Practicum Reflective Journal Assignment

Practicum Reflective Journal Assignment

Practicum Reflective Journal Assignment

To follow up on this course’s Practicum Experience, address the following in your Practicum Reflective Journal:

Select and describe a nursing theory that was used to guide your practice.

What goals and objectives were used for your Practicum Experience in this course? When developing your goals and objectives, were the seven domains of practice in mind?

Were you able to meet the timeline of practicum activities that you set at the beginning of the course in your initial journal based on your practicum requirements? If not, why and how do you plan to meet them in your next practicum experience?

Journal Entry

The key to success as an aspiring advanced practice nurse (APN) is the ability to apply experience from the classroom and knowledge obtained from literature to practicum experience.  Application of this concept will promote professional growth and will provide knowledge necessary for providing care to a multicultural patient population that is competent and effective.  In order to care for patients with diverse cultural backgrounds, the APN may select a nursing theory to guide decisions and care provided in practice.

The purpose of this paper is to select a nursing theory to guide practice, compose a list of goals and objectives for practicum experience, and based on practicum requirements; generate a timeline of practicum activities.

Pender’s Model-Health Promotion

Using the Pender’s model, the APN will promote the health of the individual through improving degree of well-being.  The Pender’s model concentrates on experiences and characteristics based on the individual, perceptions and affect specific to behavior, and behavioral consequences.  Each individual possesses experiences and characteristics that influences following actions.  Applying critical thinking when communicating, making decisions, and solving problems will allow the APN to apply skills when providing care.  Using knowledge and skills to educate and motivate, the individual will display health-promoting behaviors that will lead to improved health, quality of life, and functional capacity (Petiprin, 2016).

The Pender’s model is instrumental with identifying and providing data to create interventions, identifying and eliminating risk factors for disease, and to practice and implement changes in health and health promotion techniques for patients (Heydari & Khorashadizadeh, 2014).  The campaign to assist the patient to assume more responsibility and accountability for personal health depends on care provided by the APN and other healthcare professionals that is based on evidence-based practice (Alligood, 2018).

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Goals and Objectives for Practicum Experience

Keeping the seven domains of practice in mind, I have composed the following goals and objectives, which will be used to guide practice throughout practicum experiences.

1. I will perform a complete head to toe exam on a patient during practicum while my preceptor observes and evaluate my performance and skills.
2. I will review the patient’s chief complaint and use critical thinking skills before assessing the patient to present a primary diagnosis with differential diagnoses and a treatment plan with guidance from my designated preceptor.
3. I will integrate the Pender’s health promotion model by educating the patient on ways to promote health and prevent the development or progression of disease.
4. By the end of my practicum rotation, I will perform a complete head-to-toe exam and interview with a patient without my preceptor and provide differential diagnoses and a treatment plan for the patient.
5. I will identify a patient with a common disorder such as hypertension, cardiovascular disease, and diabetes mellitus. Using critical thinking skills, I will utilize pertinent screening techniques and educate for this patient specific to the disorder.
6. Using research that is evidence-based, I will assist the preceptor in educating a patient to promote positive and healthier outcomes for the patient showing evidence through accurate documentation.
7. Using the Pender’s health promotion model, I will gain cultural competence, enhance communication skills, identify and utilize resources, and use skills obtained to communicate effectively with patients from diverse cultural environments.

Conclusion

As I progress through this journey to provide care for adult patients, the confidence, skills, experience and knowledge gained through my practicum experience and assignments throughout the course will allow me to provide quality care to patients in the clinical setting.  Integrating the Pender’s health promotion theory into practice will allow me to provide care to individuals of multicultural backgrounds, identify individual behaviors, and provide education to promote healthier decisions in behaviors to improve health outcome of the patient.  Through the practicum experience, I will gain the skills needed to enhance critical thinking and to appropriately diagnose and treat disorders presented by the patient.

References

Alligood, M. R. (2018). Nursing theorists and their work (9th ed.). St. Louis, MO: Elsevier. Retrieved from https://books.google.com/books?hl=en&lr=&id=l7stDwAAQBAJ&oi=fnd&pg=PP1&dq=pender’s health promotion model&ots=yVrGXYJMf9&sig=geSYFGZQuiKZa7Js1NrZvcj8CbE#v=onepage&q=pender’s health promotion model&f=false.

Heydari, A. & Khorashadizadeh, F. (2014). Pender’s health promotion model in medical research. JPMA. The Journal of the Pakistan Medical Association, 64(9), 1067-1074. Retrieved from http://jpma.org.pk/full_article_text.php?article_id=6937

Petiprin, A. (2016). Health promotion model. Retrieved from http://www.nursing-theory.org/theories-and-models/pender-health-promotion-model.php