Nursing Voices Forum  Meet other nurses, share your nursing knowledge and experiences
Nursing Talk from Around the Worlds

Go Back   Nursing Voices Forum Meet other nurses, share your nursing knowledge and experiences > Introduce Yourself

Reply
 
Thread Tools Display Modes
  #11  
Old 11-17-2008, 04:12 PM
Pal
Guest
 
Posts: n/a
Cool Hello Friend

I take things very lightly but I am just upset with all that which has happened in my life. Everything sucks. I was in the Army for several years and I HATE it. Now I am in a Nursing School and there is no appreciation of my service. Ungrateful BASTARD citizens/Instructors are good for nothing, no special consideration for Veterans. I fear abandonment.

Reply With Quote
  #12  
Old 11-17-2008, 06:17 PM
Mr Ian
Guest
 
Posts: n/a
Default

Ok, Well I never considered cultural issues in the sense of 'civvy street syndrome' - how long you been out the service and how long did you serve? Is it possible you're still undergoing transition issues?

I'm going to post my immediate thoughts here - they may be right or wrong. It's up to you to sift them and decide what's of use to you and what's not. I'm travelling for a week so won't be replying til after then.

If you're pretty fresh out then I'm guessing it's going to take an adjustment to get used to the less regimentally structured approaches of civilian nursing/working.

I suggest perhaps seeking out some support from someone with a more sympathetic understanding or awareness of your issue - meaning the civvy street transition - and not so much the nurse training.

You've been trained in black/white principles - but nursing does lots of shades of grey. This may be where your nursing comes unstuck?

You've perhaps still got your hardened critical edge about you and someone else ex-services who understands better than I do might be your best option.

Take from this anything that makes sense to you - discard the rest.

I wish you well.
Reply With Quote
  #13  
Old 11-17-2008, 06:34 PM
JacquiBee
Guest
 
Posts: n/a
Default on reflection

one of the most important skills a nurse must develop is reflection. self reflection. this means we need to always ask why. Why did I do that, why do I feel like that, how can I do better or differently to make things work out. Nurses work with people, our patients, and of course fellow nurses etc. To develop sucessful communication we often have to reajust our communication style to get through to the other person, in nursing it is vital your patients understand whats going on. this is part of the "grey" that Mr Ian talks about. We as nurses have to be flexable and adapatable, non judgemental and one of the places they try to teach this is nursing school. our school called it being socialized as a nurse, that is learning to be part of the nursing culture, doing things the nursing way. (I'm not saying that all the old nursing behaviors are perfect thats a different thread).
Asking why is part of the critical thinking that you, Pal mention. If your failing then somehow your not giving the answers they want so I sugesst that as PJ says you try to find out what your not getting right and then ask yourself why, and how could I do things differently or think differently to be a nurse not just answer the question right if your thinking like a nurse then the answer come much more easily
Reply With Quote
  #14  
Old 11-17-2008, 09:20 PM
Pal
Guest
 
Posts: n/a
Cool What are you trying to tell me?

I think as a Nurse one should be concise and not too abstract. Ofcourse, I know what you mean by "Why" but my concern is that I took numerous courses for the past 6 years after the Army service regarding nursing science, biology, chemistry....ect. However, I fail to understand the basic principles of what to look for in the ASSESSMENT, DIAGNOSIS, PLANNING, IMPLEMENTATION, & EVALUATION questionaires... I don't have trouble understanding KNOWLEDGE based questions but only differentiating and critical assessing the above basic principles and picking up the best answer in given lecture exam...


Reply With Quote
  #15  
Old 11-17-2008, 09:46 PM
Pal
Guest
 
Posts: n/a
Cool Update on my above concern....

What am I asking for are hints, clues, and any easier approach to quickly understand how to master these basic principles without further complexities.


Reply With Quote
  #16  
Old 11-17-2008, 10:04 PM
runningnurse
Guest
 
Posts: n/a
Wink Nursing isn't always easy

Quote:
Originally Posted by Pal View Post
What am I asking for are hints, clues, and any easier approach to quickly understand how to master these basic principles without further complexities.


