NU 650 Assignment

NU 650 Assignment

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In the initial entry of my clinical skills journal, I intend to analyze my clinical skill practice while also analyzing the fundamental principles behind physical assessment and clinical reasoning and identifying specific areas in which I aspire to augment my clinical reasoning abilities. Additionally, I shall expound upon the domains in which I have developed my clinical skills.

Experience with the Physical Assessment:

Throughout my professional experience as a nurse, I have been allowed to engage in diverse facets of physical examinations. I have developed proficiency in the routine assessment of vital signs, evaluation of overall physical appearance, and execution of comprehensive head-to-toe examinations. Consequently, I have gained a sense of assurance in my aptitude to do these tasks. The author expresses a high level of assurance in their proficiency in conducting diagnostic techniques, specifically palpation, auscultation, and observation (Manske et al.; D. J., 2020). However, my familiarity with more specialized examinations, such as those on the nervous or cardiovascular systems, could be improved. Because I have worked with patients of many ages, including children, adults, and senior citizens, I have been able to modify my evaluation methods to be more accurate for each specific patient population.

Clinical Reasoning:

Clinical reasoning refers to the mental process registered nurses go through to analyze patient data, identify problems, formulate clinical judgments, and develop appropriate treatment plans (Mohammadi‐Shahboulaghi et al., 2021). The procedure comprises the collection of data, the examination and interpretation of findings, the recognition of patterns, and the development of conclusions based on experiential knowledge and empirical evidence. The usage of one’s clinical knowledge and expertise, along with the integration of critical thinking and problem-solving skills, are all factors that contribute to the success of this procedure(Mohammadi‐Shahboulaghi et al., 2021).

Relevance of Current Practice and Past Experiences:

My prior experiences and ongoing clinical work are the foundation for my effective clinical reasoning. My experience with a wide variety of patient demographics has helped me develop a heightened awareness of any discrepancies in the findings of evaluations. As I have carried out more evaluations, I have improved my ability to recognize subtle shifts in a patient’s state that may indicate a change in the patient’s status. My ability to take into account a variety of perspectives while making clinical judgments has been enhanced as a result of my exposure to a variety of unexpected circumstances, as well as my work with multidisciplinary teams.

Areas for Growth in Clinical Reasoning:

Although I have improved my clinical reasoning in a few distinct domains, there are still some domains in which I would like to develop my skills further. My capacity to recognize complex clinical presentations is the first skill I want to develop in the coming months. This includes keeping an eye out for unique conditions or scenarios that have a lot of moving pieces and a variety of various factors coming into play. Second, one of the things I want to improve this year is my ability to classify and prioritize the different aspects of my life. Because treating patients frequently involves juggling multiple issues simultaneously, cultivating the skill to do so will be of utmost importance (Daniel et al., 2019). My third objective is to strengthen my intuitive capabilities by building them upon a firm basis of clinical acumen and experience. I have been laboring over this particular topic for some time now.

In conclusion, this initial entry in my notebook has allowed me to reflect on my experience conducting a physical assessment, comprehend the core of clinical reasoning, and sketch out areas in which I intend to advance my knowledge. When I first started this class, I expected that it would teach me useful information and techniques that would help me improve my capacity for clinical reasoning, which would ultimately contribute to my development into a competent and self-assured nurse.

References

Daniel, M., Rencic, J., Durning, S. J., Holmboe, E., Santen, S. A., Lang, V., Ratcliffe, T., Gordon, D., Heist, B., Lubarsky, S., Estrada, C. A., Ballard, T., Artino, A. R., Sergio Da Silva, A., Cleary, T., Stojan, J., & Gruppen, L. D. (2019). Clinical reasoning assessment methods: A scoping review and practical guidance. Academic Medicine, 94(6), 902–912. https://doi.org/10.1097/acm.0000000000002618

Manske, R. C.,, & Magee, D. J. (2020). Orthopedic Physical Assessment-E-Book. Elsevier Health Sciences.

Mohammadi‐Shahboulaghi, F., Khankeh, H., & HosseinZadeh, T. (2021). Clinical reasoning in nursing students: A concept analysis. Nursing Forum, 56(4), 1008-1014. https://doi.org/10.1111/nuf.12628

NU 650 Assignment

Week 1: Initial Journal Entry

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2. My courses
3. NU-650-02-23PCFA
4. Week 1: Introduction to Health Assessment and Documentation
5. Week 1: Initial Journal Entry
6. Week 1: Initial Journal Entry

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Completion requirements

 Done: View

Value: 100 points

Due: Day 7

Grading Category: Assignments: Discussions/Journal

Please refer to the Grading Rubric for details on how this activity will be graded.

Reflect on your clinical skill practice by writing your response to the following prompts:

• Describe your experience with physical assessment in your nursing role to date. (What components of the exam have you completed? With what aspects of assessment are you most familiar and confident? With what aspects of assessment are you least familiar and confident? What experience have you had with pediatric, adult, and geriatric patients? If you are not currently in a clinical setting, when was the last time you performed a hands-on assessment?)
• Describe what is meant by clinical reasoning and the process by which it occurs.
• Reflect on how your current practice and past experiences will help you in your clinical reasoning.
• What are areas in which you are hoping to grown in terms of clinical reasoning?

Posting Your Journal Entry:

1. Select Start or Edit My Journal Entry.
2. Create your journal entry.
3. Make sure to date your journal entry and title the entry with the system we focused on the previous week (e.g., “Lungs and Thorax”).
4. Select Save Changes.

Week 1: Initial Journal Entry

Value: 100 points

Due: Day 7

Grading Category: Assignments: Discussions/Journal

Please refer to the Grading Rubric for details on how this activity will be graded.

Reflect on your clinical skill practice by writing your response to the following prompts:

• Describe your experience with physical assessment in your nursing role to date. (What components of the exam have you completed? With what aspects of assessment are you most familiar and confident? With what aspects of assessment are you least familiar and confident? What experience have you had with pediatric, adult, and geriatric patients? If you are not currently in a clinical setting, when was the last time you performed a hands-on assessment?)
• Describe what is meant by clinical reasoning and the process by which it occurs.
• Reflect on how your current practice and past experiences will help you in your clinical reasoning.
• What are areas in which you are hoping to grown in terms of clinical reasoning?

Posting Your Journal Entry:

1. Select Start or Edit My Journal Entry.
2. Create your journal entry.
3. Make sure to date your journal entry and title the entry with the system we focused on the previous week (e.g., “Lungs and Thorax”).
4. Select Save Changes.

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Start or edit my journal entry

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You have not started this journal yet