Gibbs Reflective Analysis

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)

The aim of this reflection is to describe my personal experience in wound care and its management. Gibbs (1988) reflective cycle has been adapted in order to provide structure to the reflection process.

Kim & Loretta (2003), stated that Atkinson & Murphy (1993) identified the key skills needed for reflection as ‘self awareness, the ability to recollect and describe accurately key aspect of the situation, critical analysis of the situation and synthesis of new knowledge gained with the previous knowledge, in order to develop a new perspective’. I will discuss,

The overall objective of this essay is to choose an event and reflect on the dignity of the patient and how dignity was maintained throughout the event. According to Kozier, Harvey and Morgan-Samuel (2011) dignity is treating an individual with respect, worth and value. The event I have chosen involves a patient who we found unconscious and had a ‘Do not attempt resuscitation’ (DNAR) order in place so therefore, died. To reflect on my chosen event, I will be using Gibbs Reflective Cycle (1998), I have chosen this cycle due to using this reflective cycle successfully in the past when working in a care home to thoroughly reflect on my experiences. Reflection is important in healthcare because it helps us to learn from our past experiences

I will use a reflective model to discuss how I have achieved the necessary level of competence in my nurse training programme. The reflective model I have chosen to use is Gibbs model (Gibbs 1988). Gibbs model of reflection incorporates the following: description, feelings, evaluation, analysis, conclusion and an action plan (Gibbs 1988). The model will be applied to the essay to facilitate critical thought, relating theory to practice where the model allows. Discussion will include the knowledge underpinning practice and the evidence base for the clinical skill. A conclusion to the essay will

I will structure this essay using Gibbs Model of Reflection (Gibbs 1988). Reflective learning helps practitioners analyse their experiences and how they think and feel about them before

[1] How do I . . . Write a Reflection? [Online] Available from: http://www.trentu.ca/academicskills/documents/Reflectivewriting.pdf [12/01/15]

This reflection learning log and essay guide is a helpful learning tool for you to access when you are completing your learning log and also your reflection essay. It provides you with an introduction to the purpose for setting a reflective piece of work and the benefits this produces for you. It provides activities to help you along the way (see separate guide “ACCG 399 Developing a Reflective Capacity Guidance”) and clearly sets out the requirements that are expected of you, including what you will need to hand in at the end of the semester.

Reflection is described as a way of reviewing experiences from practice so that it can be described and analysed and used to change future practice (Bulman and Schutz, 2004).

Effective reflection helps the practitioner to see the situation from an outsider's perspective, so that they can develop a better way to respond to a similar scenario in the future. Reflection is meant to achieve a change in practice, rather than simply repeating the same mistakes (Schon, 1983). Many different models exist for structuring the reflective process. Regardless of the framework used, the reflection models are meant to accomplish three things. They are supposed to promote reflecting on events, self-evaluation and analysis, and a plan to change actions in the future. This Reflective essay will utilize Driscoll's 'The What?' model as its structure (Driscoll, 1994). This model has three components"

This reflection was done using the Gibbs reflective cycle. It has six steps including Description, feelings, evaluation, analysis, conclusion and finally the action plan. The description section is an introduction to the contents of the reflection, ensuring the reader gets a foundational understanding of the materials. In the Feelings section, I can discuss how I felt about an incident/activity that occurred. The evaluation section allows me to assess the positives/negatives of the way I handled the situation. Then the analysis section is for me to consider steps I could take starting from now that allow me to improve. The conclusion section is for me to bring all the elements of the reflection together. Finally, the Action Plan section is there for me to decide what I would like to do in the future.

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).

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.

What is a clinical exemplar? It is a story based on a real patient’s situation and a RN’s practice in clinical setting. Having a clinical experience it is an opportunity for any student nurse not only practicing skills and using theoretical knowledge, but also learning by doing and reflecting on experiences during the placement (Jones, 2013). This experience comes through exploring, developing, questioning, learning and reflecting at the early stage of personal and professional development. Gibbs (1988) Reflective Cycle is one of the models of reflective writing that will be used in this clinical exemplar.

This reflective essay is based on my experience as a health care assistant in the operative theatre working as a circulating nurse for a vascular access list. It will also highlight the important aspect of communication within the theatre practitioners when working with patients who are under local or general anaesthetic. I will explore a critical incident and also reflect on my own personal experience. I aim to use this experience to bring out the different forms of communication, the potential barriers of communication and its consequences in the clinical setting. Gibbs Reflective model (1988) is what I have chosen to guide my reflective process, as it incorporates the stages of