JOURNAL

JOURNAL ENTRY #1

On any given day, a nurse can play a pivotal role in someone’s life. Experienced nurses often share stories of previous experiences and draw upon these experiences when circumstances warrant.

Hence, reflection can be a valuable tool. It serves as a tool for not only recalling experiences but also for applying lessons learned from those experiences. Keeping a nursing journal provides these benefits and more.

RESOURCES

Be sure to review the Learning Resources before completing this activity.  Click the weekly resources link to access the resources. 

WEEKLY RESOURCES

To prepare:

· Refer to the current Clinical Guidelines found in this week’s Learning Resources and consider how these guidelines inform your clinical experience.

· Refer to your FNP or AGPCNP Clinical Skills and Procedures Self-Assessment Form you submitted in Week 1, and consider how your self-assessment might inform your Assignment.

· Refer to your Patient Log in Meditrek and reflect on Weeks 1–5 of your clinical experience. Consider your observations and experiences with patients during this time.

Journal Entry #1 (450–500 words):

In your journal entry, answer the following questions:

Learning from Experiences

· Reflect on the 3 most challenging patient encounters and discuss what was most challenging for each----

NEED OBGYN patient.

· What did you learn from this experience?

· What resources did you have available?

· What evidence-based practice did you use for this patient?

· What new skills are you learning?

NEED OBGYN related skills.

· What would you do differently?

· How are you managing patient flow and volume?

Communicating and Feedback

Respond to the following reflective questions:

· How might I improve on my skills and knowledge, and how to communicate that back to my Preceptor?

· How am I doing? What is missing?

· What type of feedback am I receiving from my Preceptor?

LEARNING RESOURCES

Required Readings

· Schuiling, K. D., & Likis, F. E. (2022). G ynecologic health care (4th ed.). Jones and Bartlett Learning.

· Chapter 23, “Urinary Tract Infections” (pp. 469–478)

· Chapter 23, “Menstrual-Cycle Pain and Premenstrual Syndrome” (pp. 495–510)

· Chapter 26, “Normal and Abnormal Uterine Bleeding” (pp. 511–528)

· Fowler, G. C. (2019).  Pfenninger and Fowler’s Procedures for Primary Care (4th ed.). Elsevier. 

· Section 9, “Gynecology and Female Reproductive System”

· Chapter 118, “Bartholin Cyst and Abscess: Word Catheter Insertion Marsupialization” (pp. 804–807)

· Chapter 119, “Breast Biopsy” (pp. 808–813)

· Chapter 120, “Pap Smear and Related Techniques for Cervical Cancer Screening” (pp. 814–824)

· Chapter 121, “Human Papillomavirus DNA Typing” (pp. 825–828)

· Chapter 122, “Wet Smear and Potassium Hydroxide Preparation” (pp. 829–832)

Practicum Resources 

· Walden University Field Experience. (n.d.-a).   Field experience: College of Nursing.Links to an external site.  https://academicguides.waldenu.edu/fieldexperience/son/home

· Walden University Field Experience. (n.d.-c).  Student practicum resources: NP student orientation .Links to an external site. https://academicguides.waldenu.edu/StudentPracticum/NP_StudentOrientation

· Walden University Field Experience. (n.d.-b).  MSN nurse practitioner practicum manual .Links to an external site. https://academicguides.waldenu.edu/fieldexperience/son/formsanddocuments

· HSoft Corporation. (n.d.).  Meditrek .Links to an external site.  https://edu.meditrek.com/Default.html   Note: Use this website to log in to Meditrek to report your clinical hours and patient encounters.

Clinical Guideline Resources 

· As you review the following resources, you may want to include a topic in the search area to gather detailed information (e.g., breast cancer screening guidelines; for the CDC - zika in pregnancy, etc.).

