Engaging In Practice

My practicum was a good learning experience of practical public health work and exposure to how zoonotic disease is handled by multiple public health departments. I appreciated my experience giving me the knowledge of day-to-day public health work and what it means to be epidemiologist. My classes in epidemiology prepared me well for understanding terminology and the process of outbreak response. Particularly, my Applied Epidemiology course provided me with the critical thinking skills to evaluate published literature. In reviewing my work I used multiple public health competencies including biostatistics, epidemiology, communication and informatics, leadership, professionalism, and program planning.

I am writing this reflective journal in accordance with the CNO`s reflective practice standards and the LEARN model. Though my time on 600A has only just begun I have learned so much. Like many second year students, this is my first experience in the hospital. It has proven to be much different than my previous clinical experiences. My time with my first client stands out in my mind as a key learning experience.

I am currently doing my field placement at the Puerto Rican Family Institute clinic in Brooklyn, NY. The mission statement for the organization is, “to enhance the functioning and self-sufficiency of diverse marginalized communities and prevent family disintegration.” I am currently doing individual, family, couples, and group psychotherapy at the outpatient clinic. The clinic is in a lower socioeconomic area in Bushwick, that is currently in the process of gentrification. The program that I work in specifically, offers both therapeutic and psychiatric services for the patients that are enrolled in the program.

The study conducted in 2013 by Dogherty, Harrison, Graham, Vandyk, & Keeping-Burke aims were to describe the Canadian health system's knowledge of the facilitation process in implementing evidence based practice (EBP) among experience nurses. They identified factors that positively and negatively impacted the facilitation process by bringing together 20 nurses across Canada that possessed various backgrounds and years of experience. Their mission was to explore what was successful and not successful in implementing evidence into practice. The selected nurses underwent reflective exercise under the direction of two international researchers with notable experience in facilitation and knowledge translation. Based upon the analysis of the data

lies not only in his ability to inspire students to want to give back to the community but also in his ability to teach patients to become self-sufficient. As an immigrant, his path to pursue a career in psychology was an unlikely one but is one that is inspirational and can show how social work and counseling are truly paradigm-shifting and impactful jobs that anyone with the desire to contribute to the community can become competent in and passionate about. Rather than pursue money, Steve T.’s journey into psychology demonstrates how a career in psychology is so much more enriching than a career in something that merely yields revenue without substance to what one does on a quotidian

Giving quality care and support to patients, relatives and service users is very important as the treatment they receive (NHS, 2013). It is important for patients and service users to have positive experience in the healthcare settings, making sure they are cared for compassionately, respecting and maintain their dignity at all times (Ellis, 2010; Royal College of Nursing (RCN) (2006). This essay focuses on validity of a qualitative research studies. The aim is to use CASP Tool to critique a research article “Exploring patients’ self-reported experiences of out-of-hours primary care and their suggestions for improvement: a qualitative study” by Poole et al (2011) chosen from the National Health Service (NHS) frame work (2013) domain 4 (Ensuring people have a positive experience of care). Furthermore, CASP will be use to critic this article to know if users have had a negative or positive experience during out-of-hours and to develop on suggested program on improving on services by the service users including the practitioners.

Evidenced based practice (EBP) has now become the backbone of all nursing practices and procedures. Using EBP as a means to validate nursing theories and practices is an essential part to providing patients with outstanding care regarding safety. Evidence based practice uses clinical expertise, quality improvement data, best current evidence, and patient values that contributes the high quality care patients will receive. However, practice and procedures in nursing are ever-changing. Currently, new knowledge that is gathered by nursing research may take eight to thirty years to become implemented into practice (Hain and Haras, 2015). It is crucial to be able to establish and enforce new practices as soon as possible for the client’s benefit. In order to advance current practices into EBP supported practices, the establishment needs transformational leadership, collaboration, and strategic guidance (Hauck, Winsett, & Kuric, 2013). When establishing new procedures based on EBP, it is essential to consider improvement of care experienced, enhance the health of populations, and reduce costs of care per individual. Not only is cost of care important to the client but also the hospital. New practices require a thorough risk versus benefit thought process which will incorporate at least two of the considered components. In addition, researchers must incorporate ideas of nursing ethics, which include: autonomy, beneficence, maleficence, justice, veracity, and fidelity.

Denholm and Watkins (1993) offer several models describing school-based child and youth care (CYC) practice, outlining the various methods by which CYC work operates and is integrated within schools. As is indicated in the description, the position offered is consistent with that of the “alternate program” model, which mostly “occurs in one specific location. The “…building and program are attached to an existing…school”, and the “staff are directly responsible to the school principal. Students in the “program (primarily adolescents) come from within this school population”, and the “child and youth care staff may or may not be direct employees of the school district” (Denholm, Chrest, & Pylypa, as cited in Denholm & Watkins, 1993, p. 85). Hence, within this position I would be a hired member of the school staff of the Foundations for the Future Charter Academy (FFCA) in Calgary Alberta, working alongside other professionals within an interdisciplinary team, answering directly to the school administration within a specific school location.

The Mayo Clinic Model of Care (MCMC) is the professional practice model of care chosen for this assignment. The Mayo Clinic drives healthcare change by providing holistic and compassionate care to their patients by using education, research, patient-centered care and evidence-based practice. The purpose of this paper is to provide an overview of the MCMC and how this model of care is a positive influence to healthcare.

The purpose of this chapter is to emerge findings from the articles utilised within this literature review to findings from contemporary evidence based practice. This chapter will also critically explore the implications of the findings from the articles and make recommendation from future practice, research, education and health delivery.

Angelic is extremely cooperative when it comes to feedback and constructive criticism as demostrated above. Thoughout the year when ever I gave Anglic feedback or brought paperwork back to her she would take the initiative to not only quickly resolve the issue, but would take the time to learn from the feedback to stay current and well informed.

I understand that I have gained a good knowledge based from my university degree, but once I graduate from my degree my learning will not end. To maintain my evidence-based framework I will have the opportunity to build on my knowledge through specific training, attending seminars and being involved in reflective practice. All social work methods can be utilized to improve and expand the skills and knowledge I will use with future clients (Chenoweth & McCaullife, 2015, p. 290).

My framework is based on a Kato Teu a Tongan handmade basket, putting my framework into practice is an exciting moment for me as it allowed me to utilize my knowledge and observe whether my framework and its concepts and principles within it fits for working in the community, my principles stem from my mnemonic word I choose which is RATE and each letter stands for R-Resources, A-Achievement, T-Time and E-Education. This also gave me the chance to see if it could be used bi-culturally instead of just for my pacific people.

I will use cognitive approach to teach nurse A, which she feel comfortable to learn .

The professional development of a teacher can be a challenging task yet not impossible. During the process of this course I have learned how to face this challenge. However developing my own ideas and style of language teaching is still a work in progress. As a prospective language teacher I take in all methods and principles this course as given me. In doing so I believe it will make me a better professional. This course has presented me with some thoughts ELT teachers need to have once the period of formal training is over.