Clinical experience

Description
After doing the assigned readings and participating in your clinical experiences, select 4 of the following 9 topics. Write a thoughtful
paper that reflects a synthesis of knowledge, clinical experiences, inquiry, and application of information. Include a header for each
question. You must use a minimum of three (3) peer reviewed sources and they must be less than five years old.
Remember, when referencing clinical situations, do not use personal or other identifying information relating to persons cared for.
Please choose the 1 through 4, thanks.

NR446 RUA.docx Revised 8/8/16 NG 1
Reflective Practice Portfolio (RUA) Guidelines
PURPOSE
This assignment will help you connect the theoretical concepts in class to your clinical experiences. The assignment is aligned with unit content and designed to help you reflect on your leadership and management experience.
COURSE OUTCOMES
This assignment enables the student to meet the following course outcomes.
CO 2: Incorporate leadership theory and skill within the assumed nurse role during healthcare interactions with a client and collaboration with the healthcare providers. (PO 2)
CO 3: Demonstrate ability to integrate communication and professional relationship skills when interfacing with the consumer and the environment. (PO 3)
CO 8: Apply research findings from nursing and related disciplines to enhance knowledge and practice. (PO 8)
DUE DATEWeek 6 See Course Schedule for specific date. This activity falls under the colleges Late Assignment Policy. TOTAL POINTS POSSIBLE: 100 POINTS REQUIREMENTS AND GUIDELINES
After doing the assigned readings and participating in your clinical experiences, select 4 of the following 9 topics. Write a thoughtful paper that reflects a synthesis of knowledge, clinical experiences, inquiry, and application of information. Include a header for each question. You must use a minimum of three (3) peer reviewed sources and they must be less than five years old. Remember, when referencing clinical situations, do not use personal or other identifying information relating to persons cared for.
NR446 RUA.docx Revised 8/8/16 NG 2
1. Complete an online leadership and management style inventory to discover your leadership style or preference. There are multiple sites available and all are very similar. The free sites are adequate for this assignment. Give examples of situations in which you observed or experienced any of the various styles in clinical. In what ways have they been effective or ineffective for you or for those with whom you have worked Which style may have been a better approach in the situation
2. Recall a situation in your clinical experiences in which an ethical decision was being made. If you have not been involved in this process yet, ask your preceptor to share an experience with you. Be sure only to discuss the situation as a case scenario without use of names of persons involved. Which ethical decision-making principles came into play What impact did the ANA and/or ICN codes of ethics have on the decision that was made
3. Investigate the current health policy priorities for your states nurses association. Then, address the following: o Discuss the benefits that could come to you, your community, healthcare consumers in the district, and other members of the nursing profession if proposed priorities were supported. o Develop a plan of action to educate your state senators and representatives about these priorities. (Include a copy of the email or letter you would send.)
4. Explore the planning hierarchy as it relates to your clinical agency. Discuss the level of involvement of your unit manager or charge nurse in the planning process.
o What are some good and/or ineffective time management strategies you have observed nurses using at your clinical training sites Compare and contrast these strategies to your approach to time management. Discuss the effectiveness and/or deficiencies of each approach. What adjustments will you make to improve your time management skills o Describe a change that is occurring in your clinical agency. What has been or is the process for the change Explain the intended outcomes as a result of the change. Discuss driving and restraining forces and how these have been addressed during the change process.
5. Write a description of your clinical agency that addresses the following:
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o type of healthcare delivery system, o the organizational structure (top-down, flat, horizontal, etc.), o the organizational decision-making process (shared, participatory, etc.), o the congruency between the organizational process of the healthcare system and the nursing unit, and o the organizational culture and climate of the agency.
6. Compare and contrast the nursing care delivery model used on the unit within which you are working with one of the other nursing care delivery models described in your readings.
o Reflect on why you think the unit chose the model it uses. o What are the advantages and disadvantages of the model chosen by the unit
7. Describe the process of acquiring, orientating, and socializing new staff used by the managers on your unit. Applying the information from your readings related to staffing, describe the staffing patterns on your clinical unit. o Discuss the role of staff nurses in scheduling for the unit. o Based on what you have experienced and observed in your clinical sites and the principles of transition into practice–Discuss the role of staff nurses in scheduling for the unit. o What do you expect will be the most difficult adjustment in your first nursing role o Describe actions and strategies you can take that will facilitate your adjustment into the workplace.
8. Reflect on the various clinical experiences youve had so far. Compare and contrast the working climates in those situations with your current assignment. Describe evidence of staff motivation youve observed. o Were there any barriers to motivation o What strategies did managers or others use to motivate the staff o Discuss an area of conflict youve experienced or observed in any of the clinical experiences to this point. o Describe the approaches to conflict resolution you observed or participated in. What was the outcome Were the approaches used effective, or would another strategy have been more beneficial
9. Describe quality improvement activities occurring within your assigned nursing department. Include the following in your description. o What prompted the quality improvement initiative o Which of the Institute of Medicine Primary Goals is addressed through this project o Describe the expected outcome and how it will be measured.
NR446 RUA.docx Revised 8/8/16 NG 4
DIRECTIONS AND ASSIGNMENT CRITERIA
Assignment Criteria Points % Description
Completeness of Responses
35 35% Write a paper that addresses 4 out of the 9 questions. All facets of every question chosen must be answered.
Synthesis of Knowledge and Experiences
50 50% Include the key concepts referenced from the textbook/lecture and the application and analysis of these concepts in the paper. Information must be reflective of synthesis of knowledge and experiences.
APA Grammar and Punctuation
15 15% APA used to cite sources. Proper grammar and punctuation used. Minimum of three peer reviewed sources/Less than 5 years old Total 100 100%

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NR446 RUA.docx Revised 8/8/16 NG 5
Assignment Criteria
Outstanding or Highest Level of Performance A (92100%)
Very Good or High Level of Performance
B (8491%)
Competent or Satisfactory Level of Performance C (7683%)
Poor, Failing or Unsatisfactory Level of Performance F (075%)
Completeness of Responses (35 Point)
Paper addressed all facets of every question. 35 Points
Addressed the majority of the questions. 32 points
Only addressed part of the questions 28 points
Did not address the questions 0 points
Synthesis of Knowledge and Experiences (50 Points)
Thoughtful response that was thoughtful and reflective of synthesis of knowledge and experiences. Significant application and analysis of information is evident. 50 Points
Thoughtful response to the discussion forum that was thoughtful and somewhat reflective of synthesis of knowledge and experiences. Some application and analysis is evident. 44 Points
Thoughtful response to the discussion forum that was thoughtful but not reflective of synthesis of knowledge and experiences. Minimal application and analysis of information is evident. 40 Points
Response that was not thoughtful or reflective of synthesis of knowledge and experiences. Application and analysis of information is not evident.
0 points
Proper APA Format Grammar/Punctuation (15 Points)
Correctly uses APA formatting Correct grammar and punctuation Minimum- 3 peer reviewed sources/Less than 5 years old. 15 points
Correctly uses APA formatting Minimal errors with punctuation and grammar. 2 Sources Used/More than 5 years old/Not peer reviewed
13 points
Doesnt use APA formatting Multiple errors with punctuation and grammar 1 Source Used/More than 5 years old/Not peer reviewed 12 points
Doesnt use APA formatting Multiple errors with punctuation and grammar No sources used/more than 5 years old. 0 points
Total Points Possible = 100 points