Gibbs Reflective Essay Nursing

As my senior year here at Jersey College of Nursing moves quickly to its end, I reflect on how far I have come and what exactly my experience here at Jersey College of Nursing has meant to me.

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

On July 10th, I received a patient into care at 1915hrs, she was admitted with nausea and vomiting and later diagnosed with Clostridium difficile. At the beginning of the shift, I checked her vital signs as a part of my routine assessment I found the patient was tachypneic, tachycardic and had pitting edema. When asked, the patient said it was normal for her to have high respirations and a high heart rate. The patient’s history and progress notes had no mention of these issues, I notified the primary nurse and she told me to monitor the situation. The patient’s situation did not feel right, I reassessed her and her respirations continued to increase to 39 resp/min and her O2 saturation was 88%-90% on room air. I thought to myself "What should I

After the pre-brief we headed into the simulation lab, where I was the observer. The hand-off nurse did a great job at providing the primary and secondary nurses with important and relevant information. The nurses then provided excellent client-centered care and communicated in a therapeutic way. Both nurses addressed the client concerns and provided ways to cope, mainly with the smell, diet, and sexual health. I placed myself in the client’s shoes and critiqued the nurses from that perspective. I came to the conclusion that if the two nurses were taking care of me, I would feel the nurses were listening and addressing my concerns, providing a safe and clean environment, and treating me with respect.

If I were the nurse’s manager, I will first apologized to the patient with the ungrateful experience she had. Next I will calm the situation by making my best efforts to the patient and telling her that, the bad experience would not happen again either with her or to other patients. I would not tell the patient the nurse consequences, but I will makes sure that it would not happen again. I will convert the negative situation into positive one because those type of situation should not happen into the medical field or into any other place. I will make a new appointment with the patients and I will make sure that the medical assistant would have a good ethics with the patient. I am medical office assistant and I can said that I will never treat

There were numerous occasions where residents with dementia would approach me at the centre who appeared confused or agitated as they were unsure of where they were and what was going on around them. As time progressed, I had the opportunity to work closely with these residents and provide them with the immediate support they needed. However, a specific situation which stood out to me was nearing the end of my field placement when one of the residents was having a difficult day. There was a resident who I frequently worked with who was relatively new to the home and was having an extremely difficult time adjusting. I had worked with on numerous occasions in the past and helped her during her first month at the home in attempts to make her transition as smooth as possible. The resident was often confused and would think she was at the time that she was a teenager and just had surgery. On this specific day, the resident was very uncooperative and wanted to leave the centre. It was the beginning of lunch and all of the workers were bringing residents into the dining room. I could hear the client becoming agitated as one of the personal support workers (PSW)

Know how to manage yourself and your time in line with team and organisational goals

In term three of the practical nursing program we started our first placement in a hospital setting. During the second week of placement we went out onto our assignment floors and got to shadow a nurse. That morning I went to see all of the patients that my nurse had for the day to introduce myself and tell them if they need anything to let me know. One of the patients that morning was crying, so I had went up to her asked what was wrong, her response was "I have been sitting in my own stool since 6am, I rang my call bell and no one has came". This type of situation was a moral dilemma, the patient is unable to change her own brief and the nurse was not nearby to do so. As a student nurse I was unable to do a bed bath and

The client was rude and angry as he was being taken to his room on the stretcher. Before the client was transferred from the stretcher to his bed he stated that he was feeling nauseous. So we gave him a few minutes to relax before he can slide to his bed. However, while we were standing and waiting he was rude to everyone mentioning that we are rushing him. The PACU nurse and my preceptor attempted to reassure him until he eventually moved to the bed. I was able to prepare his odansetron for his nausea as ordered. When I came back to the room after receiving report from the PACU nurse the client verbalized his anger stating that he did not know how to use the urinal and sitting up in bed. The client demanded his phone and belongings from security in which they were notified. However, security could not bring his belongings as soon as possible which resulted in his anger increasing and raising his voice. At this point, I was the only one in the room and my preceptor entered the room after hearing the client’s voice.

