Competencies: 72 End of Semester: N5572 Clinical Log Kirsten Marshall

Competencies

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Collaboration:
- Being a competent collaborator requires humility, perspective, and knowing what you don’t know. This is true for the seasoned and green alike to provide safe and effective care. The balance of knowing and unknowing will begin to tip with experience, effort, and time. I have expanded my collaborative and referral knowledge to utilize available resources throughout my advanced degree clinical practice and as a registered nurse. I love to ask questions as well as be a resource. I want to know about not only providing direct patient care but how to utilize community resources.
Ethics:
- Ethical considerations include written standards by the American Nursing Association, federal guidelines on confidentiality, a growing number of media expectations, and personal work ethics. I naturally have a strong work ethic. I am timely and efficient in the work I do. I have developed strategies over the years to improve my efficiency in and out of a clinical setting. It was not until graduate school that I really spent time understanding the background to the ANA’s Code of Ethics, knowing that they were not developed in a void but in a place of need. When utilized, they function as a sounding board when tough decisions need to be made as well as when reflecting on past actions.
Cultural Sensitivity:
- The awareness that everyone is ethnocentric allows me to better understand the importance of knowing where my patients’ culture, values, and cares lie. To do this, I ask questions, many questions, and have them central in planning their care. It is not possible to effectively treat a patient from guidelines and decision trees alone. Insight into a patient’s ethnocentric view helps to better understand not only treatment but the nature of the health problem they may be facing. Economics, religion, racial disparities, gender and sexuality inequalities cannot be overlooked as components when working with a patient nor should they be the sole focus. Equally, the ethnocentricity of the provider must be accounted for. Knowing where I am biased has helped me to work through them.
Research:
- I genuinely enjoy researching topics of interest. My main topics of interest are psych and health. Over the course of my graduate courses, I have learned a great deal about not only finding quality research but how to utilize and implement the information. In complicated cases where diagnoses are not clearly defined, there are multiple crossover symptoms, refractory diseases, or when there is polypharmacy, research is vital to my practice. Using theories of critical thinking to evaluate research includes knowing what the question is, collecting information, evaluation, applying it or inferring it to the question, and evaluating the conclusion.
Teaching/Learning:
- Two of the most important values I hold are learning and teaching. The nursing role is exceptionally compatible with these values. While teaching in a large group is not necessarily my strongest attribute, I find delivering one on one education effective as well as deeply rewarding. Providing education to patients on disease processes, medications, health promotion is essential to their care. I have learned new strategies as a patient educator. For example, education can be done informally throughout an interview helping to normalize their experience or specific with the strategy of having the patient teach back what they understood. Learning coexists with teaching as a dynamic process. We cannot teach what we do not know, therefore we must learn to know. This equally comes in all forms, from casual conversations with preceptors, mentors, patients, techs, caseworkers to specific educational endeavors. Humanity as we know it was built on the relationship between learning and teaching.

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[{:section_type=>"rich_text", :content=>"<ul>\n<li>Collaboration:\n<ul>\n<li>\nBeing a competent collaborator requires humility, perspective, and knowing what you don’t know. &nbsp;This is true for the seasoned and green alike to provide safe and effective care. The balance of knowing and unknowing will begin to tip with experience, effort, and time. I have expanded my collaborative and referral knowledge to utilize available resources throughout my advanced degree clinical practice and as a registered nurse. I love to ask questions as well as be a resource. I want to know about not only providing direct patient care but how to utilize community resources.\n</li>\n</ul>\n</li>\n<li>Ethics:\n<ul>\n<li>\nEthical considerations include written standards by the American Nursing Association, federal guidelines on confidentiality, a growing number of media expectations, and personal work ethics. I naturally have a strong work ethic. I am timely and efficient in the work I do. I have developed strategies over the years to improve my efficiency in and out of a clinical setting. It was not until graduate school that I really spent time understanding the background to the ANA’s Code of Ethics, knowing that they were not developed in a void but in a place of need. When utilized, they function as a sounding board when tough decisions need to be made as well as when reflecting on past actions.\n</li>\n</ul>\n</li>\n<li>Cultural Sensitivity:\n<ul>\n<li>The awareness that everyone is ethnocentric allows me to better understand the importance of knowing where my patients’ culture, values, and cares lie. To do this, I ask questions, many questions, and have them central in planning their care. It is not possible to effectively treat a patient from guidelines and decision trees alone. Insight into a patient’s ethnocentric view helps to better understand not only treatment but the nature of the health problem they may be facing. Economics, religion, racial disparities, gender and sexuality inequalities cannot be overlooked as components when working with a patient nor should they be the sole focus. Equally, the ethnocentricity of the provider must be accounted for. Knowing where I am biased has helped me to work through them.</li>\n</ul>\n</li>\n<li>Research:\n<ul>\n<li>I genuinely enjoy researching topics of interest. My main topics of interest are psych and health. Over the course of my graduate courses, I have learned a great deal about not only finding quality research but how to utilize and implement the information. In complicated cases where diagnoses are not clearly defined, there are multiple crossover symptoms, refractory diseases, or when there is polypharmacy, research is vital to my practice. Using theories of critical thinking to evaluate research includes knowing what the question is, collecting information, evaluation, applying it or inferring it to the question, and evaluating the conclusion.&nbsp;</li>\n</ul>\n</li>\n<li>Teaching/Learning:&nbsp;\n<ul>\n<li>\nTwo of the most important values I hold are learning and teaching. The nursing role is exceptionally compatible with these values. While teaching in a large group is not necessarily my strongest attribute, I find delivering one on one education effective as well as deeply rewarding. Providing education to patients on disease processes, medications, health promotion is essential to their care. I have learned new strategies as a patient educator. For example, education can be done informally throughout an interview helping to normalize their experience or specific with the strategy of having the patient teach back what they understood. Learning coexists with teaching as a dynamic process. We cannot teach what we do not know, therefore we must learn to know. This equally comes in all forms, from casual conversations with preceptors, mentors, patients, techs, caseworkers to specific educational endeavors. Humanity as we know it was built on the relationship between learning and teaching. &nbsp;\n</li>\n</ul>\n</li>\n</ul>"}]

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N5572 Clinical Log Kirsten Marshall

Competencies

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