Running Head: REFLECTIVE JOURNAL 1
Perceptions of Community Care
Trent University
Megan Scott
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Perceptions of Community Care
Clinical placement is a great opportunity and learning experience for my peers and
myself. We are able to learn and deliver hands-on applications as well as providing safe care to
the residents. My first time in the clinical setting, was at a retirement home. My partner and I
were able to have an in-depth conversation with my resident as well as hers. Through the
conversation, I was able to learn about her past history and her social supports. My resident at
the retirement home was 93 years old and was capable of performing Activities of Daily Living
(ADL’s). Going into my first clinical, I had a different perspective of what I thought a retirement
home was going to be like. When we arrived, it was shown that these residents were mobile and
were able to live autonomously. Branching off into my next week of clinical, I was faced with
providing care at a Long-Term Care facility (LTC). An experience that was significant to me was
my first day at the LTC facility. My clinical group had the morning shift and we first started the
day with assisting the residents, helping to feed them at breakfast. The resident that my clinical
instructor assigned me to was not able to do things for herself; this includes bathing, feeding or
walking. Before this, I had never been put in a situation to help someone who could not do things
for themselves. The personal support workers brought out the food, when I noticed that all of the
food was purred and realized that it was going to be tough to feed the resident and I was not sure
how to approach it. This experience was significant for me because I had never been in a LTC
facility and it really opened my eyes to see how the population ages. During this experience, I
felt sad and unsure but also determined to finish my task. After asking my clinical instructor a
few questions, I began to grow confidently and feeding the resident became easier. I really had to
focus on how she must have felt not being able to be independent. We made plenty of eye
contact, however, she was not able to communicate with me at any point. An article written by
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Cooper, Courtney-Pratt and Fitzgerald studied what factors that influence the quality of
professional experiences at a clinical placement (2015). In this study, 361 students filled out a
survey after their first-year placements with what they found most helpful and what they found
not helpful. The top three responses from the students were that they felt welcomed, whether or
not they had to work individually or in a team, and lastly the student expectations of the
supervising ward nurse (Cooper et al., 2015). Entering into the LTC facility, I noticed that there
were many more PSW’s working there than there were at the retirement home. Once we arrived
on the floor, I realized that some were very thankful that we were there helping, but also some
that just looked at you and did not say anything. I felt relieved when they would help me if I was
ever stuck in a situation. As for working individually or in a team setting, I am grateful that I was
paired with another student for my first time approaching my resident. I know that my
confidence will only go up from here. Finally, my expectations of my clinical instructor were
very high, and it definitely showed when I was put in the feeding situation with my resident at
the LTC facility. She was very supportive and is only putting me out there so that I will improve.
My overall experience of my first three weeks of clinical were above what I expected, and I am
eager to see what I will accomplish by the end of this term in relation to caring with the aging
population.
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References
Cooper, J., Courtney-Pratt, H., Fitzgerald, M. (2015). Key influences identified by first year
undergraduate nursing students as impacting on the quality of clinical placement: A
qualitative study. Nursing Education Today, 35 (9), 1004-1008. doi:
org/10.1016/j.nedt.2015.03.009