· American College of Obstetricians and Gynecologists.Links to an external site.  (n.d.). https://www.acog.org/

· American Cancer Society.Links to an external site.  (n.d.). https://www.cancer.org/  

· Centers for Disease Control and Prevention.Links to an external site.  (n.d.). https://www.cdc.gov/ 

· ANA Enterprise.Links to an external site.  (n.d.). https://www.nursingworld.org/

· American Association of Nurse Practitioners.Links to an external site.  (2020). https://www.aanp.org/

· HealthyPeople 2030Links to an external site. . (2020). Healthy People 2030 framework.Links to an external site. https://www.healthypeople.gov/2020/About-Healthy-People/Development-Healthy-People-2030/Framework

· U.S. Preventive Services Task Force.Links to an external site.  (n.d.-b).  Search and filter all recommendation topics .Links to an external site. https://www.uspreventiveservicestaskforce.org/uspstf/topic_search_results?topic_status=P&searchterm=

LEARNING RESOURCES

Required Readings

· Schuiling, K. D., & Likis, F. E. (2022). G ynecologic health care (4th ed.). Jones and Bartlett Learning.

· Chapter 23, “Urinary Tract Infections” (pp. 469–478)

· Chapter 23, “Menstrual-Cycle Pain and Premenstrual Syndrome” (pp. 495–510)

· Chapter 26, “Normal and Abnormal Uterine Bleeding” (pp. 511–528)

· Fowler, G. C. (2019).  Pfenninger and Fowler’s Procedures for Primary Care (4th ed.). Elsevier. 

· Section 9, “Gynecology and Female Reproductive System”

· Chapter 118, “Bartholin Cyst and Abscess: Word Catheter Insertion Marsupialization” (pp. 804–807)

· Chapter 119, “Breast Biopsy” (pp. 808–813)

· Chapter 120, “Pap Smear and Related Techniques for Cervical Cancer Screening” (pp. 814–824)

· Chapter 121, “Human Papillomavirus DNA Typing” (pp. 825–828)

· Chapter 122, “Wet Smear and Potassium Hydroxide Preparation” (pp. 829–832)

Practicum Resources 

· Walden University Field Experience. (n.d.-a).   Field experience: College of Nursing. Links to an external site.  https://academicguides.waldenu.edu/fieldexperience/son/home

· Walden University Field Experience. (n.d.-c).  Student practicum resources: NP student orientation. Links to an external site. https://academicguides.waldenu.edu/StudentPracticum/NP_StudentOrientation

· Walden University Field Experience. (n.d.-b).  MSN nurse practitioner practicum manual. Links to an external site. https://academicguides.waldenu.edu/fieldexperience/son/formsanddocuments

· HSoft Corporation. (n.d.).  Meditrek. Links to an external site.  https://edu.meditrek.com/Default.html   Note:  Use this website to log in to Meditrek to report your clinical hours and patient encounters.

Clinical Guideline Resources 

· As you review the following resources, you may want to include a topic in the search area to gather detailed information (e.g., breast cancer screening guidelines; for the CDC - zika in pregnancy, etc.).

· American College of Obstetricians and Gynecologists. Links to an external site.  (n.d.). https://www.acog.org/

· American Cancer Society. Links to an external site.  (n.d.). https://www.cancer.org/  

· Centers for Disease Control and Prevention. Links to an external site.  (n.d.). https://www.cdc.gov/ 

· ANA Enterprise. Links to an external site.  (n.d.). https://www.nursingworld.org/

· American Association of Nurse Practitioners. Links to an external site.  (2020). https://www.aanp.org/

· HealthyPeople 2030 Links to an external site. . (2020). Healthy People 2030 framework. Links to an external site. https://www.healthypeople.gov/2020/About-Healthy-People/Development-Healthy-People-2030/Framework

· U.S. Preventive Services Task Force. Links to an external site.  (n.d.-b).  Search and filter all recommendation topics. Links to an external site. https://www.uspreventiveservicestaskforce.org/uspstf/topic_search_results?topic_status=P&searchterm=