During my clinical placement at Wanneroo GP Superclinic, I was tasked with providing care for a patient experiencing chest pain and breathlessness. The patient was ordered for an ECG which concluded that he was to be sent to Joondalup Emergency via ambulance. When I asked the patient if he would like an ambulance called, he refused, saying that he would go home and see if it eases. I explained to the patient the risks associated with not going immediately as per doctor’s request. I informed him of the cost of the ambulance at his request and that he does have the right to refuse an ambulance transfer and further treatment. I asked him if he could relay the information I had provided him with to me to ensure that he understands and can make

Our first class in the masters in nursing program, has been focused on nursing theorists. We have learned about Grand Theories, which are theories that are very broad and difficult to test and Middle Range Theories, which are also broad theories but narrow enough to be testable. We have learned how to study the different theories, looking at how we can utilize theories to evaluate practice.

One of my patient’s husbands arrived on the unit and explained to me that he had not spoken to a doctor since his wife was admitted. I let him know that I will speak to the team leader to see if we could get the doctor to speak with him. I spoke with the team leader and explained to her that the husband would like to speak with the doctor to get more information about his wife current conditions because she was acting like her normal self. She contacted the doctor and left a message. After a couple of hours the doctor came in and spoke to both the husband and the patient about finding out which medications was causing the patient’s altered mental status. The husband thanked both the doctor and me.

I have selected the above topic as it allows me the perfect opportunity to integrate clinical experience from my current rotation on maternal and fetal medicine. While a community development programme that encompasses prevention of infection, early identification of infection and improved treatment is of utmost importance, one that addresses the complex social issues existing within communities is paramount. After delineating my priorities I will examine some of the key differences in care between mothers with HIV infection in sub-Saharan Africa versus those managed under the high-risk obstetric clinic in metropolitan Melbourne. Insight into the care of pregnant ladies suffering from the social and psychological turmoil of HIV-related stigma has been challenging but invaluable for my knowledge as a future doctor.

I visited my patient in the morning, took her vital signs and set her up for breakfast. After breakfast my patient requested assistance with her activities of daily living (ADLs). While I was assisting my patient in her bathroom with her daily self-hygiene, a consolidating nursing asked the patient if she was ready to receive her medication. The patient responded that, “I am in the bathroom and will take my medication when I get out because I do not like taking my medication and or eat in the bathroom”. However, the consolidating nurse arrive minutes after with medication and the patient had to stop in between her daily care and leave the bathroom took her medication then we returned to the bathroom to continued her assisted care.

Since I was born I have been situated in a household that is supporting, loving, and caring. My family has always been a big part of my life, and I have never strayed far from them. With this closeness and open, trusting environment my family and I have dealt with many things together. One specific challenge was related to when my grandmother developed dementia. Throughout this experience my family and I did not participate in any formal religious practices, nor do we use a specific religion in our daily lives. Therefore, I felt the disease process brought my family closer together, even though it was difficult at times. My viewpoint and beliefs around dementia were altered due to the vast, diminishing effects it had on my grandmother, and family as a whole. I believe that dementia is horrifying for anyone involved, but I do think it is important for the whole family to be involved with the person living with it. I am thankful that our family was involved and it provided an opportunity for us to cope, be supported by each other, and we cared for my grandmother as a family unit. I felt this was a respectable way to deal with the illness and to allow my grandmother to be cared for with dignity and love. I feel like this will impact my nursing practice because if I do not visibly see the familial support with the client I am working with, it will challenge my own values and beliefs around the family’s dynamics. I think this specific value will make me question the family’s support networks, perhaps even generating assumptions in my mind and I would want to encourage more visiting time with the client. Though not all family’s are shaped the way mine is, I will find this difficult to not see the caring, supportive networks I was brought up in.