PRAC_6645 Psychotherapy with Multiple Modalities Essay

PRAC_6645 Psychotherapy with Multiple Modalities Essay

PRAC_6645 Psychotherapy with Multiple Modalities Essay

The promotion of quality, efficiency, and safety is important in nursing practice. Psychiatric mental health nurses should be competent in assessing patients and developing evidence-based treatments to optimize outcomes. Practicum experiences help nursing student develop competencies on different aspects of patient care and professionalism in their practice. Therefore, this essay examines my progress in achieving my set goals in the practicum experience.

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Objectives

I have achieved most of my goals from the practicum experience. Some of the goals that I can confidently consider to have achieved include  accurate documentation of nursing care plans and interventions, collaborating with interprofessional teams in the provision of patient care services, and developing appropriate diagnoses and treatment plans for patients suffering from mental health disorders. I am yet to achieve the desired competencies in some of the objectives. They include resolving ethical dilemmas in my practice, delivering psychoeducation optimally to the patients, and using the different screening tools for mental health problems. As a result, I intend to work proactively with my preceptor to achieve these objectives. I also intend to look for different sources of evidence-based data that I can use to increase my knowledge and skills in these areas of practice.

Challenging Patients

I have experienced several challenging clients in the practicum experience. One of the clients is a 48-year-old male patient that was being discharged after being treated in the facility for substance use disorder. He was a challenging client because he lacked housing and resided in homeless shelters in the region. His situation implied that he was highly predisposed to recurrent substance abuse. The patient was linked with the existing social support services in the community. The second client is a schizophrenic male client that was brought as an involuntary admission. The patient was at risk of self-harm and others. The challenging part in his treatment was that he was irritable, aggressive, and declined treatment. The last patient is a 33-year-old female that had been diagnosed with post-traumatic stress disorder and lived alone. The patient was suicidal. Discharging her home increased the risk of her self-harm. As a result, she was admitted for monitoring despite her being against it.

I have learned several things from my encounters with different patients. Some of the lessons learnt include the importance of interprofessional collaboration in the provision of psychiatric care, use of evidence-based interventions, and the adoption of patient-centered care interventions. I have also learned about the importance of patient safety culture for the realization of optimum outcomes in psychiatry  (Moyo et al., 2022). The resources that have been available for use in the practicum site include our preceptors, supervisors, physicians, other nurses, and classmates. The evidence-based practice used for the patients include diagnosing them based on DSM-5, developing evidence-based treatments, and interprofessional collaboration (Haefner & Filter, 2022; Zhang et al., 2020). I will focus on using different screening tools to build my competencies. The hospital manages patient flow and volume through triage and scheduling appointments.

Communicating and Feedback

I will improve my skills and knowledge by being actively involved in all aspects of patient care. I will also seek support from my preceptor and other healthcare providers in the practice site. I have received informal feedback from my preceptor about the areas that I need to improve. I will incorporate them into my personal development plan.

Conclusion

In summary, I have achieved most of the objectives through the practicum experience. I have experienced challenging clients during the practicum duration. We utilize evidence-based interventions in patient assessment, treatment, and evaluation of outcomes. I intend to maximally utilize the resources in the practicum site to develop my desired competencies.

References

Haefner, J., & Filter, M. (2022). Educating Mental Health Nurse Practitioners on Interprofessional Collaboration and Preparing Them for Collaborative Practice. Journal of Doctoral Nursing Practice, 15(1), 3–10. https://doi.org/10.1891/JDNP-2021-0006

Moyo, N., Jones, M., & Gray, R. (2022). What are the core competencies of a mental health nurse? A concept mapping study involving five stakeholder groups. International Journal of Mental Health Nursing, 31(4), 933–951. https://doi.org/10.1111/inm.13003

Zhang, X., Meng, K., & Chen, S. (2020). Competency framework for specialist critical care nurses: A modified Delphi study. Nursing in Critical Care, 25(1), 45–52. https://doi.org/10.1111/nicc.12467

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Due Feb 12 by 11:59pm Points 100 Submitting a text entry box or a file upload Attempts 0 Allowed Attempts 2
Back to Week at a Glance

JOURNAL ENTRY
Critical reflection on your growth and development during your practicum experience in a clinical setting helps you identify opportunities for improvement in your clinical skills, while also recognizing your strengths and successes.

Use this Journal to reflect on your clinical strengths and opportunities for improvement, the progress you made, and what insights you will carry forward into your next practicum.

RESOURCES

Be sure to review the Learning Resources before completing this activity.

Click the weekly resources link to access the resources.

