Topic Clinical Reflection on competency

Pages 5 (1255 words)
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In this assignment, I will reflect on two clinical scenarios based on my placement in the clinical block. In these reflective accounts, I will explore my thoughts, feelings, and learning in the transition to professional practice clinical block experience and will focus on the examination of the facts which would indicate my competencies in two areas.


I was approaching the patient with an intention that I would assess the patient's condition, and if necessary, following assessment I would provide her some analgesic medication. The staff nurse told me not to give any more pain medication, "she had had enough."
It was very evident that there was difference of opinion between me and the staff nurse. From my academic learning, I knew that pain assessment is an important parameter of nursing care, and accurate assessment patient's pain status is important. Current evidence suggests that pain assessment and rating of pain would guide adequacy of pain medication.
In such cases of differences of opinion, there is a fair chance that nurses' assessment would be guided by personal beliefs. Literature suggests that in many cases clinical decisions are taken by the healthcare professional based on traditional practice which may not have any evidence. This is specially applicable in case of pain management in the clinical setting by the nurses. There is also evidence that nurses are guided by their own beliefs on pain assessment, and in many cases the experienced nurses underestimate the intensity of pain. ...
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