This website uses cookies to ensure you have the best experience. Learn more

Transitions To Graduate Mental Health Nursing Practice

5575 words - 23 pages

Transitions to Graduate Mental Health Nursing Practice

This essay is determined to provide a critical and reflective discussion on my experience of delivering care reinforced by evidence based frameworks throughout my journey as an undergraduate student nurse. This will be achieved by reflecting upon and describing my experiences that is pertinent to my chosen topic of evidence based practice care delivery. I shall make reference to Dreyfus and Dreyfus’s Student Developmental Model (1986) and Benner’s Stages of Clinical Competence (1984) to demonstrate my personal, professional and intellectual growth and maturity. I will conclude by discussing how I will intend to maintain my development ...view middle of the document...

During the common foundation part of my training, I completed 4 placements but I will describe my experience at an acute inpatient unit for working adults 18-65 which I will call the Chelsea Ward. This was my very first placement in a mental health setting so I was in an observer capacity, absorbing and soaking in as much information as I could, however this wasn’t easy. During my first week, my mentor invited me to sit in the weekly ward round. In this meeting the Consultant and the nurses and the occupational therapist discussed the progress of the patients from the previous week. My mentor was the named nurse for Joey a 25 year old gentleman, who had been presenting as floridly psychotic and experiencing distressing psychotic symptoms. My mentor informed the Consultant that Joey’s systems were not alleviating even though he was taking his anti-psychotic medication as prescribed. The Consultant discussed with my mentor that she would commence Joey on Clozapine tablets and that taking a blood sample from Joey would have to be arranged before commencement and the results to be fed back to the Consultant. I was curious as to why changing Joey’s medication required him to have his blood taken, so I asked my mentor why this decision was being taken, he informed me that Clozapine can be used in the management of schizophrenic symptoms when two or more atypical anti-psychotic medications have not seem to alleviate these symptoms. In my spare time I accessed the computer at placement and researched into Clozapine and read that it has been suggested by The National Institute for Health and Clinical Excellence (NICE) (2009b) guidelines on the treatment and management of Schizophrenia as the choice of treatment for patients who are unresponsive to or treatment resistive to their current medication. My mentor was able to take a blood sample from Joey; the results were given to the Consultant who was able to commence Joey on Clozapine treatment with weekly blood tests, to monitor his white blood count, I was given the task to check Joey’s vital signs on a daily basis and to record the readings on his mews chart.
According to the Dreyfus and Dreyfus (1986) model, on reflection I believe that in the level 1 intellectual domain, I demonstrated a willingness to develop my knowledge base by researching into Clozapine and trying to understand how the decision was arisen to start Joey on Clozapine. I believe I also showed an ability to manage my own learning needs in order to gain understanding of the professional principles behind this care intervention. I was also developing my skills domain as I could recognise and understand the need to promote Joey’s health and safety. This was achieved by taking vital signs daily and by testing Joey’s blood on a weekly basis so as to monitor his white blood count due to neutropenia being an adverse side effect of Clozapine, if his white blood count was abnormally low the Clozapine treatment would have to be terminated by...

Other Essays Like Transitions to Graduate Mental Health Nursing Practice

New Graduate Nurses Essay

1297 words - 6 pages nurse residency program showed that both new graduates and employers identified communication with physicians, health care team members, and patients and their families as an area in which new graduate nurses needed additional skills or knowledge” (Theisen & Sandau, 2013). Communication includes verbal and written, as well as the ability to document data. One of the most difficult transitions, and a main stress factor, is the new graduates’ ability

Nurse Practice Act Essay

735 words - 3 pages permit that has been fraudulently bought, issued counterfeited and altered; intemperate use of alcohol or drugs that could endanger a patient; unprofessional or dishonorable conduct; adjudication of mental incompetency, lack of fitness to practice due to a mental or physical health condition; and failure to care adequately for a patient or to conform to the minimum standards of acceptable nursing practice (Sec. 301.452).Moreover, the BON shall

The Difference Between Associate Degree and Baccalaureate Degree in Nursing

1049 words - 5 pages across multiple settings. Contrasting the graduates of an ADN program with the graduate of a BSN program; the BSN nurse is prepared to practice in all health care settings; ER, critical care, public health, community health, and mental health. Another difference in competency between the ADN and BSN is the type of expertise and skillfulness each nurse develops. Some skills like communicating and assessing are shared between ADN and BSN nurses

Nursing Journal

676 words - 3 pages Article Review of Nursing Journal 351: Transitions to Professional Nursing Article Review of Nursing Journal If one issue divides the profession of nursing, it is the debate regarding the minimum level of education (Spencer, 2008, p. 307). The article by Janine Spencer Increasing RN-BSN Enrollments: Facilitating Articulation Through Curriculum Reform in The Journal of Continuing Education in Nursing addresses this ongoing debate. This

