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Nursing is a humanitarian profession that can’t be dispensed in all parts of the world, because it is considered as an essential profession that requires of observance of professional ethics and scientific practice based on a lot of skills and knowledge in order to provide high quality of care for patients for that reason there is internship period for the students of nursing which is means: the internship is period of field training (clinical practice) that will bring the trainee back their memory, also It requires rethinking the knowledge, information and theoretical applications accumulated during the nursing study period that was studied by the nursing students in the four past years ,so The internship period is one of the best way for that the nursing student should be join in the internship in order to increase level of skills also it is very important because it can increases experience and self-confidence when the student tries to integrate theoretical information with clinical decision making then use them to provide nursing care during the job In the future, In addition, there are very important things that the student must do during the internship, so they required by the concerned authorities, such as reflection. It is a basic element that can helps students to discover strengths and weaknesses, also reflection can effect on the personal level of the student moreover it can helps improve the relationships between students and coaches furthermore, the reflection is basic factor that can support in bridging the gap between the practice of the profession and knowledge also, the reflection is a necessary educational need during the internship. also the internship is not limited to these points but the students must be follow professional values ,nursing practice and decision-making ,communication and interpersonal skills, and leadership ,management ,team working in order to being good nurse and provide high level of care for patients so this assignment will discuss about my experience through my internship.

Domain 1: professional value The nursing profession is not limited to the scientific side but also it is relies to the moral foundation to being a successful and professional nurse during the performance of the job. At this time the nurse may face difficulty in applying all the professional values so, the nurse should try to apply professional values in order to build professional identity and maintain with develop them because any mistake may destroy all the things even it is small things, so professional values are: basic principles that must be applied during work in order to maintain human dignity (Segen’s Medical Dictionary.2012 Farlex, )so, when I was in (ER)which is means emergency department mother of 2 child patients she was worry about her two children because they have high fever she was come inside ER with out open the file and with out go to the triage room then she start shouting after that we was go to her with the Doctor and we was start to take care of her children and give her medication for her two children then after 15 minutes the two children being stable with normal temperature in same time the mother she was angry also she said the nurse did not take care of my children well and the nurse she is very bad also the Doctor is very bad he came just 2 time and i want the nurse stay with my children all time after that the nurse did not take in to account her circumstances then the nurse said I am here not just for your children I have a lot of work I am so busy also the nurse said with high voice and without respect! this is not my responsibility to staying with your children then the nurse was close the curtain without listen to the mother of patient after that I took the permission from the manager to talk with mother of patient kindly with respect her in order to solve the misunderstanding between the nurse and mother. So the respect of patient is dealing with patient politely whether by word or verb and It is an imposed moral duty for the nurse to the patient with taking into account the dignity ,shyness, patient independence and decisions of the patient (Ainslie,2012) ,Therefore respect is an integral part of the ethics of profession especially in nursing So in conclude the respect from nurse is very important to all patients; regardless of color, gender, or religion moreover the respect is not only for the patient but also for relatives and medical staff that’s why I feel more responsibility for the patient respect. I have learned from this position that respect is an essential and important element in the provision of health care by the nurse for patient and that the better the relationship in terms of mutual respect between the nurse and patient, which leads to builds confidence then it is achieved patient satisfaction for all care provided which leads to healing in the fastest time. Domain 2: Communication is an indispensable tool in nursing also it is considered as skill used by intern student in order to communicate with patient to meet his needs, to know his wishes and to provide care for him in full face moreover it is help to build a strong relationship between the patient and the nurse as(trusting relationship) through the exchange the information and participation during interventions(Schulz,2015), also communication is the exchange of information and speech between the patient and the nurse by sending and receiving them through writing or speaking also it is an effective method(Maureen ,Nokuthula2018) so when I was on emergency department girl child patient she was 9 years old came with her father, she has abdominal pain with vomiting since two days then the doctor was see the patient and he was wrote the order after that I was go with my preceptor to prepare the medication and insert the canula then when the patient was see the needle she start to crying also she was very afraid and she didn’t want anyone to hold her, even though I was spoke to her quietly and I took into consideration her young age after that I explained to her what I would do for her after that she accepted the subject and she allowed us to complete the treatment plan because I have used verbal exchanges that helped the patient understand smoothly so this is a proof that I have good communicated with her and I was able to convince her in smooth way so there are a lot of effective from good communication with patient which is 1.helping to communicating information and ideas quickly with real effectively,2. enhance confidence between the nurse and the patient also 3. helps to speed the patient’s recovery 4. improve the mental state of the patient moreover, good communication plays an active role in the effective performance of the organization ( Lawrence Robinson, May 2019.) It is also possible that there is a poor in communication between the nurse and the patient, whether unintentionally or intentionally, and this plays a large role in influencing the relationship between the nurse and the patient moreover may lead to misunderstanding between the parties and loss of confidence furthermore the most important things are mistakes during the transfer of patient information then h it can do health problems or wrong treatment also it can lead to poor cooperation between the nurse and the patient.( Dr. Kain 2017). There are ways to prevent poor communication and facilitate communication, between nurse and patient including increased transparency between patient and nurse, speak kindly with him or her and attend courses in order to acquisition important communication skills, so I have learned from this that good communication is important to build a bridge between the patient and his family and the nurse, which leads to medical procedures going nicely and accept the patient procedures and increase the experience that leads to knowledge to communicate with older , young and different kinds of people also different languages. There are ways to become a professional nurse in communicating with the patient including: trying to being calm even if there is something complicated also the nurse must remember that the patient does not attack her personally, but the patient acts like this because he is concerned. The nurse should engage in conversation and empathy with the patient, avoiding the patient’s argument also use good words and giving the patient an opportunity to speak and apologize in case of mistake. Finally, smile to the patient’s face in order to give him optimism(mumu,2019)

