The essay is reflective writng .It reflects specific day as student nurse during hospital placement. The main aim of this essay is to explore self-awareness to learn from it. It is focused on four themes which are person-centred nursing, coping strategies, evidence-based practice and reflection on the challenging experience and response on showing self-awareness. In order to this, feelings are studied in depth and critically analysed. Furthermore they are evaluated to check accountability of learning while practicing. The essay is structured using Gibbs’ Reflective Cycle (Gibbs 1998, updated by Bulman 2013). Hence, it will begin with brief overview about the situation that was challenging. Followed by, feeling that were raised by situation and evaluating them. Along with that there will be critical analysis where they are supported with relevant resources. Ultimately, the conclusion will sum up the entire learning outcome that I gained from the experience. In the end, there will be final evaluation, where there will be brief discussion on the ways that could be done differently for the best learning experience for future.
Description
A 79 years old lady was admitted to ward via GP referral .She was admitted to ward because of ongoing abdominal pain that lasted more than week. She had BD package of care with two carers. She was given diagnosis of sepsis and was on active treatment of antibiotic. Additional to her new diagnosis she also had haemoptysis, COPD, obstructive
The nursing practise has continually evolved and can be described as autonomous due to the significant involvement of nurses in patient care. This then necessitates critical reflection as a way to continually develop and improve the nursing practise. The Gibbs' model, one of the reflection models, assists nurses in complying to the codes and guidelines of nursing practice. For example, developing action plans, evaluating patient outcomes, and thinking critically. This essay will describe an event involving nurses and explain the feelings it evoked. It will also provide an evaluation of the positives and negatives, analysis and enhancement of learning, and an action plan.
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
This assignment aims to identify self-awareness as an important attribute for nurses. I aim to achieve this by exploring why self-awareness is important and the impact it can have on nursing professionals. Finally there will be a conclusion with a thorough justification on why self-awareness is an important life skill for nurses.
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
As a nurse, an important part of the job is to be caring and helpful for the physical and mental aspects of the patient. The ideas of Jean Watson 's Caritas Processes help define how a nurse can show caring in themselves to their patients. Watson names the eight processes; then define they mean which is key to understanding how a nurse should act to their patients. The book as We Are Now by May Sarton helps show some examples of how these processes work in action and helps to form ideas of how one can improve as a nurse in the future.
As the nurses who participated in a study (Jones & Cheek, 2003) overwhelmingly advised, there is no such thing as a typical day for a nurse. Nurses face new situations everyday and it is important that they can adjust their knowledge and skills accordingly. Critical thinking and reflection are essential skills because they can enhance nurses’ ability to solve problems and make sound decisions. Critical thinking skills enable nurses to identify multiple possibilities in clinical situations and alternatives to interventions; weigh the consequences of alternate actions; and make sound judgement and decisions (Brunt, 2005). Through reflection, nurses can examine their practice, explore feelings and reactions and connect new meanings to past experience (Brunt). Reflection can enhance self-awareness, foster professional satisfaction and growth and increase the possibility for change and improvement in nursing practice and therapeutic relationships (Thorne & Hayes, 1997).
In this assignment, the author has chose to critically analyse a situation where a second year nursing student Catherine, who is on a 7 week clinical placement is having an issue when communicating with patients at times.
This essay is going to focus on the nursing skills that I developed during a period of placement simulations and in the community, placing emphasis on oral care, communication with a non-engaging patient and bed bath. It will outline the fundamental aspects of clinical nursing skills that I have begun to acquire. This will also highlight the learning processes which took place and how it helped me to enhance my knowledge, and ethical values in order to deliver quality and safety of care. Using other sources of current literature, I will use a reflective model to discuss how I have achieved the necessary level of learning outcome. By utilising this model I hope to demonstrate my knowledge and understanding in relation to these
The purpose of this essay is to reflect on a challenging situation I experienced during clinical practice as a student nurse. The essay will discuss my thoughts and feelings surrounding the situation and analyse the coping strategies I used in managing the situation, linking to relevant theory throughout in order to provide evidence for practice. The essay will also consider person-centred care and whether this was delivered to the patient. To conclude, the essay will discuss what I have learnt from the experience and how this experience will improve my future
The purpose of this assignment is to reflect on the aspect of my nursing placement and study that was gained by me in my studies and the need of pressure sore care and management in nursing practice. To reflect on my learning process I am going to apply Gibbs (1988) Reflective Cycle to highlight the need for nurses to provide holistic care. It will outline the fundamental aspects of clinical nursing skills that have taken place in my setting. This will also highlight how it helped me to enhance my knowledge and ethical values and learning process in order to deliver quality and safety of care. I will discuss how I have achieved the necessary level of learning outcome using other sources of current literature. To reflect on my learning process, I am going to apply Gibbs ' reflective model’ which is a renowned model in reflective practice. This model requires passing through six stages to complete one reflective cycle. Gibbs (1988) reflective cycle can be seen as cyclical in nature which incorporates six stages to enable me to continuously improve my learning from the event for better practice in the future(Heitkemper, 2010).
