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Homework answers / question archive / N2800 Journal Assignment: Reflection on Chronic Disease and Professional Attributes Curricular Concepts:  Leadership, Professionalism, Self-Care, Collaboration, Therapeutic & Professional Communication and Social Justice                                                                                                                      Macro Concept: Chronic and Palliative Care Micro Concept:  Professional Integrity Exemplars: N/A   PSLOs:   Demonstrate reflection, self-analysis, self-care and lifelong learning into nursing practice

N2800 Journal Assignment: Reflection on Chronic Disease and Professional Attributes Curricular Concepts:  Leadership, Professionalism, Self-Care, Collaboration, Therapeutic & Professional Communication and Social Justice                                                                                                                      Macro Concept: Chronic and Palliative Care Micro Concept:  Professional Integrity Exemplars: N/A   PSLOs:   Demonstrate reflection, self-analysis, self-care and lifelong learning into nursing practice

Nursing

N2800 Journal Assignment: Reflection on Chronic Disease and Professional Attributes

Curricular Concepts:  Leadership, Professionalism, Self-Care, Collaboration, Therapeutic & Professional Communication and Social Justice                                                                                                                      Macro Concept: Chronic and Palliative Care

Micro Concept:  Professional Integrity

Exemplars: N/A

 

PSLOs:  

  1. Demonstrate reflection, self-analysis, self-care and lifelong learning into nursing practice.
  2. Apply leadership skills to enhance quality nursing care and improve health outcomes.
  1. Provide holistic, evidence-based nursing care including diverse and underserved individuals, families and communities.

COs:

      2.  Promote achievement of safe and quality outcomes of care for individuals and families  

           experiencing chronic illness and end of life issues

      3.  Utilize evidence, clinical judgment, interprofessional perspectives and client preferences       

           in planning, implementing and evaluating outcomes of care.

      5.  Discuss trends in healthcare as they relate to issues of access, equity, affordability and

           social justice.

6.  Provide quality and safe client care as a member of the inter-professional team.

8.  Explore one’s own beliefs and values as they relate to caring for clients experiencing  

      chronic illness and end of life issues.

 

Purpose:  The purpose of this assignment is to recognize and develop attributes of a professional nurse needed in the care of a client with chronic disease.  You will learn about challenges faced by clients suffering chronic disease and develop skills in leadership, collaboration, ethics and social justice, helping relationships, and coping with stress, which will benefit you in your future nursing career.  

 

Objectives (Skills): The purpose of this assignment is to help you reflect on these objectives which are essential for your success in this course, in the nursing program, and in your professional life beyond school:

    

  1. Discuss professional values necessary to work with clients experiencing chronic disease or end of life and reflect on your strengths and challenges in these areas (1G).
  2. Reflect on ways to maintain your own physical, psychological and spiritual health to allow you to deliver sustained quality care (1J).
  3. Describe the roles of nurses and other professionals in caring for clients experiencing chronic disease or end of life (2E).
  4. Discuss leadership qualities that enable nurses to collaborate with other professionals to ensure quality care for clients experiencing chronic disease or end of life (2A, 2E).
  5. Discuss ways you could advocate for social justice for vulnerable clients experiencing chronic disease or end of life (7O).
  6. Consider your ability to establish helping relationships, communicate professionally and identify strategies to promote your own professional growth.

 

Directions/Tasks:

 

  1. Review Required Readings

 

  Articles posted in D2L:

 

     Smith. M.A. (2019, March/April). The promotion of social justice in healthcare. Nursing

            Made Incredibly Easy. 17(2). pp. 26-32. doi: 10.1097/01.NME0000553091.7854.09

 

     Watson. J., (2019). (2019, April/May).  Nurses as advocates. Nursing Made Incredibly Easy.

