NSG 187 Psychiatric Self-Reflection Journal Tool Assignment Help
Patient-Centered Care
Today, I demonstrated patient-centered care by prioritizing therapeutic communication and active listening during my 1:1 interaction with [Patient Initials/Diagnosis]. I focused on providing emotional support by validating their feelings regarding their current hospitalization. For example, when the patient expressed frustration over their discharge plan, I utilized open-ended questions to explore their concerns rather than offering immediate, unsolicited advice. This allowed the patient to lead the conversation, respecting their values and preferences.
I also observed a multidisciplinary treatment team meeting where the psychiatrist, social worker, and nursing staff discussed the patient’s progress. This session contributed to the patient’s recovery by ensuring that all departments were aligned on the patient’s goal of returning to [specific goal, e.g., independent living]. It was a clear display of integrating care—addressing not just the psychiatric symptoms, but the social and emotional barriers to their long-term stability.
Teamwork & Collaboration
Functioning as a member of the healthcare team, I participated in the morning shift report and collaborated with the floor RN to identify which patients were at the highest risk for self-harm today. I assisted the team by [describe a task, e.g., monitoring the milieu during mealtime or assisting with a skin check].
One barrier to communication I noticed within the team was [mention a barrier, e.g., the high noise level at the nursing station or a delay in updating the electronic health record], which occasionally made it difficult to pass on real-time updates. Later, I observed a group therapy session focused on coping skills. The dynamics were interesting; the facilitator used “linking” to help patients realize they shared similar struggles, which fostered a sense of universality and mutual support within the group.
Safety and Quality Improvement
Patient safety is the cornerstone of the psychiatric setting. Today, I contributed to patient well-being by maintaining a “safety-first” mindset, specifically by [describe an action, e.g., performing 15-minute rounds or ensuring no contraband was brought into the common area]. I observed the staff implementing safety measures such as environmental “sweeps” and the use of the “arm’s length” rule during escalated situations to prevent injury to both staff and patients.
Beyond physical safety, I practiced psychological safety by ensuring my body language was non-threatening and that I was always positioned between the patient and the door, as per unit protocol. These activities ensured a stable environment where patients felt secure enough to participate in their treatment without fear of harm.
Strengths and Weaknesses
Strengths:
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Therapeutic Communication: I felt confident in my ability to use silence and reflection to encourage patient expression.
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Observation Skills: I was able to identify subtle changes in a patient’s affect and report them promptly to my instructor.
Weaknesses:
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Setting Boundaries: I found it difficult to end a conversation with a patient who was perseverating on a single topic without feeling like I was being “rude.”
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Pharmacology Knowledge: I need to improve my quick-recall of side effects for common atypical antipsychotics, such as metabolic syndrome risks.
S.M.A.R.T. Goal for Next Clinical
Goal: By the end of my next clinical day on [Date], I will demonstrate increased proficiency in setting professional boundaries by utilizing at least two “exit strategies” (e.g., “I have 5 more minutes to talk, then I must check in with my instructor”) during patient interactions to ensure I can manage my time effectively while remaining therapeutic.
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Specific: Practice setting boundaries during 1:1 interactions.
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Measurable: Use the technique at least twice.
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Achievable: This is a standard nursing skill for time management.
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Relevant: Vital for preventing burnout and maintaining professional rapport.
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Time-Bound: To be completed by the end of the next shift.
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NSG 187 Psychiatric Self-Reflection Journal Tool
After the clinical day, at home on Moodle, students will be required to be self reflective on which aspects of the care they have provided are in line with the QSEN nursing competencies and self-identify areas that need improvement. They should also include new insights they have gained from the clinical day and what they have review to be prepared for their next clinical day. The SMART format is a good format to orient student to for journaling professional progress -(S) Specific; (M) Measurable; (A) Achievable; (R) Relevant; (T) Time-Bound. Instructors should review journal entries to familiarize themselves with what their students’ goals are, especially if they are with a new student assignment.
Your journal entry will be double spaced.
Reflect on your clinical experience today and journal a short entry as to how you demonstrated each QSEN domain or reflect on an area that your clinical instructor suggested you improve. Set at least one S.M.A.R.T goal for your next clinical.
- Patient Centered Care:
- Teamwork & Collaboration:
- Evidenced Based Practice:
Please refer to rubric below for grading expectations. (500 word minimum, double spaced)
There will be a 25-point automatic deduction for less than 500 words. There will be 10 % deducted from the final journal grade for 3 or more grammatical, spelling, and punctuation errors. Be sure to avoid run-on and fragmented sentences or inappropriate sentence structure, as well as any failures to capitalize appropriately.
NO LATE WORK WILL BE ACCEPTED AND WILL RESULT IN A ZERO
Self Reflection Journal Grading Rubric
| QSEN- Patient Centered Care
25 points |
QSEN Teamwork & Collaboration
25 points |
QSEN-Safety
25 points |
Goal for next clinical day
25 points |
| · How did you effectively communicate with patient and/or family?
· How did you provide integration of care? (physical/emotional support, education, support patient values, preferences, etc.)
· Did you observe any individual patient treatment sessions (either in treatment team or assessments with staff)? If so how did these sessions contribute to the patient’s overall recovery? |
· How did you function as a member of the healthcare team?
· What barriers did you notice in communication as a team?
· Describe the dynamics of any group activity that you observed.
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· How did the activities you participated in contribute to the well-being of the patients?
· What safety measures were implemented for the patients you encountered? |
Please identify at least 2 weaknesses you could improve upon-10 points
Please identify at least 2 strengths you identified in your practice. 10 points
SMART Format is used- 5 points
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| Total Points- |
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