Ways of learning

Individual Self-Reflection Assignment

Purpose of Assignment:

According to the College of Nurses of Ontario (2022, 2021, 2019, 2002) Registered Practical Nurses are expected to demonstrate critical self-reflection, ongoing professional development, and a commitment to lifelong learning to promote safe, competent, and quality client care.

This individual self-reflection exercise will provide each student an opportunity to reflect on their own values, the values of others and how this may impact the therapeutic nurse-client relationship, the care of clients, and the health outcomes of clients.

This self-reflection exercise will involve critically examining an Indigenous client’s experience within a healthcare environment and challenges students to begin to consider possible ways that poor health outcomes can be avoided in future practice by reflecting on ways they wish to practice in future.

Assignment & Course Learning Outcomes:

• CLO 1: Appreciate a strengths-based, person-centered, and culturally safe approach to the nursing process when working with Indigenous Peoples

• CLO 2: Engage in critical self-reflection of own attitudes and beliefs related to Indigenous Peoples and Indigenous health and healing

• CLO 3: Examine the practical nurse’s role in promoting a culturally safe environment and providing culturally safe care

• CLO 4: Transform the nurse-client relationship in the process of reconciliation by demonstrating inclusivity through the commitment to engaging in dialogue and relationship building with First Nations, Inuit, and Métis Peoples, their culture, and health practices

• CLO 6: Relate key Indigenous health issues to the current impact of the history and legacy of residential schools, and other Canadian policies and structures that continue to negatively impact Indigenous Peoples’ health

• CO 7: Identify key components of the Truth and Reconciliation Commission, the United Nations Declaration on the Rights of Indigenous Peoples, Treaties, legal agreements on Indigenous Rights, and Human Rights within Canada

• CLO 8: Demonstrate an understanding of Indigenous health and healing practices by applying Indigenous Ways of Knowing across healthcare environments

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• CLO 9: Demonstrate interpersonal skills related to developing trust, relationship building, and conflict resolution with a commitment to the ongoing process of reconciliation with Indigenous Peoples

• CLO 10: Explore advocacy strategies for the provision of culturally safe care with Indigenous Peoples across healthcare environments

Assignment Instructions:

• This is an individual assignment. o Students are to complete the assignment independently and are to abide by

academic integrity policies as outlined in the student handbook. o All work submitted must be their own original work.

• Read the news article ‘Indigenous health-care challenges remain 13 years after Brian Sinclair’s death’ (Baxter, 2021)

o Answer all questions below. • The reflection is a maximum of two pages, double spaced.

o Please do not include the questions within the reflection due to the limited page count of this assignment.

o The title page and reference page do not count as part of the two-page reflection.

• The submission will be submitted to the appropriate assignment drop box by the assignment deadline.

• Students are to review the assignment rubric to ensure they include discussion of all outlined grading criteria.

Assignment Questions:

• Reflect on and answer ALL of the following questions: 1. Each of us have our own personal values and beliefs. When caring for clients who

may not share the same values and beliefs as us, we must demonstrate respect for clients’ values, wishes and practices by engaging in critical self-reflection to uncover personal bias. This will also require us to become aware of how others’ beliefs may influence us in positive or negative ways.

Ø What strategies/or techniques might you utilized to provide unbiased, non- judgmental, client-centered care in your future nursing practice?

2. Establishing and maintaining a positive nurse-client relationship is pivotal to promoting positive health outcomes of clients.

Ø How might you initiate and maintain the ‘Therapeutic Nurse-Client Relationship’ to promote client safety, positive health outcomes and deliver

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unbiased, culturally safe, client-centered care in your future nursing practice?

3. What skills might you use to establish and maintain the ‘Therapeutic Nurse-Client Relationship’ in your future nursing practice?

4. Based on this practice situation, identify one area of opportunity that the nurse could have done to enhance patient safety/promote positive health outcomes?

5. Considering your future nursing practice, how might you want to promote client safety when caring for Indigenous clients?

6. What are some of the expected professional behaviours and attitudes that you plan to demonstrate in your future nursing practice?

7. In your opinion was the care or lack of care of Brian Sinclair an example of a potentially unsafe nursing practice or be considered professional misconduct? Why or why not?

8. In your opinion was there a need to seek assistance or ask others about the proper assessment and treatment of clients who enter the emergency department?

9. How might the use of conflict management strategies be used to promote professional interdisciplinary relationships and promote positive client outcomes.

10. When you might encounter an ethical/challenging situation that is unfamiliar to you, what might you do address this knowledge gaps?

11. Consider your future nursing practice. Briefly describe one area you commit to learn in this course to respond to the Truth and Reconciliation Commission of Canada (2015) Health Call to Action #24:

Ø “We call upon medical and nursing schools in Canada to require all students to take a course dealing with Aboriginal health issues, including the history and legacy of residential schools, the United Nations Declaration on the Rights of Indigenous Peoples, Treaties and Aboriginal rights, and Indigenous teachings and practices. This will require skills-based training in intercultural competency, conflict resolution, human rights, and anti-racism.”

