Practice Critique and Reflective Practice

Order Description

Mental Health and Psychiartric Nursing Masters, 1. Select four key issues that emerge from clinical practice and explore these in your journal, via a dialogue with contemporary or seminal literature throughout the semester. You might want to address issues raised by the critical reflective questions that are sprinkled throughout the chapters of your prescribed texts.
2. Consider the similarity, if any, between the practices of nurses described in your reading and those recorded in your own professional journal. How does what you have read compare/contrast with your own experiences?

1: A regular client had been admitted on my days off she was being discharged later that day. The pt approached me as I was walking through and she told me that she had missed me because she wanted to talk to me, I am going home today but do you want to catch up for a cup of coffee next week.  I was not prepared for this and really did not know what to say. I knew that I could not do this as it was a breach of professional boundaries.

2: A regular client in her mid-60 years with a diagnosis of Schizophrenia. A senior nurse was hugging this patient in front of other patients, staff and visitors, then the nurse proceeded to put her arm around her. The patient was not agitated or upset at the time, in fact smiling and looking at all the other patients  Is this Boundary violation, is this therapeutic practice.

3: Stigma. Talking to staff in Department of Emergency where I work casually and was asked what it was like to work on the psychiatric ward on the weekend. I told them that is was generally quiet as a lot of them go out on leave. They looked at me dumb founded and could not believe that we would let them go out. I went on to say that they are not criminals.

4: Therapeutic relationship.  This is sometimes not possible due to the nurse to client ratio, unable to give the patient more time, which therefore I am not giving a full therapeutic relationship.