NR501 Week 2 Assignment Carper’s Pattern’s of Knowing Nursing Theory Reflective Essay

NR501 Week 2 Assignment Carper’s Pattern’s of Knowing Nursing Theory Reflective Essay

Fundamental Nursing Lessons Learnt from a Difficult Situation in Practice: Carper’s Pattern’s of Knowing in Nursing

The Practical Situation Experienced

Nursing is about promoting health, preventing illness, and restoring hope. However, there are situations in which a nurse can find themselves almost helpless with regard to all the three above. A case in point is the prospect of having to reassure a patient with terminal illness by giving them hope yet you know very well that they may not have long to live. Even more daunting is the task requiring you as the nurse to convince the patient and her relatives that they will benefit from hospice care. This is the situation I once found myself in. I was faced with this situation of a 37 year-old who had advanced ovarian cancer with a very poor prognosis. It was obvious that what she needed most in her…

Week 2 Assignment: Reflective Essay

Guidelines with Scoring Rubric

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Purpose

Nursing knowledge is classified in a variety of ways, one of which is Carper’s Patterns of Knowing (Carper, 1978).  Carper’s framework offers a lens through which the nurse can reflect upon insights acquired through empirical, ethical, personal, and aesthetic knowledge (Carper, 1978).  Through intentional reflection using Carper’s Patterns of Knowing, nurses can process experiential learning and knowledge acquired through practice.  The purpose of this assignment is to reflect upon a specific practice situation and better understand the professional knowledge and insights obtained through that experience. NR501 Week 2 Assignment Carper’s Pattern’s of Knowing Nursing Theory Reflective Essay

Course Outcomes

Through this assessment, the student will meet the following Course Outcomes:

• Demonstrate logical and creative thinking in the analysis and application of theory to nursing practice. (CO #1)
• Examine broad theoretical concepts as foundational to advanced nursing practice roles. (CO #3)

 

Total Points Possible

This assignment is worth 100 points.

Due Date

Submit your file by 11:59 p.m. MT Sunday at the end of Week 2.

Requirements

Criteria for Content

1. Think of a surprising or challenging practice situation in which you felt underprepared, unprepared, or uncomfortable.
2. Select an important nursing issue/topic that was inherent to the identified situation.
3. As a method of refection, use Carper’s Patterns of Knowing to analyze the situation. In a two- to three-page paper address the following:
4. Briefly explain the situation
5. Identify the nursing issue inherent in the identified situation
6. NR501 Week 2 Assignment Carper’s Pattern’s of Knowing Nursing Theory Reflective Essay
7. What do you think was the underlying reason for the situation? (Esthetics)
8. What were your thoughts and feeling in the situation? (Personal)
9. What was one personal belief that impacted your actions? (Ethics)
10. What evidence in nursing literature supports the nursing importance of the identified issue? (Empirical)
11. What new insights did you gain through this reflective practice opportunity?

Preparing the paper

Submission Requirements

1. Application: Use Microsoft Word 2013™ to create the written component of this assessment.
2. Length:
   1. The paper (excluding the title page and reference page) should be at least two but no more than three pages.
3. A minimum of two (2) scholarly literature sources must be used.
4. Submission: Submit your file to the Canvas course site by the due date/time indicated.

Best Practices in Preparing the Reflective Essay

The following are best practices in preparing this reflective essay.

1. Review directions thoroughly.
2. Follow assignment requirements.
3. Make sure all elements on the grading rubric are included.
4. Rules of grammar, spelling, word usage, and punctuation are followed and consistent with formal, scholarly writing.
5. Because the paper is a reflective essay, first person is acceptable for this assignment.
6. Title page, running head, body of paper, and reference page must follow APA guidelines as found in the 6th edition of the manual. This includes the use of headings for each section of the paper except for the introduction where no heading is used.
7. Ideas and information that come from scholarly literature must be cited and referenced correctly.
8. A minimum of two (2) scholarly literature sources must be used.
9. Abide by CCN academic integrity policy.

 

Grading Criteria

Category	Points	%	Description
Explanation of the Situation	10	10%	Provide a succinct description of a practice situation in which you felt underprepared or uncomfortable.
Nursing Issue or Concern Inherent to the Situation	15	15%	Explain the specific nursing issue or concern that was inherent to the situation and include your rationale.
Reflection upon the Situation using Carper’s Patterns of Knowing	45	50%	Analyze the situation and apply Carper’s Patterns of Knowing to discuss the following: ·         What do you think was the underlying reason for the situation? (Esthetics) ·         What were your thoughts and feeling in the situation? (Personal) ·         What was one personal belief that impacted your actions? (Ethics) ·         What evidence in nursing literature supports the nursing importance of the identified issue? (Empirical)
Summary of Reflection	20	20%	Provide a summary of your reflection. Include a minimum of two new insights gained through the situation you experienced. Discuss how intentional reflective practice can add to professional knowledge in your future advanced practice nursing role.
APA Format	5	5%	Title page, running head, body of paper, and reference page must follow APA guidelines as found in the 6th edition of the manual. This includes the use of headings for each section or topic of the paper (one deduction for each type of APA style error). Ideas and information that come from scholarly sources must be cited and referenced correctly. Two (2) scholarly literature references are used.
Writing Mechanics	5	5%	Rules of grammar, spelling, word usage, and punctuation are followed and consistent with formal written work as found in the 6th edition of the APA manual. For this assignment first person may be used.
Total	100	100%	A quality assignment will meet or exceed all the above requirements.

