Bachelor of Science in Nursing: Divine Word College of Bangued Zone VI, Bangued, Abra Telefax: (074) 752-8003

Divine Word College of Bangued
DIVINE WORD COLLEGE OF BANGUED

Zone VI, Bangued, Abra Telefax: (074) 752- 8003
SCHOOL OF HEALTH SCIENCES
Bachelor of Science in Nursing
Name: Guia Carla M.Valera Score: ______________

Course & Yr: _________ Rating: _________ Faculty’s signature: _______________ Date: _______________
I. Reflection Checkpoint (CARING)

Gwen started nursing school in January, and by February felt overwhelmed by the amount of reading and studying
that was required. Her anxiety level began to rise, but at the same time, she became more aware of her feelings and
reactions to situations. In her nursing courses she was studying nursing as caring, and in the Related Learning
Experience Laboratory she focused on applying these ideas in her practice with clients. She was surprised how
genuinely her clients responded to a kind word of encouragement, the attention of personal care, and her concern for
their well-being. Her clients’ responses boosted her confidence and motivated her to learn more about their
conditions and needs. Each week Gwen analyzed and described the clinical situations encountered in practice in a
reflective journal. Through reflecting on her clinical experiences and feedback from her clinical instructor, she was
able to identify her personal strengths and areas for growth. She began to think about how she could better organize
her study schedule, plan time with her family, and provide the same level of caring for herself that she desired to give
her clients.
Being in nursing school is often an overwhelming experience.
Can you relate to Gwen’s situation?
Being a student nurse, I can totally relate to Gwen. These trying times of COVID-19 pandemic where we are
not able to perform face-to-face classes is not easy for us students because we needed to exert extra efforts,
patience and discipline to finish all the unending school requirements in9 our subjects. Same as Gwen, I feel
overwhelmed by the amount of reading and studying that this course requires. I also realized the importance of
caring to patients as I went on in our module. Caring indeed helps a patient boost his/her recovery. At the end of the
day, I know that my hardworks will be paid off when I see the smile on our clients’ faces as a sign of their gratitude for
my service.
2. As you study caring in nursing, what ideas interest you most? How have you implemented these ideas in your own
practice as a student nurse?
I am fascinated with the idea of “six C’s” by Simone Roach described as attributes of caring that aid in
identifying the specific caring behaviors that a nurse engages in when providing care for a patient. These six C’s are
compassion, competence, confidence, conscience, commitment and comportment. I believe that having these
attributes will not only help me in my future career in providing better care to patients but also, these for sure can help
me with my studies and preparation towards being a good nurse in the future. As early as this time that I am still a
student nurse, I have to develop these six C’s in myself and learn that every attribute mentioned is vital in providing
care.
3. According to Carper’s four ways of knowing, give examples of how you practiced each of these ways of knowing in
your care of clients.
PERSONAL KNOWING – I ask my own self what I have seen and experienced. I often observe, reflect and self-
actualize for in this way, I establish authentic relationships to others.
EMPIRICAL KNOWING – I search in the internet some facts, important laws and theories to gain knowledge and
study findings that may help me in my future nursing practice.
ETHICAL KNOWING – As a future nurse, I have this sense of knowing what is morally right and wrong. I am
obliged to protect and respect human life.
AESTHETIC KNOWING – I am able to discover things, understand a phenomenon and create a new perspective
within that discovery.
4. What value do you see in keeping a reflective journal? As you reflect on practice situations, have you written down
your thoughts?
Keeping a reflective journal helps someone assess the situation he/she is into. It allows someone determine
the important things that he /she learned and acquired in a particular circumstance. As I reflect on practice situations,
I am able to give critics to myself and assess my personal attributes and see where which o these must I develop and
improve.
5. What changes can you make in your weekly schedule, to be more efficient with studying and also plan time for
self-care?
I will allocate less of my time in checking my Social Media Feeds online. Social Media is truly a big
distraction to me in doing productive things, especially in my studies. Also, it had affected my sleeping routine that I
am not able to meet 8 hours of sleeping. Aside from a big distraction, Social Media addiction also affects one’s
overall health therefore I must learn to control myself and become more aware in the negative effects of Social Media
addiction.
6. What self-care activities would be most helpful to you right now? Changes in diet? Scheduled exercise or
recreation? Meditation, yoga, or another mind–body therapy?
I have been into stress-eating after giving birth to my first child more than a year ago. I admit, food became
my comfort during those times that I felt suffocated by boredom while I was taking care of my first baby in the first few
months. But as a consequence, I gained weight and this affected my overall self-confidence and my physical
capabilities. I must say, changes in diet and scheduled exercise or recreation are the most helpful steps towards
achieving an ideal body type. I am a student nurse and I need to improve my physical health through balanced diet
and exercise so that I can perform things better and accomplish tasks more efficiently.
7. Do you have unhealthy patterns, such as smoking, vices or negative thinking that you need to work on? Develop
an action plan to change these behaviors.
As I have already mentioned above, going online in straight number of hours is perhaps my worst unhealthy
habit that I need to work on. I have to develop time-management in myself in order that I can do things within the time
that they are supposed to be done. This way, I can avoid cramming, excessive workloads and also stress.
Name: ________________________________ Score: ______________