Unfortunately those basic priniciples are complex when you look at them. Nursing is really in and of itself "abstract", rather than being a specific science where one can say "the cell of a body does this always" it is more of looking at the entire situation and putting the knowledge you have to bring sense to the whole situation. Nursing is an art. Developing your critical thinking/understanding will take a while, but that is what your nursing school is preparing you for. You also need to remember that nursing is a life long learning curve. Each day you will learn something new and each day will have it's own challenges.
Your analytical skills will enable you to read the situation better and become a better judge, but it will always be different for each situation you encounter.
Just keep thinking of what you would do in the situation you are faced with and use the knowledge that your classes in nursing school provide you with. If you want to work on your critical thinking, use the study guides for licensing exams, as these are what you will be encountering throughout your nursing career.
Reply With Quote
  #17  
Old 11-17-2008, 10:26 PM
Pal
Guest
 
Posts: n/a
Cool Nclex

I am going over Mary Ann Hogan's Medical Surgical Nursing, Saunder's NCLEX-RN, Frye's 3300 Nursing Bullets NCLEX-RN and KAPLAN NCLEX-RN. These books are helping me but I am seeking additional assistance. Perhaps someone knows more w/ experience in the work area ect...
Therefore, my question is that when looking at the questions how do I use my JUDGEMENT without overthinking. What should I look for in each scenario of Nursing Assessments, such as the assessment, diagnosis, planning...ect...
For example, someone told me that look for ABCs in the assessment like AIRWAY BREATHING CIRCULATION.....If airway is present than look for breathing...if airway is not mentioned and breathing is than look for circulation....ect...

So are there any other box of treats as mentioned above. I am curious
Reply With Quote
  #18  
Old 11-18-2008, 01:11 AM
Mr Ian
Guest
 
Posts: n/a
Default

Hi Pal
Haven't left just yet (tomorrow) - so popped back in. I back what colleagues have said above in terms of what nursing is - but feel you need to make some decision on why it is you're not getting it - before you can move on to 'getting it'.

My intuition (and nothing more) is that you're fixed in the black/white - right/wrong mode - something that is more akin to roles of doctors, accountants, and people who have 1 + 2 = 3 jobs; but these are all outcome or solution focussed roles.

Nursing is much less of a science (as said above) it's an art and it does have large parts of it that are open to interpretation. What nursing develops is the ability to conceptualise and analyse (clinical) situations that includes far more than just a clinical diagnosis and make decisions with/about/for the person/patient where they need that help.
A doc will just diagnoses and treat the illness.
Nursing helps the person achieve what they want to achieve.
I'm not saying docs don't 'care' - but it's more a nursing role than medical.

My thinking is -
Female Pt A comes in with broken leg.
Doc will assess using medical criterion and skills and prescribe a course of action to fix the leg and any associated medical issues.
Nurse will support the leg healing prescribed course - and consider things beyond - such as have they got kids to care for at home? Is that an issue with a healing leg? Pain relief - is it adequate to her needs? As well as dietary requirements; religious needs; family support; advice and information on healing process; monitoring for other problems/complications and seeing to the 'personal needs' of the individual.
Perhaps someone can give a better example as more complex medical issues require more complex nurse thinking on the associated issues (I do mental health).

It sounds as if you've got the crux of the clinical problem and following medical treatment ok - ie recovery from condition - but in nursing it has to be done in the context of the person/patient - and not in the context of just the illness/condition.

As ex-services - I'd suggest this is counter-intuitve to your training because you're not required to look behind the situation - like the politics, religion or the social dynamic and indeed you have to consciously block that out in order to focus on job in hand and 'follow orders' to achieve the aim in the quickest easiest professional way to achieve the solution.

I think you're still wanting/trying to apply your nursing in the 'quickest easiest professional' way - but limiting yourself to a solution to "a" problem - when it may require many more things to consider.

Simplest suggestion I can think of - assuming you have close family or close friends - if you were their relative or only friend and they relied on you to see they were looked after in the best way - what would you make sure the treating team did for them?
And then you have to stop and ask yourself - is this what my friend/relative would want - or is it just what I think is a good idea and they'd actually haste if I did that? And then decide should I do it anyhow because it's good for the healing - or should I do what I know my friend/relative would want me to do?

This is what nurses do for patients - they become their best friend on the inside.

Hope that made sense.
Reply With Quote
  #19  
Old 11-18-2008, 03:43 PM
Pal
Guest
 
Posts: n/a
Cool Well

I just found out from my Instructor that if I get at least 134 pts than I pass. There is still 165 pts to go. So as you can see I have a SLIM opportunity to closely make it or fail MISERABLY.


This why I needed the clues to how and what to look for in an exam. Usually the exams are based on what is the assesment or what is the priority? Thus I'll be studying.

By the way, does Hospital provide Nurse training? Perhaps I like to seek other avenues to becoming a Nurse.


Reply With Quote
  #20  
Old 11-19-2008, 05:17 PM
Sun
Guest
 
Posts: n/a
Unhappy Wow

You seem to have endured a lot.
Reply With Quote
  
 

Reply

Thread Tools
Display Modes

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off
Trackbacks are On
Pingbacks are On
Refbacks are Off



All times are GMT -4. The time now is 06:49 AM.


Powered by vBulletin® Version 3.8.7
Copyright ©2000 - 2017, vBulletin Solutions, Inc.
Search Engine Friendly URLs by vBSEO 3.6.1
Copyright © 2006-2012 Nursing Voices