Johns Model of Structured Reflection

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Reflection Assignment 2

Following Johns Model of Structured Reflection

For this placement I was on an elderly male medical ward. As I have had no previous experience of care in a healthcare setting their where numerous thing with which I had to a customise myself with.

Johns Model of Structured Reflection (Johns 1998)

1.Write a description of the experience. Ask yourself:

* 'What are the significant issues I need to pay attention to? '

On my first day on the ward it was decided that I should shadow one of the staff nurses to acustomise myself with the ward. During this induction we had to assist an elderly gentleman with sever diarrhoea the gentleman in question was quit large and almost completely immobile. On inspection of the
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*Personal: ask your self:

- 'How did I feel in this situation? '

- 'What internal factors were influencing me? '

Firstly I felt nervous at the start as I was doing things I had never encountered before I was also apprehensive about how well I would perform in front of the other nurses. as the procedure went on I became flustered and more nervous which made me even more jittery and I started to loose track of what I was doing this made me annoyed with myself, all this combined made me suddenly feel very hot and dizzy I tried to concentrate on what I was doing but it was impossible. After I had recovered I just felt a bit stupid and embarrassed.

*Ethics: ask yourself:

- 'Did my actions match with my beliefs? '

- 'What factors made me act in incongruent ways? '

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.

*Empirics: ask yourself:

- 'What knowledge did or should have informed me? '

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