This submission is going to focus on the nursing care that I gave on two placement simulations and one shift on placement, placing emphasis on oral care, bed bathing and medication management. It will outline the fundamental aspects of clinical nursing skills that have taken place in my setting. This will also highlight the learning process taken place and how it helped me to enhance my knowledge, and ethical values in order to deliver quality and safety of care. Using other sources of current literature, I will use a reflective model to discuss how I have achieved the necessary level of learning outcome. By utilising this model I hope to demonstrate my knowledge and understanding in relation to these skills as well as
This essay will discuss a clinical skill in which I have become competent in practicing. I will use a reflective model to discuss how I have achieved the necessary level of competence in my nurse training programme. The reflective model I have chosen to use is Gibbs model (Gibbs 1988). Gibbs model of reflection incorporates the following: description, feelings, evaluation, analysis, conclusion and an action plan (Gibbs 1988). The model will be applied to the essay to facilitate critical thought, relating theory to practice where the model allows. Discussion will include the knowledge underpinning practice and the evidence base for the clinical skill. A conclusion to the essay will then be given which will discuss my reflection skills, acknowledge my competence and show my personal and professional development.
During the second set of final clinical practice, I provided nursing care to the client with query sepsis and clostridium difficile as admitting diagnosis. The client had a history (Hx) of acute kidney infection (AKI) which led to dialysis. After resolving AKI, the patient went home, but soon returned to the hospital with severe diarrhea (5-6 episodes per day), confusion and symptoms of sepsis. Upon initial assessment, I found the patient oriented to name only, confused and lethargic, incontinent of urine and stool. The patient had bilateral crackles throughout the lung fields, gurgles upon exertion and tachypnea with respiratory rate 24-28. SpO2 level was within normal limits. The patient’s family reported that the current patient’s cognitive condition function was different from the baseline. The patient was difficult to arouse, with Glasgow Coma Scale (GCS) score 12-13. The heart rate was within normal limits, strong, irregular. Bilateral edema 2+ was present in lower legs, skin was warm to touch, pedal pulses palpable. The patient was on caloric count due to poor caloric intake. The family was frustrated because of recurrent hospitalization due to hospital-acquired infection and very concerned about possibility of poor outcome for the patient due to rapidly deteriorating general condition.
In this paper, I will be discussing my learning experiences during term three. In order to classify and expand on what I have learned, I will be writing about two roles I have assumed as a student nurse, how I have developed those roles through theory and practice, how my thinking has changed, and what I would like to change in the future.
This course really developed my self as a nurse, and it will help me in giving care to actual clients in the real world as well. First of all, this course taught us all about Florence Nightingale, who is viewed as one of the first nursing theorists. Her becoming a nurse, her practices as a nurse, her theory, her tenets, and most importantly, her being one of the most influential figures, even as of this very day. In this course, through essay writing we understood more about how Florence Nightingale’s theory and practices are still relevant today. We were able to connect her tenets to the real world programs. This can really help us in giving care because we learnt about how her practices are applied and so we are also able to apply her practices while providing clients care. Not only that, but we learned about how committed Nightingale was to provide the utmost care for the client and how the client is very important, with knowing this, we can also provide the greatest care that the client deserves. She strived for professional nursing and had laid the foundation, and we need to follow in these footsteps as well. Her achievements can aid in motivating us to become better and improve ourselves as a nurse everyday, as she did emphasize the importance of restoring one’s health.