 

Grading Rubric

Assessment Criteria	Exceptional (100%) Outstanding or highest level of performance	Exceeds (88%) Very good or high level of performance	Meets (80%) Competent or satisfactory level of performance	Needs Improvement (38%) Poor or failing level of performance	Developing (0) Unsatisfactory level of performance
Content Possible Points = 90 Points
Explanation of the Situation	10 Points	9 Points	8 Points	6 Points	0 Points
	Presentation of information is comprehensive and concise and includes all of the following elements: ·         Synopsis of the practice situation ·         Discussion of how the practice situation created a feeling of being underprepared, unprepared, or uncomfortable	Presentation of information is superficial and includes all of the following elements:   ·         Synopsis of the practice situation ·         Discussion of how the practice situation created a feeling of being underprepared, unprepared, or uncomfortable	Presentation of information is minimally demonstrated and includes all of the following elements: ·         Synopsis of the practice situation ·         Discussion of how the practice situation created a feeling of being underprepared, unprepared, or uncomfortable	Presentation of information in one of the following elements fails to meet expectations or is missing the following:   ·         Synopsis of the practice situation ·         Discussion of how the practice situation created a feeling of being underprepared, unprepared, or uncomfortable	Presentation of information in two or more of the following elements fail to meet expectations or are missing the following: ·         Synopsis of the practice situation ·         Discussion of how the practice situation created a feeling of being underprepared, unprepared, or uncomfortable
Nursing Issue or Concern Inherent to the Situation	15 Points	13 Points	12 Points	9 Points	0 Points
	Presentation of information is comprehensive and concise and includes all the following elements:   ·         Identification of the specific nursing issue or concern which was present in this situation ·         Discussion of why the specific issue or concern is noteworthy ·         Support from the literature to validate the specific issue or concern	Presentation of information is superficial in places and includes all the following elements:   ·         Identification of the specific nursing issue or concern which was present in this situation ·         Discussion of why the specific issue or concern is noteworthy ·         Support from the literature to validate the specific issue or concern	Presentation of information is minimally demonstrated and includes all the following elements: ·         Identification of the specific nursing issue or concern which was present in this situation ·         Discussion of why the specific issue or concern is noteworthy ·         Support from the literature to validate the specific issue or concern	Presentation of information in one of the following elements fails to meet expectations or is missing:   ·         Identification of the specific nursing issue or concern which was present in this situation ·         Discussion of why the specific issue or concern is noteworthy ·         Support from the literature to validate the specific issue or concern	Presentation of information in two or more following elements fail to meet expectations or are missing: ·         Identification of the specific nursing issue or concern which was present in this situation ·         Discussion of why the specific issue or concern is noteworthy ·         Support from the literature to validate the specific issue or concern
Reflection upon the Situation using Carper’s Patterns of Knowing	45 Points	40 Points	36 Points	17 Points	0 Points
	Presentation of information is comprehensive and concise and includes all of the following elements: ·         What do you think was the underlying reason for the situation? (Esthetics) ·         What were your thoughts and feeling in the situation? (Personal) ·         What was one personal belief that impacted your actions? (Ethics) ·         What evidence in nursing literature supports the nursing importance of the identified issue? (Empirical) ·         Support from the literature to validate the empirical pattern of knowing	Presentation of information is superficial in places and includes all of the following elements: NR501 Week 2 Assignment Carper’s Pattern’s of Knowing Nursing Theory Reflective Essay   ·         What do you think was the underlying reason for the situation? (Esthetics) ·         What were your thoughts and feeling in the situation? (Personal) ·         What was one personal belief that impacted your actions? (Ethics) ·         What evidence in nursing literature supports the nursing importance of the identified issue? (Empirical) ·         Support from the literature to validate the empirical pattern of knowing	Presentation of information is minimally demonstrated and includes all of the following elements: ·         What do you think was the underlying reason for the situation? (Esthetics) ·         What were your thoughts and feeling in the situation? (Personal) ·         What was one personal belief that impacted your actions? (Ethics) ·         What evidence in nursing literature supports the nursing importance of the identified issue? (Empirical) ·         Support from the literature to validate the empirical pattern of knowing	Presentation of information in one of the following elements fails to meet expectations or is missing the following:   ·         What do you think was the underlying reason for the situation? (Esthetics) ·         What were your thoughts and feeling in the situation? (Personal) ·         What was one personal belief that impacted your actions? (Ethics) ·         What evidence in nursing literature supports the nursing importance of the identified issue? (Empirical) ·         Support from the literature to validate the empirical pattern of knowing	Presentation of information in two or more of the following elements fail to meet expectations or are missing the following: ·         What do you think was the underlying reason for the situation? (Esthetics) ·         What were your thoughts and feeling in the situation? (Personal) ·         What was one personal belief that impacted your actions? (Ethics) ·         What evidence in nursing literature supports the nursing importance of the identified issue? (Empirical) ·         Support from the literature to validate the empirical pattern of knowing
