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Recently, I had a patient who had fallen at home, and during a CT scan, there was an incidental finding of a pancreatic mass with liver involvement. Oncology was consulted, and the patient was scheduled for a liver biopsy. The patient refused two biopsies, and it was due to her fear and anxiety about the next steps. Rather than accepting her refusal, I wanted to find ways to alleviate her anxiety and change her outlook on getting the biopsy. I was able to provide education and have Ativan order for her to be given 30 minutes before the biopsy.

This reminded me how important it is to evaluate the barriers to learning prior to provided education.

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Confidence is not an act of arrogance or portrayal of ego, instead, it is a way to exemplify self-belief in one's abilities to be successful. Leadership requires confidence to be respected and to conduct action effectively.

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Effective communication guides the standards of nursing practice. The ability to effectively communicate among the interprofessional team helps to promote safe and quality patient care by advocating for necessary interventions, questioning orders, and ensuring the patient is included in their care. Communication and seeking clarification can mitigate medication errors and other safety risks.

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Every job or profession requires adequate communication for the business or organization to run smoothly. Nursing is no different. If anything, communication is most crucial in this job. One small miscommunication can put someone's life at risk.

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In the movie trailer we watched in the learning activities this week, it ends with the question if nursing is a job, profession, or calling. Overwhelmingly, I would answer this question with the idea of nursing being a calling. As so many say, nursing takes a special kind of person to provide care to these patients and keep coming back for more. As nurses, we could see multiple deaths or traumatic events, and still have to come back to work the next day, providing a brave face for those around us. This is not something everyone is capable of and is not just any other profession.

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As a nurse, patients place great trust in our judgement and opinion. Everyday, I have patients and families ask for my opinion in situations or what I would do if it was me as the patient. While it can be very hard, it is important that we offer only facts to the patients and not input our own opinions or biases. If this was to occur, it could later come back on the nurse as an ethical issue or adverse outcome for the patient.

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In the article What is Leadership? Leadership is "a set of behaviors used to help people align their collective direction, execute strategic plans, and continually renew an organization (2022 para 1)."  While a whole host of things constitute what a leader is and what they are not, this definition gives us a glimpse into what a leader's mission and responsibilities are. Leaders lead their followers to success and open doors to new opportunities as long as they lead effectively. I hope to be able to be a good leader in the future.
References
What is leadership? (2022, August 17). Www.mckinsey.com; McKinsey & Company. https://www.mckinsey.com/featured-insights/mckinsey-explainers/what-is-leadership

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Going AMA                                                                Kayla Codling 

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Going AMA                                                                Kayla Codling 

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I have had a few patients that have left the hospital against medical advice. While you do your best for them and don't want them to go without the okay from the medical team, it is ultimately up to them. Sometimes all you can do is educate the patient, give them all the facts, and let them ultimately decide what they will do.

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How can you build confidence as a new nurse? Kayla Codling

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How can you build confidence as a new nurse? Kayla Codling

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Being a new nurse or new in any profession is challenging. Some days you feel like you are just keeping your head above water. Post University recommends 11 ways to build confidence for new nurses. These are:
-Find an experienced Mentor
-Build Self-Confidence
-Hone time management and organizational skills
-Build your knowledge
-Ask questions
-Don't Compare yourself to others
-Complement others
-Be comfortable in your role
-Networking
-Feedback
-Be a lifelong learner

Take each day one at a time, breath, and know you've got this and plenty of people are around to help you when you need it.

Reference
Post University. (2022, January 12). 11 Ways Nurses Can Build Their Confidence. Post University. https://post.edu/blog/how-nurses-can-build-their-confidence/

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Nurses need to have confidence in their abilities in order to effectively provide care. Confidence allows nurses to be calm and be sure they are providing the right treatment in stressful situations.

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Nurses sometimes need to go against their own beliefs in order to respect the autonomy of the patient

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Nurses are smart and have great decision-making skills. They understand critical lab values, various diagnoses, vital signs, etc. and usually know what the best thing is for the patients.

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Nurses are seen as great leaders and use their professionalism and abilities to get tasks done and give high quality care to patients and their families.

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Concept mapping visually illustrates the relationship between concepts and ideas.

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As a class we are going to create a concept map about the topic of The Image of Nursing.  The purpose of this is to create, as a group, a better understanding of the different facets of the image of nursing.  I have started the map by entering the main topic in the purple block in the center.  All students need to include a minimum of three main points on the map and draw connectors to all other points as appropriate.  Navigate the screen using the scroll bars to the right and bottom of the page (the Padlet has no limit on expansion, so you can move the screen around and expand it).  To post a point, either double click on the screen or click on the pink circle with the plus sign in the lower right corner of the screen.  Make sure to include your name with your posted points and do not duplicate others points.  If your name does not appear automatically, simply include your name in the block so that you can receive credit for your work.  To move your block around the screen simply click and drag to the position where you want it to be.   To connect your point with others click on the three vertical dots in the upper right corner of the block, this will give you a menu of more actions.  Select 'connect to a post' and other blocks will turn yellow with a pink bar that reads CONNECT.  Simply click on the CONNECT bar to connect concepts.  If you have questions with this activity contact your course instructor.