Week 2 Reflective Journal

This week in the course we discussed successful leadership. We researched articles about leadership, watched Ender’s Game and identified leadership qualities in the movie, completed the DISC personality test, and discussed characteristics of leaders. I thought that the content this week was very effective at showing qualities of good leaders. Through the team discussion this week, I noticed that many people have leadership skills but that these skills can be used for either good or bad. This assignment made me realize that it’s important to use leadership skills for the benefit of others. I also enjoyed taking the DISC personality test. It was nice to figure out where I fit into the workplace personality wise. I have a Steady personality and this quiz made me realize that I can still contribute to my unit by being a “behind the scenes” person. This week helped me realize where I need to improve my leadership skills and where I can be the biggest aid to my unit now. 

Characteristics of Leaders

1.       Leadership requires personal mastery – Nurses show personal mastery when they are competent in the skills of their job.

2.       Leadership is about values – Nurses show values when they are examples of the values established by the hospital or company they work for.

3.       Leadership is about service – Nurses are examples of service when they go above and beyond in patient care, such as identifying types of music or movies that help the patient relax and feel at ease. 

4.       Leadership is about people and relationships – Nurses show good relationship skills when they are able to answer questions that family members and patients have about the hospital stay. 

5.       Leadership is contextual – Nurses show that they are contextual when they are treat each patient as an individual. 

6.       Leadership is about the management of meaning –Nurses show effective management of meaning when they are able to carry on meaningful conversations with their patients. 

7.       Leadership is about balance – Nurses show balance when they are able to manage their time effectively. 

8.       Leadership is about continuous learning and improvement – Nurses show continuing improvement when they complete education requirements and apply the information to their practice. 

9.       Leadership is about effective decision making – Nurses show effective decision making when they are able to prioritize in difficult situations. 

10.   Leadership is a political process – Nurses show respect for the political process when they follow protocols and regulations set out by their supervisors and other people above them in the facility. 

11.   Leadership is about modeling – Nurses show effective modeling when they exemplify nursing care and others notice. 

12.   Leadership is about integrity – Nurses show integrity when they do oral cares on their honor. 

DISC Personality Test

According to the DISC personality test, I have a steady personality. This means that I am loyal and supportive. I thought that the results of this test were interesting. I have always thought of myself as more of a “behind the scenes” kind of person but I wasn’t ever familiar with a test that could define that. This test tells that I can be someone that my coworkers and those in leadership roles can rely on. I have been interested in being a manager, so it is something I will look into more. Based on this information, I will try my best to be a steady employee and be someone that others can rely on. 

Reflective Journal Week 3

This week in class we discussed interviews. I was able to become more familiar with interview formats and types of questions. For the team activity this week we put together a list of questions for people who perform interviews. This activity made me really reflect on the subject and think about how the interview process occurs. It also made me think about how I would perform interviews. I will use the information from this week to perform interviews in the future. I don’t know if I will ever be the person conducting interviews, but if I’m ever asked to sit in on them I will know what to watch for and how the process should go. I thought that the information this week was educational and will benefit me in the future. 

Week 1- Introduction

My name is Tara Taylor. I am originally from Alamosa, Colorado but now I live in Salt Lake. I am married without kids. My husband is in school to be a paramedic. I graduated from nursing school last April. I started working at LDS Hospital in the ICU last June. This blog will be used to reflect on the information I learn every week in class. I hope to have a good semester and learn many things. 

Reflective Journal 16

This week we discussed accreditation standards. I especially enjoyed the critical thinking assignment this week where we were able to review the HCAHPS surveys and the questions on them. It really made me think about how influential nurses are when it comes to patient perception of the facility. Nurses are with the patients constantly and are basically the faces that the patients will associate with the facility. I knew that my role as a nurse was influential, but I didn’t realize how much my patient care could affect the funding the hospital receives. This assignment inspired me to always try to improve in my patient care and truly listen to my patients.  

Week 15 Reflective Journal

This week we discussed the application of patient safety. I think that the case study assigned this week was very interesting. The case study discussed how a patient and several healthcare providers were all impacted by a patient safety error. I think that it is very difficult for providers to deal with medical errors. Many providers are embarrassed and are afraid of losing their licenses. We were assigned a literature search this week regarding patient safety application. I found an article where pediatric residents were interviewed and identified barriers to speaking up about patient safety. I was able to relate to the article easily because I struggle with confidence as a nurse because I’m a new graduate. I don’t feel comfortable calling out experienced providers on their errors. I’m glad that other providers share similar feelings with me and that there are groups created by volunteers that can help both providers and patients when safety errors occur. The information this week has made me want to voice my concerns about patient safety more and has boosted my confidence. I would rather speak up to a coworker than have my coworker deal with the guilt of making a safety error. 

Week 14 Reflective Journal

This week we discussed maintaining a culture of safety. I really enjoyed the case study this week. Stories like Noah’s make me glad that there is quality improvement in health care. I’m glad that the health care field is taking action in preventing the same mistakes from happening. I think that the best way to maintain a culture of safety is to have continuous quality improvement, stay up to date on research, and to have everyone within the facility be a patient advocate. If a member of the staff has a concern about the patient’s safety they should be able to voice it. I will use the information discussed this week to keep my patients safe and to always advocate for them. I feel like the information discussed this week was beneficial. I especially think that the case studies are memorable and that I will be able to apply them to my patient care very easily. 

Reflective Journal 12

This week in class we discussed building a culture of safety. The thing I found most beneficial was reading about Robin’s story. Robin was a patient that received an enteral feeding via the IV route and ended up dying. Robin died because of many failures in that facility’s system. In response to this error, facilities started using specialty connectors and making it impossible to connect tubing to the wrong route. I will remember this story as a reminder to why we have checks for medications and different tubing for different routes. This story has made me much more cautious in my nursing practice. I always double check when I’m reconnecting tubing. I take a moment to evaluate the safety in the patient room each time before I leave. I feel like this story was very beneficial because it is one that will stick in the classes’ heads throughout their careers.

Week 8 Relfective Journal

This week we learned more about quality improvement strategies. We also focused on the the need to incorporate evidence based practice into patient care and how the risk management process works. I felt like the learning activities were very effective this week. The case study focused on how the risk management process can detect problems, find solutions, and then implement the solutions in order to prevent dangerous situations for patients. The discussion this week helped us better understand ways to implement EBP into our practice. There is usually some resistance to change, but keeping an open attitude and understanding that the changes are to better our patients’ situations makes it easier to deal with. My favorite learning activity this week was summarizing an article from AHRQ regarding the need for health care workers to avoid fatigue and sleep deprivation. The article discussed several strategies that would be effective in helping to deal with fatigue during work but I don’t think that most of them would work for nurses. I don’t think it will ever be possible for nurses to be able to take naps at work. The article did mention that using caffeine could be beneficial. Many nurses use caffeine to help prevent fatigue, but I think it’s more of just a band-aid solution for a larger problem. Getting more sleep or naps would be more healthy and sustainable than caffeine consumption.