Reflection example # 1
The learning outcomes on NR351 provided me with in-depth insights concerning various aspects of patient care and quality improvement in nursing practice. The Nurse of the Future Nursing Core Competency Committee (NOFNCC) includes patient-based care, professionalism, leadership, system-based training, informatics and technology, communication, teamwork and collaboration, quality improvement, safety, and evidence-based practice (Phoenix Bittner et al., 2017). Professional nurses should adhere to the existing ethical and legal frameworks to prevent or minimize ethical concerns associated with the care provided. The learning outcomes solidify some of the most important moral values and professionalism in nursing practice. The competencies are useful in guiding the actions and strategies used by the professional nurses in providing adequate and safe care to patients. This reflection discussion will explore learning outcomes as far as the NR351 is concerned.
The most important core competencies areas include patient-centered care and effective communication. Usually, patient-based care is crucial in achieving improved patient care outcomes based on the patient’s values, needs, and preferences. Nurses provide holistic care that recognizes an individual the inputs of the client. In this context, patient-based care is associated with increased patient satisfaction and the overall improvement in care quality. Usually, patients are unique and have unique care needs and preferences (Phoenix Bittner et. al, 2017). Professional nurses should accommodate the patient’s needs and respect their space, including privacy and confidentiality in tandem with the nursing principles of autonomy and justice.
Secondly, effective communication is useful in facilitating effective care and treatment services. It is key in delegating duties and responsibilities to team members in an interdisciplinary context. Usually, excellent communication is crucial in ensuring the success of care coordination and sharing skills and competencies among the multidisciplinary teams. Poor care coordination is associated with increased sentinel events such as medication errors, high hospital readmission rates, and increased workload among professional nurses. The existing organizational culture also promotes effective communication. Therefore, the selected core competencies are heart the heart of improved care quality and patient’s levels of satisfaction as far as the provision of essential care and treatment services is concerned.
The American Association of Colleges of Nursing (AACN) states nine essentials that professional nurses should embrace and integrate into nursing practice. In this case, I think essential VIII (professionalism and professional values) is important in improving the quality of care and treatment services (Burton, Williams, & Anderson, 2019). I have selected this basic because it transforms the care provision and attaining desired patient care outcomes within practical clinical settings. Professionalism and adherence to the existing ethical standards are important in navigating the contemporary nursing challenges, including moral dilemmas in the administration of essential care. Professional nurses should be guided by values and demonstrate a high sense of ethical behavior when providing basic care and treatment services. Some of the deals include promoting human dignity, integrity, social justice, and altruism (Burton, Williams, & Anderson, 2019). I will integrate such values into my future professional endeavors as a professional nurse. Therefore, AACN Essential is at the heart of promoting and fostering ethical practices in nursing practice.
Burton, C. W., Williams, J. R., & Anderson, J. (2019). Trauma-informed care education in baccalaureate nursing curricula in the United States: Applying the American Association of Colleges of Nursing Essentials. Journal of forensic nursing, 15(4), 214-221. Retrieved from https://journals.lww.com/forensicnursing/FullText/2019/12000/Trauma_Informed_Care_Education_in_Baccalaureate.6.aspx
Phoenix Bittner, N., Gravlin, G., MacDonald, C., & Bourgeois, D. (2017). A newly licensed nurse orientation program evaluation: focus on outcomes. The Journal of Continuing Education in Nursing, 48(1), 22-28. Retrieved from https://journals.healio.com/doi/abs/10.3928/00220124-20170110-07
Reflection example # 2
Leadership is one of the Massachusetts Nurse of the Future Nursing Core Competencies that I believe will impact my future nursing practice (Massachusetts Department of Higher Education Nursing Initiative, 2016, pp. 18-21). Leadership proficiency is significant since healthcare is constantly evolving and changing, and whether good or bad, how nurses approach that change plays an essential role in the nursing profession. Currently, the hospital where I work has a significant turnover of nurses due to nursing staff pursuing travel positions. As a result, staffing shortages occur; thus, employees are overwhelmed and often leave work feeling defeated. As a charge nurse, I now routinely have a team of 5 to 6 patients while also fulfilling charge duties; some duties include completing our unit assignments every 4 hours for the duration of the shift. Then, the house supervisor oversees and controls our unit staffing. Zero collaboration occurs when determining staff for the unit, and our unit matrix is often not considered. In addition, planning staffing needs for the entire day is not done, which eventually requires staff to be mandated, float to other floors, and work short-staffed. Ultimately, forecasting does not currently exist, only reactive decisions when an unplanned change occurs. Leadership must happen in the nursing profession to predicate ahead, prepare for the “what ifs,” and strive to improve patient outcomes while supporting staff. Safety is the second Massachusetts Nurse of the Future Nursing Core Competencies that will impact my future nursing practice (Massachusetts Department of Higher Education Nursing Initiative, 2016, pp. 42-44). Ensuring a safe culture is vital to the professional nursing career. An unsafe environment can impact a patient’s life and a nurse’s; thus, poor patient outcomes and even patient death can occur. Due to the unpredictable future of COVID-19, the prolonged lifespan of the population, and the higher acuity of patients admitted to hospitals, prioritization for patient safety must occur at the forefront of healthcare. Communication and shared governance, planning, and strategizing ways to adapt to the ever-changing needs of patient care are necessary. Management must ensure that staff feels safe and valued, provide ongoing education and communication, and coach staff and hold them accountable when necessary. For patient safety to be maintained, ongoing communication and evaluation from staff must occur. Also, when mistakes occur, evaluation of “why” and then utilizing evidence-based practice to prevent reoccurrence.
I selected AACN BSN Essential VI: Interprofessional Communication and Collaboration for Improving Patient Health Outcomes (American Association of Colleges of Nursing [AACN], 2018, pp. 22-23). I chose this AACN BSN Essential since communication and collaboration within the healthcare system are critical in improving patient outcomes. I work as a bedside nurse and enjoy performing bedside care; whether I determine later in my career that I want to pursue a different avenue within healthcare is currently unknown. Based on my current career, collaborating with applicable disciplines, establishing confidence in the care you provide, and providing patient advocacy can help improve patient outcomes; patients will feel more confident in the overall care provided. Currently, the nurse spends more time at the bedside than the provider at my workplace. As a result, we perform ongoing assessments and, when a patient’s condition changes, we are usually the first to observe. Utilizing SBAR, communication, when warranted, to the applicable healthcare provider must take place. If something feels “off,” it probably is. By collaborating with other team members, we engage each other on the subject while potentially opening up further discussion on other concerns that may have been unspoken, ultimately collectively improving patient outcomes.
American Association of Colleges of Nursing. (2008). The Essentials of Baccalaureate Education for Professional Nursing. https://www.aacnnursing.org/Portals/42/Publications/BaccEssentials08.pdf
Massachusetts Department of Higher Education Nursing Initiative. (2016). Massachusetts Nurse of the Future Nursing Core Competencies© Registered Nurse. http://www.mass.edu/nahi/documents/NOFRNCompetencies_updated_March2016.pdf
Reflection example # 1