Preparing Professional Practice Chatswood †Myassignmenthelp.Com

Question: Discuss About The Preparing Professional Practice Chatswood? Answer: Introduction A professional nurse embarks on a journey that begins from playing the role of a practitioner and finally achieving the status of a clinical expert in the field of healthcare (Alexander and Stewart 2016). The report will illustrate how a reflective practice on an incident affected my transition and facilitated my professional development plan. I am a graduating nurse with an eagerness to develop competence in the clinical environment. I am currently placed at an acute psychiatric ward. I had to look after people who suffer from a myriad or disorders like psychosis, bipolar, depression and schizophrenia (Batti and Steelman 2014). I had to follow up the patients to see their improved health outcomes. The experience The incident took place during the second year of my graduation. Ms. Nguyen, aged 55 years, was brought to the mental ward after she tried to inflict self-harm upon herself. She belonged to the refugee community of Vietnam. She ran a food joint along with her brother and his wife. She was widowed and lost her son after he succumbed to jaundice. I was assigned the task of admitting her to the ward. I noticed that she had several bruise marks on her wrist and a strangulation mark on the back of her neck, which indicated repeated suicide attempts. She showed non-compliance to medicines and complained of hearing voices that instructed to end her life. When I went to her bed, she grunted and turned away. On being asked her name, she took hold of the flower vase by her bedside and threw it across the room. I was startled. I had never faced any situation where the patient had displayed such aggressive behaviour. I immediately went to report the incident to the nurse-in-charge. She was not f ound anywhere. On returning, I found that she had been tied to a chair and the staffs were forcibly trying to inject tranquilisers. When I inquired, they complained that she tried to run away from the ward and pushed a staff in the process. Thus, the staff tried to inject tranquilizers. Response I felt tormented as the situation began to unravel. This acted as a transition shock (Chang and Daly 2015). I became emotional attached to Ms. Nguyen and wanted to try all possible methods to help her overcome her auditory hallucinations and agitated state of mind. Her medical records helped me understand that she was a paranoid schizophrenia patient. The negligence and a lack of professionalism shown by the concerned nurse-in-charge worsened the situation. This incident forced me to question my role as a future registered nurse and my expected job outcomes. I wanted to vent out my doubts and apprehensions. I approached a senior registered nurse and reflected on my feelings about the patient. She acted as my mentor and helped me formulate a strategy to provide timely care to Ms. Nguyen, for a satisfying experience. I found that holistic care, empathy towards patients and effective interaction helps to realise that auditory hallucinations are not real and reduces suicidal ideation (Ba lhara and Verma 2012). My mentor taught that listening to their worries with interest and quite disposition helps to build a good rapport with the patient and reduces chances of physical abuse. Challenges or internal conflicts In my graduation period, I learned about the diagnosis, pathophysiology and prognosis diseases. However, I felt anxious on the thoughts of a mental health hands-on experience. Nurses are expected to respect and acknowledge the cultural identity of their patients to promote wellbeing. They should involve family members of the patient to gain a deeper understanding of their culture (Desborough 2012). One major challenge is the lack of engagement in clinical supervision. I felt supervision was required to increase the effectiveness of therapeutic treatment strategies. Development of trust is also integral to treating a mentally ill patient (Stuart 2014). This challenge was faced when the staff tried to patronize the patient which made her more aggressive and show reluctance to treatment. Another challenge was presence of stigma among mental health staff, lack of resources that help in reducing stigma and absence of counselling or psychological intervention. The staff showed discriminati on and ill treatment towards the patient owing to mental health stigma. This discrimination makes patients show non-compliance to medications. Engagement with members and its outcomes I was directly involved in communication with Ms. Nguyen, her brother and his wife during the entire treatment. My interaction with her brother revealed the incidents that predisposed her to paranoid schizophrenia. I provided them a clear understanding of the hallucinations that she reported, her mental progress on adhering to medications and psychological therapies and the probable precautionary measures they should follow to reduce further incidents of self-harm (Frith 2014). I also interacted with my peers and nursing teachers to gain more knowledge on the incident by effective discussion and debates. It helped me devise a plan to meet the situation if it occurs again in my career. It helped me realise that if the psychologist was consulted before the staff administered tranquilisers on Ms. Nguyen, the situation would not have escalated quickly. This challenging experience gave a clear insight into caring for the mentally disturbed and reducing their distress. Conclusion The reflection helped me illuminate the blind spots and advance my professional and personal development (Usher and Foster 2015). Thus, it can be concluded that this reflection strengthened my knowledge between clinical knowledge and efficient health practice. I will use this incident as a developmental tool for enriching my future as a registered nurse. References Alexander, S.J. and Stewart, L., 2016. Establishing and maintaining a professional identity: portfolios and career progression.Transitions in Nursing: Preparing for Professional Practice, pp.259-276. Balhara, Y.P.S. and Verma, R., 2012. Schizophrenia and suicide.East Asian Archives of Psychiatry,22(3), p.126. Batti, R. and Steelman, V.M., 2014. Accountability in nursing practice: Why it is important for patient safety.Association of Operating Room Nurses. AORN Journal,100(5), p.537. Chang, E.M.L. and Daly, J., 2015. Transitions in nursing: Preparing for professional practice (Vol. 4). Chatswood. Desborough, J.L., 2012. How nurse practitioners implement their roles.Australian Health Review,36(1), pp.22-26. Frith, C.D., 2014.The cognitive neuropsychology of schizophrenia. Psychology Press. Stuart, G.W., 2014.Principles and Practice of Psychiatric Nursing-E-Book. Elsevier Health Sciences. Usher, K. and Foster, K., 2015. Reflective practice for the graduate.Transitions in Nursing-E-Book: Preparing for Professional Practice, p.277.