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Nursing Reflective Essay


Task: Present a nursing reflective essay based on past experiences related to healthcare instances.


In my medical career, as a nurse practitioner, I encountered several clinical conditions that were difficult for me. Such interactions have enabled me to develop my clinical nursing knowledge. I interacted with an individual in my present medical engagement who had Type I respiratory distress and needed an endotracheal tube. To clarify any situation, I often use Nursing Reflective Essay for laboratory interpretation. For me, taking care of and healing this individual was a struggle. Since I had to insert the endotracheal tube on the individual, I experienced the very first obstacle. While intubation is performed by doctors, in case of emergencies, nurses often need to understand its application process. As a practitioner, I found it was a difficult task to properly execute the procedure without inducing patients' discomfort. As a nursing staff, this kind of factual thinking is crucial to me because it will enable me recognize factors that stand in the way of taking care of people. The active learning will allow me to develop my technical skills and competences. In my Nursing Reflective Essay, laboratory contemplation will allow me to recognize the errors I have made so that I can properly address them in the future.

Nursing Reflective Essay

The nursing reflection essay would clarify what transpired with the patient when conducting the intubation course of treatment. When planning for the patient's intubation with the endotracheal tube, it was important for me to correctly understand the expectations. I was doing it in my nursing career for the first time; I was rather worried about whether or not I would be able to position the endotracheal tube correctly. The patient had hypoxia, and to assess the patient's respiratory condition; endotracheal intubation was needed of her. The endotracheal tube is intubated for a brief period of time on a patient who required artificial airflow. Patients ought to have a tracheotomy for long-term service. To address respiratory failure, hypoventilation, cognitive disorder and heart attack, endotracheal intubation is required. The Nursing Reflective Essay made me recognize that prior to submitting it; I need to have an adequate understanding of managing intubation instruments and medicines given as a nurse practitioner. Only when critical events happen in the treatment centre can this capability allow me to respond appropriately (Jaber et al., 2006).

Nursing Reflective Essay

The placement of endotracheal tubes is the duty of health professionals. But in this method, I had several responsibilities as well. I had to place the control flow cap and link the patient to the pulse oximeter because the individual was facing breathing difficulties. With my doctor, as well as other physicians, participating, it was important for me to organize the whole mission. I helped to prepare the laryngoscope; other nursing staff reviewed patients ' vital indicators. Some pre-drugs are administered through intravenous injection, but I didn't have access to the veins of the patient. I was taught by my healthcare professional how to put a line. I had to carefully align the individual so that the doctor could safely position the tube. I had to promptly arrange anaesthetic medicine in the right quantity as it is issued 2-3 minutes before insertion (Miranda et al., 2003). It all had to be completed rapidly and correctly. Although while writing this Nursing Reflective Essay, I realized I faced challenges in the process, when I realized how important my position was in the procedure, it motivated me. I had to make preparations on the bulbs and laryngoscope and ensure that it worked properly. Aiding the doctor throughout injection was the most essential element. I had to use a syringe to pump up the cuff at the required density and verify the location of the pipe. The job was not finished here. I had to verify its stability by using tape after intubation. I had to watch the pulse oximeter and verify that both breasts were expanding consistently. The grand finale was to connect the automated respirator to the recipient. The doctor then changed the configuration of the respirator as per the reaction of the individual (Breckwoldt et al., 2012).

Nursing Reflective Essay

The process of intubation wasn't even the extent of my accountability. Now, I had to start taking care of the endotracheal tube person. I had to monitor the breathing condition of the patient around two hours and assess the severity of scarring and inhalation in the mucous membranes. There is a chance of tracheal necrosis in such patients, so I had to constantly track cuff intensity to control it at 20 to 25 mm Hg (Fontánez-Nieves et al., 2016).

To persuade them further about the necessity of the endotracheal tube, and even worse obstacle was to interact with both the patient and their family members. A non-English - speaking household has been the recipient's family. Expression comes as the very first challenge to presenting information to them. Nonetheless, I attempted to describe to them in their mother tongue that respiratory conditions were failing, and intubation would be the only way to boost their relaxation of the nasal passages. When they knew that the patient would be relieved, they gave their approval to the method. I had to mentally prepare the recipient for the intubation method before performing the operation. I told her what was going to happen. It made the patient feel anxious, but I tried to comfort her back. Thankfully, for the patient and me, all progressed perfectly. I felt ecstatic facing the obstacles and successfully doing my job (MacLean, Kelly, Geddes, & Della, 2017).

I will, therefore clarify my realistic knowledge of interacting during the procedure with the healthcare staff in this Nursing Reflective Essay. The encounter made me more aware that adequate communication in the intensive care unit is essential. Any inaccurate direction that is made will endanger the life of the patient. I was really anxious, but in my facial expressions, I did not display it. None of the staff knew my inner psychological state, and according to orders, I worked with the healthcare staff. I ensured that I took immediate action on their instructions and executed it in compliance with stringent professional standards. During the process, I evaluated the risk analysis of my smallest error. The processing is extremely-conscious and operates accordingly. I had learned of cases where communication breakdown endangered patient's health and produced unstable circumstances amongst members of the team. The experience described in this Nursing Reflective Essay has made me conscious of the type of interaction abilities needed to communicate with the care practitioner (Sacks et al., 2015).

