Question

Reflect upon your practice and tell a story --in one to two paragraphs-- that has left a lasting impact on you. Identify the pattern(s) of knowing that were in evidence. Describe that pattern of knowing and how that pattern was placed into action. What impact did this have on your patient/family? What impact did the introduction of this pattern have on yourself and your practice? Self-reflect -- which pattern of knowing is most challenging for you and what kinds of experiences would you choose to enhance your understanding of the pattern

Answer 1

After finishing my graduation in government college. I joined in a private hospital.During my graduation period, I have practiced nursing care in a govt. Hospital. In which most of the drugs of same kind are given to all the clients in a particular unit and generic names are used to address the drugs. And almost most of the drugs are given directly.

New practice in to action:

But now, as in practice in private hospital the drugs what ever I used to administer are being diluted in normal saline. To prevent it's high dosage and side - effects. And the drugs are being addressed by their trade names mostly. The patient details, reports are computerized. During b.sc in clinicals i would usually Know the history of clients their details what ever I need I usually would interact with the client and their family members. I used to give health education on different disease conditions to patients and their attenders by using different auido - visual aids. But now I have been practicing mostly to read case sheet what the doctors, other nurses etc. Who have involved in care of client are recorded. Mostly not communicating with the client and family members.

Now, I was only responding to the clients needs whatever he asks, and to the doubts of the attendants. And due to restrictions of hospital stay and in order to provide convenience to the clients.

Impact on patients / family:

The health education is also been limited and also due to improved technology client and attendants are mostly practicing web search to know about medical , surgical practices, procedures their interventions, effects etc.

Interpersonal relationship has been reduced due to this new practice of care.

Challenges

A new practice of medication adminstration, computerized patient recording, different types of forms fillings for different procedures example special monitoring charts, diabetic booklets, dialysis booklets, consents, laboratory forms, discharge summary, maintenance of different registers, feedbacks etc.

Experiences :

I choose to enhance my understanding by attending the training classes, asking my superiors or shift incharges regarding the things how to be done. Some times by mistakes also help me to know what I had done and what I need to be done in correct. Once a mistake is done and it is rectified we will never repeat it . As we had a fear of doing it makes us to retrospect the things which we have been dealing with.