REFLECTION For the purpose of this essay, I have selected Gibbs (1988) Reflective Learning Cycle to reflect on an aspect of individual professional practice, which requires development in preparation for my role as a Registered Nurse. Gibbs (1988) Model of Reflection provides a clear description of a situation, analysis of feelings, evaluation of the experience, conclusion, and action plan to make sense of the experience to examine what you would do if the situation happens again. Description During my clinical competency placement, I was working on a surgical ward when a registered nurse on duty asked me to assist Mr. A with his shower. This incident happened on the fifth day of my clinical practice. He was a dementia patient and had undergone right knee total joint replacement. She also informed me that the patient did not like too many people in his room because of his dementia. When I went into his room, his wife was there with him. I talked to the patient about having a shower and getting dressed to look smart and he agreed to have a shower. The patient got out of the bed and walked to the bathroom and sat on the shower chair to have his shower. Then I asked his wife if I needs to stay with him to assist with shower, she said she can help him as she was taking care for him at home since he has been diagnosed with dementia. Therefore, I left the patient with his wife to help with his shower and told her to ring the bell if she needs any help. After some time I left the room, the wife rang the bell. As soon as I entered the room, I heard him shouting at his wife and she started crying and left the hospital. So I had to stay with him. He was very capable of washing himself and I just had to help him wash his back as he requested. After he had washed, I asked him if he was ready to get out of the bath, he started shouting at me. Feelings At that time, my feelings were mixed; I was worried whether something that I had said or done made the patient to react in this way. I felt very guilty and upset that I had made the patient to become agitated and distressed. Also, I felt very embarrassed that other staff members and patients may have heard the
Reflecting on the situation that had taken place during my second placement working in the community. This will give me the perfect opportunity to develop and utilise my commutation skills in order to maintain the relationships with my patient. In this reflection, I am going to use Gibbs (1988) Reflective Cycle. This model is a recognised framework for my reflection. Gibbs (1988). Baird and Winter (2005,) give some reasons why reflection is require in the reflective practice. They state that a reflect is to generate the practice knowledge, assist an ability to adapt new situations, develop self-esteem and satisfaction as well as to value, develop and professionalizing practice. However, Siviter (2004)
This is a reflective essay based on my experience in communicating in a group setting and the importance of communication in my future role as a mental health nurse. The reason for choosing communication is because throughout my three years of studying it will be a recurring skill that I will require in order competent and confident in delivering the best care to the patients, carers and their families. In this essay I will be using Gibbs (1988), to assist me to reflect in a clear way, to challenge my assumptions, explore new ideas, and promote self-improvement and link practice and theories. I will conclude the essay with an action plan concentrating more on the areas needed for improvement. According to David Boud., RoseMary Keogh R & David Walker "Reflection is an important human activity in which people recapture their experience, think about it, mull over and evaluate it. It is this working with experience that is important in learning’. Reflective practice is a tool to help nurses identify what they know well and where their skills gaps are. Reflective practice is a requirement of my registration with ????? and NMC standards.
Before I started on the ward I believed that I could handle any situation presented to me as I have a very logical mind and can work my way around problems. What I was not prepared for was the closeness of contact with patients. I knew I would have to deal with this type of situation but I was not prepared for my reaction it felt very out of place for me I have never responded in such a way before or since. I 'm not sure why I acted the way I did I guess it was just lack of confidence and internal pressures to do well.
In this assignment I am going to reflect on a clinical situation that has taken place during my placement. I will be using the Gibbs’ reflective cycle which will include the skills of assessment, planning, implementation and evaluation of care and link it to the registered nurse standards for practice – standard 4 , comprehensively conducts and assessments (nursing and Midwifery Board of Australia [NMBA], 2016). The Gibbs’ reflective cycle consists of 6 stages which starts with a description of the situation and what I observed, the second stage is to describe what were my feelings and thoughts were at the time, third stage is an evaluation to explain what worked well and what was good, fourth is an analysis to link the incident to what we have been learning , fifth stage is the conclusion to talk about what else could have been done and the final stage is an action plan to set out next steps for if it was to happen again (Gibbs' Reflective Cycle, 2014).
The Gibbs reflective cycle (Bulamn & Shutz,2008), is a framework for reflective practice entailing six stages. Stage one is the description of the event that occurred, inclusive of where the nurse was; who else was present; the reason why the nurse or persons were present; what the nurse was doing in relation to the context of the event; what was their part, what parts did others present play and finally, what was the outcome of the event. In the second stage,
For this reflective piece I am going to write about a situation I encountered whilst on my community placement with the district nurse. To write the essay I will be following "Johns model of structured reflection" as a basis to structure my reflection around.