            17(3). Pp. 42-46. Doi: 10/1097/01.NME.0000554601.68360.36

 

 

Giddens Concepts (2nd ed.)           Collaboration & Communication – pgs. 438-441

                                                            Therapeutic  & Interpersonal Communication – pg. 435

                           OR

      Gidden’s Concepts (3rd ed.)          Collaboration & Communication – pgs. 421-423

                                                            Therapeutic & Interpersonal Communication – pg. 419

 

      Marquis & Huston’s Leadership

(10th ed.)                                  Leadership – pgs. 38-39

                                                           

                                                           

      Taylor’s Fundamentals (9th ed.)   Collaborative Practice & Care Coordination  –                 pgs. 270-276

Helping Relationships & Therapeutic Communication -  pgs. 161-172

Leadership – pgs. 215-216

Professional Ethics – pgs. 102-106                                                                             Self - Care – pgs. 20-22

 

    

 

  1. Set up an interview with someone experiencing chronic disease or end of life care who needs frequent contact with health care professionals. The interview may be done in person or on the phone (practice physical distancing).
  2. Ask the client about their health care needs, their health maintenance, accommodations in their living environment, and any other factors that influence their living with chronic disease.
  3. Consider the skills and attributes required of professionals who work with the client.
  4. Reflect on your professional skills and attributes and identify opportunities for growth.
  5. Complete the journal using these headings:

 

A.  Experience 

 

a. Describe the client including any health conditions or disabilities.

b. Describe the client’s health maintenance.  Do they require assistance with ADLs and IADLS?  Who provides this assistance?  What medications and therapies do they require?

c. Discuss the client’s living environment noting any accommodations they need.

d. Discuss the client’s self-maintenance and some of the factors that influence the manner in which they live with their chronic disease.  These could include but are not limited to:  support systems, finances/insurance, cultural/ethnic and spiritual/religious factors.  

 

B.  Professional Roles & Leadership Skill that Facilitate Interprofessional Collaboration

                 

a. Identify the health care providers and agencies (clinics, hospitals, dialysis centers etc.) that provide health care for the client.

b. Discuss the roles of several professionals, including nurses, in providing this client’s care.  

c. Identify ways professional collaboration improves the safety or health outcomes of this client. 

d. Research and discuss at least three important leadership skills needed to facilitate the promotion of inter-collaborative work and tell why you believe these skills are important in promoting quality health outcomes for clients experiencing chronic disease or end of life.

 

Note: Inter-collaborative is amongst varied professionals and not just NAs and nursing staff.

 

       C.  Ethics and Social Justice

 

a. Reflect on the professional nursing ethics of autonomy, nonmaleficence, beneficence, fidelity and justice.  Discuss the importance of these values in provision of care to clients    experiencing chronic disease and/or end of life.

       b. Give an example of a way you could demonstrate autonomy, nonmaleficence,          beneficence and fidelity while providing care for clients in situations similar to that of your client. 

c. Discuss a potential health care disparity (inequality) your client and others in similar

     situations might face.  Give a detailed example of how you could promote social justice   with this issue.

d. Thoroughly cover the topic of social justice and how this might apply to your client. 

 

D.  Helping Relationships

 

a. Helping relationships are specific, therapeutic relationships established between nurses  

    and clients.         

b. Identify the qualities of a helping relationship.  Discuss ways you can promote effective communication and establish a helping relationship with clients experiencing chronic disease or end of life. 

c. Identify types of clients you find it difficult to work with and discuss challenges you have in developing therapeutic helping relationships with these clients. 

d. Discuss strategies you can use to grow in this area.

 

Note:  A helping relationship is defined in the required reading.

 

E.  Physical, Psychological and Spiritual Stress:

 

        a. Identify some of the physical, psychological and spiritual stressors you experienced or

believe you would experience if you were working with clients like the one you interviewed.  What did (or would) you find difficult or challenging?

        b. Research and discuss ways you could address physical, psychological and spiritual   

      stress to ensure you were able to deal with it and deliver quality care at all times. Be

            specific.

 

7.   Refer to the rubric to ensure you have met the criteria for the assignment.

8.   Submit your paper to the D2L Assignment folder by the due date. 

 

Criteria for Success

 

  • Write an 8- 10 page reflective paper (This does not include the required cover and reference page). Be concise and avoid duplicating information.
  • Include an introductory and concluding paragraph and ensure you use correct spelling, proper grammar and APA formatting of citations and references.   
  • Include headings similar to those given above, responding thoroughly to each of the required topics. 
  • Your writing should predominantly be in your own words, and supported by professional resources (textbooks, articles, and professional web sites).
  • Consult the rubric to obtain maximum points.

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