Summary of Reflection	20 Points	18 Points	16 Points	8 Points	0 Points
	Presentation of information is comprehensive and concise and includes all of the following elements: ·         Include a minimum of two new insights gained through the situation you experienced ·         Discuss how intentional reflective practice can add to professional knowledge in your future advanced practice nursing role	Presentation of information is superficial in places and includes all of the following elements:   ·         Include a minimum of two new insights gained through the situation you experienced ·         Discuss how intentional reflective practice can add to professional knowledge in your future advanced practice nursing role	Presentation of information is minimally demonstrated in all of the following elements:   ·         Include a minimum of two new insights gained through the situation you experienced ·         Discuss how intentional reflective practice can add to professional knowledge in your future advanced practice nursing role	Presentation of information in one of the following elements fails to meet expectations or is missing the following:   ·         Include a minimum of two new insights gained through the situation you experienced ·         Discuss how intentional reflective practice can add to professional knowledge in your future advanced practice nursing role	Presentation of information in two or more of the following elements fail to meet expectations or are missing the following: ·         Include a minimum of two new insights gained through the situation you experienced ·         Discuss how intentional reflective practice can add to professional knowledge in your future advanced practice nursing role
Content Subtotal ___ /90 points
Format Possible Points = 10 Points NR501 Week 2 Assignment Carper’s Pattern’s of Knowing Nursing Theory Reflective Essay
APA Format	5 Points	4 Points	3 Points	2 Points	0 Points
	APA guidelines, as per the 6th edition of the manual, are demonstrated for the ·         title page; ·         running head; ·         body of paper (including citations and headings); and ·         reference page.   One deduction for each type of APA format error.   0 to 1 APA error is present	APA guidelines, as per the 6th edition of the manual, are demonstrated for the ·         title page; ·         running head; ·         body of paper (including citations and headings); and ·         reference page.   One deduction for each type of APA format error. 2–3 APA errors are present	APA guidelines, as per the 6th edition of the manual, are demonstrated for the ·         title page; ·         running head; ·         body of paper (including citations and headings); and ·         reference page.   One deduction for each type of APA format error.   4–5 APA errors are present	APA guidelines, as per the 6th edition of the manual, are demonstrated for the ·         title page; ·         running head; ·         body of paper (including citations and headings); and ·         reference page.   One deduction for each type of APA format error.   6–7 APA errors are present	APA guidelines, as per the 6th edition of the manual, are demonstrated for the ·         title page; ·         running head; ·         body of paper (including citations and headings); and ·         reference page.   One deduction for each type of APA format error.   8 or greater APA errors are present
References and Page Length   Note: Students are to use at least two (2) scholarly references. The paper (excluding the title page and reference page) should be at least two but no more than three pages.					3 Point deduction
		NR501 Week 2 Assignment Carper’s Pattern’s of Knowing Nursing Theory Reflective Essay			Does not use at least two (2) scholarly references and/or falls short of or exceeds required page length.
Writing Mechanics	5 Points	4 Points	3 Points	2 Points	0 Points
	1–2 errors or exceptions to the rules of grammar, spelling, word usage, punctuation, and other aspects of formal written work as found in the 6th edition of the APA manual. For this assignment, first person may be used.	3–4 errors or exceptions to the rules of grammar, spelling, word usage, punctuation, and other aspects of formal written work as found in the 6th edition of the APA manual. For this assignment, first person may be used.	5–6 errors or exceptions to the rules of grammar, spelling, word usage, punctuation, and other aspects of formal written work as found in the 6th edition of the APA manual. For this assignment, first person may be used.	7–8 errors or exceptions to the rules of grammar, spelling, word usage, punctuation, and other aspects of formal written work as found in the 6th edition of the APA manual. For this assignment, first person may be used.	9 or greater errors or exceptions to the rules of grammar, spelling, word usage, punctuation, and other aspects of formal written work as found in the 6th edition of the APA manual. For this assignment, first person may be used.
Format Subtotal ____/10 points
Total Points ____/100 points
Comments: NR501 Week 2 Assignment Carper’s Pattern’s of Knowing Nursing Theory Reflective Essay

