OB Intrapartum Reflection: My Experience As A Nurse

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.

Even when last Friday week three was, it was the second time that I have a patient assigned to my care and as expected I was still feeling nervous due to the age of my patient. However, at the same time I was looking forward to experiencing taking care for a little one and be able to applied new nursing skills due to mu first interaction with a patients his age. The experience was very gratify and enjoyable to be able to help a little one to feel more comfortable while performing nursing skills. The fact that the instructor was with me during the assessment help me to feel more confident as well as be able to ask questions and concerts that developed during the assessment. My assigned patient has a twin who was also staying at the same unit but on a different room so it was very interesting to be able to interact with both twins and observed the development differences even when they are identical twins. The nurse assigned to care for the patient was very helpful and approachable as well which make things a lot easier going in reference to taking care for a little one for the first time besides OB rotation which was more observable and not so much hands on. So far, I am looking forward to next week rotation and excited about learning new

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.

Skin integrity is an important concept that’s nurses assess on their patients. A key skill in nursing practice is to frequently assess the skin for possible breakdown or decreased skin integrity. Skin assessments should be conducted thoroughly once a shift and frequently reassessed for any signs of change. Skin discrepancies may be the first sign of an underlying issue. Early detection of any breakdown can help to implement interventions sooner. Unfortunately, unless there is a major skin discrepancy, skin issues can easily get overlooked, specifically in documentation and report. The focus of this paper is to research new skin integrity assessments to improve documentation effect and accuracy, resulting in decreased prevalence of skin breakdown in hospitalized patients. Topics discussed include reviewing current practices and new skin assessment techniques that decrease the prevalence of skin breakdown and pressure ulcers.

Although the security of Australia is grateful, the social inclusion was disregarded. (In text) described the lack of interpreting services in Australian hospitals and an absence of personal and communal care impacted on their experiences giving birth. Frequently, normal births became confusing or difficult for the midwife to manage, and with a language barrier it can become exacerbated due to stress of the women. (In text) have researched in responses from the women’s culture can vary from healthcare to healthcare professionals, with younger women displaying preparedness to report and identify discrimination. They believe the problems lie within the health care, coupled with the inability of women who require attention, not within the healthcare system itself, but more likely individual social attitudes which are the women’s rights to be treated (in text). Stress, depression, hopelessness and feelings of hostility can play a part from the language barriers. Without understanding each other the midwife and women would not achieve a good professional relationship. Without the rapport, labour and birth is compromised by the frustrations on the midwife and women due to the language barrier. This compromised by the lack of verbal

Giving birth to a baby is the most amazing and miraculous experiences for parents and their loved ones. Every woman’s birth story is different and full of joy. Furthermore, the process from the moment a woman knows that she’s pregnant to being in the delivering room is very critical to both her and the newborn baby. Prenatal care is extremely important and it can impact greatly the quality of life of the baby. In this paper, the topic of giving birth will be discussed thoroughly by describing the stories of two mothers who gave birth in different decades and see how their prenatal cares are different from each other with correlation of the advancement of modern medicine between four decades.

There were numerous powerful testimonies and striking findings noted throughout the and first two chapters of the book Birth Matters by Ina May Gaskin. As a health care provider, and therefore someone who is entrusted to care for individuals during their most private and sacred times, I found Gaskin’s statements regarding the environment and care surrounding birth experiences very impactful. According to Gaskin (2011), the “women’s perceptions about their bodies and their babies’ capabilities will be deeply influenced by the care they recieve around the time of birth” (p. 22). The statements made by Gaskin in Birth Matters not only ring true, but inspires one

Overall, I do not feel like a great deal of improvements needed to be made in my delivery of care. I felt comfortable communicating with my nurse and the health care team, assessing the patient, and educating family members. My nurse did not feel well, so she started off the day a little on edge and irritated, but through showing that I was willing to assist her in any way possible, she was more than willing to assist in my learning. I could improve my delivery of care by asking my nurse more questions and looking up more information in the patient’s chart. I noticed that the layout of the NICU was quite different than last week, so I did not have a computer to look up patient information, but rather, I looked alongside my nurse.

For hundred of years, women have wrestled with their womanhood, bodies, and what it means to be a woman in our society. Being a woman comes with a wonderful and empowering responsibility--giving birth. What sets us aside from other countries is that the process and expectations of giving birth has changed in our society; coming from midwifery, as it has always been since the early times, to hospitals where it is now expected to give birth at. Midwifery was a common practice in delivering babies in

As of 2013, around 353,000 babies were born in one day, according to the United Nations Children’s Fund (Be Fruitful and Multiply). Delivering babies is very difficult and strenuous, luckily labor and delivery nurses are trained to help care for the mother during the process of welcoming her newborn into the world safely. Labor and delivery nurses play a very crucial role in helping the delivery of babies and bringing safety and peace to the mother. I am choosing to pursue a career as a labor and delivery nurse because they get to provide care to babies, they get paid well, and they get to assist in the delivery process.

The objective of this reflection is to explore and reflect upon a situation from a clinical placement on an orthopedic unit. The incident showed that I did not provide safe, timely and competent care for my patient when the oxygen saturation was low. Furthermore, this reflection will include a description of the incident, and I will conclude with explaining what I have learned from the experience and how it will change my future actions.

As higher standards expected are from the public and higher patient safety demands are expected from health boards, therefore, there is a need for a way of measuring standards of practice which can be achieved through active thinking in a clinical environment brought about by critical reflection (Rolfe, Jasper & Freshwater 2011). Reflection has become such a key component in the role of a nurse that the Nursing and Midwifery Council (NMC) have seen it fit to include it in their professional code of conduct the Code: Professional Standards of Practice and Behaviour for Nurses and Midwives, hereafter referred to as the Code (Nursing & Midwifery Council [NMC], 2015). With reflection being a vital skill for nurses to continue their professional development (Parrish & Crookes, 2013), an analysis of what it means to reflect within nursing is needed by all who intend to enter the profession to ensure its effective use is applied.

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.

Pregnancy and childbirth are a part of nature. Delivering a child can be a beautiful experience. However, delivery can also be very painful and can last for days.

I will never forget the moment my labor began, the moment that marked that step in my journey into motherhood. I can remember everything about it so clearly. My mom, fiancé, and I woke up early Friday morning to make our way to Western Missouri Medical Center. I stood in front of the mirror looking at my belly knowing it would be my last time standing in that bathroom with my baby inside of me still. It was a bittersweet moment that I cherished as long as I possibly could. I was set to be induced that morning and very excited, yet a little bit nervous. I had no idea what to expect. I’d been waiting a very long 37 weeks to finally meet this precious human that had been growing inside me. I had ideas of what he might look like, and what the experience might be like, however nothing could have prepared me for what was in store over the next few days.