NRS 465 Topic 3

Assignment: Benchmark-Professional Capstone and Practicum Reflective Journal

NRS 465 Topic 3 Assessment Description

Students are required to submit reflective journal entries at specific points throughout the course. These reflective narratives help students identify important learning events that happen throughout the course and the practicum.

Write a reflective journal (250-500 words) to outline how your experience at your practicum site related to the following reflective questions:

Reflect on your personal and professional values and your conscious and unconscious biases as they relate to your practicum site. Explain what steps you have taken, or will need to take, to become more aware of how these values and biases influence your interactions. How will values and biases impact your practice?

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Based on your own implicit biases, discuss the relationship that one’s culture and environment have on these biases. How has the environment you live and work in shaped your own implicit biases? Is the environment of your practicum site impacting your biases? NRS 465 Topic 3

How can self-reflection be used to help us exhibit ethical comportment and moral courage in decision making in our practice?

While APA style is not required for the body of this assignment, solid academic writing is expected.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

NRS 465 Topic 3 Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

RN-BSN

9.6: Integrate diversity, equity, and inclusion as core to one’s professional identity.

American Association of Colleges of Nursing Core Competencies for Professional Nursing Education

This assignment aligns to AACN Core Competencies 9.5, 9.6, and 10.3

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NRS 465 Topic 3 Rubric

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Rubric Criteria

Total15 points

Criterion

1. Unsatisfactory

2. Insufficient

3. Approaching

4. Acceptable

5. Target

Impact of Values and Biases (B)

Discuss how your personal and professional values and biases impact your practice. (C9.6)
0 points

A discussion of how your personal and professional values and biases impact your practice is missing.

4.5 points

A discussion of how your personal and professional values and biases impact your practice is incomplete.
4.74 points

A discussion of how your personal and professional values and biases impact your practice is present but lacks detail.

5.34 points

A discussion of how your personal and professional values and biases impact your practice is mostly detailed.

6 points

A discussion of how your personal and professional values and biases impact your practice is thorough.

Culture and Environment

Discuss the relationship between culture and environment, including how the environment has shaped your biases and how the environment of the practicum site may impact your biases. NRS 465 Topic 3
0 points

A discussion of the relationship between culture and environment, including how the environment has shaped your biases and how the environment of the practicum site may impact your biases, is missing.

2.81 points

A discussion of the relationship between culture and environment, including how the environment has shaped your biases and how the environment of the practicum site may impact your biases, is incomplete.
2.96 points

A discussion of the relationship between culture and environment, including how the environment has shaped your biases and how the environment of the practicum site may impact your biases, is present but lacks detail.

3.34 points

A discussion of the relationship between culture and environment, including how the environment has shaped your biases and how the environment of the practicum site may impact your biases, is mostly detailed.
3.75 points

A discussion of the relationship between culture and environment, including how the environment has shaped your biases and how the environment of the practicum site may impact your biases, is thorough.

Ethical Comportment and Moral Courage

Explain how self-reflection is used to exhibit ethical comportment and moral courage in decision making.
0 points

An explanation of how self-reflection is used to exhibit ethical comportment and moral courage in decision making is missing.2.81 points

An explanation of how self-reflection is used to exhibit ethical comportment and moral courage in decision making is incomplete. NRS 465 Topic 3

2.96 points

An explanation of how self-reflection is used to exhibit ethical comportment and moral courage in decision making is present, but lacks detail.
3.34 points

An explanation of how self-reflection is used to exhibit ethical comportment and moral courage in decision making is mostly detailed.

3.75 points

An explanation of how self-reflection is used to exhibit ethical comportment and moral courage in decision making is thorough.

Mechanics of Writing

Includes spelling, capitalization, punctuation, grammar, language use, sentence structure, etc.

0 points

Errors in grammar or syntax are pervasive and impede meaning. Incorrect language choice or sentence structure errors are found throughout.

1.13 points

Frequent and repetitive mechanical errors are present. Inconsistencies in language choice or sentence structure are recurrent.
1.19 points

Occasional mechanical errors are present. Language choice is generally appropriate. Varied sentence structure is attempted.
1.34 points

Few mechanical errors are present. Suitable language choice and sentence structure are used.

