Developing a Professional Practice Portfolio

Developing a Professional Practice Portfolio

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Developing a Professional Practice Portfolio

The purpose of a professional practice portfolio in nursing

A nurse's professional portfolio is a well-organized collection of documents that demonstrates the nurse's work history, educational background, and growth as a nurse practitioner over time. Showcase accomplishments, exhibit professional progress, and assist with career planning with the use of a professional portfolio (Cope & Murray, 2018). Transcripts and other documentation of one's educational and professional pursuits are essential while putting up a professional portfolio. This helps us comprehend the individual's educational history and where they are now. The inclusion of these in the portfolio helps readers comprehend the person's educational level in relation to their job path. It's critical to include non-certificate in-service experiences in your resume portfolio (Daphney et al., 2020). In this case, it's possible to see some of the skills one had while in school, but there are no obvious signs of that engagement. If you have any professional affiliations or credentials, be sure to include them in your cover letter. The lack of consistency amongst support teams in terms of guidance and portfolio expectations lead to confusion and ambiguity among professionals about the meaning and consequences of portfolio development for nurses therefore bringing to difficulties in interpretation (Mollahadi & Khaghanizadeh). Different assessors might have widely diverse opinions on the same portfolio, because it is a qualitative appraisal of experiences, classroom successes.

Clinical example related to the portfolio

A patient with diabetes was diagnosed with stage 4 lung cancer. To ease the patient's emotional distress, his family requested the victim's privacy. The patient had always considered lung cancer fatal. To enable him to die in peace, they advised suppressing knowledge about the patient's condition. Concluding was difficult for a nurse who values openness and thinks patients have a right to know everything (Blomberg et al., 2019). To guarantee that all activities are beneficial to all parties, the ethical idea of beneficence was adopted (Janmanee et al., 2021). The idea also asks that the task be conducted with compassion and success in mind. The non-maleficence principle assured that the choice taken did not injure or harm the patient. The patient's fears of a lung cancer diagnosis were factored into treatment decisions, and the paternalism concept was applied (Haddad & Geiger, 2018). The idea is to conceal a patient's condition. Both the ANA and ICN code regulations emphasize patient safety. As a result, to prevent emotional suffering, the patient's physical condition was concealed.

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Reflection on application of Registered Nurse Standards for Practice

This particular patient, who was 65 and male, had an injection for lower back pain only a year before. In addition, the consumer had both type 2 diabetes and renal insufficiency, which complicated matters further. A hard and inflated belly was obvious during my assessment of the patient, as well as loud and clearly hypoactive digestive sounds. During the examination, it was discovered that the other abnormality was diminished pulses in the lower limbs. He was aware of the importance of carbs and how they raise blood sugar levels. However, since the patient's physiology prevented the pancreas from producing enough insulin, the tissues in the body were unable to absorb sugar as normally as they should have. Another patient, a 30-year-old man with a case of meningiocele repair after the patient had had laminectomy, was assigned to my care as well. 

As a result, I created an RN patient report in order to monitor any changes for the first patient because I had revised my expectations of the client. With respect to the second patient, there was evidence of severe discomfort, and the patient was in need of a broad range of services. What I needed to know was what the customer requested and whether or not the requirements were urgent in compared to the previous patient. Both patients had stable vital signs with no significant difficulties, and the second patient wanted to be discharged at 1500 hours, which was accommodated. The release was granted by the patient's approved doctor prior to conversation with me as a representative nursing practitioner on the patient's behalf. I was assigned the responsibility of discharging the patient, which I accomplished by going to the computer and printing a discharge report. In addition, I was expected to visit the micromedex, where I would print out the patient's prescription details and other pertinent information. I then went through the patient's medical history with them in order to get them on board with what was required of them at that point.

Continuing professional development and developing a portfolio

The level of involvement of unit manager in the planning process is critical as it inspires the staff in achieving their potential. Among the management strategies that the charge nurse implements include, creating succession plans for the main roles within the nursing unit. The strategy is effective as it promotes smooth running of the activities and a positive relationship within the nursing unit. Another strategy used in the clinical training site is the creation of competitive report sheets, which assists in saving time since they contain all the essential information that is needed during the working period (Resnick et al., 2022). The time management strategies used by the unit manager are similar to mine as they lead to a more organized work. The proper scheduling exhibited in the plans made by the unit manager assists in prioritizing activities. In contrast to the charge nurse's management strategies that advocates for delegation, I prefer multitasking. The adjustment that would be made is to seek for assistance from other members and only undertake tasks that need my expertise. 

The change occurring in the clinical agency is in the communication channel that aims at improving the conversation and discussions within the agency. According to Olatinwo et al (2019), better telecommunication channels that would reduce communication interruptions in the busiest sector are being introduced. The process of the change in the communication channels within the agency began with the identification of the goals and needs of specific units in the agency. It was followed by meeting the standards required and educating the staff about the change. The implementation process and assessment of the performance of the changes in the telecommunication channels then followed and finally the ways of sustaining the change were crafted. The change is aimed at improving the sharing of the patient information within the health sector to improve their management. The driving forces during the implementation of the change included the financial reserves and a capable management team in the agency. The restraining forces to the change were mainly the staff opposition and time. Employee education and teamwork assisted in overcoming the challenges during the change process.

References

Blomberg, A. C., Bisholt, B., & Lindwall, L. (2019). Value conflicts in perioperative practice. Nursing ethics, 26(7-8), 2213-2224.

Cope, V., & Murray, M. (2018). Use of professional portfolios in nursing. Nursing Standard, 32(30).

Daphney, S. G., Lynda, B., Valérie, C., & Caroline, G. (2020). The INSÉPArable portfolio tool to sustain continued education and the professional development of nurses for a full scope of nursing practice and enhanced patient safety competencies: An ethnographic study. International journal of nursing studies advances, 2, 100011.

Haddad, L. M., & Geiger, R. A. (2018). Nursing ethical considerations.

Janmanee, A., Suttharangsee, W., & Chaowalit, A. (2021). Ethical Reasoning in Thai Nurse’s Practices: A Qualitative Study. Songklanagarind Journal of Nursing, 41(1), 14-23.

Mollahadi, M., Khademolhoseini, S. M., Mokhtari-Nouri, J., & Khaghanizadeh, M. (2018). The portfolio as a tool for mentoring in nursing students: A scoping review. Iranian Journal of nursing and midwifery research, 23(4), 241.

Olatinwo, D. D., Abu-Mahfouz, A., & Hancke, G. (2019). A survey on LPWAN technologies in WBAN for remote health-care monitoring. Sensors, 19(23), 5268.

Resnick, B., Zimmerman, S., Gaugler, J., Ouslander, J., Abrahamson, K., Brandt, N., ... & Verbeek, H. (2022). Pragmatic trials in long-term care: research challenges and potential solutions in relation to key areas of care. Journal of the American Medical Directors Association, 23(3), 330-338.