INTERPRETIVE REFLECTION
I chose the Systems Change Letter because my learning was so steep. When we were assigned this letter I had no clue what to do. I had never written a formal letter before and wondered why nurses need to be exposed to this type of writing. To prepare for this letter I did research about the cancer process to get a system perspective, spoke with a friend whose breast cancer is in remission to get a patient perspective, and elicited two people to proofread my many versions of the letter. After this step I started to realize the need for the committee.
The requirements of the letter were to invent a company and create letterhead, use an expert voice, point out strengths of the committee, come up with at least two suggestions for improvement, and suggest next action steps​. I spent several hours on this letter and I found my biggest challenges were to come up with three viable suggestions for improvement and creating next action steps.
Through this exercise I learned to follow through with my thought process. I liken it to the SBAR idea. It gives the receiver all the pertinent information as well as a suggested plan in a nice neat package. On the patient experience side I learned that the it is one of disconnection. There is no one entity to pull all the information together and the key players in the loop. And there is certainly no one discussing finances with the patient.
I would have liked the opportunity to rewrite this paper because I realize that this style of writing could be very useful in my future.
Systems of Change
Letter