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Individual Self-Reflection Rubric Criteria Proficient

8-10 Capable 6-7

Developing 4-5

Needs Improvement 1-3

Not Demonstrated or Incomplete 0

1. The student demonstrates an understanding of the importance of how to promote client safety and positive health outcomes and delivery of unbiased, culturally safe, client-centered care, which includes critical self-reflection to identify personal bias or differences in values/beliefs. The student demonstrates an understanding of ways to improve client safety, by providing safe, quality, ethical, dignified, and competent client- centered care. Formulates clinical decisions consistent with client needs and priorities.

Demonstrates a comprehensive understanding.

Demonstrates an adequate understanding.

Demonstrates a minimal understanding.

Demonstrates an inadequate understanding.

Criteria not demonstrated, or assignment not submitted.

2. The student demonstrates an understanding of the required skills used to

Demonstrates a comprehensive understanding.

Demonstrates an adequate understanding.

Demonstrates a minimal understanding.

Demonstrates an inadequate understanding.

Criteria not demonstrated, or assignment not submitted.

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establish and maintain the ‘Therapeutic Nurse-Client Relationship’ (Trust, Respect, Appropriate use of Power, Effective Communication, Sharing Information, Obtaining Informed Consent, Supporting the clients’ Autonomy and Self- Determination, Displaying Empathy, etc.)

3. Able to demonstrate an understanding of when to respond to internal/external factors that may impact the clients’ health and safety. Able to identify and apply principles of client safety, such as system wide or unit wide issues (i.e., racism, negative stereotypes, personal bias, etc., that may jeopardize client safety). Able to recognize and effectively respond to high-risk practices that

Demonstrates a comprehensive understanding.

Demonstrates an adequate understanding.

Demonstrates a minimal understanding.

Demonstrates an inadequate understanding.

Criteria not demonstrated, or assignment not submitted.

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could jeopardize client safety.

4. The student demonstrates an understanding expected professional behaviours and attitudes such as honesty, integrity, and respect of all clients from all backgrounds.

Demonstrates a comprehensive understanding.

Demonstrates an adequate understanding.

Demonstrates a minimal understanding.

Demonstrates an inadequate understanding.

Criteria not demonstrated, or assignment not submitted.

5. The student demonstrates an understanding of the need for nurses to respond to the Calls to Action of the Truth and Reconciliation Commission of Canada.

Demonstrates a comprehensive understanding.

Demonstrates an adequate understanding.

Demonstrates a minimal understanding.

Demonstrates an inadequate understanding.

Criteria not demonstrated, or assignment not submitted.

6. The student demonstrates an understanding of their professional obligation and need to report situations within the practice environment that are potentially unsafe or professional misconduct of their peers.

Demonstrates a comprehensive understanding.

Demonstrates an adequate understanding.

Demonstrates a minimal understanding.

Demonstrates an inadequate understanding.

Criteria not demonstrated, or assignment not submitted.

7. The student demonstrates an understanding of the need to recognize and seek immediate

Demonstrates a comprehensive understanding.

Demonstrates an adequate understanding.

Demonstrates a minimal understanding.

Demonstrates an inadequate understanding.

Criteria not demonstrated, or assignment not submitted.

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assistance and/or help others in a rapidly changing client condition affecting health or patient safety.

8. The student demonstrates an understanding of the need to effectively communicate with clients, family, and the healthcare team. Effective communication includes demonstrating active listening, asking open-ended questioning, displaying effective interpersonal/relational skills, interviewing skills to creating a safe caring environment. The student is aware of barriers to effective communication (i.e., negative stereotypes).

Demonstrates a comprehensive understanding.

Demonstrates an adequate understanding.

Demonstrates a minimal understanding.

Demonstrates an inadequate understanding.

Criteria not demonstrated, or assignment not submitted.

9. The student demonstrates an understanding of the need to use conflict management and resolution strategies to promote healthy

Demonstrates a comprehensive understanding.

Demonstrates an adequate understanding.

Demonstrates a minimal understanding.

Demonstrates an inadequate understanding.

Criteria not demonstrated, or assignment not submitted.

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relationships and promote positive client outcomes.

10. The student demonstrates proper use of Conestoga APA for in-text citations, referencing, formatting and demonstrates academic integrity. As well as demonstrates effective use of grammar, spelling, and sentence structure.

Demonstrates a comprehensive understanding.

Demonstrates an adequate understanding.

Demonstrates a minimal understanding.

Demonstrates an inadequate understanding.

Criteria not demonstrated, or assignment not submitted.

Total Proficient 80-100

Capable 51-79

Developing 31-50

Needs Improvement 1-30

Criteria not adequately met, or assignment incomplete 0-29

INDS 2000

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Academic Integrity:

Refer to the Academic Integrity Policies outlined in the School of Health and Life Sciences and Community Services Practical Nursing Program Standards and Procedures Handbook.

Ethical guidelines must be adhered to. Plagiarism is considered unethical behaviour and will be handled following the guidelines in the Conestoga College Student Procedures Guide and the School of Health Sciences Student Handbook.

Submitting a portion or all of another student’s work will result in a 0 grade.

Unless an extension has been granted in advance it will be considered late. “Late assignments will be accepted but there will be a 10% penalty for each day the assignment is late up to three days. Assignments that are more than three days late will receive a grade of zero” as per the Practical Nursing School of Health Sciences Student Handbook.