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Community Clinical Objectives Compliance
A student reflection
Narida Morle
New York City College of Technology
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Abstract
This paper is a basic evaluation of how I met the clinical objectives required by the
course; which is Community health nursing. I provide the clinical objectives as a
platform for readers to compare my response to, which will help decide if the clinical
objectives had been successfully fulfilled. This community setting that I was assigned to
fulfill these nine clinical objectives is a group of facilities that are assisted facility homes
that are geared toward the mental health population. The facilities also serve the
homeless and previous foster children who consenting adults in need of housing.
Community access introduces innovative ways to approach this population and deal
with their life issues; I had the honor to be a part of the process and I prove that with this
paper.
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Community clinical objective compliance
A student reflection
The goals that I wanted to accomplish within this course are ways to promote
health within the mental health population, improvement of communication between
client and nurse as well as disease prevention along with the maintenance of health.
With these various goals being set in place the collaboration with my group had been a
through communication with a common idea in mind. We wanted to share ways in which
we could tackle all of these factors but in a creative way that enhanced the clients
compliance with medications, special diets and treatments as well as educating this
population. We had to think of way to do this because it is not easy to encourage
individuals but we faced a special challenge because the mental health population have
an increased difficulty communicating with others. These goals had been reached
through using fun ways to interact and educate the population as well as using laymen
terminology. The most important thing had been allowing them to freely express
themselves and trying to understand what they were trying to express by rewording and
asking if that was correct.
The benefits that the student learning project has brought to the community is
awareness. Making the community aware of their limitations and what they should be
doing to improve them. It also made us as student and nurses more conscious of our
community and how important communication as well as collaboration is to improve the
health of any community. By working with other student nurses we collaboratively
created ways to manage and prevent diseases that plague communities. This project
brings light to the issues that many individuals face in regards to drug use and chronic
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diseases which are all preventable health problems. These goals are further supported
with the corresponding compliance with the nine clinical objectives.
Objective 1: Demonstrates individual professionalism through personal behaviors and
appearance.
During my community access site rotations I demonstrated professionalism with the
use of my appearance, confidentially compliance, and active participant in postconferences as well as assignment completion. I can support my claim of maintaining
residents confidentially, with a situation I had experienced with a resident, which was of
a personal discussion about a health related issue; in which the resident preferred it be
kept private, as it was not a harm to himself or others so I fulfilled his wishes. In general
all information shared throughout the community access site had been shared with
necessary persons exclusively. Maintaining the confidentially of the residents, improved
the trust within the relationship. I had upheld a friendly and mature manner during group
sessions, casual encounters, individual discussion with residents and staff. The
moments that a residents developed an issue, I sought after the appropriate persons to
advocate for the residents to improve his/her well-being. All while, I continued to have
composure and a professional presences.
Objective 2: Employ analytical reasoning and critical thinking skills when providing
care to individuals and families in the community setting.
Within the community access sites, I had the opportunity to interview the
residents and obtain various information about their health; I discussed ways to improve
their health states and prevent the development of other diseases or worsening of
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current diseases. Eliciting information from staff about the resident’s diagnosis and
more importantly, how diseases are being maintained with the use of prescribed
medications and treatments. Engaging in interviewing and thorough communication with
staff had been a way I provided care although in an in-direct manner. I educated the
residents about health related topics such as nutrition; more specifically how proper
nutrition can improve health outcomes and improve diseased states. In addition to
nutrition education, I educated on factors that can be a hindrance or in contrast improve
high blood pressure. The residents had been very receptive to the information and
verbalized and understanding of the information given
Objective 3: Effectively communicate with diverse groups and disciplines using a
variety of strategies regarding the health needs of individuals and families in the
community setting.
The mental health population had been a major group within the community
setting I served. With the mental health population, there can be great difficulties with
communication due to the nature of the mental health diseases. I had to formulate
unique methods to communicate with the residents effectively, which involved using a
fifth-grade reading level when creating learning materials. As well as using a technique
that required the residents to engage themselves within the discussions that were about
health and social issues. Engagement had been a way to get into the minds of the
residents and persuade them to have a differing outlook on certain things. On another
note, during post-conferences, my communication with peers and the instructor had
been well spoken and professional.
Objective 4: Establish environment conducive to learning and use a plan for learners
based on evidence-based practice.
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During teaching sessions, I made sure the environment was free of distractions,
calm and open. All the residents that attended the session were respectful and in a
mood conducive to learning. The residents had been optimistic and engaged in the
group discussions; they would ask questions and share thoughts about certain topics.
My teaching plan had been properly planned and done in a presentation format which
promoted an environment that everyone was in attention to the knowledge that was
shared with them. Many of the residents expressed understanding the education
sessions, but during my evaluations I was convinced they had learned, because they
explained what they understood and actually demonstrated it. For example, a resident
chose brown sugar to sweeten her coffee as opposed to white sugar and artificial
sweeteners such as “sweet and low”. The resident had learned from a session of the
good and bad of artificial sweeteners and white sugar versus the good and bad of
brown sugar.
Objective 5: Utilize informational technology when managing individual and families in
the community.
The community access site of East Broadway and Stanton mainly used handwritten
charting to document information about the residents health related information. The
site used technology to document the resident’s information, although you needed to be
a staff member to have access to electronic records; I understood the importance and
function of the electronic system.
Objective 6. Demonstrate a commitment to professional development
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I am a highly committed nurse and lifelong learner of innovative ways to treat the
individuals of the mental health population. Through the use of nyc.gov, the world health
organization and my pyramid as resources to educate this group.
Objective 7. Incorporate professional nursing standards and accountability into practice
Within the community setting, I was in compliance with the nursing process of
assessment, planning, outcome setting, intervening and evaluation per the American
Nurses Association of standards. During the care I provided ethics and social standards
had been upheld. The residents respect and dignity had not been tampered with as well
as the allegiance to do no harm. The community access mission had been fulfilled
within their identified philosophical theory.
Objective 8. Collaborate with clients, significant support persons and members of the
The residents that had been need in intervening, ranging from health related to
socially related; I ensured the residents the resident received the necessary help.
Objective 9. Recognize the impact of economic, political, social and demographic
forces that affect the delivery of health care services
I identified the gaps in the care system being a multitude of factors; the mental
health disease in itself is a gap to proper health care because the residents may not
have proper judgment and impulsive in the decisions that are made. Due to the mental
health populations lack of rationality, there is an interference with the coordination of
care. As a group member of the provision of the student learning project, I identified
various means to close the gaps as well as becoming a change agent. I have
successfully met most of the clinical objectives within the assigned community setting
and it has had an impact on my growth as a new nurse.