Reflection Assignment 3 Following Johns Model of Structured Reflection

Reflective practice is often defined as when practitioners engage in a continuous cycle of self observation and self evaluation in order to understand their own actions and reactions they prompt in themselves and in learners (Brookfield, 1995; Thiel, 1999). The goal is not necessarily to address a specific problem or question defined at the outset, as in practitioner research but to observe and refine practice in general on an ongoing basis. (Cunningham 2001). Reflection on practice is a key skill for nurses. Engaging in regular reflection allows practitioners to manage the personal and professional impact of addressing their patients’ fundamental health and wellbeing needs daily (Oelofsen, 2012)

Following an adaption of Johns’ model of structured reflection (Jasper, 2003), I will discuss an event that occurred during my residential placement as a nursing student, what I have learnt and how I would act if the situation arose again. Lastly, I will discuss what I have learnt in relation to the Nursing Council of New Zealand competencies for cultural safety and communication.

For the past two weeks I have been performing my clinical at Holton Community Hospital experiencing what it is like to be on the floor with the patients and I had the opportunity to see what it was like in the Family Practice part of the hospital.

On my drive from Columbia to Bamberg at 6 a.m. on Friday, I never fought that I would be embarking on an experience that would be the most meaningful to me. I arrived at Dr. McAlhaney's Family Practice and right away was ushered to her back office full of two nurses and office assistants answering to her demands. She told me to quickly grab a cusp and meter for a patient. This was the first time during shadowing a physician that I was expected to be on my feet and ready for anything. During this experience, I saw patients who were my family, friends, and neighbors. I saw people from my church and school, and even the person who fixes my sandwiches down at a local restaurant. This time was different for me because I felt that all these people

Following an adaption of Johns’ model of structured reflection (Jasper, 2003), I will discuss an event that occurred during my residential placement as a nursing student, what I have learnt and how I would act if the situation arose again. Lastly, I will discuss what I have learnt in relation to the Nursing Council of New Zealand competencies for cultural safety and communication.

Monday the 17th of November at 9:00am I arrived at the Care home where I would be spending the next six weeks on clinical practice. This was my first experience in care and I was very nervous that morning as I didn’t know what to expect, it was very intimidating entering a strange place and meeting new faces however, I remained eager and excited about the prospect of my new experience. Once I had met all the staff, my mentor gave me a tour around the building and as we went along he introduced me to all the residents whom I greeted politely and informed them of my name and that I was a student nurse. I tried to be aware of my body language and self-awareness as I as introduced myself to the residents to ensure the individual felt comfortable and secure in my company. Williams (2014) states that “Communicating negative messages may be unhelpful, and we need to keep ourselves ‘in check,’ being aware of what and how we communicate.” He also goes on to say that an “expressed warmth, a smile, a helpful comment or a compliment will all contribute to the development of positive relationships.” As I did not know what any of the resident’s conditions were and what behaviour to expect when I met them I maintained a friendly and approachable voice and smile to all patients.

Burns, S. Bulman, C. Palmer, A. (1997) Reflective Practice in Nursing - The growth of the professional practitioner. London: Blackwell Science.

This essay will consider ethics in nursing, discuss values and morals and how dignity and respect in patient care is influenced; considering the importance of reflection and the implications it has on effective practice from the perspective of a student nurse. The scenario “Call Me Joe” provided by Nursing and Midwifery Council (NMC) (2010a) highlights concerning issues and bad practice that are happening in modern day nursing practice, and using the Driscoll and Teh (2001) reflective model: What, Now What and So What, to consider the care that Joe is receiving; considering how the nursing practice affects him directly and the implications of the nature of knowledge in nursing practice. Part of the way in which nursing practice is

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 this essay I am going to reflect on my experience working as part of a team and the preparation on an oral presentation I had to do in class with people from different courses, as part of the Foundations for Practice in Health and Social Care module. Reflection is educational and is used as a means of self-knowledge and to develop using a process of feeling and learning by thinking about what happened and what could have been done differently. (Rolfe, 2011, p.8-12) I will be using the Gibbs (1988) Reflective Cycle to do this. In this model there are 6 different stages to look at to help structure reflection, the description of the event, your feelings, evaluation, analysis, conclusion and an action plan. There is more than one model

This is very important for nurses as it identifies areas of improvement. The model of reflection I chose to use in my essay is the Gibbs Model of reflection 1988. The reason for this is because this model allows me to describe, analyse and evaluate clearly and precisely my experiences. In addition to this, it also helps me to reflect and put into practice the learning I gained at university.

The purpose of this essay is to reflect on my personal role in the inter-professional team and the delivery of healthcare that I have encountered during my duty as a health care assistant in one of the hospitals here in England. In accordance with the NMC (2002) Code of professional conduct, confidentiality shall be maintained and all names have been changed to protect identity. The purpose of reflection as stated by John's (1995) is to promote desirable practice through the practitioner's understanding and learning about his/her lived experiences. I have decided to reflect upon an incident with the nurse in charge in one of my shifts and in order to structure my reflection I

My first placement was on a surgical ward. I provided personal care, including toileting and washing patients, this taught me how important NHS values such as respect and dignity

Reflective writing provides a good foundation for professional development, for both student nurses and registered nurses (Benbow & Jordan, 2013). This reflective essay will look at the importance of professional values in establishing a professional relationship with a service user. This reflection is based on an experience I had on my first clinical placement as a student nurse, working in a mental health setting within the North West of England. In order to comply with the Nursing and Midwifery Council (NMC) Code of Confidentiality (2015), I will protect the service user’s identity by referring to her as ‘Patient A’.

When I arrived, the nurses gladly welcomed me. However, as the days passed by, it became more apparent that there was nothing for me to do. During the endoscopy procedures, I could only observe. After the procedure, the nurses cleaned the equipment. Other nurses wheeled the patients to their resting area. A secretary answered phone calls. After days of trying to find things for me to do, even the nurses admitted that there was nothing. So, I asked Nancy if there was some other place where I could help more. She said that the hospital gift shop looking for volunteers. However, I was a bit less inclined towards working in the gift shop. Sensing my reluctance, Nancy told me that a spot at one of the patient floors would open in a few days. Soon, I transferred there. Immediately, I found that there was more that I could help with. For the most part, I answered patient calls and relayed their concerns to the nurses. I enjoyed myself, thinking that finally, I was able to help in some way. However, soon it became more apparent that the secretaries and nurses were simply trying to find things for me to do so that I wouldn’t get bored. Normally, the secretaries answered the patient calls. Still, they let me answer those calls so that I wouldn’t just sit there and watch them blankly. Dejected, again, I asked to be transferred out again. This time, Nancy informed me that the only opening was at the hospital gift