The Reflective Journaling Assignment

The Reflective Journaling Assignment

Students need to identify a patient/client they cared for in the clinical. Complete the following

sections of the reflective journal on the selected patient/client and your particular clinical

experience.

Part 1: Care Plan Reflection

1. Write a brief description of the patient/client:

 Patient Demographics

 Patient History

 Pathophysiology of condition

2. Indicate how you conducted the following components of the patient/client’s care plan

during your interaction:

 Assessment

 Diagnosis (choose one priority diagnosis)

 Planning

 Implementation

 Evaluation

3. Describe how you applied the Clinical Judgment Model during interaction:

a) What did you do to identify the patient/client needs?

b) What forms of assessment and team collaboration did you utilize to formulate the

patient/client needs?

c) How did you decide on the priority need of you patient/client?

d) How did you identify which nursing interventions will address the patient/client

priority needs?

e) How did you implement the solutions identified? Enumerate some steps/actions.

f) Were the steps/actions effective on not? Explain.

Part 2: Self-reflection

4. Describe your physical and mental experience while caring for the patient/client. Include

self-perception, behavior, or habit that you observed about yourself.

5. Note any feelings you observed in yourself, the patient/client, and/or others around you

at that time.

6. Evaluate own processes of decision-making, planning, or evaluation of activities

undertaken during the conduct of care.

7. Evaluate your own pre-judgments of the clinical situation and whether that could have

influenced your practical actions.

8. Evaluate your own needs for improving nursing, communication, or other skills to become a

professional nurse.

9. Evaluate own rash judgment on people, i.e., making judgments without sufficient evidence/

limited information.

10. Describe what specific nursing routines/practices you followed during the care. Would you

change the perspective routine to serve the patient/client better? Explain your answer.

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