Learning from practice--reflections on a critical incident.
ABSTRACT Reflective practice is considered not only as a valuable tool for providing appropriate levels of care but also as an important prerequisite for the provision of professional nursing. Indeed, there appears to be consensus in the literature that reflections have the potential to assist practitioners to tap into knowledge gained from experience and connect theory to practice. However, evidence suggests that nurses, including emergency nurses, neglect reflective techniques. This paper outlines how the processes of reflection led to one emergency nurse developing new insights and understandings on nursing practice.
- [Show abstract] [Hide abstract]
ABSTRACT: Spivak M., Smith A. & Logsdon M.C. (2011) Journal of Nursing Management 19, 92–97 Developing expert clinical nurses: grow them, hold them and let them walk awayAim The aim of the present study was to describe three case studies that exemplify decision making by a nursing leader related to retention of expert clinical nurses in the Emergency Department.Background Further understanding of decision-making processes that help nursing leaders to retain (or let go of) expert clinical nurses is needed so that sufficient numbers of expert nurses are available in the workforce to provide high-quality and safe patient care.Evaluation Decision processes related to retention of expert clinical nurses are exemplified in three case studies.Key issues Orienting nurses to specialty areas is costly and retention of nurses is an important international issue.Conclusions Expert clinical nurses across the skill continuum need guidance from nursing leaders related to their work behaviours and best choice for employment.Implications for Nursing Management Nursing leaders who are well acquainted with the skills and motivations of their employees are in the best position to promote the health of individual nurses and of specialty nursing units.Journal of Nursing Management 12/2010; 19(1):92 - 97. · 1.14 Impact Factor
- [Show abstract] [Hide abstract]
ABSTRACT: BACKGROUND: A common feature of prehospital emergency care is the short and fragmentary patient encounters with increased demands for efficient and rapid treatment. Crucial decisions are often made and the premise is the specialist ambulance nurse's ability to capture the situation instantaneously. The assessment is therefore a pre-requisite for decisions about appropriate actions. However, the low exposure to severe trauma cases in Sweden leads to vulnerability for the specialist ambulance nurse, which makes the assessment more difficult. Our objective was to describe specialist ambulance nurses' perceptions of assessing patients exposed to severe trauma. METHODS: This study had a phenomenographic approach and was performed in 2011 as an interview study. 15 specialist ambulance nurses with a minimum of 2.5 years of experience from praxis were included. The analysis of data was performed using phenomenography according to Marton. RESULTS: The perceptions of assessing patients exposed to severe trauma were divided into: To be prepared for emergency situations, Confidence in one's own leadership and Developing professional knowledge. CONCLUSIONS: This study reveals that the specialist ambulance nurse, on the scene of accident, finds the task of assessment of severe trauma patients difficult and complicated. In some cases, even exceeding what they feel competent to accomplish. The specialist ambulance nurses feel that no trauma scenarios are alike and that more practical skills, more training, exercise and feedback are needed.Scandinavian Journal of Trauma Resuscitation and Emergency Medicine 09/2012; 20(1):67. · 1.93 Impact Factor
- AAEE 2013 - Australasian Association for Engineering Education Conference, Gold Coast, Australia; 12/2013