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Practicum Reflective Journal

New Approaches

Clinical nursing practices that use evidence-based methods and contemporary technology are becoming more and more in demand. I have been able to understand more about how nurses choose diagnostic techniques and treatment alternatives thanks to my nursing practice in the clinical division. For instance, I now understand the significance of providing oxygen to a patient with chronic obstructive pulmonary disease (COPD), a condition marked by a narrowed airway that prevents breathing (Mehta et al., 2021). It is obvious that placing the patient on oxygen would enhance their rate of breathing and the amount of oxygen in their blood. Additionally, a lot of nurses now administer healthcare using evidence-based methods since it’s one of the greatest ways to enhance patient outcomes.

Interprofessional collaboration

My experience as a clinical nurse has taught me a lot about interprofessional teamwork via my interactions with patients in the wards. At some time throughout the course of my employment, it became imperative to review the patient’s medical history. In order to expedite healthcare delivery and arrange patient information so that correct information is accessible, I was able to speak with a nurse technician who works in electronic medical records (Peduzzi et al., 2019). The ability to work closely with radiologists to assist me determine the degree of illness and carry out the diagnosis of numerous healthcare concerns impacting the majority of patients via the use of CT scans and X-ray methods has also allowed me to employ interprofessional cooperation. In order to get an educated, objective diagnosis, interprofessional teamwork is essential. A patient’s subjective diagnostic may not provide a better diagnosis for them alone.

Clinical and Health Care Delivery Systems

I’ve learned more from my clinical experience working in the ward throughout the COVID-19 time about the significance of many institutions and actors that affect healthcare choices. For instance, the United Nations’ public health guiding principles include equitable access to healthcare for all, according to organizations like the World Health Organization. Additionally, Manzoor et al. (2019) note that community engagement in healthcare promotion is essential to raising public knowledge of a range of public health issues. Additionally, the practical use of precision medicine has improved patient outcomes, which is highly encouraging and guarantees the hospital spends the least amount of money possible on each patient. I was able to anticipate potential medical issues from which certain patients would suffer thanks to precision medicine, which also increased patient happiness.

Ethical Consideration 

I’ve learned more about the five ethical factors nurses should keep in mind while interacting with patients thanks to my work in the clinical field. Autonomy, non-maleficence, fairness, and beneficence are some of them. These sympathies are crucial to the healthcare industry because they help to mold the nurses’ code of conduct and guarantee that they always act considerately and without prejudice toward the patients (Molina-Mula & Gallo-Estrada, 2020). By respecting the choices made by patients on available treatments, including physiotherapies that employ herbal medicine to treat specific ailments, I could implement the idea of autonomy in my clinical practice.

Cultural integrity

Because of the amount of work that is available and the variety of patients with various diseases, working with patients on the wards may sometimes seem overwhelming to some nurses. In my first meeting, I ran across a patient who was from a foreign culture and spoke a different language. To assist the patient without passing judgment, I had to phone my colleague and request interpretation (Huot et al., 2019). In order to save many lives, I also made sure to prioritize nursing treatment depending on the severity of the diseases and to apply a lot of empathy to understand the suffering some patients were experiencing. Due to certain patients’ diverse religious beliefs, it was sometimes exceedingly challenging to care for them (Huot et al., 2019). I never suggested any particular religious practice, but I did understand each patient’s faith and even urged them to keep the beliefs that always serve their needs.

Concerns about Population Health Disparities

Since I worked in a minority community in one of the USA’s open states, I became aware of the struggles these families and communities faced. For instance, my work with African-American and Hispanic populations in the US opened my eyes to the fact that health inequality exists everywhere due to uneven access to healthcare (Lopez et al., 2021). For instance, minority populations’ disadvantageous access to healthcare insurance contributes to their communities’ rising death rates, particularly during the COVID-19 epidemic. During my fieldwork, I used my experience of nursing as an educator to inform the majority of insurance coverage victims and to promote the federal government’s equitable insurance issuance to these minority populations.

Role of Technology

In clinical settings, technology has helped to avoid a lot of medical mistakes, which is one of the issues that many nurses face today. In the healthcare facility I worked in, I discovered that employing an EMR to get patient medical information had saved more than half of medical mistakes. To guarantee that the patient gets an appropriate and evidence-based therapy, the EMR includes extremely accurate information that also enables exchange of comparable information across departments (Di Maio et al., 2022). Additionally, telemedicine services in healthcare institutions have improved communication between nurses and patients. Due to the fact that patients may not have to go far for medical comfort, it has also made healthcare delivery more affordable (Di Maio et al., 2022). On the telehealth platform, which offers choices like monitoring, reminders, admissions, intervention, and education, all of these are accessible.

