Clinical: Journal Reflection
Reflective Journal Instructions
You will create 7 entries for your Reflective Journal about a patient encounter. In the 7th entry, you will review the previous 6 entries and evaluate your progress in reflective practice over the course of the term. Each journal should be a minimum of 250 words.(Clinical Reflection Journal for Nursing Students)
The purpose of this reflective journal is self-reflection regarding the role in the process of self-reflection as a PMHNP provider. Through reflective practice, the student will evaluate their own emotional health and recognize one’s own feelings as well as one’s ability to monitor and manage those feelings. The point of the exercise is to learn yourself, your triggers, the types of cases you end up getting overly involved with, and those you’d rather refer to someone else. The idea is to be able to personally reflect on your behaviors/thoughts/decisions and how those impact you in the role of PMHNP. (Clinical Reflection Journal for Nursing Students)
Address the following items:
Cultural competence in nursing can be observed through multiple examples. Discuss your experience as follows, if any:
- Respecting patients’ cultural and religious beliefs that conflict with treatment plans.
- From where does this originate?(Clinical Reflection Journal for Nursing Students)
- Discuss one of the nursing theorists behind this.
Rubric
NU674 Unit 12 Assignment – Clinical: Journal Reflection
NU674 Unit 12 Assignment – Clinical: Journal Reflection
CriteriaRatingsPts
This criterion is linked to a Learning OutcomeContent Reflection
10 pts
Level 5
Reflection demonstrates a high degree of critical thinking in applying, analyzing, and evaluating key course concepts and theories from readings, lectures, media, discussions activities, and/or assignments. Insightful and relevant connections made through contextual explanations, inferences, and examples.(Clinical Reflection Journal for Nursing Students)
7 pts
Level 3
Reflection demonstrates some degree of critical thinking in applying, analyzing, and/or evaluating key course concepts and theories from readings, lectures, media, discussions activities, and/or assignments. Connections made through explanations, inferences, and/or examples.(Clinical Reflection Journal for Nursing Students)
4 pts
Level 1
Reflection demonstrates limited critical thinking in applying, analyzing, and/or evaluating key course concepts and theories from readings, lectures, media, discussions, activities, and/or assignments Minimal connections made through explanations, inferences, and/or examples.(Clinical Reflection Journal for Nursing Students)
0 pts
Level 0
Reflection lacks critical thinking. Superficial connections are made with key course concepts and course materials, activities, and/or assignments.
10 pts
This criterion is linked to a Learning OutcomePersonal Growth
10 pts
Level 5
Conveys strong evidence of reflection on own work with a personal response to the self-assessment questions posed. Demonstrates significant personal growth and awareness of deeper meaning through inferences made, examples, well developed insights, and substantial depth in perceptions and challenges. Synthesizes current experience into future implications.(Clinical Reflection Journal for Nursing Students)
7 pts
Level 3
Conveys evidence of reflection on own work with a personal response to the self-assessment questions posed. Demonstrates satisfactory personal growth and awareness through some inferences made, examples, insights, and challenges. Some thought of the future implications of current experience.(Clinical Reflection Journal for Nursing Students)
4 pts
Level 1
Conveys limited evidence of reflection on own work in response to the self-assessment questions posed. Demonstrates less than adequate personal growth and awareness through few or simplistic inferences made, examples, insights, and/or challenges that are not well developed. Minimal thought of the future implications of current experience.(Clinical Reflection Journal for Nursing Students)
0 pts
Level 0
Conveys inadequate evidence of reflection on own work in response to the self-assessment questions posed. Personal growth and awareness are not evident and/or demonstrates a neutral experience with negligible personal impact. Lacks enough inferences, examples, personal insights and challenges, and/or future implications are overlooked.(Clinical Reflection Journal for Nursing Students)
10 pts
This criterion is linked to a Learning OutcomeTimliness
5 pts
Level 5
Journal reflection is submitted on or before deadline.
3.5 pts
Level 3
Journal reflection is submitted within 1 day (24 hours) after the deadline.
2 pts
Leve 1
Journal reflection is submitted 1-2 days (25-48 hours) after the deadline.
0 pts
Level 0
Journal reflection is submitted 2-3 days (49-72 hours) after the deadline.
5 pts
Total Points: 25
Clinical Reflection Journal for Nursing Students
Clinical Reflection Journal
Cultural competence refers to healthcare providers’ ability to offer patients quality healthcare while incorporating their knowledge of their In this regard; a nurse may demonstrate cultural competence by using a language that the patient understands, respecting their conflicting beliefs on treatment plans, identifying patients in marginalized groups, and collaborating with health providers from diverse backgrounds promote cultural awareness (Sharifi et al., 2019).(Clinical Reflection Journal for Nursing Students)
Describe Your Experience in Respecting Patient’s Cultural and Religious Beliefs that Conflict with Treatment Plans.
Recently, I encountered a 35-year-old man with bipolar disorder. While he could not decide on his treatment, I consulted with his family members on the most appropriate treatment to give him. However, his family was against any medication and believed his condition was a curse from his grandparents for failing to take care of his children. Instead, they suggested the best treatment would be to offer sacrifice to seek forgiveness from his grandparents, who had already passed on.(Clinical Reflection Journal for Nursing Students)
From Where Does this Originate?
This conflicting belief came from their cultural belief that mental disorders result from disobeying the elders, and medication cannot help unless they seek forgiveness from their ancestors. I respected their beliefs but tried to explain that bipolar disorder may be hereditary. I asked if someone in their family had the same condition, and they admitted that there are four other distant family members with the same condition. I explained the need to take medication despite their beliefs to improve the patient’s health outcomes. Through negotiation, they agreed to take medication but insisted on offering sacrifices which I respected.(Clinical Reflection Journal for Nursing Students)
Discuss One of the Nursing Theorists Behind This
One cultural competence nursing theory is Leininger’s Cultural Care Theory. It allows nurses to provide supportive, facilitative, and assistive care that fits the patient’s values and beliefs (McFarland et al., 2019). Through this theory, I applied generic and professional knowledge to develop patient care that is in the patient’s best interest. As a result, it helped to improve patient outcomes and increase their overall satisfaction and cooperation in treatment.(Clinical Reflection Journal for Nursing Students)
References
Choi, J., & Kim, J. (2018). Effects of cultural education and cultural experiences on the cultural competence among undergraduate nursing students. Nurse Education in Practice, 29, 159-162. https://doi.org/10.1016/j.nepr.2018.01.007
McFarland, M. R., & Wehbe-Alamah, H. B. (2019). Leininger’s theory of culture care diversity and universality: An overview with a historical retrospective and a view toward the future. Journal of Transcultural Nursing, 30(6), 540-557. https://doi.org/10.1177/1043659619867134
Sharifi, N., Adib-Hajbaghery, M., & Najafi, M. (2019). Cultural competence in nursing: A concept analysis. International Journal of Nursing Studies, 99, 103386. https://doi.org/10.1016/j.ijnurstu.2019.103386
