Education Category: Health
Ages:

1.Introduction/decription department

The hospital that I will work in for 8 weeks is called the Coptic Hospital. The hospital is located in Nairobi at the Ngong Road. In the morning traffic it is about 1 hour driving with the matatu and a half hour walking to the hospital. It takes so long because of the traffic jam in the morning.  We will be working from Monday till Friday in the hospital from 8 am till 4 pm. On Sunday we will work in an orphanage called Raha kids.

The hospital is an mission hospital did means that it is run by the church. Because it is an mission hospital it is also more a private hospital than a public hospital. People need to have money to be threaded in Coptic hospital. For example a private room cost 9000 shilling a night, an semi private 3500 shilling a night at a room for 5 patients cost 3500 shilling a night.  Before the patient get discharge they first need to go to the cashier to pay for the time in the hospital. They need to pay for every material, vaccination etcetera that is needed for their treatment. If the patient has an insurance they can submit it.

Because the hospital is an mission hospital some parts are financiered by the church. The hospital has an HIV department were patient can be tested and treated for free when they have HIV. There are now more than 6000 patient that are threaded by the hospital and everyday they get new patients.

The first two weeks I work on the maternity department. After these two weeks I will rotate to another department.  This means that I will work on 4 different departments in the hospital.  I don’t know on witch department I will work next, but they let as choose.

The maternity department is an department were women come to deliver their baby and recovery after an c-section. The recovery department and the delivery department is on the same department. When people need to go for an c-section they go to the theater (operation rooms). In Kenia nurses do not have to do an different study to became an maternity nurse it is the same education as the general nurse. Most of the time nurses deliver the baby and there is no doctor present. The doctors don’t even come to check the newborn.

When women have a normal delivery they will be discharge the next day. When the women had an c-section they need to stay in the hospital for 4 days.

The nurses give the mothers education about the baby, they get help by cleaning and dressing their baby, they get there medicines if needed, the newborn gets his first vaccinations, deliver the baby, check the fetal hartrate and prepare the mother for c-section (this means give them a canule and a catherter). These are some tasks of the nurses on the maternity ward.

In the raha orphanages lives 80 boys from 0 till 18. At the orphanage the boys get education and a home. We go on Sunday when it is there day of so we can do activities with the boys.

2. Expectations towards the internship

What do I expect from Coptic Hospital?

From the hospital I expect that they offer me a good mentorship during my internship in the hospital. This means that they provide me a mentor that has the same education level as my education. My mentor helps me to pass my internship in Coptic Hospital

I expect that my mentor and colleagues that they provide feedback regularly on my behavior, my nursing skills, attitude and functioning as a nursing student. I expect there is at least ones a week an evaluation with my mentor. In this evaluation we can discus my progress as a student nurse. I expect from my mentor and colleagues that they immediately talk to me when something is wrong concerns behavior, my nursing skills, attitude and functioning as a nursing student. 

When there is something wrong I feel save enough to tell my mentor. When my mentor is not around I feel save enough to tell one of my colleague if something is wrong. This means that my colleagues are respectful to me and talk to me in English not Swahili. When an event happened which had an really big impact on me. I can discuss and evaluate this situation with my mentor. I feel save enough to express my emotions and feelings towards my mentor.

I am able to contact my mentor for help, with my schoolwork or with questions. I expect that my mentor gives me help if necessary with my essays. My mentor takes time to help me out with my questions. During my working shifts I am always able to ask my colleagues questions about the patients care. From my mentor I expect feedback on my essay.

I expect from the hospital that I work from 8 pm till 5 am during daylight. This way I am able to travel with public transport during daylight to insurance my safety.

I expect from the hospital that I do not have to perform patient skills where I do not feel qualified to. When I can not for some reason give a patient the care that he or she needs my colleagues help me.

What can the hospital expect of me?

