SILO 3 Critique how organizational structures, organizational culture and contextual variables influence the nursing environment and the coordinated approach to person-centered care.

SILO 5 Develop and apply communication skills that directly relate to health information systems.

SILO 6 Apply awareness of the transition from student to registered health care practitioner through critical self-reflection.

Instructions
In this report, you are expected to draw upon both your undergraduate student nursing experiences, your current work environment, and the contemporary peer-reviewed literature to address questions regarding contemporary nursing practice and the transition from student to graduate nurse. This report follows the underlying principles of Gibbs’ reflective cycle (1988) of description, analysis, and action. You do not need to define, introduce, or follow the specific questions of Gibb’s cycle in your work but you may use subheadings aligned with the instructions below to orientate your reader. While employing a first-person writing style is suitable for this task, it is essential to substantiate your analyses and actions with evidence from peer reviewed sources.

Part 1: Organisational structure and culture (650 words)

Rationale
As a newly registered nurse you may find it uncomfortable to speak up when you notice a safety concern. It is important to reflect on both systemic and personal factors that may promote or hinder a workplace safety culture in order to understand the potential impact on person-centred care.

Describe (150 words)
Reflect on your current work environment and describe a safety concern you have encountered. How was this dealt with? Were you or other nurses able to speak up for safety?

Analyse (300 words)
Identify one (1) contextual variable that may have influenced the environment this safety concern occurred in. Critique this variable and propose one (1) organisational system/process/culture shift that may address it so that a similar concern does not occur again (e.g.: SingHealth Duk-NUS Institute for Patient Safety and Quality).

Action (200 words)
What role will you play as a graduate nurse in promoting a workplace culture of safety? Identify two (2) personal factors that will be crucial in your practice to promote a culture in which you can speak up for safety (starting resource: Tan et al., (2019) https://doi.org/10.1177/2516043519878979).

 

Part 2: Health informatics and contemporary nursing practice (650 words)

Rationale
In contemporary healthcare it is crucial for nurses of all levels and across every speciality to integrate health informatics skills. As a registered nurse you must possess not only the necessary clinical competencies but also the ability to navigate and utilise technology with skill, capability, and ethical responsibility. This is fundamental to the delivery of safe and effective care.

Describe (100 words)
Reflect on your current work environment and describe your experience of using or observing the use of a health informatics system (e.g.: electronic medical records [EMR]; patient flow systems; journey boards; risk management tools such as RiskMan).

Analyse (350 words)
Identify one (1) barrier or enabler to the effective use of health informatics within your described experience. Critically analyse how this chosen barrier or enabler did or could impact effective use of health informatics, and how this therefore impacts the delivery of safe and effective care.
Action (200 words) What role will you play as a registered nurse in the ethical use of health information systems? Identify two (2) responsibilities that are fundamental to apply in order to ensure ethical practice when utilising health informatics.

Part 3: Transition to practice (700 words)

Rationale
Being a critically reflective nurse requires you to go a step beyond simple reflective practice. Working as a nurse you will encounter many challenges. The newly registered nurse arguably experiences unique challenges during the transitional period, and being critically reflective allows you to identify strategies to develop professional resilience and enjoy a sustainable, fulfilling nursing career.
Describe (100 words)
Reflect on your undergraduate learning journey and describe one (1) challenge you have already encountered. This could be a personal challenge, or one attributed to external factors.

Analyse (300 words)
To demonstrate your awareness of the transition from student to registered nurse, identify and critically reflect on one (1) or two (2) challenges commonly experienced by newly registered nurses with an increased scope of practice. Critically reflect by examining the broader societal and contextual factors influencing registered nurses’ practice.

Action (300 words)
What can you do to support the development of professional resilience?Drawing on a challenge commonly experienced by newly registered nurses you identified above, discuss two (2) self-care strategies you can put in place to promote professional resilience.