Reflection

Reflection is a major factor in "developing self-awareness" to improve services provided to everyone around me, this is to develop my own understanding in realising the good and bad made previously. Moving forward with a better understanding, as well as rectifying the mistake whilst recognizing the good points, (Horton-Deutsch and Sherwood, 2008).

This reflective essay will be adopted from Rolfe, Freshwater and Jasper’s (2001) reflection model. This reflection is based on a case study that I have read and will be based on the intervention I have chosen to treat the patient. Mr. Castello was admitted to the ward for observation after a fight and sustaining a laceration to his right forehead from a beer bottle and extensive bruising and scratches to his left arm. Mr. Castello had a pre-existing chest infection, Type 1 Diabetes Mellitus (DM), and asthma. Assessing, cleaning and dressing his wounds is an integral part of his treatment, as his DM can lead to delayed wound healing and increased chance of infection (Salazar, Ennis, & Koh, 2016). This could be successfully achieved through

I do not recall learning about reflective practice in my undergraduate studies. Reflective practice according to Barbour (2013), “is the cyclic process of internally examining and exploring an issue of concern, triggered by an experience, which creates and clarifies meaning in terms of self, existing knowledge, and experience; resulting in a changed conceptual perceptive and practice” (p. 7). According to Barbour (2013), reflective process has many positive outcomes to help guide the nurse to become an expert nurse that can make on the spot decisions that do not interrupt patient care. I feel that reflective practice would have been beneficial to help guide me from a student nurse to a practicing nurse with critical thinking skills.

This semester I learned a lot about writing in English 151. It has been a roller coaster ride with these essays for me this semester. I learned step by step how to write a good essay and how to have your readers be engaged in what you’re trying to tell them. Each essay I did has taught me something valuable I can take to the next level of English. I feel as if as the semester went by I did not take my writing that seriously and that reflected in my grades I received in each essay. It made me a better student and writer and it will reflect next semester. In this essay, I will reflect on what I learned throughout this semester that you should apply in your writing when you begin English 151.

The purpose of this assignment is to discuss the contribution of reflective practice for clinical nursing. Reflection has been defined as a way for individuals to “capture their experience, think about it, mull it over and evaluate” (Boud et al 1985: 19)

For the last six weeks in both mental and acute setting, I have reflected on events that I had met in each week. Now, I am going to identify essential personal learning outcomes from those events and will include personal awareness of strengths and weaknesses. Among the different models of reflection, I will use the Gibbs model of reflection which entails six stages such as description, feelings, evaluation, analysis, conclusion, action plan.

In the last four weeks, I have been attending Oak Hill Hospital as my second clinical rotation. During this period, I noticed distinguished qualities in myself. Some skills I have strengthened over time are informing the patient what I am doing before, during, and after the exam, how to position using verbal commands, and giving the patient time and attention while in my care. These attributes may seem subtle, but they have improved my attitude in the working field and gave off a positive atmosphere around patients and co-workers alike. On the other hand, I have automatically sought out to improve on several obstacles I came to face at Oak Hill Hospital. One of the weaknesses is confidently operating the portable x-ray machines, especially knowing the correct tube angulation for the portable or wheelchair chest exams. Another struggle I faced at the beginning of this clinical rotation is transporting patients by stretcher and occasionally wheelchair. The body mechanics I have used are poor with transporting the patient, which risks the quality of the patient’s care (Bontrager, 2014). Lastly, marker placement for fluoroscopic overheads and timed studies have been an extreme struggle to battle against. With countless action plans from my clinical coordinator and instructor, I have found several action plans to change my weaknesses into additional strengths.

As we begin to wrap up this semester, I reflect on all the learning and achievements I have obtained thus far in the program. Throughout this semester, my communication and relational capacity has grown, driving me to break out of my comfort shell. At the beginning of this year I had wrote a letter to myself, outlining three goals that I wanted to achieve. The three goals were: work with a palliative client, become more assertive, and to integrate family care into my practice. I began the semester off in acute care, on the medical floor. During the second part of the semester, I was assigned to be in the first group of students to start the Trail Outreach Nursing. My new placement has created a new goal of increasing my communication

Advanced practice nursing (APN) can be loosely defined as an area of nursing in which nurses are required to practice at an advanced level in a specific area of interest. APN extends the boundaries of nursing’s scope of practice and contributes to nursing knowledge, and the development of the profession (Canadian Nurses Association, 2008). In order to become an APN, the nurse must obtain a master’s or doctoral degree from an accredited university in an area of concentration designated for advanced practice nursing. According to Joel (2009), there are currently four major groups of APNs: certified registered nurse anesthetist, certified nurse midwives, clinical nurse specialists, and nurse practitioners. APN focus on

These past three weeks have been a huge learning experience for me. Not only have I learned how an outpatient center operates, but I have also learned about my own strengths and weaknesses in performing an exam on a patient as well. I have discovered that my strengths are marker placement, my knowledge of anatomy, and patient care. I have also found areas that are my weaknesses, positioning for a y-shoulder is a bit tricky for me, I lack confidence when performing exams, and shielding. Learning these areas that are my strong and weak points has been an eye-opener for me, and finding ways to build my weaknesses up into strengths has been a challenge. I am, however, up for that challenge.

What is the influence one classroom and one teacher can have on a person's writing? The answer being “a lot” because being a part of one English class my sophomore year made it possible for me to understand more about writing and the skills needed to achieve at the process. The teacher that I had such great communication with that year not only made it possible for me to understand what I was doing wrong, but how I could fix my problems. Without changing my writing from the past, I would still be stuck with essays and papers that lack flow and structure. Writing is such a great skill that is strongly needed in the field I wish to study and eventually one day work for in the future. While to some English and writing may not be important,

In the final days of this semester, one tends to look back at the work done over a difficult and long three months. In the case of this English composition class, reflecting on completed essays has allowed me to analyze the development of my writing over the semester. Although this semester consisted of only five essays, it has become apparent to me that my writing has improved in many aspects throughout the semester. One general example of this improvement is the vocabulary, where simple vocabulary in the first essay had become more complex by the final essays. Additionally, I also believe that my writing has become more reflective of my actual voice and opinions, an improvement considering my first essays were best described as vague.

I will reflect on an incident that occurred during my shift to develop positive attitude towards nursing informatics.

During my placement at Project Booyah, I found the 500 hours both a challenging and rewarding experience. Throughout my experience new knowledge and skills were gained as well as insight into looking at issues from a different perspective, ability to identify personal values clashes with organisational values and developing my self-awareness of these issues through critical reflection in which I found invaluable to my practice. Each of these areas will be discussed in more detail below, before discussing areas I have identified for further development.

Reflections no longer hold truth when encased by a mirror. There is darkness behind the glass that seeps into people’s subconscious. As it lingers inside them, it does not let up on its firm grasp on the victim. This demonstrates how society’s views can have a negative effect on an individual. Outside pressure can become an overbearing force that is placed on individuals. People should not try to capsize a stable boat when there is nothing wrong with it. People are too focused on what makes them different from society, and how that is a negative thing. However, being unique is what makes them beautiful. Comparing murky pond water and a crystal clear mirror allows people to see the distortions in themselves and how everything is not surface deep.