I am a motivated nursing student that is wants to put her knowledge and skill to practice. In the First year of my study I had a 4 weeks internship in an elderly home in Amsterdam called ‘De Drie Hoven’. In my First year I also had a 4 weeks internship in a hospital at the hematology department. The hospital is called ‘VU medical centre’ in Amsterdam. In my second year I had a 10 weeks internship at an elderly home in Haarlem called ‘Schoterhof’. In my third year I had a 30 weeks internship at a hospital on the pediatric department. The hospital is called  ‘Spaarne hospital’ in Hoofddorp. I am able to bring the skills and knowledge that I learned during these internships to practice.
 

I am someone that is in the beginning somewhat shy and on the background. I First need to adjust to the new environment, when I am adjusted to the new situation I will start to talk more. The shy and quiet part is not because I do not like it or something like that. When I met all my colleagues and learn about the organization of the hospital I will start to ask a lot more questions and be more initiative.

During my education I learned a lot of nursing skills that I would like to perform in practice.

I am open and willingly to learn from the feedback and improving points that I get from my mentor and colleagues. I am eager to learn and ask questions If something is unclear to me. I show initiative to accomplish my learning goals and make sure that a pass my learning goals within 8 weeks of internship. When something is wrong I immediately talk to my mentor and ask for help.
 

In my treatment I will show respect towards the patient. I will safely, effectively and hygienically proceed.
Furthermore, I will report regularly my progress to my internship mentor. I will guard my learning process and ensure that I have enough time to work on it. I will ask as many questions to my colleagues and my mentor and show that I am assertive.
In addition, I will ask regular feedback to my colleagues about my learning process.
At the beginning of the service I will tell my mentor what I want to learn that day.

3.Previously achieved competences

During the first three years of my study to become a nurse I completed the following indicators on differend levels with my internships. These competence Card are mastered either trough tests in practice of by writing essays. All my essays are supported with scientific articles.

4.Curriculum Vitae

Personal information

Last name:                                           van Beek

First name:                                          Hannah

Mailing address:                                  Weteringstraat 16

                                                           2023 RV, Haarlem

                                                           The Netherlands

Date of birth                                        15-07-1993

Place of birth                                       Haarlem, the Netherlands

Nationality                                           Netherlands

Phone number                                     Home: 0235273129       Mobile: 0640252763

Email                                                   hannahvbeek@hotmail.com

Education and diploma’s

2006-2011                                                        Havo at Sancta Maria in Haarlem
Profile: Nature and Health.

Graduated in the following courses:

Dutch, English, math, chemistry, biology, geography, Crafts and gymnastics

2011-now                                             HBO Nursing at INHOLLAND Amsterdam
                                                           Nursing, major: general health

Fourth year student

Internships

07-11-2011 t / m 02-12-2011                  Four weeks internship in a nursing home called De Drie Hoven in Amsterdam.

Internship regarding the basic care nurse care and professionalization as a nurse student

Passed: Yes

21-05-2012 t / m 18-06-2012                  Four weeks internship at VU University Medical Center in Amsterdam
Department: Hematology.
Internship regarding the basic care serving HBO-V education and professionalization as a nurse student

                                                           Passed: Yes

03-09-2012 t / m 08-11-2012                  Ten weeks internship in a nursing home called Schoterhof in Haarlem
Internship regarding the basic nurse care and professionalization as a nurse student. Achieving learning goals behalf of the HBO nursing at INHOLLAND

                                                           Passed: Yes

11-03-2013 t/m 27-06-2014                    Thirty weeks internship at Spaarne ziekenhuis in Hoofddorp

                                                           Department: children's department

                                                           Internship regarding the basic nurse care and professionalization as a nurse student. Achieving learning goals behalf of the HBO nursing at INHOLLAND

                                                           Passed: Yes

Languages

Computer skills

• Word
• Exel
• Power point

Divers licenses

Yes, for an automobile, since march 2014

Work experience

5.My role and position in Coptic hospital

The internship at the Coptic hospital is a minor where I will work on three reflection assays a diversities essay and a evidence based nursing plan. By making these essay I will understand the difference between a Kenyan Hospital and a Dutch hospital. I will make the culture in Kenyan my one and improve my patients care. This internship will help me become a better nurse in the Netherlands.