Domain 3: There are very rapid changes in the field of health care so this is why requires from the nurse to play big role in making the right decision quickly, by using critical thinking, ideas and information to make effective decisions that allow the nurse to provide nursing care also one of the most important reasons to being success nurse in her practical life is making the right decision at the right time ,so decision making is The process of making a decision for an urgent and important matter in order to reach a solution to the problem and seek the existence of a goal which is an ongoing and contextual process through collecting and evaluating the data in order to obtain conclusive evidence (Prachi Juneja 2015) So when I was in maternity ward patient X she was deliver the baby after that she admitted to postpartum ward then she start to breastfeeding ,she has difficult ,shortness of breath and pain when she is feeding the baby ,more over when I check the temperature it was very high so the doctor said the patient has infection that’s why she should take medication and it can affect breast feeding so indeed the baby did not want sleep after the mother take the medication then me with my preceptor we are start to make real and fast decision in front of this situation and we suggested to her as stopped breastfeeding then the mother she start to thinking about the subject after that she said I making decision which is I will stop the breastfeeding because not just me will affected also my baby so this indicates the nurse’s intelligence and good thinking in avoiding problems that may occur when she let the mother keep in breastfeeding by she using decision making after that the mother she thanked the nurse because she felt high quality of care for mother and baby submitted by nurse and she felt comfortable in the body and rapid healing. so I feel very proud of myself also I feel more responsibility after I take decision making moreover I feel some of difficulty in take decision making but I trusted myself more when I saw the positive results after making the right decision further more I felt that I could decisions making in the future without fear. I learned from this position is read more information from book or internet about decision-making in order to avoid the mistake that could happen with intention or without intention and attend the educational courses on decision-making in order to gain experience. I also learned to being courage in front of the patient with hide the fear and anxiety, I have also learned that there are disadvantages sometimes in decision making, including taking inappropriate decision for new conditions, also when take decision without good study it can leads to the failure in the results(Collins A,2011). Furthermore, decision-making is the only thing that can protects the patient’s right because it depends on clinical experience, evidence, data and experiences, so the nurse is the right person to make the clinical decisions. However, the nurse must respect the patient’s opinion even she like it or not because the patient is only one who has the final decision making about his situation( Health , Human Services 2015 ). There are steps that the nurse must follow it when she making the decision including: knowing the patient’s problem fully, collecting information, weighing the options correctly in order to choose the best option while following the procedures with take full responsibility(By Management Study Guide Content Team2015). Domain 4: The work of the nurse requires to development of leadership skills and management in order to promote patient care. Moreover, the presence of managers in leadership matters is a very important part in the organization of all hospital departments, controlling the problems that can occur, directing and supervising staff, and making planning.so the nursing intern student should try to development management and leadership skills. So when I was in critical area we were to (ICU) which is means intensive care unit with 2 intern student from our group, there are a lot of work there also there is shortage of staff so one of the days was very busy then the manager call us to help the staff in other said which is (IMCU) then he divided us in order to divide tasks equally between us in order to provide high quality of care for all patient also to maintain time management during doing patients service and and decrease pressure ,so there was patient X in (ICU) , she is heavy weight and she is bedridden patient she need to change position ,suction and change diaper so all staff was busy with her around 15 minutes in order to take care of her well because her condition is very urgent and dangerous also she need special care because she is in the last stage of life while relative of other patient come to the nursing station and they want one nurse but there is no nurse because they are busy with other patient then the relatives was started angry and they say how the (ICU) nursing station with out nurse so me as a nursing intern student i was try to reassure family also I answer the question but the family they were not satisfied with my answer then I go to the manager then he came and he solved the problem also he said to family don’t worry about your father he is ok and his condition stable after that I feel I am proud of manger of ICU also I feel I am happy because he divided us while in the same time I feel disappointment and grief because the family did not belief my talking.( Thomas,2015) I learned from this position how to solve the problems quietly in the future and how to become a successful manager and I like when the manager divided the tasks equally between us moreover I hope to become like him. Therefore, we conclude that the leader has many roles in order to reach a certain goal, and the leader is the only one who has the right to distribute the work, coordinate the staff and arrange all things in order to reduce the work, pressure and speed in providing services to patients with attention to patient care needs and ability to lead others and supervise all nurses, their work and encourage them to cooperate between other staff and give them incentives in order to increase morale with use positive terms(Warren Buffett,2014). According to Health force there is a difference between management and leadership, but they complement each other so the leadership is: the ability to manage the situation and make quick decisions and encourage the team to work on the performance moreover the leader needs to be strong personality and have ethics and confidence of other staff, especially the new staff and listen to employees and answer their questions and assess their fears (Jack Welch,2019) so the management is : Organize care activities to achieve a specific goal(Drucker,2015). To sum up the training period is very important as it teaches the student a sense of responsibility towards the things that can happen. Moreover, the nursing profession is not only concerned with providing care for patient , but also it is interested to have good ethical while communicate with others, Therefore, the nurse must apply professional values by respecting others and caring for their dignity. Also, the way to communicate with the other if there is good communication it can help to build a strong relationship. Moreover, making the right decision after thinking which leads to increased confidence and complete psychological satisfaction from the service provided from the nurse also The implementation of leadership and management is the most important things that help in the success of the continuity of work, So I must apply all these things in order to be successful nurse in the future. REFERENCES

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