Nursing Reflective Essay

I realized through this Nursing Reflective Essay that while pharmaceutical and technological advancement are important in intensive care, non-technical capabilities, including effective communication, also represent best practice. The intubation technique gave my career the chance to develop effective communication and interpersonal skills. I discovered that whenever the medical staffs set specified targets for treatment, a significant amount of time is spared in the ICU. To prevent any medical misadventure, everything runs at an incredible pace, however with precision. There have been some guidelines that I did not comprehend, but to avoid clinical conflicts, I ensured to explain them promptly. In the event of any uncertainty, I either obtained assistance from experienced staff or clearly inquired them (Mosadeghrad, 2014). In intensive care, each and every medical personnel participating provided correct verbal and non-verbal patient data. I'm very thankful for my professional career. I felt more confident that I was going to adapt to assist individuals in distress. I always ensured to provide the patient with emotional satisfaction (Veloski, Boex, Grasberger, Evans, & Wolfson, 2006). So I interacted with the client through the use of the writing panel, digital supports and symbol graphs during the intubation phase. I have done my best to recognize the mind-set of the patient and what disturbs them or makes them unhappy in this Nursing Reflective Essay. By listening and showing the patient how his respiration changed after intubation, I tried to keep the patient relaxed.

The portion of the nursing reflection essay deals with laboratory contemplation. As a practitioner, I utilized my authority to discuss the recipient undergoing intubation. As in all I needed her permission, there are a few clinical aspects that patients do not comprehend, but are important for the patient. So I didn't respond to her requests that were unfair. The patient previously did not want to undertake the procedure at all; I then had to be stern. I kept her mindful of the ramifications of what would transpire to her if she did not go through the procedure. She consented to it when the patient understood that it might endanger her seriously. The patient was scared of all the injections that I had to give her by somehow redirecting her concentration (K.L.Schlegel & Shannon, 2000).

Nursing Reflective Essay

I managed to learn about basic nursing principles throughout this Nursing Reflective Essay and my medical course studies, such as recognizing fundamental human rights, honesty, equality, and enthusiasm for taking care of people. Nursing is mostly about creating compassion and interaction with individuals. I have successfully reinforced my nursing importance of expertise and patient interaction. I observed the patient constantly and questioned her repeatedly about any issues she encountered after intubation. At frequent intervals, I ensured to have a small talk with the patient to establish communication with the patient and divert them from health-related anxiety (Millen, 2015).

I noticed that preserving equal treatment among medical personnel improved the quality of healthcare services. The value is accomplished by engaging each employee when working as a team about the behaviours and training required. The commitment and feedback of each participant are appreciated. Together, the joint commitment of all team members contributes to maintaining a high level of treatment. Each staff is kept informed of the dangers involved in the treatment as well as how to make attempts to mitigate the chance. In providing equity for members of staff, the hospital management also plays a significant role. In order to deliver equity-oriented healthcare, enhance patient involvement as well as provide sustainable patient results, they frequently create new practice recommendations and policies (Wasserman et al., 2019).

I could infer according to the above Nursing Reflective Essay on the intubation process that a lot of caution and a diligent and compassionate behaviour was needed for nursing work. I noticed that I had to be very careful during the intubation process and react appropriately to the doctors' request. So, I would really like to conduct the operation more effectively in the future. While I may be inexperienced in certain areas at first, I will improve my abilities to perform complicated medical procedures as well as interact with patients and the community. I will bring in some new developments in my practice so that both my clients and my fellow healthcare practitioners where I practice will be happy. My ambition is to be recognized as a professional nurse who respects the life of her patient, and in real circumstances, I will strive to put all my Nursing Reflective Essay experience into effect.

Breckwoldt, J., Klemstein, S., Brunn, B., Schnitzer, L., Arntz, H., & Mochmann, H. (2012). Expertise in prehospital endotracheal intubation by physicians—comparing 'proficient performers' and 'experts'. Resuscitation, 83(4), 434-439.

Fontánez-Nieves, T., Frost, M., Anday, E., Davis, D., Cooperberg, D., & Carey, A. (2016). Prevention of unplanned extubations in neonates through process standardization. Journal of Perinatology, 36(6), 469-473.

Jaber, S., Amraoui, J., Lefrant, J., Arich, C., Cohendy, R., Landreau, L., & Eledjam, J. (2006). Clinical practice and risk factors for complications of endotracheal intubation in the intensive care unit: a prospective, multiple-center study. Critical care medicine, 34(9), 2355-2361.

K.L.Schlegel, & Shannon, S. (2000). Legal guidelines related to end-of-life decisions: Are nurse practitioners knowledgeable? Journal of gerontological nursing, 26(9), 14-24.

MacLean, S., Kelly, M., Geddes, F., & Della, P. (2017). Use of simulated patients to develop communication skills in nursing education: An integrative review. Nurse education today, 48, 90-98.

Millen, M. (2015). Patient engagement roles emerging in healthcare. Journal of AHIMA, 86(9), 22-25.

Miranda, D., Nap, R., Rijk, A. d., Schaufeli, W., Iapichino, G., & Group, M. o. (2003). Nursing activities score. Critical care medicine, 31(2), 374-382.

Mosadeghrad, A. (2014). Factors influencing healthcare service quality. International journal of health policy , 3(2),, 77.

Sacks, G., Shannon, E., Dawes, A., Rollo, J., Nguyen, D., Russell, M., & Maggard-Gibbons, M. (2015). Teamwork, communication and safety climate: a systematic review of interventions to improve surgical culture. BMJ Quality & Safety, 24(7), 458-467.

Veloski, J., Boex, J., Grasberger, M., Evans, A., & Wolfson, D. (2006). Systematic review of the literature on assessment, feedback and physicians’ clinical performance: BEME Guide No. 7. Medical teacher, 28(2), 117-128.

Wasserman, J., Palmer, R., Gomez, M., Berzon, R., Ibrahim, S., & Ayanian, J. (2019). Advancing health services research to eliminate health care disparities. American journal of public health, 109(S1), 64-69.


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