Exploring Vital Signs: A Reflective Analysis of Nursing Practice

Introduction

I am a dedicated nursing student at the Australian Catholic University, embarking on a reflective journey to explore the complexities of vital signs assessment. In collaboration with two peers, this role play assignment focused on temperature, pulse, respiration, and blood pressure (TPR) measurements provides insights into the challenges faced and lessons learned during the execution of nursing tasks.

Challenges in Communication and Preparation

Assuming the role of a nurse in the video, my initial interaction with the patient lacked the crucial step of introducing myself.

Hamilton (2007) emphasizes the significance of both verbal and nonverbal communication in the patient-nurse relationship. While making eye contact and inquiring about the patient's well-being, I overlooked the fundamental step of introducing myself, recognizing this as my first communication mistake.

Furthermore, adhering to the guidelines of the Australian Commission on Safety and Quality in Healthcare (2009), I ensured proper hand hygiene through alcohol-based hand rub. The importance of infection control was evident in my practice. Prior to initiating the vital signs assessment, I meticulously prepared the necessary tools, including the patient's record file, a pen, and instruments for vital signs measurement.

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Surprisingly, confirming the patient's identity based on details such as name, date of birth, MRN number, and doctor's name on the wristband revealed the complexity of the process, challenging my initial assumptions.

Mistakes and Learning Opportunities During Vital Signs Assessment

Commencing the vital signs assessment, I sought the patient's permission, recognizing the importance of respect and consent in healthcare interactions. According to Stomski (2009), vital signs encompass temperature, pulse rate, respiratory rate, and blood pressure, representing essential measurements of bodily functions.

However, in the course of assessing blood pressure, I neglected to provide proper support for the patient's hand, a crucial aspect that I acknowledged as a mistake with the potential to impact patient comfort and accuracy of measurements. This experience instilled in me a determination to avoid such oversights in my future professional practice.

Insights from Patient Interaction and Field Visit

Expressing gratitude to the patient for their "participation" at the conclusion of the role play, I later reflected that the term "cooperation" would have been more fitting. This realization underscored the importance of language choice in effective nurse-patient communication. Additionally, my observations during the field visit revealed the positive engagement of elderly patients in recreational activities, challenging preconceived notions about their level of activity. The health professionals' politeness, friendliness, and patience left a lasting impression, showcasing the significance of empathy in fostering a caring and supportive healthcare environment.

Moreover, the emphasis on the "right patient, right place, and right way" in vital signs assessment emerged as a critical aspect of nursing skills. Establishing a comfortable rapport between the patient and the nurse proved to be equally vital in ensuring effective communication and accurate assessments. This experience reinforced my understanding that empathy and effective communication are foundational qualities for a skilled and compassionate nurse.

Expansion on Key Concepts

As I delve deeper into the challenges faced during the vital signs role play, it becomes evident that effective communication extends beyond verbal interactions. Nonverbal cues, such as introducing oneself, play a pivotal role in establishing trust and rapport with the patient. In future nursing practice, I am committed to incorporating these lessons to enhance the overall patient experience.

Additionally, the meticulous preparation for vital signs assessment highlighted the significance of attention to detail. Confirming the patient's identity, as experienced during the role play, ensures the right patient receives the right care in the right way. This attention to detail is not only a procedural necessity but also a demonstration of respect for the individuality of each patient.

The mistakes made during the blood pressure assessment serve as a valuable learning opportunity. The importance of proper support for the patient's hand is not merely a technical requirement but an essential aspect of ensuring patient comfort and the accuracy of vital signs measurements. This realization reinforces the need for continuous self-reflection and improvement in nursing practice.

Conclusion

In conclusion, this extended reflective analysis of the vital signs role play provides a comprehensive exploration of the challenges, mistakes, and learning opportunities encountered during the execution of nursing tasks. From the initial communication lapse to the complexities of vital signs assessment, each aspect contributes to my growth as a nursing student. The insights gained from patient interactions and the field visit underscore the importance of empathy, effective communication, and attention to detail in providing holistic and compassionate patient care.

As I celebrate my one-year milestone, this reflective journey serves as a foundational experience that will guide me towards becoming a proficient and empathetic nurse. The commitment to continuous improvement, informed by the lessons learned in this role play, will undoubtedly shape my future practice and contribute to the well-being of the patients entrusted to my care.