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Nursing Student Reflective Logs

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Asim Qureshi
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307 views7 pages

Nursing Student Reflective Logs

Uploaded by

Asim Qureshi
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

1st Reflective Log:

Introduction:
This reflection recounts my first clinical experience at Liaquat University
Hospital Hyderabad. I am Sameer Khaskheli, a BS Nursing student at Al Biruni
College of Nursing Hyderabad. This experience has prompted me to re-
examine and analyze my journey towards becoming a BSN. I realized that
experiencing the working environment firsthand is crucial for future nurses
and healthcare providers. Real-life experience is vital in learning.

Personal Feelings:
Initially, I felt nervous, if not scared, but my curiosity about the clinical setting
soon took over. I wondered what it would be like to care for unfamiliar
patients. However, my nervousness dissipated quickly. I was touched and
inspired by my "buddy mate's" compassion towards the residents of Civil
Hospital. She showed equal affection to everyone, caring for them as if they
were special to her. I was amazed by her selflessness towards strangers.

Personal Learning:
During my first day in the Gastro Department, I gained valuable practical
experience that differed from my prior knowledge. Our orientation with the
nurse manager of the Second Floor proved insightful. She shared information
about working in the Gastro Department and the long-term care facility's
system. Learning that she was an RN inspired me to succeed in my chosen
career.

After orientation, our group was divided, and we were assigned to specific
wings. Each of us was paired with a resident attendant and instructed to
observe and shadow them during the first three hours of their shift. Given my
experience in long-term care facilities, I was familiar with some procedures and
routines performed by Personal Support Workers (PSWs). Consequently, I felt
comfortable assisting the resident attendant/PSW in providing nursing care to
clients.

Although familiar with the setting, I still felt anxious about providing optimal
care. This experience taught me that being too comfortable and excited can be
detrimental, especially for students.

Conclusion:
I aim to apply the knowledge gained on my first day and continue exploring
opportunities to build a strong foundation for my future nursing career.
2nd Reflective Log:
This reflection recounts my second-day clinical experience at Liaquat
University Hospital Hyderabad. I am Sameer Khaskheli, a BS Nursing student at
Al Biruni College of Nursing Hyderabad. This experience has prompted me to
re-examine and analyze my journey towards becoming a BSN. I realized that
experiencing the working environment firsthand is crucial for future nurses
and healthcare providers. Real-life experience is vital in learning.

Personal Feelings:

Initially, I felt somewhat nervous, but my curiosity about the clinical setting
soon took over. However, this day my rotation was changed. I was assigned to
the Urology Department by my clinical instructor. I felt good and satisfied
about the rotation change.

Personal Learning:

During my first day in the Urology Department, I gained more valuable


practical experience than my last. The staff in the urology department was very
cooperative and encouraged me to engage in clinical practice. After this, I
checked patients' vitals and recorded them in their files. Following completion
of my previous tasks, I was assigned another duty by the RN, who instructed
me to administer medication to patients.

Conclusion:

I aim to apply the knowledge gained on my second day and continue exploring
opportunities to build a strong foundation for my future nursing career.
3rd Reflective Log:
Introduction:

I took vital signs of several patients in the urology ward. This role-play focused
on vital signs. Now, I will reflect on my role-play of TPR (Temperature, Pulse,
and Respiration), which was part of an assignment completed by me and my
two friends.

Personal Feelings:

When I played the nurse role, I first asked about the patient's condition, such
as "How are you today?" I maintained eye contact while speaking with the
patient. However, I found taking vital signs more challenging than expected,
especially when communicating with the patient. Verbal and nonverbal
communication is crucial between patients and nurses. Unfortunately, I forgot
to introduce myself to the patient, realizing it was my first mistake in
communicating effectively.

Personal Learning:

Before taking the patient's vital signs, I properly washed my hands using an
alcohol-based hand rub, a simple yet effective intervention in controlling
infections. I prepared everything needed, such as the patient's recording file,
pen, and instruments for taking vital signs. I verified the patient's identity by
checking their name, date of birth, MRN number, and doctor's name on their
wristband. Initially, I thought taking vital signs was straightforward, but my
experience proved otherwise.

Literature Review:

Vital signs encompass measuring a patient's temperature, pulse, respiration,


and blood pressure. These essential body functions include temperature, blood
pressure, pulse rate, and respiratory rate. Before taking vital signs, I asked for
the patient's permission. I started by taking the patient's temperature, pulse
rate, respiratory rate, and blood pressure, recording them in the patient's file.
However, when taking blood pressure, I forgot to support the patient's hand
with a pillow or my hand. I resolved not to repeat this mistake in my
profession.
Finally:

After completing the vital signs, I thanked the patient for their participation.

Suggestions:

During the role-play, I observed health professionals being polite and friendly
to patients. I noticed patience and encouragement from staff when
communicating with patients. Health professionals motivated patients to
speak, showing genuine interest in their words. This interaction impressed me,
teaching me how to motivate others. I'm glad I participated in this hospital
visit, demonstrating many positive qualities.
4th Reflective Log:
Introduction:

I received my clinical objectives from our clinical instructor, which focus on


utilizing the nursing process to provide care to sick adults in the hospital. My
objective is to achieve this goal.

Personal Feelings:

Initially, I felt apprehensive about applying the nursing process in real-world


scenarios. However, as I progressed, I became more confident in assessing
patients' needs, developing care plans, and implementing interventions.

Key Points:

1. Enhanced critical thinking skills through patient assessments


2. Effective communication with patients, families, and healthcare teams
3. Developed individualized care plans addressing specific patient needs
4. Implemented evidence-based interventions to promote patient recovery

Literature Review:

The nursing process is a systematic approach to care, encompassing


assessment, diagnosis, planning, implementation, and evaluation (Yura &
Walsh, 1967). Studies emphasize its importance in promoting patient-centered
care and improving health outcomes (Halter, 2018).