This internship will be at the level of a bachelor nurse in the beginning of my fourth year. I am able to perform my knowledge and skills that a learn during 3 years of study in practice. When I am not able I will ask my mentor to help me perform it and learn from her. When I am not capable of performing a nursing skill at a patient I would not be forced to do it. My mentor will help me with it and teach me the knowledge that is necessary.  This makes it able for me to perform the skill later on my own.

The first week I will walk together with my mentor or a colleague. After the first week I will be working under supervision of my mentor or colleague. This makes it able for me to ask questions if necessary. My actions that I perform are always under responsibility of my (permanent) mentor. When my (permanent) mentor does not trust my nursing skills I would not perform them and ask my mentor to help and teach me. When I perform a nursing skill for the first time my mentor will supervise. If I do not feel secure to perform a curtain nursing skill my mentor will always be there. As soon as I master a curtain nursing skill I will practice it on supervision.

After every two weeks I will change to another department. Now I can see on different departments how they work and learn a lot about the tropical illness.

During my 8 weeks of internship at the Coptic hospital I will respect the culture and make the Kenyan culture my own. Besides that I will stay trough to my own values and standards.

6. Learning goals

6.1Personal learning goals

Learning goal 1

After 8 weeks of internship at the Coptic hospital I see the difference between the Kenya culture and the Dutch culture and added the Kenya culture to my own culture. Did will help me grown on a personal level, this appears from my reflection essays.

Level

Bachelor

Education program

Global nursing

Learning activities

• Reflection about my own behavior towards a different culture
• How I handle a different culture
• How I make the Kenyan culture my own
• Learn about the different between the Kenyan culture and the Dutch culture
• How I give nursing care to patients with a different culture
• Learn how to accept someone values even when they contradict with my values

Planning of the learning activities

• After the first week of my internship I write an reflection and I will describe the place that I work in. I also write an STARRT reflection about a learning full situation.
• After the fourth week of my internship I write an second reflection. Now a can compare these reflections together an see how I grown the first couple of weeks
• After the last week I will write my final reflection. In this reflection I will reflect on my time in the Coptic hospital and what I have learned.

Essay

Reflection essay 1:

• Description of the place I will work in
• An reflection of my plan for the first week of my internship. Did I followed the plan and witch factors influenced my plan
• An reflection about how my first week went. From I activity I did the first week I will write an STARRT reflection
• An reflection about my plan for the next couple of weeks. Witch factors in my internship will become a struggle for me and how I handle these struggles. Some questions for the teacher

Reflection essay 2:

• An reflection of my plan for the last three week of my internship. Did I followed the plan and witch factors influenced my plan
• An reflection on my learning goals. Witch activities I planned to reached my learning goals and were my activities affective.
• An reflection about the methods they use in the hospital. What is the effect of a different way of giving care and the methods they use. How did I handle this?
• An reflection about the attitude of the nurses in Coptic hospital. What do you notice about the attitude of the nurses and witch explanation do you have for their attitude. How do I present myself in this culture? What are my struggles and what do I find easy.
• What am I going to do the last couple of weeks? Witch learning goals have I changed and what will be my struggle towards my learning goals. How am I going to handle this?

Reflection essay 3:

• An reflection about the experience that made an impression on me with to concrete examples. Witch best practice I have notice. What does this internship means for my personal and professional development?

Evaluation
After I finish one of my reflection essay I will immediately send it through email to my Dutch mentor. He will read my reflection and give me trough email feedback. He will answer if necessary my questions and helps me with my struggles. After the 8 weeks of my internship the reflection essays will be add it to my internship essay.  My Dutch mentor will review it at the end.

6.2Learning goals regards professional behavior in a foreign country

Learning goal 2

After  6 weeks internship in Kenya I am able to give professional care to patient with a different culture, this appears from my diversity essay.

