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Nursing Online Writing Tips
The profession of nursing includes several sub-disciplines and various career pathways. Among these include education, administration, research, or practice. The ability to write in a scholarly style, however, is an essential skill for nursing graduates since written communication in the form of comprehensive care assessments, case management, and documentation of policies and practice is used on a daily basis in all health care settings. Technical writing skills are required of nurses throughout their careers because documentation and record keeping constitute the bulk of nursing duties. The Licensed Practical Nurses or the Certified Nurse’s Aides in most hospitals perform their majority of physical care for patients while the Registered Nurses chart information about those patients in order to maintain accurate medical records for use by other nurses and doctors. Since writing is such an integral part of the everyday tasks of nurses, accuracy is crucial. Crystal Lane, a nurse at Hurley Medical Center in Flint, illustrates this point “When doing my documentation and charting on a patient everything have to be perfect and appropriate; in order for the records to be complete, you must go over the documentation and then initial it. Once my initials are on the documentations, I become capable of being responsible for the patience chart or documentation.” In addition to being accurately recorded, information needs to be accurately expressed in terms that are unambiguous and universally understood throughout the medical community. This is addressed in the article Watch Your (charting) Language. “You may speak or write in a vague or judgmental manner without being aware of it. But when you’re charting, you should take extra care to avoid including ambiguous statements or subjective judgments. For example, a note that reads “Patients asks for pain medication frequently” is open to interpretation. Does “frequently” means every 2 hours, every hour, or every half an hour?”
Besides using the proper medical terminology to maintain accuracy, a nurse must take other measures to ensure that all data is correctly recorded. One such measure taken is the elimination of subjectivity from medical documentation. Watch Your (charting) Language addresses this as well. “Avoid using words such as “seems” or “appears,” which make you sound unsure of your observation. Do your charting as soon as possible after you make an observation or provide care because that’s when you’ll recollect the circumstances most clearly. If you leave your charting until the end of the shift, you may forget important details”. While the method of technical writing is uniform throughout the medical community, the tools used for documenting and recording information vary from hospital to hospital. With the integration of computer technology into many hospitals, charting a patient’s information is made much easier. Additionally, the time it takes to process medical charts is greatly reduced, and accessing information is quicker and more efficient than ever. Crystal Lane, said “when I need a doctor for something, I can easily e-mail him or her a note to get a response from them.”
Technical writing skills are not only important in the records and charts written by nurses, but also in the various other documents read by them. Policies and procedures both exemplify this need for objectivity because of their need to be followed thoroughly and accurately. Hospitals have various policies dictating elements of day to day operations such as dress code, distribution of responsibilities, and precise formats for charting information. Also, hospitals have many established procedures that detail the tasks a nurse needs to perform in a given situation. For example, if a patient dies, a hospital’s policy would specify who would be notified, who is responsible for the death certificate, or under what circumstance an autopsy is required. That hospital would also have procedures instructing the medical staff how to properly prepare the corpse and take care of personal belongings. Creating an accident report is another practical application of the technical writing skills used by nurses. Reporting an incident, such as a patient fall or a medication error, requires all pertinent information to be presented in a clear and organized manner. You should be certain that you present enough information so that if you need to refer to it at a future date the incident will be clear in your mind. Also, initialing any report is mandatory, and is the final part of the charting and reporting process.
Lastly, nurses often times must prepare for their patients educational materials that describe or explain various procedures, diseases, medications, and treatments. In doing this, nurses need to constantly keep in mind that as many as 45 million adults read at or below the fifth-grade level., while most medical texts are written at the seventh or ninth-grade level. Not only must nurses refrain from using medical terminology when preparing these materials, but they must also avoid using complicated syntax and diction. Short sentences, simpler words, and layman’s terms are most effective at communicating information to the majority of the public. When this information is not presented in a clear, understandable manner, the resulting misunderstandings on the part of the patient can lead to treatment failures and complications, and it is estimated that low levels of literacy cost the health care system 73 billion dollars annually in readmissions and longer stays.
With so many writing-oriented tasks assigned to nurses, with so many individuals using the records and charts prepared by nurses, and because of the important nature of the information, accuracy, objectivity, and the use of both technical and layman terms are necessary tools for anyone wishing to pursue nursing as a career. These technical writing skills are needed in order to effectively communicate with other members of the medical community as well as the patients themselves. And while technical writing has always been an important part of nursing, the field of nursing itself exemplifies a growing trend in most careers in today’s world, a world in which technical writing skills are increasing necessary in order to succeed and excel.
Now let us give you an understanding of reflective writing in nursing. So what is reflective writing? Reflective writing is writing which involves '… consideration of the larger context, the meaning, and the implications of an experience or action'. In medical and health science courses you are required to produce reflective writing in order to learn from educational and practical experiences, and to develop the habit of critical reflection as a future health professional. Reflective writing may be based on: description and analysis of a learning experience within the course; a community placement; a clinical placement; a rural placement; description and analysis of a past experience; review of your learning or course to that point; description and analysis of a critical incident. There is some debate within the field of Nursing on whether or not reflective writing (specifically journals) is effective as a learning aid, or if it is an all-consuming waste of time. Schon is a leading expert of the theory of the reflective writing; he defines reflection as "learning from events and incidents experienced during a course or practical professional programme”. Carolyn Mackintosh opposes the validity of reflective writing: "there is little evidence that an objective review of reflective practice and its implications for nursing and nurse education has ever occurred." An objective review is needed with all new theories before they are put into practice. Reflective writing or "facilitating reflection" as TalebDurgahee calls it, needs a review. And so he conducts a study that does objectively review the aims and objectives of facilitated reflection.
The following points will help you understand about reflective writing in nursing. 1) Reflective journal writing is an opening: a way to explore what we can become without being judged. Stories are a gift to ourselves and others, and express the uniqueness of individuals and their circumstance as well as the common ground they share. 2) What we bring to an experience is essential to our understanding of what occurs. This is influenced by our past, our future, and out present world-views. 3) A deeper understanding enables us to integrate former learning with experiences, to form relationships between parts of knowledge, and to search for meaning. 4) We reflect because issues arise that need to consideration both before and after we act. As nurses, we are agents of history for ourselves and others. 5) Critical reflection promotes an understanding of diversity in beliefs, values, behavior, and social structures. Any claims to a universal truth or total certainty are questioned. The more we share our thoughts and feelings, the more we challenge accepted views of traditions and myths, which have kept alternate interpretations from becoming possibilities. 6) Reflection is not a political act. 7) Because reflective writing is a personal journey, students are to write only what they feel comfortable sharing. 8) Journal writings are not right or wrong, simply places to discuss movement in thinking. 9) Journal entries are reflections, which often evoke more questions than answers. The purpose of forming questions is to help focus on personal meaning and interpretation in the reflective moment. 10) Journals are confidential between the student and the instructor. 11) Change is the only constant, and writing reflectively offers a way to examine the meaning of change. Do note that these tips given in the above paragraphs in this section are provided only as a general guideline and would vary based on the requirement of the project.
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