Health Policy

In healthcare institutions, nurses are leaders in the fight for just and equitable health policy. For instance, I discovered through my clinical practicum experience that many patients leave their homes unattended because they need more funding to supplement their medical care. As already established, the majority of minorities in the United States are negatively impacted by insurance policies that are discriminatory against them (Lopez et al., 2021). In order to enhance the perception of public health in the nation, we advise the state government, in partnership with the administration of health institutions, to take into account the nation’s minority groups. Access to Medicaid and Medicare programs, which the social determinant of health clearly identifies, is restricted for a number of reasons. I must promote equitable social and economic services provided to the general public by the government as a nurse.

Leadership and Economic Model

In every area of organizational leadership, every company needs a leader who is fiscally competent. It was an honor for me to organize community health fairs in the area where I worked, and this made it extremely simple for me to put certain leadership techniques into practice that improve the efficiency of healthcare delivery. For example, community health fairs were specifically created by the organization to target the majority of in-patient medical issues that impact most healthcare facilities (Manzoor et al., 2019). Longer bed stays often cost hospitals more, which causes healthcare institutions to collapse owing to bad debts. Therefore, proper healthcare education raises the likelihood of illness prevention, particularly for acute disorders that may be readily managed by just keeping a healthy lifestyle. Obesity, diabetes, and heart disease are a few of these ailments that most hospitals cannot afford to treat.


I learned the nine nursing practice skills throughout my clinical experience, which was quite thrilling. Among the nine competency requirements, I think I performed significantly better when I applied the leadership and economic models during the community fairs programs. I also think the application of evidence-based practice to the treatment of COPD patients was very beneficial and useful, which increased my confidence in the provision of healthcare. I still need to become better at applying ethical principles, however. The majority of the time, I found it really challenging to draw a line between the patient’s choices and the necessary nurse suggestion for certain therapies.

A lot of the judgments I made also didn’t include the patients or their relatives. Achieving these competencies, therefore, requires capacity building of nurses by the nurse executives. It involves empowering the patient to believe in oneself while giving the available policies enough controls. Additionally, effective communication skills and good leadership qualities that enhance empathy have enabled me to acquire most of the nine competencies mentioned in this course. Interpersonal and intrapersonal communication is essential in making the best decision in an organizational setting.


Di Maio, M., Basch, E., Denis, F., Fallowfield, L. J., Ganz, P. A., Howell, D., Kowalski, C., Perrone, F., Stover, A. M., Sundaresan, P., Warrington, L., Zhang, L., Apostolidis, K., Freeman-Daily, J., Ripamonti, C. I., & Santini, D. (2022). The role of patient-reported outcome measures in the continuum of cancer clinical care: ESMO clinical practice guideline. Annals of Oncology33(9), 878–892.

Huot, S., Ho, H., Ko, A., Lam, S., Tactay, P., MacLachlan, J., & Raanaas, R. K. (2019). Identifying barriers to healthcare delivery and access in the circumpolar north: Important insights for health professionals. International Journal of Circumpolar Health78(1), 1571385.

Lopez, L., Hart, L. H., & Katz, M. H. (2021). Racial and ethnic health disparities related to covid-19. JAMA325(8), 719.

Manzoor, F., Wei, L., Hussain, A., Asif, M., & Shah, S. I. (2019). Patient satisfaction with health care services; an application of physician’s behaviour as a moderator. International Journal of Environmental Research and Public Health16(18), 3318.

Mehta, A. P., Wissman, K., & DiPlacido, A. J. (2021). Is there a mortality benefit in patients with COPD who take statins compared with those who do not? Evidence-Based Practice24(11), 24–25.

Molina-Mula, J., & Gallo-Estrada, J. (2020). Impact of nurse-patient relationship on quality of care and patient autonomy in decision-making. International Journal of Environmental Research and Public Health17(3), 835.

Peduzzi, M., Aguiar, C., Lima, A. M., Montanari, P. M., Leonello, V. M., & Oliveira, M. R. (2019). Expansion of the Interprofessional clinical practice of Primary Care Nurses. Revista Brasileira de Enfermagem72(suppl 1), 114–121.


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