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This assessment will examine a specific shift chosen from a five week clinical placement undertaken at the Royal Brisbane Hospital Burns Unit. The paper will reflect on and analyse the factors that had an impact on the provision of time management, and holistic care within the clinical setting. Furthermore it will explore different nursing and science concepts and how they were integrated into client care. Clinical nursing practice facilitates both the personal and professional development of student nurses and encourages self examination as an ongoing practice (Daley, 2001). Nurses learn from colleagues, individual enlightenment, an affiliation with a professional body and from within the context of their own working environment (Glaze, 1999). Glaze (1999) also states, that when addressing the professional development of student nurses within a clinical setting their best avenue for learning is through experience and reflection. As the nurse’s knowledge base develops it becomes easier to adapt what was learned from one experience and apply that knowledge to any new situation (Daley, 2001). Learning from reflection encourages the student to not only step back and analyse the experience after it is over but to also reflect in the moment and its clinical applications (Alavi, 1995). I have chosen to reflect on a day in which I was allocated to the burn baths, this task included the hygiene and wound care of each client, for that day it involved three baths and five showers with two of these clients booked for theatre. Good time management, communication and adaptation skills were required throughout the day to enable this large work load to be completed. Vaccaro (2002) recommends that tasks be prioritised due to their importance and that it is necessary to consider the time metabolism of the staff to maximise efficiency. This idea was adopted within the burns unit and proved repeatedly to be an effective form for scheduling daily cares. However, there are always influencing factors within any situation which will impact on the implementation of effective time management (Vaccaro, 2002). Within the burns unit these impacting factors included theatre preparation, other members of the multidisciplinary team and their duties, burn size and the client’s stage of recovery, dressings required, administration of pain relief, staffing ratios and infection control practices. Upon commencement of my shift it was necessary to fill in a time in motion grid, this outlined the approximate times that I would be attending to each client (appendix 1), enabling the other members of the multi-disciplinary team to correlate their cares accordingly. My gaol was to ensure a continuous flow of care for my clients and adequate accessibility for the other team members while maintaining my own schedule.
Approximate Word count = 1728
Approximate Pages = 6.9
(250 words per page double spaced)
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