Journal Entry #2 for Women’s Health and Reproductive Health Care

Journal Entry #2 for Women's Health and Reproductive Health Care
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Assignment: Journal Entry #2
On any given day, a nurse can play a pivotal role in someone’s life. Experienced nurses often share stories of previous experiences and draw upon these experiences when circumstances warrant.

Hence, reflection can be a valuable tool. It serves as a tool for not only recalling experiences but also for applying lessons learned from those experiences. Keeping a nursing journal provides these benefits and more.


Photo Credit: [Photography by Angela - TGTG]/[Moment]/Getty Images

To prepare:

Refer to the current Clinical Guidelines found in this week’s Learning Resources and consider how these guidelines inform your clinical experience.
Refer to your FNP or AGPCNP Clinical Skills and Procedures Self-Assessment Form you submitted in Week 1, and consider how your self-assessment might inform your Assignment.
Refer to your Patient Log in Meditrek and reflect on Weeks 6–10 of your clinical experience, and reflect on your observations and experiences with patients during this time.
Journal Entry #2 (450–500 words):
In your journal entry, answer the following questions:

Learning and Experiences

Reflect on the 3 most challenging patient encounters and discuss what was most challenging for each.

What did you learn from this experience?
What resources did you have available?
What evidence-based practice did you use for this patient?
What new skills are you learning?
What would you do differently?
How are you managing patient flow and volume?
Communicating and Feedback
Ask yourself the following self-reflective questions:

How might I improve on my skills and knowledge, and how do I communicate that back to my Preceptor?
How am I doing? What is missing?
What type of feedback am I receiving from my Preceptor?	

Journal Entry #2 for Women's Health and Reproductive Health Care sample Approach

Journal Entry

Most Challenging Patients

I have learned a great deal from my practicum experience that will be useful in my future career in helping individuals who need medical care. My preceptor was very helpful in providing proper assistance whenever it was required, which made working with him a pleasure. Despite this, I did have some difficulties with a few of the patients that came to the clinic.

When I was working with a client who had come in for a pelvic exam, I ran into my first difficulty when I was trying to handle her. Because I was unsure of how to do this test properly, the client eventually refused to comply, claiming the procedure was too painful. As a result, my preceptor had to take over.

The second challenging patient was a woman 26 years old who had come for a pap smear. She was not adequately ready for the test since she was on her period, which resulted in the test being unsuccessful. She was also upset because she had made a reservation for a consultation but was not provided with the relevant details. My preceptor took charge of explaining everything to the client and helping her decide when would be the best time for the test.

Another challenging case was a woman 36 years old who came in complaining of odorous vaginal discharge.   I was instructed to obtain a vaginal swab but due to the patient’s lack of cooperation throughout the process, the procedure was not successful.

Lesson from the Experience

Empathy is the most important thing that can be learned from any experience. When a nurse demonstrates empathy for their patients, it makes it easier for those patients to talk about a variety of concerns. Every client required a confidant in whom they could put their full confidence and to whom they could confide such confidential and sensitive details about their life (Yu et al., 2022).

 

Resources Available

The preceptor and the other gynecologists who were considered to be experts in the field were the only resources that were accessible to me during my practicum.

Evidence-based practice Used

The evidence-based practice used included the use of off-label medications to address gynecological problems. As an antidepressant, Prozac is mostly responsible for the decline in sex drive (Neron et al., 2019).

New Skills

The capacity for critical thinking and the resolution of hard situations, as well as the ability to make sound judgments under pressure, are the two new skills that I am gaining.

What would you do differently?

The only thing that I would change is the way that I communicate my worry and frustration over the possibility that some conditions may not have treatment. It is considered to be unprofessional to convey emotion in front of a patient because of the anxiety that comes from not knowing what could happen.

Managing Patient Flow and Volume

Setting aside a certain amount of time for each patient is the strategy that I use in order to effectively manage the flow and volume of patients. It ensures that the patient sitting in the waiting room is aware of the precise time and what they should focus on when discussing their issue.

Improving my skills and knowledge to communicate with my preceptor

Spending some time away from work with the preceptor, when there is the opportunity for personal engagement, is the optimal model for improving communication with the preceptor. Additionally, watching educational videos and having access to a variety of resources both contribute to improvements in one’s communication abilities and knowledge.

How am I Doing? What Is Missing?

A self-evaluation test that I carried out not too long ago revealed to me that I had made significant progress. I am proficient in the processes involved in administering a variety of tests, as well as in providing efficient patient education and making accurate clinical diagnoses. Since I am making up for my mistakes and showing steady development, nothing is missing.

Feedback Received From the Preceptor

My preceptor thinks I am doing a good job and appreciates my efforts. It was clear from the comments made by the preceptor that I am a competent and proficient learner. A few tweaks here and there will get me to the point where I can call myself a skilled and experienced nurse practitioner.

References

Neron, M., Bastide, S., Tayrac, R. D., Masia, F., Ferrer, C., Labaki, M., … & Huberlant, S. (2019). Impact of gynecologic cancer on pelvic floor disorder symptoms and quality of life: an observational study. Scientific reports, 9(1), 1-9. https://www.nature.com/articles/s41598-019-38759-5

Yu, C. C., Tan, L., Le, M. K., Tang, B., Liaw, S. Y., Tierney, T., … & Low, J. A. (2022). The development of empathy in the healthcare setting: a qualitative approach. BMC Medical Education, 22(1), 1-13. https://bmcmededuc.biomedcentral.com/articles/10.1186/s12909-022-03312-y