Level

Bachelor

Education program

Global nursing

Learning activities

• Learning about the Kenyan culture
• Learning about the difference in care giving between different cultures
• Descriptions about the values and standards towards the giving care
• Knowledge about the aspect of intercultural communication. This supported with examples about the direct care and cooperation.
• How to be open-minded towards values and standards that have been experience during the internship
• Improvement points

Planning of the learning activities

• The first week I will observe the difference in culture
• The first two weeks I will observe the difference in values and standard towards giving care
• The first couple of weeks I will read two books of the literature list. By reading these books I will get knowledge about intercultural communication
• The first couple of weeks I will ask my colleagues questions about why they do thing a curtain way.
• In the 6 weeks I will reflect on curtain situations with my classmates and host mother. Our host mother can tell us a lot about way Kenyan people do thing a curtain way
• In these 6 weeks I will also look at myself and reflect on how I am able to be open-minded towards different values and standards as mine.

Essay

A essay based on literature and practice experience in a foreign country with the following criteria:

• My own frame of mind towards illness heartiness and treatment
• How your own culture and ethnicity effect the way you give a curtain way of care
• A vision about intercultural care giving
• A vision about intercultural cooperation

Illustrated with examples from the practice in Kenya and the Netherlands

The essay will be no longer than 5 pages or 2500 words. Two of the background literature books needed to been red.

Evaluation

The essay will be read by our supervisor mentor in Kenya and our Dutch mentor. The supervisor in Kenya specifically asked for improvement points towards the given care. I will email the essay to both and get feedback from both. After the 8 weeks of internship I will at it to my internship essay. My Dutch mentor will review it at the end.

6.3learning goals specific to the department

Learning goal 3

After 7 weeks I am able to make a evidence based nursing plan specific to the department. I will take in account the difference in care giving, this appears from my evidence based nursing plan.

Level

Bachelor

Education program

Global nursing

Learning activities

• An holistic approach towards the patient: with attention to life, living world, cultural diversity and experience from illness and being ill
• Recognize ethical, legal, regulatory and social aspects
• Make an standard nursing plan from a middle to high complex patient
• Clinical reasoning
• Underpin the chooses you make and using outcome from scientific studies, the expertise from the practice and the wishes from the patient
• Using a complexity scale
• Using the five steps of Evidence Based Practice
• Underpin the basis of the standards nursing plan witch scientific studies
• An preventive measure with information from a patient association

Planning of the learning activities

• The second week I will decide which casus I am going to use and write the casus and describe the illness
• In the third week I will start by making the nursing plan. This means describe the eleven patrons of Gordon, fill in the complexity scale and describe 5 nursing problems, goals, interventions en evaluation
• In the fourth week I will choose one intervention and underpin this with evidence based practice. I will search for scientific articles
• In the fifth week I will also search for scientific articles and describe the 5 staps of evidence based practice
• The sixth week I will describe the ethical, legal, regulatory and social aspects
• In the seventh week I will describe a potential nursing problem with a preventive measure. I also check my hole nursing plan again

Essay

Design a standard Evidence Based nursing plan for a middle to high complex patient. Give a preventive measure to prevent a care problem

• Write a casus about a care situation from a patient
• Describe the medical history
• Describe the care situation though the eleven patrons of Gordon.
• Fill in a complexity scale
• Describe five nursing diagnoses (one from the patron of diversity), goals, interventions and evaluations
• Underpin one intervention with evidence based practice
• Make a PICO question and describe your searching method toward the scientific study
• Witch ethical, legal, regulatory and social aspects influents the situation of the patient
• Describe a potential nursing problem that can be prevented by a preventive measure
• Everything in the Evidence based nursing plan need to be underpinned.

Evaluation

The essay will be read by our supervisor mentor in Kenya and our Dutch mentor. The supervisor in Kenya specifically asked for improvement points towards the given care. I will email the essay to both and get feedback from both. After the 8 weeks of internship I will at it to my internship essay. My Dutch mentor will review it at the end.