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. Briefly explain the situation
4. Identify the nursing issue inherent in the identified situation
   1. As a method of refection, use Carper's Patterns of Knowing to analyze the situation. In your discussion, address ONE of the following Patterns of Knowing:
      1. What do you think was the underlying reason for the situation? (Esthetics)
      2. What were your thoughts and feeling in the situation? (Personal)
      3. What was one personal belief that impacted your actions? (Ethics)
      4. What evidence in nursing literature supports the nursing importance of the identified issue? (Empirical)
5. What new insights did you gain through this reflective practice opportunity? How will this apply to your practice as a nurse practitioner? Be sure to use scholarly literature to support your position.

The situation you can talk about is having to do an emergent intubation being new to the ER. Talk about all the news media surrounds a nurse that lost her license from making a medical error and being uncomfortable with doctor yelling out orders and having to administer medication because u felt underprepared/uncomfortable because thats not something I use to doing working on a step down unit(inpatient hospital). You could use the discussion topic of " my thoughts and feeling in the situation" second guessing myself or looking to someone else for help but having to do it quickly because it was an emergency situation. The only thing that made me feel a little at ease was having a great team of nurses to help me and not being alone because it was a team effort.

The situation you could go into detail about was i was working in the trauma bay but still on orientation and my preceptor was allowing me to take the lead in situations at this point and i had an overdose come in and we could not get her saturation up so i had to intubate her for respiratory distress. The doctor went to yelling out orders and i was a little overwelmed but she started yelling out how much proprofol and etomidate we were going to use but no orders were entered so i immediatatly started to second guess myself. but i was not alone and everyone jumped in to help and everyone has a role and everything went well

select a topic based on what i just wrote

two scholarly in-text citation with a matching reference, APA format, present information in logical, meaningful, and understandable sequence, and is clearly relevant to the discussion topic. Grammar, spelling, and/or punctuation are accurate.

Demonstrate logical and creative thinking in the analysis and application of theory to nursing practice. address two primary philosophical schools of thought, a common classification of knowledge, and the benefits of reflection. Examine broad theoretical concepts as foundational to advanced nursing practice roles. Provide a comprehensive presentation of topic-related information from at least one outside scholarly source. Validate your perspective with a professional experience