Final journal

Be sure you address all of the bulleted items. Use each bullet as a heading for your journal entry.

  • Explain what most excited and/or concerned you throughout your pediatric clinical experience.
  • Discuss how your personal definition of family and family roles has changed or stayed the same.
  • How has your understanding of family and family roles influenced your assessment of children and their families?
  • Explain how your understanding of culture (both the culture of the provider and that of the child and his or her family) has changed and how it may have influenced the assessments you conducted during your practicum.
  • Assess how you did with accomplishing the goals and objectives you developed in Week 1 for the Practicum experience.
  • Based on your Practicum experience, refine your existing goals and/or develop new goals for your continued education and professional practice. Be sure to consider the NAPNAP Position Statement on Age Parameters for Pediatric Nurse Practitioner Practice Found in the Week 1 Learning Resources. See link below

 National Association of Pediatric Nurse Practitioners, Professional Issues Committee. (2019). NAPNAP position statement on age parameters for pediatric nurse practitioner practice Links to an external site.. Journal of Pediatric Healthcare, 33(2), A9–A11. 



Journal Entry #1

Jadiam Lopez

MSN, Walden University


Dr. Mariah Morris


What excites me most?

I am most excited about my pediatric clinical experiences because I can see how our health system works, especially in a public health setting. The hospital is large and has many different departments. There are nurses and doctors on every floor, and they work together to care for patients admitted at the hospital. It will be interesting to see how hard it is to care for people who need it the most, like children with cancer or other serious illnesses.

Strengths and weaknesses

My strengths include being patient and kind, knowing how to use my time wisely and efficiently, and staying calm under pressure while working with others in difficult situations such as an emergency room or pediatric ward. My strengths of being patient and kind might impact my practicum experience as a practitioner by allowing me to understand the patients’ needs more, which will help me get through this process better than someone who does not have those qualities.

My weaknesses include having difficulty dealing with abrupt scheduling changes or getting frustrated quickly when someone does not understand what I am trying to tell them or when there are problems in scheduling services or medications at different times of the day because of staffing changes during the day or week. The weaknesses might impact my practicum experience as a practitioner because it can make things difficult for me as a nurse where I might cause significant medical errors.

Personal definition

The primary function of the family is to provide emotional support to its members and make them feel secure. Parents also play an essential role in developing the personality of their children. The family roles enabled nurses to provide comprehensive assessments to children. For instance, a child whose family have neglected them might suffer from depression and stress.

Challenges working with families

The most challenging part of working with families in the pediatric department is that they are often under stress and have many fears about their children’s health. Parents want to be sure that what they do is the best for their children. However, our job as practitioner is to reassure them that their children are safe and healthy and that vaccinations are essential for everyone’s well-being.

Vaccinating children

In my clinical experience,

Journal Entry #2

Jadiam Lopez

MSN, Walden University


Dr. Mariah Morris


Nursing in general is a career of challenging an obstacle while still performing with a high level of professionalism. This scenario is undoubtedly the case as I entered my first clinical rotation in adolescent primary care. My strengths were IM injections, assessments, and speaking to parents. Many pediatric patients’ families get nervous when they first come in for their appointment. I try to make them feel comfortable and give them the chance to warm up to me and the environment around them. My weaknesses include communication with pediatric patients, gaining trust from pediatric patients as I tend to be for a lost of words or it may just be my nerves.

Childhood Leukemia

In this clinical rotation, we had a patient arrive with his mother who was 6-years-oldwith leukemia. If I remember correctly, he was very energetic and had the greatest smile, I thought he must be here for something simple like diarrhea or flu symptoms since that is what I have seen most as of late. I looked at his chart and my smile turned upside down, he had leukemia with an unknown prognosis.


So, most of the things that I found challenging were related to me maintaining my professionalism, gaining the trust of pediatric patients, and not letting my emotions get the best of me. I understood that once I let my emotions get the best of me and focus on only the child. Talking to the parents was very taxing because their health education was extremely limited. I did my best to explain to them the purpose of the medications, and the assessments we were doing and emphasized that we are doing our utmost to care for their child.


My preceptor is used to seeing sick children, so he was able to treat this just like any other visit while not getting emotionally attached. My preceptor spoke to the parents, and he also spoke to the child about happy topics which has the child smiling and laughing. Nevertheless, if I was to encounter another case like this one, I would do things a bit differently because simple actions like making the child feel comfortable can go a long way when caring for a terminally ill patient (Zisk et al.,2015).

Cultural difference

During my rotation, I had a bit of trouble making the parents of the child understand the nature of the disease and why the child might have acquired it. They had a firm belief and at times those beliefs became a barrier for the healthcare team to provide effective care and treatment.

The parents stated they gave up accepting that it is the will of God. Putting faith in God is ok but the parents gave up on the little time the child had, time that could be