WEEKLY RESOURCES

TO PREPARE
Refer to the “Population-Focused Nurse Practitioner Competencies” found in the Week 1 Learning Resources and consider the quality measures or indicators advanced nursing practice nurses must possess in your specialty of interest.
Refer to your “Clinical Skills Self-Assessment Form” you submitted in Week 1 and consider your strengths and opportunities for improvement.
Refer to your Patient Log in Meditrek and consider the patient activities you have experienced in your practicum experience and reflect on your observations and experiences.
In 450–500 words, address the following:

Learning From Experiences

Revisit the goals and objectives from your Practicum Experience Plan. Explain the degree to which you achieved each during the practicum experience.
Reflect on the three most challenging patients you encountered during the practicum experience. What was most challenging about each?
What did you learn from this experience?
What resources were available?
What evidence-based practice did you use for the patients?
What would you do differently?
How are you managing patient flow and volume?
Communicating and Feedback

Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.
Answer the questions: How am I doing? What is missing?
Reflect on the formal and informal feedback you received from your Preceptor.
BY DAY 7
Submit your Journal.

SUBMISSION INFORMATION
Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the Turnitin Drafts from the Start Here area.

To submit your completed assignment, save your Assignment as WK11Assgn+last name+first initial.
Then, click on Start Assignment near the top of the page.
Next, click on Upload File and select Submit Assignment for review.

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Rubric

PRAC_6645_Week11_Assignment_Rubric

PRAC_6645_Week11_Assignment_Rubric

CriteriaRatingsPtsThis criterion is linked to a Learning Outcome

Assimilation and Synthesis: Content Reflection50 to >44.0 pts

Excellent

Reflection demonstrates a high level of critical thinking in applying and integrating key course concepts and theories from readings, lectures, and/or experiences. Insightful and relevant connections are made through contextual explanations and examples.

44 to >39.0 pts

Good

Reflection demonstrates moderate level of critical thinking in applying and integrating key course concepts and theories from readings, lectures, and/or experiences. Connections are made through explanations and/or examples.

39 to >34.0 pts

Fair

Reflection demonstrates minimal critical thinking in applying and integrating key course concepts and theories from readings, lectures, and/or experiences. Minimal connections made through explanations and/or examples.

34 to >0 pts

Poor

Reflection lacks critical thinking. Superficial connections are made with key course concepts and resources, and/or assignments.

50 pts

This criterion is linked to a Learning Outcome

Assimilation and Synthesis: Personal Growth30 to >26.0 pts

Excellent

Expresses solid evidence of reflection on own work. Demonstrates substantial personal growth and awareness of deeper meaning through inferences, well developed insights, and significant depth in awareness and challenges. Synthesizes current experience into future implications.

26 to >23.0 pts

Good

Expresses moderate evidence of reflection on own work. Demonstrates satisfactory personal growth and awareness through some inferences, insights, and challenges. There is mention of the future implications of student’s current experience.

23 to >20.0 pts

Fair

Expresses minimal evidence of reflection on own work. Demonstrates less than adequate personal growth and awareness through limited or simplistic inferences made, insights, and/or challenges that are not well developed. Minimal thought of future implications of student’s current experience.

20 to >0 pts

Poor

Expresses inadequate evidence of reflection on own work. Personal growth and awareness are not evident and/or demonstrate an impersonal experience. Lacks personal insights, challenges, inferences, and/or future implications are overlooked.

30 pts

This criterion is linked to a Learning Outcome

Written Expression and Formatting15 to >13.0 pts

Excellent

Well written and clearly organized using standard English, characterized by elements of a strong writing style and basically free from grammar, punctuation, usage, and spelling errors.

13 to >11.0 pts

Good

Above average writing style and logically organized using standard English with minor errors in grammar, punctuation, usage, and spelling.

11 to >10.0 pts

Fair

Average writing style that is sometimes unclear and/or with some errors in grammar, punctuation, usage, and spelling.

10 to >0 pts

Poor

Poor writing style lacking in standard English, clarity, language used, and/or frequent errors in grammar, punctuation, usage, and spelling. Needs work.

15 pts

This criterion is linked to a Learning Outcome

APA5 to >4.0 pts

Excellent

Contains no APA errors.

4 to >3.5 pts

Good

Contains one to two (1–2) APA errors.

3.5 to >2.0 pts

Fair

Contains three to five (3–5) APA errors.

2 to >0 pts

Poor

Contains more than five (>5) APA errors.

5 pts

Total Points: 100

Previous

NextMometrix Academy. (2017). Counseling: Multicultural clients

Links to an external site.
[Video]. YouTube. https://www.youtube.com/watch?v=3n54C6rNito
NICABM. (2020). Moving from cultural competence to antiracism
Links to an external site.
[Video]. YouTube. https://www.youtube.com/watch?v=_wJ_pvbC3SI