Criteria for Content
Think of a surprising or challenging practice situation in which you felt underprepared, unprepared, or uncomfortable.
Select an important nursing issue/topic that was inherent to the identified situation.
Briefly?explain the situation
- Identify the nursing issue inherent in the identified situation
- As a method of refection, use Carper’s Patterns of Knowing to analyze the situation. In your discussion, address ONE of the following Patterns of Knowing:
- What do you think was the underlying reason for the situation? (Esthetics)
- What were your thoughts and feeling in the situation? (Personal)
What was one personal belief that impacted your actions? (Ethics)
- What evidence in nursing literature supports the nursing importance of the identified issue? (Empirical)
What new insights did you gain through this reflective practice opportunity? How will this apply to your practice as a nurse practitioner?
Gabriela SolomonNov 2, 2021 8:19 AM:
Situational Analysis for a Patient with Suicidal ThoughtsI had been tending to a 18-year-old leukemia patient for about two weeks, and we had gotten quite close. One evening when I was giving him his last dose for the day, he disclosed that his condition was a significant burden on his sole parent. He went on to say that his mother had to work multiple jobs to meet his medical bills. Also, they were a few months late on their rent, and the landlord was on his mother’s neck. He felt that the only way to relieve his mother of that load was for him to commit suicide. The ethical quandary I faced in this situation was whether I should inform my colleagues and the mother about the patient’s suicidal thoughts without his consent. In particular, I was stuck between honesty and withholding information.Considering Carper’s Patterns of Knowing, I used the ethics aspect to analyze the situation. This facet suggests that ethical expertise is conveyed in the form of rules, norms, normative ethical theories, and explanations of moral decision-making (Manrzorou & Mastrogiannis, 2011). After considering these factors, the most appropriate decision was to inform both the patient’s mother and my peers. In response, the team closely adhered to the institution’s self-harm and suicide policy, maintained contact with the patient, evaluated the reasons for his suicidal thoughts, and offered appropriate nursing assistance, including counseling. This situation helped me gain a profound comprehension of the ethical principle of beneficence. This principle suggests that a caregiver is obligated to act for the patient’s benefit, including preventing, removing, and not inflicting harm (Milne Library, 2015). While this code conforms to moral standards and is selfless, I will consider it a debt to society and strive to always do good for the benefit of others, not only the patients I serve. I believe this knowledge will help me become a much complete caregiver.ReferencesMantzorou, M., & Mastrogiannis, D. (2011). The value and significance of knowing the patient for professional practice, according to the Carper’s patterns of knowing. Health Science Journal, 5(4), 251-261. https://www.hsj.gr/medicine/the-value-and-significance-of-knowing-the-patient-for-professional-practice-according-to-the-carpers-patterns-of-knowing.pdfMilne Library. (2015, December 14). Ethical concerns in end-of-life care – Nursing care at the end of life. Milne Publishing. https://milnepublishing.geneseo.edu/nursingcare/chapter/ethical-concerns-in-end-of-life-care/
Marissa KuhnNov 2, 2021 4:00 PM
As a nurse with only one year of experience, there have been multiple times that I have been placed in a situation where I have felt unprepared and uncomfortable. I work on a cardiac-step-down unit and typically the nurse-patient ratio is 4:1. I was receiving a report for my fourth patient and I knew there were red flags immediately. The nurse giving me the report started off with, “ This patient is supposed to be in ICU but there were no more ICU nurses available to take them so they’re coming to you.” After learning the critical extent of this patient I knew that I was not able to safely accept them for my assignment. I informed my charge nurse and told her the patient needs to go to a more experienced nurse. The nursing issue that was displayed here was insufficient staffing.According to Carpers Patterns of Knowing theory from 1978, there are four essential components that contribute to the professional reflection on nursing practice (Thorne, 2020). These four components include empirics, esthetics, personal knowledge, and ethics. An important aspect for me is personal knowledge. In relation to my experience, personal knowledge is a strong reflective method that is beneficial. The purpose of the outcome is to reflect upon personal feelings and validations on the situation that was experienced (Thorne, 2020). When reflecting back, I felt uncomfortable and like I was being set up for failure. However, besides just feeling unprepared, I had to really reflect on whether or not this was something appropriate for me to do. This is where the ethical component of self-reflection can also come into play. I knew that accepting this patient into my assignment, was not ethically or morally appropriate for me to do. In this specific situation, these two components of self-reflection intertwined. This reflective practice opportunity assisted me in gaining stronger self-reflection skills. Incorporating self-reflection into practice can promote critical thinking skills, promotes reasoning, improve professional practice, and facilitate new knowledge (Week 2 lesson, 2021). Understanding the individual components of this theory will guide me in becoming a more efficient nurse practitioner in the future. This will be achieved by taking a step back to analyze a situation and figure out where the problem is coming from, how I feel about it, and what can be done in the future to promote improvements. References:Thorne, S. (2020). Rethinking Carper’s personal knowing for 21st-century nursing. Nursing Philosophy, 21(4), 1-7. 10.1111/nup.12307 Week 2 Lesson (2021). Knowledge development. Chamberlain University. https://chamberlain.instructure.com/courses/90844/…