INC6: Integrating Nursing Concepts 6 Professional Portfolio Assignment Help
Question
10208: This professional portfolio assignment for the University of Canberra is based on developing a portfolio of their CPD (Continuing Professional Development) strategy. This assessment requires the student to employ their reflective practices to remark on how they aim to ensure their lifelong professional learning as a Registered Nurse. The portfolio should include various aspects including a student’s introduction to their professional skills, a remark on the First Nations Peoples Health to demonstrate the student’s learnings of INC06 concepts, and lastly an annotated bibliography for three research articles that have helped in developing the student’s professional learnings.
Solution
This Integrating Nursing Concepts Assignment solution incorporates three parts of the complete professional portfolio. These include an Introduction, an essay on the First Nations Peoples Health, a critical reflection, and lastly an Annotated Bibliography.
Introduction
For this assignment, the student is firstly required to write an introduction of their self embarking on the different skills and attributes they portray in the professional space. Here, in addition to describing all these elements, our experts have also proposed a goal that the student would aim for while transitioning to the role of a Registered nurse.
My name is Arashdeep. I am a final year nursing student and a dedicated candidate seeking the role of a graduate Registered Nurse (RN). This transition will help me expand my nursing skill set and provide quality healthcare to the patients. During my graduation, I became well versed with standard for nursing practices by Nursing Midwifery Board Australia (NMBA). Working under the guidelines will help me become an efficient graduate RN and will also help me practise in a competent and ethical manner. With the knowledge of NMBA guidelines, I will be able to ensure safe nursing practice as a graduate RN.
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First Nations Peoples Health
The second part of this portfolio is a written response to reflect on the student’s learnings related to the health of First Nation people. In this section, our experts have explored the steps that might be taken on behalf of the student to support health equality among people.
First Nations Peoples Health essay: Exploring a primary health initiative aimed at reducing the disparity of healthcare for first Nations people. First Nations people are ethnic groups that were the earliest inhabitants of Australia and are commonly known as Aboriginal and Torres Strait Islanders (Standen et al., 2022). First nation population often live with high rates of chronic disease and have a shorter life span because of limited education, income sources and poor living conditions. This makes it necessary to ensure that First Nations people attain equitable access to healthcare services. Despite this, First Nations people are often prevented from accessing these services due to a range of barriers including high cost of health care, experiences of discrimination and racism and poor communication with health care professionals (Wylie & McConey, 2018). Aim of the essay is to explore a primary health initiative that aims at reducing the disparity of healthcare amongst First Nations people. The initiative selected in this essay is Indigenous Australian Health Program (IHAP). The essay initiates with a discussion of the IAH Program and critically discusses its impact in terms of service providers that it has funded. Next, challenges encountered while implementing the program are discussed followed by identifying limitations in implementation. IAHP is Australia’s only Aboriginal and Torres Strait Islander Health Program that overarches all other programs. IHAP had three major goals, first was to improve the health of indigenous/First nations people, especially in remote areas. Secondly, they wanted to increase First Nations people’s access to high-quality and culturally appropriate primary health care services. Lastly, their goal was to improve operations of healthcare services, in a way that was more suitable for the First Nations people (Australian Government Department of Health and Aged Care, 2021). In order to reduce the disparity in healthcare for First Nations people, IHAP have developed strategies to fund healthcare service providers under four themes. First, they focus on providing funds to primary service providers that provide improved immunizations or service delivery to First Nations people. Second, funding is provided to primary service providers that focus on increasing culturally appropriate skills of healthcare professionals. Under third and fourth themes, funding is made available to primary service providers that target health activities like managing chronic conditions and buying or upgrading healthcare infrastructure respectively (AGDHAC, 2021). Australian Government had appropriated $3.292 billion (GST exclusive) for commencing IAHP in 2016. Currently, IAHP has only been able to successfully fund primary service providers that provided healthcare facilities to targeted health issues like eye, ear and oral health, chronic diseases, STDs and substance abuse. IAHP have spent about $161 million on funding the primary service providers that focused on building or upgrading facilities such as accommodation for staff and ACCHSs. IAHP funding improved the condition of healthcare service providers pan Australia. About $62 million has been spent on over 300 clinics to enable them to successfully deliver holistic and culturally appropriate primary health care services. These services were initiated and operated by First Nations people (NACCHO, 2022).
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Critical Reflection
Next, the nursing profession portfolio for this assessment requires the student to write an evidence-based critical reflection that should analyze one of the student’s earlier clinical experiences. Here, our experts have discussed the learnings, shortcomings identified, and the scope for betterment by using Gibb’s Reflective cycle.
DESCRIPTION
In this section, our experts have objectively explained the clinical situation to give a picture of what exactly happened.
During my second week of final year placement, in paediatric ward, a 14 year old boy having symptoms like severe breathlessness and strain in chest muscles, was admitted. He was accompanied by his mother who reported that the child had consumed peanuts. As it was a busy day in paediatric ward, the RN asked me to examine the patient on my own. After conducting a few preliminary tests on the patient, I found out that his oxygen saturation was 78 and without performing any further tests, I came to a conclusion that the patient might be suffering from anaphylactic shock because he had consumed peanuts.
FEELINGS
The second part of the reflection provides an overview of the emotions and thoughts that the nursing student felt while going through the situation.