Course & Yr: _________ Rating: _________ Faculty’s signature: ____________ Date: _______
II. CRITICAL THINKING ( COMMUNICATION)
CASE SCENARIO:
A 45-year-old man who will be returning from the recovery room after undergoing the removal of a mass from his
abdomen. While you are preparing his room for his return, the nurse and physician arrive to talk with Mrs. Manansala
about her husband’s surgery. The physician explains that the mass was malignant and invasive. Mr. Manansala is a
candidate for chemotherapy, but his prognosis is guarded because of the extent of the tumor growth. Mrs. Manansala
looks away, closes her eyes, and only nods her head “yes.” As the physician leaves, the nurse approaches Mrs.
Manansala, sits next to her, and puts her arm around Mrs. Manansala, who begins to cry. The nurse uses a soothing
voice to tell Mrs. Manansala that it is okay to cry and assures her she will remain with her. The two of them sit in
silence until Mrs. Manansala is able to express her feelings. The nurse listens attentively. Later the nurse offers to
get a cup of coffee for Mrs. Manansala and asks if there is anything she can do to assist Mrs. Manansala at this
difficult time.
Guide Questions:
1. Interpret Mrs. Manansala nonverbal behavior in response to the news about her husband’s surgery.
Mrs. Manansala’s behavior right after knowing the news about his husband’s situation was a typical reaction
for a grieving wife of a sick husband. When she looked away, closed her eyes and nodded her head, it is
understood that she was shocked and was not able to express her heartaches in words. She then burst into
tears after the nurse embraced her indicating that she was really upset about the situation.
2. Evaluate the nurse’s response toward Mrs. Manansala based on the concepts of caring and comforting.
I can say that the nurse did the best possible way in comforting someone who is having an emotional
breakdown. She excellently applied the concepts of caring when she gave Mrs. Manansala a comforting hug,
used a soothing voice to calm her and executed her listening ability to ensure that Mrs. Manansala feels that
someone truly cares for her during her breakdown.
3. Why is it important for the nurse to effectively communicate with Mrs. Manansala at this time?
At Mrs. Manansala’s trying time, she needed someone to talk to, someone who is willing to listen and
comfort her so that she will not feel alone and helpless in her fight. An effective communication can be a great
way to help someone express her/his feeling and to feel relieved.
4. The nurse was described as listening attentively to Mrs. Manansala.

Cite actions that portray attentive listening.
Every now and then, me and my bestfriend used to tell each other about our rants and personal
problems. I am always willing to listen to her because I know, I am the only one she trusts the most. I attentively
listen to her, set foot in her place and I don’t judge her actions, I give advices instead and make sure she feels
calmed and relieved after ending our conversation.

Bachelor of Science in Nursing: Divine Word College of Bangued Zone VI, Bangued, Abra Telefax: (074) 752-8003

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Bachelor of Science in Nursing: Divine Word College of Bangued Zone VI, Bangued, Abra Telefax: (074) 752-8003

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Divine Word College of Bangued

DIVINE WORD COLLEGE OF BANGUED

Name: Guia Carla M.Valera Score: ______________

I. Reflection Checkpoint (CARING)

Name: __________________ Score:

II. CRITICAL THINKING ( COMMUNICATION)

4. The nurse was described as listening attentively to Mrs. Manansala.

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