Assignment: Journal Entry Practicum Reflection Walden University

Assignment: Journal Entry Practicum Reflection Walden University

Assignment: Journal Entry Practicum Reflection Walden University

Assignment: Journal Entry
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Critical reflection on your growth and development during your practicum experience in a clinical setting helps you identify opportunities for improvement in your clinical skills, while also recognizing your strengths and successes.
Use this Journal to reflect on your clinical strengths and opportunities for improvement, the progress you made, and what insights you will carry forward into your next practicum.

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To Prepare Refer to the “Population-Focused Nurse Practitioner Competencies” in the Learning Resources, and consider the quality measures or indicators advanced practice nurses must possess in your specialty. Refer to your “Clinical Skills Self-Assessment Form” you submitted in Week 1 and consider your strengths and opportunities for improvement.
Refer to your Patient Log in Meditrek; consider the patient activities you have experienced in your practicum experience and reflect on your observations and experiences. In 450–500 words, address the following: Learning From Experiences Revisit the goals and objectives from your Practicum Experience Plan.
Explain the degree to which you achieved each during the practicum experience.
Reflect on the 3 most challenging patients you encountered during the practicum experience.
What was most challenging about each?
What did you learn from this experience?
What resources were available?
What evidence-based practice did you use for the patients?
What would you do differently?
How are you managing patient flow and volume?
How can you apply your growing skillset to be a social change agent within your community?
Communicating and Feedback Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.
Answer these questions: How am I doing? What is missing?
Reflect on the formal and informal feedback you received from your Preceptor.

Journal Entry

Degree to which Goals and Objectives were Achieved

Learning to distinguish the clinical manifestations of different mental diseases was my first goal. I got considerably better equipped to identify the symptoms of mental disorders including depression, bipolar disorder, and generalized anxiety.  My second objective was to acquire the skills necessary to formulate and rank possible diagnoses for patients suffering from mental diseases. Although I did not have the opportunity to work with any adolescents, I did have the chance to obtain a great deal of expertise with the elderly and adults. My third objective was to acquire the skills necessary to choose the proper screening tool in accordance with the clinical context. During the practicum, I did not get any opportunity to use any screening tools. As such, more time spent in the clinical rotation will be necessary to accomplish this goal.

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Most Challenging Patients

The first challenging patient I had to deal with was an aggressive one. For this reason, I had a tough time taking his health history. In order to help him feel more at ease, he was given medications that may regulate his mood. Another challenging patient I encountered could not express herself. She was attempting to tell me things, but many of the words she was saying were jumbled together. Consequently, assessing this client and coming up with a list of possible diagnoses was difficult. The third challenging patient I encountered was a delusional patient who believed that he was being spied on. Making a conversation with this patient was difficult since all he could talk about was his enemies spying on him.

Lesson from the Experience

My experience at the practicum opened my eyes to the significance of maintaining both one’s physical and one’s mental wellbeing. Mental diseases have an impact on both the way individuals live their lives and the behaviors they engage in. Prompt evaluation and accurate diagnosis of individuals suffering from mental illnesses are very necessary steps in the treatment process in order to provide them with the most efficient and quality care (Picado et al., 2019).

Resources Available

My supervisors were invaluable resources for me to tap into throughout my practicum journey. They taught me how to evaluate patients, how to use different diagnostic criteria, and how to treat different psychiatric disorders.

Evidence-based practice Used

Several evidence-based practice recommendations were adopted and used in the process of prescribing drugs like antipsychotic drugs and antidepressants.

New Skills

I am currently learning about picking up nonverbal signs that might help me better evaluate people with psychiatric disorders. Among them include irritability and uneasiness while talking about a variety of topics and delusions. I am also becoming better at administering cognitive and behavioral interventions to people who are mentally ill, which is another skill I am picking up.

What would you do differently?

One thing that I would change about the way people with mental health concerns are treated is that I would include behavioral therapy in their treatment regimen. This approach to treatment seeks to uncover habits that may be self-destructive or harmful and then provides assistance in changing such behaviors (Wenzel, 2017). It is predicated on the notion that all behaviors are learned, and that individuals are capable of modifying their habits.

Managing Patient Flow and Volume

The institution can accommodate a particular number of patients at any one time. As a result, there has been no admittance of more patients. Additionally, in order to make room for newly admitted patients, the patients who are considered to be in the best condition are discharged.

Applying growing skillset to be a social change agent

To begin, I will educate them on the significance of registering in a variety of health schemes or financiers so that they are aware of the options available to them. Furthermore, I will make it a priority to seek out opportunities to collaborate with those in positions of power who formulate public policy or make decisions in order to deal with the myriad of socioeconomic inequalities that play a role in the onset of psychiatric illness in certain members of the community.

How am I Doing? What Is Missing?

I have a strong belief that I have made a lot of headway. I am very skilled in the procedures that are involved in evaluating and diagnosing mental problems, as well as developing successful treatment plans for such illnesses. Nothing is missing right now because I am learning from my failures and demonstrating consistent growth.

Feedback Received From the Preceptor

My preceptor has expressed his approval of my work and gratitude for the effort that I put in. The preceptor’s remarks made it quite evident that I am a capable and proficient student, and they support this assertion. I still have some work to do before I can confidently consider myself a knowledgeable and experienced healthcare professional; nevertheless, I am getting there.

References

Picado, A., Nogaro, S., Cruz, I., Biéler, S., Ruckstuhl, L., Bastow, J., & Ndung’u, J. M. (2019). Access to prompt diagnosis: The missing link in preventing mental health disorders associated with neglected tropical diseases. PLOS Neglected Tropical Diseases, 13(10), e0007679. https://doi.org/10.1371/journal.pntd.0007679

Wenzel, A. (2017). Basic strategies of cognitive behavioral therapy. Psychiatric Clinics of North America, 40(4), 597-609. https://doi.org/10.1016/j.psc.2017.07.001