Tuesday, July 14, 2009

Mid-Term Self Evaluation

2 Course Clinical Objectives and 2 Personal Objectives so far in the course;
Course Clinical Objectives
Professional Accountability
Critical Thinking

Personal Clinical Objectives:
Budgeting Methods
Establishment of Respectful Relations

Course Objectives and relate them to your work in your specific clinical site, by providing examples;

Professional accountability is to me the most important of objectives. This is what allows other objectives such as leadership and communication to be effective. Without professional accountability these other goals will fail. Besides the obvious professional traits of being dependable and ethical, I think responsibility is a priority. I work hard not to depend upon others to teach me everything. I like to be given a direction to head in, and enjoy finding my way through personal experience. Although I don’t like to fail, I think a stumble here and there helps the learning process and it also instills a certain amount of compassion for others when they stumble. Being responsible and accountable for these “stumbles” is humbling, but it also then leads to respect. I have evaluated myself as a leader throughout this experience. I have found some ways in which I need improvement, but I also have found a certain amount of confidence in my current leadership style. I tend to struggle between when to keep a friendly tone to boost morale and appreciation with when to forget friendly and just drop the hammer when a sterner form of encouragement is necessary. I think finding the middle ground will come with experience.
Critical thinking is another important objective for me. I tend to take extra effort to research issues prior to making decisions. However, sometimes employees come to me with concerns and I find it difficult not to jump to conclusions (although I keep this to myself), particularly if it is regarding patient safety. My first concern is the patient’s well-being, but I must also (if for example there is an abuse issue) get all sides and details of the story before coming to conclusions. I have the tendency to stay calm and think things through, yet part of me is always on the patients side. This may not always be appropriate.

Statement of your personal objectives and discuss how you have or have not accomplished them, supporting them with reasons and/or examples;

Learning budgeting methods has been a goal I have wanted to accomplish for a long time. As staff nurses we often hear that we need to be thrifty with certain pharmaceutical or equipment expenses. We take for granted that Protonix is typically three times more expensive than Prilosec. Knowing how Medicare, Medicaid and private insurance pays for certain supplies or treatments has a tremendous effect on company profit. It is this profit that is necessary for raises, renovations, equipment, technology, etc. that eventually benefits the employees, the patient and the facility. I think if staff nurses were made aware of how this system functions they would work harder to ensure cost savings practices were used regularly.
Establishing respectful relations has never been very difficult for me. However, there have been times when I have had disagreements with other leaders and I have lost a certain amount of respect for them. Sometimes establishing respectful relations can be very difficult even if you are a respectful person. Communication is the key here. I have learned that showing respect to those who you may not truly agree can lead to improved relations and possibly an understanding of why this person believes or behaves the way they do. You don’t have to necessarily agree with someone to be respectful of them. I think I have accomplished a path to reaching my objective goals. I think professionalism and leading require ongoing learning and experience to excel. I think for this course, I have achieved much of what I set out for.

Statement and discussion of 1 way in which these items discussed above have enabled or fostered your growth as a professional nurse.

I have a broader understanding of management. I can see the “big picture” more clearly. The priorities and difficulties of managing have given me a direction of where I need to set personal goals and where I need to improve and learn. Since I have to choose only one way these objectives have fostered my growth as a professional nurse, I would say that I have learned to determine my weaknesses more effectively. By learning what is expected of me, I know where I need to focus for improvement.

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