This essay is a reflective account on my experience within the introductory period of my practice when caring for a patient. The essay will give the definition of reflection. This reflective essay will help me demonstrate how my experience in practice has helped me achieve one of the learning outcomes in my learning plan, (appendix 1). Driscoll (2000) will be used as a reflective model. The essay will explore what (description of events) so what (analysis) and now what (action plan). This essay is going to reflect on the importance of good communication with patients.
The purpose of this assignment is to reflect upon my personal and professional development. It will consider the quality of the care I provided, the skills I developed in my specialist placement, plus my learning since the commencement of my nurse training. Personal learning and self-reflection will be identified. I shall be using Gibbs (1988) Reflective Cycle to consider my practice. Gibbs (1988) Reflective Cycle looks at six aspects which include the following; what happened, what were my thoughts and feelings, what was good or bad about the experience, what sense
This essay will demonstrate my reflective abilities within an episode of care in which I have been involved with during my practice placement. It will discuss several issues binding nursing practice with issues of ethics and the model of reflection which provided me with a good structure and which I found most appropriate, is Gibbs model (Gibbs 1988). This particular model incorporates - description, feelings, evaluation, analysis, conclusion and the action plan.
The patient could have became upset and could have lead to a greater ordeal. When the patient told me this I was uncomfortable because I did not except he was feeling this way and I have never been in a situation where someone was feeling untrusting of who was giving care. I was not prepared on how I would respond and I said the first thing that came to mind which can be interpreted as insensitive. As I was uncertain, I searched for help on a different perspective on the event and this opened up my thoughts and direction on how to interact with my patient and other similar scenarios in the future. A part of working together as a team of health professions is being able to ask for assistance when needed.(Sorrentino, S.A. & Remmert, LN. Will, MJ & Newmaster, R 2013,
No other profession suffers the opportunity to make such a profound difference on the lives of people who truly and appreciate it. Good nurses contribute greatly to the success of healthcare institution and to the mental and physical well-being of their patients. In this journal, I will be using the Gibbs Reflective Cycle to express my feelings on my experiences in which I interacted with a nurse.
When looking back at the situation I wish I would have stopped the CNA from giving the patient a cold shower in front of me and made sure the patient take a shower at a desirable temperature for her. This situation makes me think about how to not treat my patient. That situation made me want to become a better nurse. I realize as a nurse we have to advocate for the patient, especially if they are not able to advocate for themselves. Thinking about that day I failed to advocate for the patient. Overall, I believe at any moment I feel something is wrong try to intervene to make sure everything goes the correct way.
The purpose of this essay is to reflect on the importance of demonstrating nursing care with patients requiring standard and contact precautions using a model of reflection. Reflection is the process in which learners engage to recapture, notice and re-evaluate their experience, to work with their experience and to turn it into learning (Boud et al, 1993). The skill of reflection is essential to the development of clinical knowledge and ability which allows the learner to consider personal and professional skills and identify needs for ongoing development (Levett-Jones et al, 2011). This reflection will allow me to analyse the goal of nursing patients with Multi-Resistant Organisms (MROs), I planned to learn and understand at the beginning of the course, evaluate my professional growth and obtain conclusions in relation to my personal learning outcome. The Gibbs Reflective Cycle (1988) will be used as a model of reflection which comprises of six stages involving reflection on the description, feelings, evaluation, analysis, conclusion and action plan, better understand outstanding goals and continuously improve nursing practice. In addition, I will evaluate my nursing practice in accordance with the national competency standards for the Registered Nurses by the Nursing and Midwifery Board of Australia (NMBA, 2006) and will consider changes for my continual professional development.
My instructor, staff nurses and I were involved in this scenario. I remember that a70 years old woman was hospitalized in ICU ward with the diagnosis of CVA. I worked there under supervision of my instructor because I was studying nursing in the final semester. I was supposed to take a blood sample independently. My instructor wanted to assess my competence and promptitude. I did it successfully but after 5 minutes, I discovered that the patient was moaning because she was in pain. Thus, my instructor asked me to check the patient and seek for the reason behind her discomfort.I told that: maybe
In this assignment, I need to reflect on the situations taking place during my preceptorship period for the development and utilization of my clinical skills as a newly qualified nurse called to serve in a new country to establish and maintain high quality of care according to standards. There is a variety of frameworks to facilitate this process, e.g., Rolfe et al. (2001), Johns (2000), Gibbs (1988). In this reflection I will be using Gibbs (1988) Reflective Cycle. Gibbs (1988) consists of six stages to complete one cycle to improve my nursing practice continuously and learning from the entire experience for better and safe practice in the future. The cycle starts with a specific, relevant and concise details and description of the