As it was my second week of placement, I was very nervous while performing assessments on my own without any guidance. I was also very confused because symptoms that the patient showed were same for both chronic asthma attack and anaphylactic shock.
EVALUATION
Here, an evaluation of what went well and what did not in the situation is done in detail by our experts.
The mother of the patient informed me that he had consumed peanuts and his symptoms like severe breathlessness and chest muscle tightening and oxygen saturation which was less than 90, were similar to that of anaphylactic shock (McLendon, 2023). So instead of assessing any further, I decided to treat the patient for anaphylactic shock only. As per ASCIA (2023), I followed the accurate nursing protocol for managing airway and breathing difficulties and the thing that went well in this incidence was that I stayed within the ethical guidelines while treating the patient’s symptoms and that I remained within the scope of my practice. The patient was able to breathe easily and tightening of chest muscle also improved for a while. I think I took this decision because the symptoms like severe breathlessness, tightening of chest muscles and drowsiness is common for both chronic asthma attach and anaphylactic shock and allergic response is very common after consuming peanuts (Greenhawt, 2018).
ANALYSIS
This section presents an elaborative discussion of all the positive and negative aspects of the situation. Our experts have written a detailed critical analysis, which is also supported by relevant evidence from the literature.
I think the positive aspect of this situation was that I knew how to stay within the ethical guidelines while performing patient assessment. I triaged the patient correctly and applied my knowledge of patient assessment accurately. (Pereira et al., 2022). The thing also went well was that I used my previous knowledge about medication and dosage and administered a safe amount of medicine to avoid any adverse effects on the patient, the second time. Another thing that went well was that after getting readmitted, I did not panic which is why I was able to make sensible decision to improve patient’s health (Sockrider & George, 2019). I also applied my skill of revising and creating patient-centred care plan according to the new recent diagnosis of chronic asthmatic attack (Vijay et al., 2019). What didn’t go well was that the patient’s symptom returned and treatment given was not accurate for the condition that he was suffering. I think that lack of guidance, poor decision making and lesser experience was the reason why this situation escalated. I think that RN’s knowledge and experience would have helped me in preventing such a situation. López-Ibort (2021) has investigated that it is one of the major role of a RN to supervise the student nurses at the time of assessments.
CONCLUSION
A concluding comment on what were the learnings from the situation is provided here.
This incident help me learn the skill of critical thinking and highlighted the importance of proper assessments. Nurses apply critical thinking in the process of solving problems of their patients and making decisions with creativity to enhance the effect. It is a necessary skill for a safe and efficient nursing intervention.
ACTION PLAN
Lastly, the reflection also incorporates an action plan for how this situation can be improved in the future if a similar clinical situation arises.
I still feel like that incident was the biggest learning experience in my nursing journey since it made me realise the importance of critically analysing and assessing the patient to ensure well- being. In future, I would take a little extra time to complete the patient examination rather than making a hasty decision about patient’s health. I will develop the skill of critical thinking and strong decision making. I will also incorporate inter-professional skill and will try to collaboratively make healthcare plans for the patients.
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Annotated Bibliography
Lastly, a well-structured annotated bibliography is presented by our experts utilizing three peer-reviewed articles that have helped in the student’s professional learning journey.
Lewthwaite, H., Williams, G., Baldock, K. L., & Williams, M. T. (2019). Systematic Review of Pain in Clinical Practice Guidelines for Management of COPD: A Case for Including Chronic Pain? Healthcare (Basel, Switzerland), 7(1), 15. https://doi.org/10.3390/healthcare7010015
Primary aim of this review was to analyse the frequency of pain reported by patients suffering from chronic obstructive pulmonary disease (COPD) in Clinical Practice Guidelines (CPG) for management of COPD. The review highlights how frequently pain is considered chronic in the CPGs for broad management of COPD.
Munkombwe, W. M., Petersson, K., & Elgán, C. (2020). Nurses’ experiences of providing nonpharmacological pain management in palliative care: A qualitative study. Journal of clinical nursing, 29(9-10), 1643–1652. https://doi.org/10.1111/jocn.15232
The study aimed to investigate the experiences of nursing professionals providing non-pharmacological therapy in palliative care for chronic pain management. The qualitative study design was to collect data from individuals by interviewing 15 different nurses. Results of this analysis yielded four categories of pain management that were building and sustaining favourable therapeutic relationships, recognising the diversity of patients’ needs, incorporating significant others and recognising the existence of barriers.
Wright, C. M., Moorin, R., Pearson, G., Dyer, J. R., Carapetis, J. R., & Manning, L. (2021). Increasing incidence of invasive group a streptococcal disease in Western Australia, particularly among Indigenous people. The Medical journal of Australia, 215(1), 36–41. https://doi.org/10.5694/mja2.51117
Primary aim of the study was to quantify the burden of invasive group A Streptococcus (GAS) disease during 2008-2018 amongst the Indigenous people in Western Australia (WA). To conduct this population-based data linkage study, data was collected from WA data linkage systems for hospital morbidity data collections (HDMC).
Please note that only half of the complete bibliography is provided here for guidance purposes. If you also need Integrating Nursing Concepts 6 Professional Portfolio Assignment Help, reach out to us at onlineassignmentservices1@gmail.com.