 

Fundamental Nursing Lessons Learnt from a Difficult Situation in Practice: Carper’s Pattern’s of Knowing in Nursing

The Practical Situation Experienced

Nursing is about promoting health, preventing illness, and restoring hope. However, there are situations in which a nurse can find themselves almost helpless with regard to all the three above. A case in point is the prospect of having to reassure a patient with terminal illness by giving them hope yet you know very well that they may not have long to live. Even more daunting is the task requiring you as the nurse to convince the patient and her relatives that they will benefit from hospice care. This is the situation I once found myself in. I was faced with this situation of a 37 year-old who had advanced ovarian cancer with a very poor prognosis. It was obvious that what she needed most in her last days would be round-the-clock hospice care for especially pain relief. The task, therefore, of convincing her together with her relatives to follow this route fell on me. Needless to say, I felt not only unprepared, but also uncomfortable because I knew there was no hope of her surviving for long. Yet I had to give her a reason to look forward to the next day.

The nursing issue inherent in this situation was the need for apt, caring and tactful guidance and counselling as an important role of me as the nurse in this end-of-life situation. I had to not only help the patient and her relatives make the right decision of checking into a hospice, but also give them convincing reasons why they needed to do so. This was not an easy mission to accomplish.

Reflection on the Situation Based on Carper’s Patterns of Knowing

            Four facets of nursing knowledge have been identified as empirics or the scientific basis of nursing, esthetics or the consideration of nursing as an art, ethics or the morality in nursing, and the personal knowledge component of nursing (Carper, 1978; Schmidt et al., 2003). On empirics, therefore, I needed to be armed with evidence that hospice care indeed is beneficial for this patient and her family. This is the evidence that I needed to base my argument on in trying to convince them to accept hospice care. Quaglietti, et al. (2004) have stated that the palliative care offered in the hospice takes care of the patient’s and her family’s expectations in terms of care. They continue that nurse practitioners (NPs) are well placed to meet these expectations. On esthetics, empathy is the single most important factor in mastering the art of offering nursing care to patients (Carper, 1978). This was the underlying reason for the situation – need for empathy. Experience had taught me that to gain the patient’s trust and confidence; I as the nurse must feel genuine empathy for them. This way they will make less effort to accept any proposal such as going into hospice care. On personal knowledge, Carper (1978) identifies interpersonal interaction as the barometer with which this knowledge is measured and gained. In this scenario, my personal feeling was that I had to relate with both the patient and her relatives at a personal level by establishing a personal bond with them. In doing this, I had to first know myself and confront my own personal fears and shortcomings. Last but not least on ethics, I had to be aware that I had a moral obligation to only offer suggestions that would bring the greatest good to the patient and by extension her family (beneficence). Also, whatever suggestion or intervention that I suggested had to be devoid of the possibility of causing harm to the patient (nonmaleficence). But, most importantly, it dawned on me that I had to respect the decision of the patient and her relatives at the end (respect for autonomy) (Haswell, 2019). NR501 Week 2 Assignment Carper’s Pattern’s of Knowing Nursing Theory Reflective Essay

Summary     

            This experience was indeed rich in knowledge for me. I learnt that the four factors of nursing knowledge are present in all practical nursing situations. Thus the double insight I got was the importance of evidence-based practice decisions and the power of empathy. Intentional reflective nursing practice is therefore imperative for improved future care.

References

Carper, B.A. (1978). Fundamental patterns of knowing in nursing. Retrieved 8 September 2019 from https://www.google.co.ke/url?sa=t&source=web&rct=j&url=https://pdfs.semanticscholar.org/8871/eb88fb06168bb31e20e9c54e57920e575a47.pdf&ved=2ahUKEwje0JrqscHkAhVClFwKHYXzAgsQFjAQegQICRAB&usg=AOvVaw0CEuuz-eqnIwVMqcmUI55E

Haswell, N. (2019). The four ethical principles and their application in aesthetic practice. Journal of Aesthetic Nursing, 8(4), 177-179. Doi: 10.12968/joan.2019.8.4.177

Schmidt, L.A., Nelson, D. & Godfrey, L. (2003). A clinical ladder program based on Carper’s fundamental patterns of knowing in nursing. JONA, 33(3), 146-152. Doi: 10.1097/00005110-200303000-00005

Quaglietti, S., Blum, L. & Ellis, V. (2004). The role of the adult nurse practitioner in palliative care. Journal of Hospice and Palliative Nursing, 6(4), 209-214. Doi: 10.1097/00129191-200410000-00009 NR501 Week 2 Assignment Carper’s Pattern’s of Knowing Nursing Theory Reflective Essay