Nursing Reflection - Bhutan Nursing Study Tour - Journal Essay Writing Assignment Help

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Nursing Journal Essay Writing Assignment Help

Case :  Bhutan Nursing study tour Bhutan Healthcare system 1. 20 Dzongkhags- Districts 2. 70.5% are forest coverage 3. 779, 666 population (male: 51.9% and female 48.1%) 4. Free access to basic public health that include modern and traditional 5. Vision: “ a nation with the best health” 6. The national health policy Health care that include:

• 1. • Traditional and modern
     • 3 tiered system
     • No private practice but have diagnostic centre
     • Primary health care

7. Primary unit: outreach Clinic and Basic health unit 8. Secondary: district hospital 9. Tertiary: eastern regional, centre regional, and western regional. If needed centre national referral hospital 10. Factors for primary health care (PHC) implementations:

• Global and environment factors // economic factors
• Governance
• Resource dissemination
• Flexible health care workforce

11. Challenges PHC:

• Communicable disease
• Non-communicable disease
• Emerging issue: substance and mental health

Paro Basic health Unit centre:  12. Act as primary health care ratio: 4 to 500,000 people 13. Prevent and promote 14. Drug and abuse 15. Pregnancy 16. Adult health 17. Home and community visit once per year 18. Emergency, life emergency 19. Baby immunisation, education, communication and care 20. Common disease:

• Respiratory disease
• Skin problem

21. Act as Outreach clinic (ORC) deliver service in rural area once in a month 22. Air ambulance is free, village health worker are all volunteered 23. Free in transportation, stays, and medication. No private health in Bhutan 24. If specialist is needed -  transferred to Thimphu 25. Acute Mental illness are send to the Thimphu specialist 26.Life expectancy:

• Female age 71
• Male age 70

27. Elders prefer die at home rather than hospital Gross National Happiness 1. Bhutan viewed gross national happiness > gross national product

• Social progress in more holistic and psychological term
• Material and spiritual development
• No independence of economic progress
• Indicator to measure quality of life

2. Promotion of equitable and sustainable socio-economy development 3. Preservation and promotion of cultural value 4. Conservation of the natural environment “we belong to the land” = live harmony with the nature 5. Establishment of good governance National referral hospital – Thimphu 1. 350 beds 2. Admission 17468 3. 20 clinical department 4. 11341 staffs 5. 6 days of average stays 6. Bed occupancy rate 74% 7. Total number birth deliveries 4555 8. Nurse to patient ratio is 1 to 7 compare to Australia 1 to 4 9. Mortality rate 39% Traditional health medicine system: 1. Paro hospital: lack of staff, no bed rails, abortion illegal but they don’t report it. Ethics? 2.Traditional medicine, traditional therapy: blood letting, herbal bath, golden needle, herbal steam, medicated oil massages, nasal irrigation 3.Traditional method do effective helps in relief for chronic disease – sinusitis, arthritis rheumatism, wind disorder, diseases related to digestive & nervous system, oncology.. 4. Idea of traditional health: include wind, bile “heating” and phlegm “water” (all the functions of body & mind are regulated by them) Healthy when is equilibrium and harmony, ill when loss of balance. 5. Preserve the culture and tradition of healing 6. Challenges:

• Not able to attract competent and experienced physicians to become lecturer
• Small amount of students
• Limited institute of traditional medicine

7. Future plan:

• Specialisation program
• International conference and workshops

Introduce master degree for international students Satelite clinic: act as a GP in Australia 1. Satelite clinic do referral and proceed to Basic Health Unit/ Hospital 2. Include 3 health assistance and 1 nurse staffs 3. The health assistance able to prescribed medications but not the nurse 4. Aiming for curative and prevention care to schools and monastery 5. They do birth deliveries, cut injuries – visit at home 6. Challenges: lack of manpower 7. Health assistance in Bhutan are multitasks unlike Australia 8. If patient needed angiogram – only in India, so the patient need to travel Education for holistic human health: 1. Do not assume 2. Not corrupted self- natural acceptance should be universal 3. Interact with yourself to find peace 4. Mutual happiness, mutual peace, mutual prosperity between community 5. What is basic human aspiration?

• • • Happy
    • Prosperity, that us continuous

6. Knowing what to do and learning how to do- intention of your journey 7. Mind and body both have needs and activities. Both need to be fulfil accordingly 8. One cannot ensure the other Task: Use the mirror to prompt reflection about yourself:

• Did I enjoy the exchange/study tour experience? Why or why not?
• In what ways has my experience affected my values and beliefs?

• What differences in behaviour, attitudes, customs or traditions did I notice? How did I react? (Consider emotions, thoughts, feelings) Why?

  Task: 2 Go deeper and analyse the details of an event, task or experience:

• Did I come across/recognize any cultural similarities and/or differences between the local people and xxx (the country/city where I went on the exchange/study tour)?
• Did I encounter any cultural barriers? Describe them. 
• What did I learn from them and how did I overcome them?
• How effective were the solutions?

Task: 3 Look for connections and relationships:

• Are there any communication norms, rituals or taboos found in xxx (the country/city where you went for this exchange/study tour experience) which are similar and/or different? If yes, what are they? 
• What are the possible reasons for such similarities and/or differences? 

• How can I reconcile these similarities and/or differences so as to ensure effective collaboration/communication? 

• How did the exchange programme help me reach a deeper understanding of the concepts taught in the course or in my other courses? 

• How do my achievements from this exchange programme help me pursue my university goals in general?

  Task: 4 Consider alternatives:

• If I could start over, what would I do differently to make this exchange/study tour experience more rewarding for me? What could I have done better? Think about your learning experiences from the social activities and academic studies overseas.

Task: 5 Consider how you can best evidence your claims:

• Am I satisfied with what I have learned? Why or why not?
• In what ways have I heightened my sense of appreciation for cultural differences? What can I put in my ePortfolio to demonstrate/prove this?
• In what ways have I developed strategies to overcome cultural barriers?  What can I put in my ePortfolio to show/prove this?

Task: 6 Consider what choices lie ahead:

• What goals will I set after this experience? How can I achieve them?
• What kind of person will I aspire to be as a result of this learning experience?
• In what ways should I adjust my goals and/or plans for my studies and career path?
• What is my changed/new perspective towards becoming an employee in this globalised world?
• What steps will I take to evaluate my progress towards achieving my goals?
• How will I collect feedback on my work?