Preceptorship Clinical

 

After completing Leadership clinical, respond to questions 1-10 below. The answers to these questions need provide enough detail to fully reflect the thinking of a student preparing for the role of a registered nurse. For ease and clarity, cut and paste the topics and answer them appropriately. This will decrease the chance that any topics are inadvertently omitted. Make sure your answers demonstrate application to the clinical site and experience of your preceptorship. Each question is worth 5 points. Typed, double space, 12-point font.

1. Identify specific situations (more than one) encountered during this clinical experience where nursing care made a difference in a client’s outcome. Be specific without using any identifying information.

2. Identify specific examples of how nursing prioritization impacted care, either positively or negatively and identify how care could have been different had the nurse/student prioritized differently.

3. Describe any non-care delivery situations that, in your opinion, could have been handled differently. Do not address a patient care issue. Think in terms of interpersonal interactions, management issues, or institutional issues.

4. Make suggestions that could change the outcome, either in client care or in floor management, which reflect the observations in 2-4 from the criteria above.

5. Identify the system used for report. How effective is the report as given? Do you receive sufficient data to plan nursing care? What organizational methods will you use to be sure you administer an effective report?

6. Observe and ask questions about how staff assignments are made on the unit. Are assignments made based on geography, acuity, staff skill sets? How effective is this system?

7. Identify the usual staffing mix of the unit. How many RNs, LPNs, Nursing Assistants, etc? In your opinion, describe the effectiveness of this method of staffing. What changes would you like to suggest to the Nurse Manager regarding staffing? What is the rationale for the changes?

8. Identify other members of the health care delivery team and actively collaborate with them to achieve coordinated care. What activities contribute to team cohesiveness and what activities are detrimental to team cohesiveness? Evaluate the effectiveness of the inter- professional collaboration on this unit. Evaluate the effectiveness of your collaborative activities and identify what you might do differently to be more effective in collaboration.

9. Identify problems on the unit. Are there any themes related to the problems, e.g personnel involved, recurring situations, etc? What suggestions do you have that might improve the problematic situation?

10. List the four personal goals you had for this experience and describe how you met each one of them in this clinical rotation.

Sample Solution

The foundation of hazard based oversight in congruity with the Basel Center Standards to screen shortcomings and re-capitalisation has added to the dependability of the framework. The business is all around promoted with normal capital sufficiency proportion of 18% somewhere in the range of 2010 and 2015 essentially over the 10% prudential and legal necessity.

Shortcomings
Despite the steps chalked by the Ghanaian financial area, banking entrance actually fails to impress anyone. Bawumia (2010) broadcasted the unbanked populace as 70% and Wampah (2014) unveiled the unbanked populace proportion as surpassing 80% with banking activities generally urbanized. Strategising to rope in a greater amount of the unbanked people is likewise tested by the low monetary education rate. The fairly low penetration of banks to the country regions suggests a huge unexploited fragment to prepare stores and increase the benefit of the framework.

Ackah and Asiamah (2014) reported that the significant expense of credit, high loaning rate and low credit accessibility to the confidential area have perplexed the area. Loaning rate found the middle value of 28.51% from 2005 to 2016 having accomplished the most noteworthy of 42.84% in August 2016 and least of 21.24% in Walk 2008. Exorbitant financing cost spreads found the middle value of 23.01% somewhere in the range of 2009 and 2014 when contrasted with a sub-Saharan normal of 8.57% in 2012 (Adoah, 2015; Garr and Kyereboah, 2013; Mansah and Abor, 2013; tradingeconomics.com). Ghanaian banks are tested with adjusting risk the board and development. Absence of designs to learn veracity of distinguishing proof and record of borrowers opens the business to misrepresentation. The strategy to assemble nitty gritty client data after opening of records has not gotten the job done in preventing banking misrepresentation. Boateng, Boateng and Acquah (2014) stated yearly misfortune to bank extortion run into a large number of Ghana cedis.

Open doors
The foundation of unfamiliar possessed banks into Ghanaian keeping money with the essential to bring into Ghana 60% of starting capital in unfamiliar convertible cash makes the stage for infusion of unfamiliar funding to animate monetary turn of events (Tetteh, 2014). Unfamiliar claimed banks structure around 52% of the all out number of banks as at September 2016.

Consolidating innovation in help conveyance eliminates running backs of getting to banking administrations and offers a plenty of media, for example, web and versatile banking, continuous settlement and ATMs for banks to improve items and administrations and grow client base (Domeher, Frimpong and Appiah, 2014). Kumar (2011) prescribed that organizations with an objective to redo client certainty should focus on enhancing items to meet client assumptions.

The Ghanaian government intends to reward liabilities to the Mass Circulation Organizations which thusly acquired assets from business banks adding to the expanding non-performing advances of the business. Decreasing the openness of banks to the energy and utility area is supposed to enhance the resource nature of the area (Swamp, 2016).

The revelation of oil in business amounts gives huge functional and speculation valuable open doors for Ghanaian banks (Mawutor, 2014; GBS, 2011).

Dangers
Extreme contest from liberation and all inclusive financial practices can incite indebtedness and flimsiness of the business as banks succumb to moral peril, data deviation and seek after less secure techniques to activate more stores. World Bank (2014) demonstrated that with Gross domestic product of USD 38.62 billion and populace of 26.79 million, Ghana could flaunt 29 widespread banks while Nigeria had Gross domestic product of USD 568.5 billion, populace of 177.5 million and 22 general banks. Beck (2008) and Claessens (2009) believed the need of controlling rivalry in the financial framework to support dependability since excessive rivalry could bring about weakness to fundamental gamble (Allen and Hurricane, 2004; Carletti and Hartmann, 2003).

The energy emergency that plagues Ghana antagonistically influences monetary development finishing in expanding functional expenses, declining business pay and productivity (Adom, 2011; Anane, 2015; Andersen and Dalgaard, 2012; CEPA, 2007). The 2012-2016 energy emergency added to decrease in genuine Gross domestic product development rate from 8.8% in 2012, 7.3% in 2013, 4% in 2014 to 3.9% in 2015. Banking industry working resources dropped to 19% in 2015 from 38% in 2014 (Anane, 2015, PwC, 2016). Increasing normal expansion rates from 9.1% in 2012, 11.5% in 2013, 15.5% in 2014 to 17.1% in 2015 combined with deterioration of the cedi and lopsided characteristics in other macroeconomic factors block advancement of the financial area. Athanasoglou, Brissimis and Shops (2005), Kosmidou, Pariouras and Tannz (2005), Kutsienyo (2011) and Sibindi and Bimba (2014) reported observational proof of Gross domestic product development influencing emphatically on the financial area and rising expansion unfavorably influencing banking area development. IMF (2011) announced the chance of unfortunate resource nature of Ghanaian banks ought to the macroeconomic imbalanced wait on.

The 70% development on non-performing credits from 2015 to 2016 is unwanted for bank productivity, dissolvability and monetary turn of events (Lowland, 2016, IMF, 2016). Baabereyir (2009) and Ngwa (2010) believed that credit risk is the main gamble banks are helpless to and Ghanaian banks are no exemption.

Arrangement of versatile cash administrations by telecom organizations is view

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