Self to upgrade my qualification and after, working











Reflection as Practitioner

Acharya Adhikari

3901 Z


22, 2018

Read- Pratiksha Dahal


  Nurses provide care to diverse group of people
with different culture, ethnic group of all ages, families and community. (ICN,
2012).  After completion of my secondary
school, I informed my parents that I want to enroll in nursing school and
become a nurse, as I had the passion to become a nurse and help the community
people. My parents were convinced and they support my decision and I enrolled
in a nursing program. I was able to gather so many experiences with a wide
range of different areas of practice. Firstly, I would like to say nursing has definitely
made me the person I am today. Nursing for me was a passion. I can’t express my happiness
when I get so many thank you cards from patients. I decided to upgrade my
qualification and after, working as a “nursing instructor”, was one of the best decisions of my life. My
phases of experiences keep on changing in my life, I know it was hard to manage
being daughter in law, wife and a fulltime working mom, but I never give up. I
did my “good job” maintaining balance in all the relation very well. I believe
that I have learnt so much more from my patients and students than I have ever
given to them.

On the other hand, when I came to Canada, after
all those experience and qualification, am still working hard towards my dream
which is not letting me sleep until I am back to my profession. My husband
tried to convince me to change my profession after our first year as an
immigrant to Canada as he didn’t saw that it’s going to happen soon, but
I won over him that nursing is my passion and a day will come where I will get
to my destiny becoming a Nurse. He always says that, “it’s hard to beat a
person who never gives up”. In future, I would love to work with diverse geriatric
group of people and provide the best optimum care to them, which I already
start thinking positive about it.

continue with, back in Nepal, when I was graduated from the school, after
submitting transcripts to nursing council, we receive our licence to practice. Due to the demanding of nursing jobs
and skills, now it is mandatory that every nurse has to write a “mandatory
exam” for licence, which is one of the similarities with Canada. We provide
care based on the theory and apply knowledge and practice to different groups
of people. There are no such things as guidelines and practices which we have
to follow, however in Canada we follow the practice guideline and work on the basis
of it. The one of the subject I propose to reflect upon is maintaining client’s
confidentiality. According to CNO (2009),”
Confidentiality involves keeping personal information private. All information
relating to the physical, psychological and social health of clients is
confidential. We were not able to maintain confidentiality to the optimum level;
sometime we provide client’s information to almost all the clients’ visitor who
came to visit them during their hospital stay without knowing their relation
with the client. One of the competency domains of CPSI   is
Promoting patient safety through effective health care communication (CPSI,
2009).  To be honest, I never think in
such a critical way to share client’s information with other can lead to legal
circumstances , Now I realize how important that could be in case of legal
issues. We were truly lacking on that part

conclude, this reflection identifies what I learnt about confidentiality and
privacy when I was at nursing school and what I applied in health care. It
remains a curiosity for me because it works differently than the book.  Nurses are responsible and accountable for their own work, (CNO,
2009). I am glad that a got an opportunity to upgrade my knowledge and skill so
that I can provide better care to the community. As continuing education is only
the better to keep you updated which certainly helps you to provide the optimum
care to the community which provides a maximum level of satisfaction.





Patient Safety Institute. (2009). The Safety Competencies (1st
ed.).  Retrieved from

of Nurses Ontario (2009). Practice
Standard: Ethics. Toronto Ontario: Retrieved from

of Nurses of Ontario. (2014). RN and RPN practice:
The Client, the Nurse and the Environment. Retrieved from

Council of Nurses (2012, the ICN Code of Ethics for Nurses. Retrieved from (