Johns Model of Reflection - Nursing

Throughout my time on the Mother Baby Care Unit, I have faced many instances in which I have been able to reflect on both my patients and the care that I was providing them. One situation in particular that I found myself critically reflecting upon involved a new mother who was feeling slightly stressed about being discharged as her newborn son would not be going home with her. For confidentiality reasons, this patient will be given the pseudonym of Kayla for the remainder of this reflection.

Critical reflection is vital to develop evidence based practice for safe and quality approaches to professional nursing practice. Nursing professionals should critically reflect on events to identify what health professionals might do to improve their practice and reduce the risk of a similar error. Reflective practice can help to learn from their mistakes, be empowered and most importantly to deliver best possible care to patient as nurses must work closely with their patients to develop a therapeutic relationship. Critical reflection is a valuable skill to ensure patient centred care. This practice promotes personal development by enhancing students’ self-awareness, their sense of community, and their sense of their own capacities for

The professional value that I have chosen to reflect on from my practice is based on privacy and dignity for a patient admitted in the hospital. To enhance my reflection development, Driscoll (2007) model of reflection; What? So what? Now what? will be apply. According to (Lowenstein, Bradshaw, and Fuszard, 2004), reflection is the method of analysing and reviewing one’s practice as a nurse, with the aim of improving one’s interactive skills with both patient and colleagues. Reflection is a method of re-evaluating practice accounts and providing substitute tactics to doing things (Howatson-Jones, 2016). Reflection is a vital learning tools which can progress on innovative knowledge (O'Carroll, Park and Nicol, 2007) and enables the nurses to mirror on their practice effectively (Johns and Freshwater, 2009). The name used throughout this reflective assignment will be considered as pseudonyms to maintain confidentiality and to conform with the Nursing and Midwifery Code of Conduct (NMC) (2015).

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.

Using Bortons (1970) model of reflection, I am going to reflect on an experience I have had whilst out in practice working on an acute dementia ward based in the north of England. There was a patient (Miss A) on the ward during my time at placement that constantly used to seek reassurance and was very repetitive with everything she said. The patient did sometimes become intimidating and threatening when she wouldn’t get attention from staff members. The ward had 18 patients we were nursing and it did become very hectic and challenging a lot of the times therefore staff did not always have the time to sit and have conversations with Miss A. One morning Miss A came to the nursing station as usual and constantly kept banning on the desk, the

Reflection is a process of exploring and examining ourselves, our perspectives, attributes, experiences and actions / interactions. It helps us gain insight and see how to move forward (Nursing Times 2018). I believe reflection is particularly important when it comes to Nursing, as medicine is constantly changing/ improving and us ourselves medical professionals must adapt with the changes in medicine. I find that reflection is extremely useful in doing this as we can look over procedures or experiences that we have had, how that made us feel, whether we would change anything, then in the future we can see the changes that may have been made, whether this has changed our feelings and opinions on medical practice.

I had my moments of success and happiness when I was able to help someone along and see how appreciative they were. There were also times that were saddening and uncomfortable. When visiting rooms, I did encounter people who were losing grip on their mental and physical abilities. I felt a heaviness because even though they were taken care of, there wasn’t that could be done to make them better. It was inspiring seeing nurses and family members continuing to care for them and keep dignity.

This essay will discuss a clinical skill in which I have become competent in practicing as a student nurse.

This objective will affect my future nursing practice because conducting physical head to toe assessments and obtaining vital signs is a different process when working with paediatric patients rather than adults. It is crucial to note any changes that I can catch throughout my assessments, and vital signs since paediatric patients might not be able to communicate with me if they feel any changes in their health. By understanding the anatomy and physiology, the developmental stages of children, and obtaining accurate vital signs and assessments, it will increase my knowledge, skill, ad judgment to successfully complete and distinguish any abnormities and changes during my assessments. Also, knowing the developmental stages and distraction therapy method techniques can help me provide thorough examinations and find ways to help my patients cope if they are feeling anxious and scared.

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.

The following essay is a reflective account on an event that I, a student nurse encountered whilst on my second clinical placement in my first year of study. The event took place in a Fountain Nursing Home in Granite City. I have chosen to give thought to the event described in this essay as I feel that it highlights the need for nurses to have effective communication skills especially when treating patients that are suffering with a mental illness. Upon arriving to the Nursing home for the second time on Thursday November 14,2013; assigned the same patient as before. On meeting my patient the first thing I noticed myself doing without even thinking about it was giving her a visual inspection. Before nursing school I never really looked at

In the beginning everyone was really considerate. The first day after surgery we meet the nurses. All of the nurses was coming in and checking on her periodically. They would ask her questions about her pain or if they could make her more comfortable. The first day was the hardest pain wise,yet the nurses made her feel more comfortable. What was a dreadful experience was easier to

Compassion: Doanne & Varcoe refers to Compassion not only means sharing in the moment, but additionally, “offers a way of being and orienting relationally in the midst of discomfort and angst/ to join and be in our ‘common suffering’” Through engaging to what seemed to be a flurry of discourse and to being present I was able to demonstrate this compassion as evidenced by active involvement, or listening. Adding along with the nuances of small expression revealed through my relaxed posture and face of concern.

It can be frustrating for nursing students to apply theoretical knowledge to clinical settings without some proper guidance and support. The purpose of this paper is to critically reflect an incident which occurred in Week 3 of the N308 clinical placement in 2017. The paper will generate conclusions relating to personal learning outcomes by describing the observation of a senior nurse’s approaches to ethical care. From a nursing perspective, this incident illustrates the importance of effective communication, prioritization, and health education because disorganized care would pose a threat to patient’s safety and the fundamental principles listed in the CNA code of ethics (Canadian Nurses Association, 2017).

The Royal College of Nursing defines reflection as the process of thinking deeply with the purpose of understanding (RCN 2013). Reflection is a way people recollect, think and evaluate their knowledge which is a vital part of learning. (Boud et al cited in Royal College of Nursing). Reflection allows us to be conscious of any form of discrimination. It enables learning from mistakes and prevents future occurrence (RCN 2013). In addition, Jasper et al (2013) looks at reflection as a way professionals learn through various experiences in their role. They also went further to say, for development to happen in our roles as professionals, there is the need for continuous process of building our knowledge.