Simulation Reflection
I have learned an immense amount of knowledge throughout my mental health clinical experience. My group and I were presented with many challenges but also faced with our own personal life experiences. When addressing each patient, there was an awkward pause before the conversation began because I felt that this was an experience that none of us were used to yet in our nursing careers. After the first two patients that my group and I interviewed, I felt as though we got more comfortable starting out the conversations. This simulation experience was challenging because each patient was completely different, and we had to figure out as a group to keep the conversation moving. I believe the seven-minute group huddles were very helpful because it allowed our group to get back on track and figure out what else needs to be said before the interview was over. For the patient with alcohol use disorder, I made the mistake of asking him about his alcohol usage right off the bat. This made the patient very angry and closed off. My group handled this well by asking him about his intelligence and hobbies before gradually getting into the subject of alcohol. Interviewing the patient with alcohol use disorder was the hardest for me to go through because it felt as though I was talking to someone in my family that also has alcohol use disorder. It felt as though I was repeating a similar conversation I have had before with multiple family members. This experience definitely evoked an emotional response out of me, and it was harder than I thought to keep my cool. I never realized a simulation experience could have brought those types of emotions out of me, and it was very unexpected emotions that I was going through. Some of the patients I found were hard to crack and find treatments that they were in favor of, such as the patient with borderline personality disorder. The patient with borderline personality disorder was coming off very rude, in a hurry, and seemed like she really cared less about the interview and/or treatments that were being offered. I felt my group did a great job with asking unique questions and finding ways for the patients to have an open conversation about their conditions. I feel a lot more prepared to address certain mental health problems in future clinical settings because going through these patient interviews and practicing them in the psychology wards was very good exposure for me. I still do not feel used to the interviewing process and would benefit from more practice in this realm of health care. I learned that performing a self-assessment can be crucial before these types of interviews with mental health patients. I learned that it is important to establish rapport and a therapeutic relationship with the patient before overwhelming them with all the treatments being offered. Most importantly I learned that mental health nursing is not linear, and that getting all the information from the patients is not the most important thing. Nursing is not just a science, it is an art.