Korero Hauora Health Talk - Taranaki District Health Board

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Post Grad Study has Helped My ClinicalPractice and Critical Thinking DevelopN714/758 Nursing Practicum/Developing Clinical Expertise in Nursing.By Pauline Matuku, RN/Facility Manager-Aged Care SectorThis paper (N714/758 Nursing Practicum/Advancing Clinical expertise in Nursing) hasbeen a great enabler in advancing my clinical practice. It has challenged my thinkingaround every day clinical care and taught me how to critique and question what sitsbehind the care we provide and how we deliver it. This has resulted in a huge shift inpractice for myself, of which has filtered down to staff at the facility that I manage.I have developed many new skills and I can honestly say I am using every one of themon a day to day basis. I am now able to search, research, critique literature, utiliserobust evidence and apply it into my practice, and provide education to my staff.New learning has given me a confidence that I never had before. It has allowed me tomove forward and take control of my own practice and the every day practices of thefacility I manage, make changes knowing that I have sound rationale for the same, andthis all works to provide good patient resident care.I have also developed a network with people, something that I never had before.Managing an aged care facility can mean working in isolation a lot of the time,a situation which can be quite lonely. I now have good support and people thatI can resource when I need to. Learning from this paper has also improved mycommunication skills with those people I work closely with. I attribute this to thedevelopment of my own knowledge base, which has enlightened and empowered meand given me confidence.I would like to thank Taranaki District Health Board (TDHB) for access to ‘my beautifulmentor’ Suzanne Smith. Sue has been a great but hard mentor. Not only did shementor me but she supported me how to learn, research, and produce academicwork. I would recommend her to anyone.“ It has challenged mythinking around every dayclinical care and taughtme how to critique andquestion what sits behindthe care we provide andhow we deliver it”2011 Korero Hauora - Health Talk
Leadership and Compassion in the TheatreSettingBy Tania Russell RN, PGCert HSc.In semester two I undertook the Nursing Practicum/Advancing Clicical Expertisein Nursing post graduate course. As part of one of the assignments we were todemonstrate leadership in our role, with a person/patient/family centred approach. Ichose leadership and compassion in the theatre setting.When developing this leadership objective I initially struggled to identify areas ofleadership in my practice but as I have reflected over the course of this assignmentI have identified that I am a leader in everyday practice, in my Recovery (PACU) bedspace, in my work environment, in my communication with others and in advocatingchange.Working in the perioperative environment does not lend itself well to family centredcare. Traditionally theatre and the post anaesthetic care unit(PACU) have not beena place for parents or family members to have access while their loved ones arechecked in for surgical procedures in the preoperative unit or while recovering froman anaesthetic. PACU is a small compact area which does not enable effective patientprivacy. While attempts are made by staff to ensure privacy while maintaining dignity,it is difficult when family members are present due to the nature of the recoveryexperience of each patient, high acuity, lack of space as well as high patient volume.(Smykowski & Rodrigues, 2003).Compassion in care is an area often neglected in the PACU/theatre phase. Spendingtime with a patient pre operatively who is anxious is something poorly managed dueto lack of time, the arrival of post-operative patients in the recovery unit, and with lackof staffing also a barrier, Murray cited in Kai Tiaki Nursing New Zealand (2011) that“operation time is a valuable commodity and resource that is expensive and limitedwhere time can be a source of tension as individuals; compete for control to use it.”As patients arrive in the post-operative unit they are sometimes not suitably covered,with surgical appliances for example, drains sometimes coiled around limbs. This sortof thing happens for various reasons, including the medicated sedated state of thepatient following surgery.Through the ability to lead and manage change in my work environment I haveinitiated and introduced changes in practice, by being a voice for the unconsciouspatient.I have done this by speaking at staff meetings advocating change in the way werecover children, talking about patient centred care and how patients have a right todignity and privacy. I have spoken to Clinical Nurse Leaders and the multidisciplinaryteam about how we can improve on the process we transfer patients with increaseddignity.As this course has required robust referencing, I align the quality improvement withthe Nursing Councils Code of Conduct which all Registered Nurses in New Zealandoperate by. (NZNC, 2009)202011 Korero Hauora - Health Talk
Page 1 and 2: Korero HauoraHealth TalkA celebrati
Page 4 and 5: We Bid Farewell to a Nursing Stalwa
Page 8 and 9: Lara Puketapu-Collins, Ward 1, in o
Page 10: Post Graduate Study Leads to Nurse
Page 13 and 14: Clinical practice developmentflouri
Page 15: Clinical Practice continues to deve
Page 19 and 20: Thoughts on Attaining my Post Gradu
Page 21 and 22: Risky Crossings:The perceptions and
Page 23 and 24: Specialist Clinical Nurse - Exercis
Page 25 and 26: Becoming a Midwife in TaranakiBy Gr
Page 27 and 28: Baby Friendly Hospital InitiativeBy
Page 29 and 30: A Time to Celebrateour professionsI
Page 31 and 32: TDHB Professional Development and R
Page 33 and 34: Time to CareBy Kareen McLeod, Nurse
Page 35 and 36: Ongoing InitiativesNurse Entry to P

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