Assignment 2: Practicum–Week 1 Journal Entry (Due in Week 4)

As a future advanced practice nurse, it is important that you are able to connect your classroom experience to your practicum experience. By applying the concepts you study in the classroom to clinical settings, you enhance your professional competency. Each week, you complete an Assignment that prompts you to reflect on your practicum experiences and relate them to the material presented in the classroom. This week, you begin documenting your practicum experiences in your Practicum Journal.

Note: Be sure to use the Practicum Journal Template, located in this week’s Learning Resources.

Learning Objectives

Students will:

• Analyze nursing and counseling theories to guide practice in psychotherapy*
• Summarize goals and objectives for personal practicum experiences*
• Produce timelines for practicum activities*                                                                          *The Assignment related to this Learning Objective is introduced this week and submitted in Week 3.                        
• In preparation for this course’s practicum experience, address the following in your Practicum Journal:
• Select one nursing theory and one counseling theory to best guide your practice in psychotherapy.
  Note: For guidance on nursing and counseling theories, refer to this week’s Learning Resources.
• Explain why you selected these theories. Support your approach with evidence-based literature.
• Develop at least three goals and at least three objectives for the practicum experience in this course.
• Create a timeline of practicum activities based on your practicum requirements.

Discussion Question

Begin your discussion by sharing your problem statement and research question. Next, discuss your sampling plan. In addition, discuss your research design. Consider the following as you craft your response.

Sampling

· How will the sample be selected?

· What type of sampling method is used? Is it appropriate to the design?

· Does the sample reflect the population as identified in the problem or purpose statement?

· Is the sample size appropriate? Why or why not?

· To what population may the findings be generalized? What are the limitations in generalizability?

Research design

· What type of design will be used?

· Does the design seem to flow from the proposed research problem, theoretical framework, literature review, and hypothesis?

Note: Refer to the attachment for Isbar guide. APA Style, at least three citations and references

1. Discuss the importance of effective communication in the personal relationship, the therapeutic relationship, and the relationship within the interprofessional health-care team.

2. What similarities and differences can you identify among the above interactions? 

3. Explain the concept of congruence between verbal and nonverbal communication.

4. There are many pitfalls to electronic communication. Identify a situation in which an electronic form of communication may result in a miscommunication. What other method of communication would have been more effective? 

5. How have you seen ISBAR used during your clinical experiences? 

6- Develop a hand-off report for yourself. Include items that you believe are pertinent for safe and effective nursing care. Refer to the information in the chapter for creating this report form. Using the information from the chapter, determine the effectiveness of the system currently in use on your unit for communicating shift-to-shift reports. 

7-Dr. Roberts comes into the nurses’ station demanding, “Where are Mr. Adams’s lab reports? I ordered these stat, and they’re not here! Who’s responsible for this patient?” How would you, as the nurse, respond? 

8-Explain the concept of accountability in delegation. What are the legal ramifications of accountability in delegation?

9. Dennie and Elias arrive in the unit for the 7:00 p.m. to 7:00 a.m. shift. Both nurses completed orientation 4 weeks ago. They find that they will be the only two RNs on the floor that night. There is a census of 48 clients. The remaining staff consists of two NAPs/UAPs and one LPN. What are the responsibilities of the RN, NAP/UAP, and LPN? Can Dennie and Elias effectively delegate client care tasks and care safely for all 48 clients? Use the Delegation Tree to make your decisions.

10. Discuss the differences between direct delegation and indirect delegation. 

1. You have to observe delegation procedures in your assigned unit:

A-What considerations does the RN take into account when delegating patient care? 

APA FORMAT

MINIMUM 250 WORDS

PLEASE ANSWER THE QUESTIONS BELOW

1. Describe the organizational characteristics of the facility in which you currently have a clinical assignment. Include the following:

a. Type of organization

b. Overall climate of the facility 

c. How the organization is structured 

d. Formal and informal goals and processes of the organization 

2. Why is the work climate of an organization important to nurse leaders and managers?

3. What are the ways in which a nurse can enhance his or her expertise?

4. Explain “shared governance,” and describe how it can affect the power structure of a health-care organization. 

5. Why is it important for staff nurses to understand the culture and real goals of the organization in which they work? 

1. Describe your ideal organization. Explain each feature and why you think it is important.

2. Interview one of the staff nurses on your unit. Find out what practices within the organization help to empower the nurses. Compare this list of practices with those discussed in the textbook. 

3. Recall the last time you walked into a hospital, clinic, or physician’s office for the first time. What was your first impression? Did you feel comfortable and welcome? Why or why not? If you could change the first impression this facility makes, what would you do?

4-What changes could be made at a very low cost? What changes would be expensive?Finally, discuss why it is important for a health-care facility to make a good first impression