PRAC 6541 Week 1 Assignment: Journal Entry

PRAC 6541 Week 1 Assignment: Journal Entry

PRAC 6541 Week 1 Assignment: Journal Entry

To prepare:

• Refer to your FNP Clinical Skills and Procedures Self-Assessment Form from your previous assignment in this week and consider your strengths and opportunities for improvement.
  

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Journal Entry (450–500 words):

• Explain what most excites and/or concerns you about pediatric clinical experiences. Include a description of your strengths and weaknesses in terms of working with children and how these strengths and weaknesses might impact your Practicum experience.
• Discuss your personal definition of family and family roles that might impact the assessment of a child and his or her family. Also expand your discussion on the challenges of working with families. Explain how you would handle parents that do not want to vaccinate children.
• Then, explain how culture (both the culture of the provider and that of the child and his or her family) may further influence the assessment.
• Select and explain a nursing theory to guide your practice with pediatric patients.

By Day 7

Complete your Journal Entry #1 Assignment.

Please use a heading for each major part of the assignment as follow

• Strengths and Challenges
• Family Roles
• Cultural Considerations
• Nursing Theory

Please improvise strengths and challenges. FYI (I have not worked with pediatrics population before so that is already going to be a challenge).

A Sample Of This Assignment Written By One Of Our Top-rated Writers

Journal Entry

Strengths and Challenges

As far as pediatric clinical experiences are concerned, what most excites me is the opportunity to be able to interact with patients who cannot explain themselves very well as to what is bothering them. This is exciting for me because it will make me use clinical acumen and critical thinking skills in arriving at correct diagnoses and prescribing the correct treatments and investigations or assessment tools. The challenge that concerns me is the fear that the parents and guardians of the children may see that I am not yet quite competent and refuse that I see their child. This challenge is real because one weakness I have is that I have never worked with children before. However, my strengths include that I have done well in theory in class and so I should not have a problem applying the theory to practice. My other strength is that I speak both English and Spanish and so I will have an easy time communicating with a majority of the parents and their children.

Family Roles

My personal definition of a family is a basic social unit that is closely held together by blood and social links. Family roles that might impact the assessment of a child include that of a father as the protector and provider, mother as the home maker and problem solver, and siblings as companions. Some of the challenges of working with families include language barriers, cultural incompetence on the part of the nurse, and strong beliefs held by the parents about some interventions such as vaccinations. Thus, for parents that do not want to vaccinate their children, I would adopt a friendly and understanding approach and first work to gain the parent’s confidence and trust. This may take some time. After I earn their trust, I will gradually and tactfully explain the reason why their child needs vaccination and why it is safe. I will encourage them to tell me all their worries and will answer them only using facts. Most importantly, I will let them know that the power to decide is in their hands and no one can forcefully do what they do not want done to their child. This ethical principle of autonomy (Haswell, 2019) is important and I must uphold it.

Cultural Considerations

Cultural competence is an invaluable asset that the provider must have. This means understanding that we may have different views of the world from that of our patients depending on the part of the world in which we were born and grew up. It does not mean that the culture of either of us is better than that of the other. This understanding of multiculturalism plays a crucial role in the successful evaluation and assessment of children in the hands of their family. Cultural understanding is also part of holistic care based on transcultural nursing as explained by the nurse theorist Madeleine Leininger in her Transcultural Nursing Theory (Gonzalo, 2019). Cultural sensitivity is therefore going to be key in my success in the practicum.

Nursing Theory

The nursing theory that will guide my practice with pediatric patients is that of the nurse theorist (Wayne, 2020) Dorothea Elizabeth Orem known as the Self Care Deficit Theory or SCDT (Borji et al., 2017). This is a middle range theory that states that a patient who cannot perform the functions of daily living on their own (such as children) have a self care deficit that needs to be filled (Risjord, 2018). The responsibility of filling that gap falls on the nurse.

References

Borji, M., Otaghi, M. & Kazembeigi, S. (2017). The impact of Orem’s self-care model on the quality of life in patients with type II diabetes. Biomedical & Pharmacology Journal, 10(1), 213-220, http://dx.doi.org/10.13005/bpj/1100

Gonzalo, A. (2019). Madeleine Leininger: Transcultural nursing theory. https://nurseslabs.com/madeleine-leininger-transcultural-nursing-theory/

Haswell, N. (2019). The four ethical principles and their application in aesthetic practice. Journal of Aesthetic Nursing, 8(4), 177-179. https://doi.org/10.12968/joan.2019.8.4.177

Risjord, M. (2018). Middle-range theories as models: New criteria for analysis and evaluation. Nursing Philosophy, 1-10. https://doi.org/10.1111/nup.12225

Wayne, G. (December 8, 2020). Nursing theories and theorists. Nurses Labs. https://nurseslabs.com/nursing-theories/#:~:text=There%20are%20three%20major%20categories,%2C%20and%20practice%2Dlevel%20theory