1.5 points

No mechanical errors are present. Appropriate language choice and sentence structure are used throughout.

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NRS 465 Topic 3 Benchmark-Professional Capstone and Practicum Reflective Journal Sample

Reflection on personal and professional values and biases is critical for nurses to foster empathy and cultural competence when interacting in their practice settings. Through self-reflection, and feedback from peers and preceptors in the practicum site, nursing students can enhance their self-awareness and understand their values and biases (Contreras et al., 2020). Values and biases impact nursing practice as they guide decision-making processes and shape therapeutic interactions and relationships with patients. Through a reflection on my personal and professional values including empathy, integrity, respect, honesty, competence, and confidentiality, I acknowledge their significance in influencing my approach to practice. Again, acknowledging my conscious and unconscious biases is important to recognize their impact on my interactions with diverse people at the practicum site. I am now more aware of my biases and their effects on patients from different cultural and ethnic backgrounds. NRS 465 Topic 3

Being more aware of the influence of the values and biases in influencing my interactions at the practicum site is critical. Therefore, the steps that I have taken and need to continue taking include accepting diversity as a core part of quality and evidence-based care delivery, working in interdisciplinary teams to embrace divergent yet critical views among the different providers, and accepting feedback from peers and preceptors as well as other critical stakeholders (Gopal et al., 2021). Furthermore, continuous reflection and learning are critical processes that will enhance my understanding of these dynamics and their effects on care provision, even after the practicum as a nurse in clinical settings.

The values and biases can affect my practice by influencing my interactions and relationships with various groups including patients and their families, colleagues, and critical stakeholders. For instance, having empathy ensures that I attempt to understand a patient, especially those from a different background than me while integrity implies that I work with the utmost clarity and transparency when dealing with all people, particularly the management (Young et al., 2020). NRS 465 Topic 3 These values will also influence my decision-making processes, perceptions, and utilization of evidence-based practice for better patient outcomes. By being mindful of these influences, I can critically evaluate my actions and align them with the ethical principles and professional practice standards as advanced by professional nursing organizations.

An individual’s culture and environment have significant effects on their biases, including implicit biases. For instance, cultural norms, societal attitudes and perceptions, and personal experiences influence one’s biases which in turn influence perceptions and behaviors. Therefore, by acknowledging the influences, one promotes cultural humility and sensitivity in their practice environment. The environment I live and work shapes my implicit biases through exposure to diverse perspectives, experiences, and social dynamics (Young et al., 2020). For instance, my practicum site affects my biases, progressive self-reflection, and awareness which are critical to how I treat and handle patients, especially those from diverse backgrounds. NRS 465 Topic 3

Self-reflection is a critical instrument for nurses to improve their perspectives and ponder about the decisions they make in care practice. Through a critical examination of one’s values, actions, and possible biases, one can determine growth areas, challenge assumptions, and adhere to ethical principles in their practice environment (Ahn & Kim, 2020). Therefore, self-reflection is a critical process that fosters accountability, professionalism, and a commitment to providing culturally sensitive quality care to patients from diverse backgrounds.

NRS 465 Topic 3 References

Ahn, J. H., & Kim, M. (2020). Influence of self-reflection and insight, and academic self-

            efficacy on clinical reasoning competence among nursing students. Journal of east-west

            nursing research, 26(2): 176-184. https://doi.org/10.14370/jewnr.2020.26.2.176

Contreras, J. A., Edwards‐Maddox, S., Hall, A., & Lee, M. A. (2020). Effects of reflective

practice on baccalaureate nursing students’ stress, anxiety, and competency: An integrative review. Worldviews on evidence‐based nursing, 17(3), 239-245.

DOI: 10.1111/wvn.12438

Gopal, D. P., Chetty, U., O’Donnell, P., Gajria, C., & Blackadder-Weinstein, J. (2021). Implicit

bias in healthcare: clinical practice, research, and decision making. Future healthcare journal, 8(1): 40-48. DOI: 10.7861/fhj.2020-0233

Young, S., & Guo, K. L. (2020). Cultural diversity training: the necessity of cultural competence

for health care providers and in nursing practice. The health care manager, 39(2): 100-108. DOI: 10.1097/HCM.0000000000000294. NRS 465 Topic 3