Nursing Research Sample

2633 words - 11 pages practice, the results of this study demonstrate the importance of an in-service education for nurses on patient rights and ethical issues. We believe that the results of this study will contribute to the enrichment of the ethical content of nursing curriculum. Key Words: nursing students, nursing ethics, patient rights, ethical reasoning Introduction Nursing is a profession that requires alleviating the pain and promoting the health of

Historical Development Of Nursing

1423 words - 6 pages ; Lim, 2010). Today, the World Health Organization and Center for Disease Control have strict guidelines for hand washing in nursing practice. In addition, Nightingale’s work corroborates the transformation of nursing from the perception of one with no professional knowledge tending to individuals with health issues, to providing competent healing practices for the total person that is supported by facts and evidence (Burge, Sullivan, & Cox

Iom Report

1160 words - 5 pages recommendations for an action-oriented blueprint for the future of nursing” (Institute of Medicine, 2011). The premise that the report is attempting to answer is this, “What roles can nursing assume to address the increasing demand for safe, high-quality, and effective health care services?” (Institute of Medicine, 2011). My paper will attempt to review the IOM’s report on nursing education, nursing practice, and a nurse’s role as a leader

Requirements For Entry-Level Nursing

1118 words - 5 pages . These courses are essential, as the Affordable Health Care Act of 2010 will change the focus of health care from managing acute illnesses and injuries to focusing on health prevention and promotion in the community. Tollick states “these changes and challenges have implication for nursing practice which, in turn, has implication for nursing education” (p. 4). Not only are hospitals taking action to require a BSN for entry-level nurses, but

Challenges and Responses to Geriatric Nursing

1771 words - 8 pages hands-on research experiences for undergraduate and graduate students (Shellman, 2012). Current working nurses must update their nursing practice on a constant basis. Nursing practice is evolving and changing in the ways that we care for our patients. Elderly are living longer due to health advances and healthy life styles. We must take the knowledge that we gain in nursing research to improve care. The knowledge to improve care must be in

The Future of Nursing

967 words - 4 pages huge shortage of nurse and this is going to create major problems. According to the IOM, there is no conclusive studies that shows, a Bachelors in Science of Nursing (BSN) entry level nurse has any overall effect on patient outcome vs. an Associate’s Degree of Nursing (ADN). The BSN entry level nurse does bring into the field some valuable competencies like, health policy, health care finance, leadership, Evidence Based Practice (EBP), collaboration


545 words - 3 pages facilities, and rehabilitation centers. These facilities provide nursing care and other social services to patients who do not require hospitalization but cannot function independently. Other forms of health care delivery services across the continuum include home health care and palliative care. Home health care agencies provide nursing services or therapy in the home to individuals who do not need to be institutionalized, but do need specialized

Related Papers

Victims Of Bullying, Mental Health, And Nursing

1829 words - 8 pages Paper 3 - Victims of Bullying, Mental Health, and Nursing Victims of bullying are at a high risk of developing various types of mental illnesses, and the evidence on this topic in the research literature can be used to inform psychiatric nursing practice. The available studies on mental health and its connection to bullying victims shows that preventing mental illness and promoting mental health involves a comprehensive approach, using

Nursing Practice And The Three Levels Of Prevention In Health Promotion

1214 words - 5 pages health promotion and specific protection. Secondary prevention consists of early diagnosis, timely treatment, and limiting disability. Tertiary prevention consists of restoration and rehabilitation (Edelman & Mandle, 2010, p. 14). These three levels of prevention don’t necessarily flow from one into the next but do have a tendency to overlap. In three recent journal articles in nursing practice, primary, secondary, and tertiary prevention in

Manage Health And Social Care Practice To Ensure Positive Outcomes For Individuals

1901 words - 8 pages Manage Health and Social Care Practice to Ensure Positive Outcomes for Individuals. 1.1 Explain ‘outcome-based practice’ During the 1980’s, the term “evidence-based” care surfaced to describe the approach that used scientific evidence to determine the best practice. Evidence-based practice is a process that entails reviewing and instilling the most reliable and updated research in service user care. The goal of evidence-based practice is

Educational Preparation Essay

571 words - 3 pages that all graduate entry-level nurses are prepared to practice nursing in hospitals. This examination does not differentiate between an associate degree program and baccalaureate program. The focus in this paper will be between the difference in education between the associate degree in nursing (ADN) and the baccalaureate degree in nursing (BSN) ADN versus BSN Education Currently there are not enough students that have