Suggestions:

To enhance my nursing practice:

1. Continuously update knowledge on evidence-based practices


2. Engage in reflective practice to identify areas for improvement
3. Collaborate with interdisciplinary teams to provide comprehensive care
4. Prioritize patient-centered care and empathy

By achieving my clinical objectives, I have developed a strong foundation in


utilizing the nursing process to provide high-quality care to adult patients.
5th Reflective Log:
Introduction

This reflection recounts my experience administering IVs to patients in the


urology ward. As a nursing student, I aimed to develop my skills in this crucial
aspect of patient care.

Personal Feelings

Initially, I felt apprehensive about inserting IVs, fearing potential complications.


However, with guidance from experienced nurses, my confidence grew.

Personal Learning
1. Proper hand hygiene and sterile technique
2. Patient identification and consent
3. Selection of appropriate IV sites and equipment
4. Monitoring for potential complications

Literature Review
I learned Aseptic technique from my RN and staff, And also patient education
and consent. IV site selection and management and also learned about passing
IV with less pain.

Suggestions

1. Practice IV insertion under supervision


2. Develop patient communication skills
3. Stay updated on IV administration guidelines
06 Reflective Log:
Introduction

This reflection recounts my experience with pain management for patients in


the urology ward. As a nursing student, I aimed to develop my skills in this
crucial aspect of patient care.

Personal Feelings

Initially, I felt empathetic towards patients experiencing pain and anxious


about effectively managing their discomfort. However, with guidance from
experienced nurses, my confidence grew.

Personal Learning
I was learned these strategies from my ward health care providers.

1. Assessing pain using standardized tools (e.g., NUMS, FLACC)


2. Administering analgesics and monitoring their effects
3. Non-pharmacological interventions (e.g., relaxation techniques, positioning)
4. Collaborating with healthcare teams for comprehensive pain management

Literature Review
I learned the following pain management strategies from my RN in the Urology
ward:

1. Multimodal pain management approaches


2. Patient-centered care and individualized pain plans
3. Effective communication and empathy in pain management

Suggestions

1. Develop expertise in alternative pain management therapies


2. Enhance patient education on pain management options
3. Stay updated on evidence-based pain management guidelines

Conclusion

Through this experience, I gained valuable skills and knowledge in pain


management. I recognize the importance of empathetic care and evidence-
based practices in optimizing patient outcomes.

Common questions

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Sameer's progression from initial nervousness to confidence in clinical practice reflects significant professional growth. Initially apprehensive and unsure, his exposure to various clinical environments, such as the Gastro and Urology departments, encouraged active engagement and skill acquisition. Collaborative interactions with supportive staff, along with reflective practice, empowered him to undertake complex tasks like medication administration and IV insertions, ultimately solidifying his confidence and competence in nursing .

The staff in the Urology Department supported Sameer's clinical learning by being very cooperative and encouraging him to engage actively in clinical practice. This included allowing him to check patients' vitals, record them, and administer medication under the guidance of an RN. Such a supportive environment fosters confidence and practical skill development .

Sameer learned key elements of the aseptic technique for IV insertions, such as maintaining proper hand hygiene, using sterile equipment appropriately, securing patient consent, selecting suitable IV sites, and monitoring for complications. These practices are essential in preventing infections and ensuring safe IV administration, critical skills in clinical nursing practice .

Peer observation and collaboration were crucial in Sameer's reflective learning process, providing him with diverse perspectives and constructive feedback. Observing experienced staff and interacting with fellow students allowed him to understand different approaches to patient care, refine his techniques, and build upon the practices witnessed during clinical rotations, such as demonstrating selflessness and compassion in patient interactions .

Communication in nursing, as reflected in Sameer's experiences, is paramount for effective patient care and outcomes. He faced challenges in introducing himself to patients and maintaining flow during vital sign procedures, which underscored the necessity of clear, empathetic, and consistent communication. Improving rapport with patients through verbal and non-verbal cues is crucial for fostering trust, understanding patient needs, and enhancing the therapeutic relationship .

Sameer applied the nursing process by systematically assessing patients' needs, developing individualized care plans, implementing evidence-based interventions, and evaluating the outcomes. This approach enhanced his critical thinking skills as he adapted to real-world scenarios, communicated effectively with healthcare teams, and provided patient-centered care, which are crucial in promoting effective recovery .

Sameer enhanced his pain management skills by learning to assess pain using standard tools, administering analgesics, incorporating non-pharmacological interventions like relaxation techniques, and collaborating with healthcare teams. These strategies, combined with effective communication and empathy, contributed significantly to comprehensive and patient-centered pain management .

Sameer's experience with taking vital signs revealed the procedure's complexities, as he initially underestimated it. He learned the importance of preparation, such as verifying patient identity and using proper hand hygiene. The challenge was amplified by his initial errors, like forgetting to support the patient's arm while taking blood pressure, highlighting the need for attention to detail and proper technique .

Sameer identified the mistake of not introducing himself to the patient during the role-play exercise, a critical error in effective communication. He recognized the importance of verbal and non-verbal communication in patient interactions and planned to improve by being more mindful and introducing himself properly in future patient interactions .

Experiencing the clinical environment firsthand is deemed crucial by Sameer Khaskheli as it allows nursing students to gain practical insights that are vital for their learning and career development. This hands-on experience helps them understand real-world application of their theoretical knowledge, face genuine health scenarios, and adapt to the dynamic nature of healthcare settings, ultimately preparing them for their future roles as nurses .

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