluatethebackupresourcesaccessibility,client's
specificconditionandmycompetencepriortostartanynursingwork.

Satisfactory

Teacher comments for USE CRITICAL THINKING, PROBLEM-SOLVING &

Satisfactory