The purpose of this essay is to reflect on the importance of demonstrating nursing care with patients requiring standard and contact precautions using a model of reflection. Reflection is the process in which learners engage to recapture, notice and re-evaluate their experience, to work with their experience and to turn it into learning (Boud et al, 1993). The skill of reflection is essential to the development of clinical knowledge and ability which allows the learner to consider personal and professional skills and identify needs for ongoing development (Levett-Jones et al, 2011). This reflection will allow me to analyse the goal of nursing patients with Multi-Resistant Organisms (MROs), I planned to learn and understand at the beginning of the course, evaluate my professional growth and obtain conclusions in relation to my personal learning outcome. The Gibbs Reflective Cycle (1988) will be used as a model of reflection which comprises of six stages involving reflection on the description, feelings, evaluation, analysis, conclusion and action plan, better understand outstanding goals and continuously improve nursing practice. In addition, I will evaluate my nursing practice in accordance with the national competency standards for the Registered Nurses by the Nursing and Midwifery Board of Australia (NMBA, 2006) and will consider changes for my continual professional development. Stage 1 of Gibbs’ Reflective Cycle (1988) consists of the description of what has happened.
Throughout personal professional development reflection is essential, allowing health care professionals to self-develop by revisiting events and analysing areas in which improvements and learning would ensure a positive impact on their future practice. The Nursing and Midwifery Council, (NMC, 2010) notes that all health care practitioners must be self-aware in their own values and principles which could affect their practice. Ensuring they maintain personal and professional development while learning through supervision, feedback and reflection.
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.
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
Reflective practice in nursing is the process where we examine our nursing ability’s and practice in order to critically think and analyze the way we work and think about the views of others in our practice, what we could have done and we could have achieved a greater result by doing this also allows us as nurses to include best practice and use our own judgment in patient care to show the factors that either aid and hinder nurse to patient relationship. (Lowenstein, Bradshaw and Fuszard, 2001) described reflecting in nursing practice “the nurse must first come to understand what he or she defines as ideal practice”.
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
During my clinical placement, I have done the nursing standard 2 which is engaging in therapeutic and professional relationships. An example of one event in my placement where I have done this standard is when doing interviews in my two-week community placement at the Community Rehabilitation in Armadale Hospital. For my reflection, I will be using the Gibbs’ Reflective Cycle (1988).
For this assignment I will be writing a reflective account which will identify a significant episode of care in which I had been involved with, by identifying the pathophysiology and the disease process for the chosen patient; this will be presented by giving a brief outline of the psychosocial influences of the illness for the patient and others who may have been involved with the care. I will also reflect upon this episode by using a reflective model and examining the nursing process, using a holistic perspective throughout the reflective framework. Maintaining confidentiality is a key element, outlined in the Nursing Midwifery Council the Code (2008).
This reflection was done using the Gibbs reflective cycle. It has six steps including Description, feelings, evaluation, analysis, conclusion and finally the action plan. The description section is an introduction to the contents of the reflection, ensuring the reader gets a foundational understanding of the materials. In the Feelings section, I can discuss how I felt about an incident/activity that occurred. The evaluation section allows me to assess the positives/negatives of the way I handled the situation. Then the analysis section is for me to consider steps I could take starting from now that allow me to improve. The conclusion section is for me to bring all the elements of the reflection together. Finally, the Action Plan section is there for me to decide what I would like to do in the future.
In this particular assignment of NS4321 I have been asked to “Explore one aspect of my nursing care from my Clinical Placement using reflective framework to guide the reflection”. Also, for the purpose of this assignment I have chosen to use the Gibbs Cycle (1988) model of reflection as I feel it best describes the experience I was part of while on my clinical placement in detail. “Reflective practice involves thoughtfully considering your own experiences as you make the connection between knowledge and practice, under the guidance of an experienced professional within your discipline (Schon, 1996)”
Referring to the model of Gibbs reflective cycle, the essay first described the good or bad experiences from the event occurred to me. Secondly, it discussed the solution required to overcome the bad experience and finally, the action plan highlighting the fruitful benefits that I have achieved.
The first stage of Gibbs reflective cycle is to give a description of what happened which will now be discussed. My preparation for my taped interview began with my class on a Tuesday afternoon for five weeks. This
The general trend for scholars was to either explain or expound on theories of the previous scholars but Professor of nursing Gary Rolfe (2001) designed a reflective model to simplify the learning cycle. This version of the reflective cycle was comprised of three questions that ask the reflective practitioner: What, So what, and Now what? (Rolfe 2001)The idea is that through these questions we gain a description of the situation ultimately leading to critic of the situation as well as the f knowledge that has been gained through this experience.
In this reflection, I am going to use Gibbs (1988) Reflective cycle. This model is a recognized framework for my reflection. Gibbs (1988) consist of six stages to complete one cycle which is able to improve my nursing informatics and learning from the experience for better practice in future. The cycle starts with description of the situation, analysis of the feelings, evaluation of experience, analysis to make sense of experience, and conclusion of what else I could have done and also action plan to prepare if the situation arose again.
Reflection is a tool used by many healthcare professionals. It is a method of critically analysing ones practice with the aim to see where changes or improvements can be made (Johns, 2004). Both the Nursing and Midwifery Council (NMC) and the Royal College of Midwives (RCM) recognise reflection as a way of developing practice. Demonstrating an ability to learn from practice is seen as part of Continual Professional Development (CPD).
This paper is my personal reflection on teaching and learning that is based on a model developed by Schӧn; reflection-in-action and reflection-on-action. An action based on reflection is beneficial for the progression of my career as a nursing educator and for the quality of my teaching. When I reflect in and on action, I engage in a reflection which is targeted not only at appreciating myself as a nurse educator, but also at refining my teaching skill (Serdenciuc, 2015). Schön (as cited in Molloy & Delany, 2009) described reflection-in-action as challenging my own inherent critical thinking, analysis and evaluation of an activity while maintaining a sense of inquisitiveness. Schön (1983, p. 280) also mentioned that reflection-in-action is a process where my thinking and action should harmonize. On the other hand, reflection-on-action is a process where I revisit the action with my retrospective thinking so as to acquire insights for the future (Wieringa, 2011). When reflecting-on-action, I should keep a reflective diary to record details of the action immediately after the action (Mulholland & Turnock, 2012, p. 74).