Open Ended Questions

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.

This essay will demonstrate an understanding of the theory of reflective practice within healthcare and nursing. Furthermore, the essay will identify and analyse the different models of reflective practice, the effectiveness of the models and how healthcare professionals can apply this within their profession. Also, the barriers that may prevent a healthcare professional from reflecting will be discussed in this essay and how it will impact the quality of care delivered to patients.

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”.

Reflection is defined by Howatson-Jones (2013), as “a way of examining your experience in order to look for the possibility of other explanations and alternative approaches to doing things” (p. 6). The practice of reflection is important for numerous reasons. As stated by Hargreaves and Page (2013), reflections promote good practice and in the occurrence of a difficult or challenging situation, they can help to identify where things went wrong and how to improve the outcome for future incidents. As identified by Jasper, Rosser and Mooney (2013), reflection offers benefits to both the patient and the practitioner. Practitioners are more likely to avoid routine practice, continuously develop their knowledge and identify faults to improve on. Patients are more likely to receive higher standards of safety and better quality of care

Gustaffson and Fagerberg point out that reflective practice has relevance for clinical practice as by understanding the contents of nurses’ reflections, it is also possible to understand the advantages of reflective practice and how and when such measures should be used by the nurses for further professional development.

I believe that reflective practice is essential to carrying out clinical skills effectively. It allows the nurse to reflect on their actions and perhaps, think what they will do if a similar scenario were to occur at a future stage. I reviewed Kolb's model of reflection. This

For backfill purposes, Urgent Care Department will need the following Ancillary FTE's to support 2017 anticipated membership growth and improve department budget status: 2.1 LVN's. Per November's YTD Budget Report department is overbudget by $2,431.443. Part of overbudget costs included replacing LVN's that were on medical leave, vacation,

b. An advanced practice nurse recommends that a patient who is dangerous to self and others be voluntarily hospitalized.

Terrell Pollard called the office at 5:11Pm to inform me that he was unloading a car when he was putting in neutral the chain gave away allowing the car to roll down his bed catching his hand and car door on a post. I ask him if he need the medical squad to come out he said no that it was hurting but that he didn’t need the medical squad to come out. Told him to sit in the truck and to relax that I would be there in a few minutes to help him.

There is a expectation for nurses to notice things about their patient or certain situations. Tanner (2006) mentions that this expectation is stemmed from “ nurses knowledge of a particular patient and his or her patterns of responses, clinical or practical knowledge of similar patients, drawn from experience, and their textbook knowledge” (p.208). The next aspect would be interpreting and responding. Once there nurse has a real grasp on what is going on, they are then triggered with how they should respond and handle certain situations. In this instance the nurse may know exactly what to do or they could find themselves in a hypothetico-deductive reasoning pattern. Lastly, the ability to reflect on situations helps the nurse grow in their profession. Tanner takes a moment to write about reflection-in-action and reflection-on-action. Reflection-in-action gives the nurse the power to read the patient. During this reflection the nurse can how the patient is reacting to certain interventions and if they need to be adjusted or not. On the other hand, reflection-on-action gives the nurse the opportunity to understand and think about the knowledge they gained from what they experienced. Reflection is part of the nurse’s duty of continuing their ongoing

Reflective Practice Introduction: Reflection its self is looking into personal thoughts and actions. For nurses this would mean looking at how they performed a particular task taking into consideration their interaction with their colleagues and other members of staff, patients and in some cases relatives This then enables the nurse to assess their actions and thought processes. There are various frameworks of reflection that one could choose and the examples used for this work is by Gibbs (1988), Johns (2000) and Benner (1982) Gibbs: Gibbs reflective cycle encourages one to think in order about the different areas of an experience. It is presented in a number of questions that the reflective practitioner

In recent years, reflection and reflective practice have become well-known term with in the health care arena. They are words that have been debated and discussed with in the health care setting (Tony and Sue 2006). Reflective practice is essential for nurses, as nurses are responsible for providing care to the best of their ability to patients and their families (NMC, 2008). Reid (1993) states reflection is a process of reviewing an experience of practice in order to describe, analyse, evaluate and so inform learning about practice. Johns (1995) notes that reflection enables practitioners to assess, understand and learn through their experience. Reflective practice, therefore, offers nurses an opportunity to review their decisions and

Personal reflection in nursing is essential and critical as it allows for continuous development and re-assessment of skills whilst working within a health care setting (Reflective practice: a tool to enhance professional practice 2011, pp.1-3). Personal reflection is important as reflective practice allows for the ability for one to reflect and examine their actions and experiences which overall will increase and enhance their clinical knowledge, as well as developing and improving their practice (Reflective practice: a tool to

Reflection is used by nurses and health care professionals to incorporate theoretical and practical knowledge (Cowen et al 2009). On the other hand, Rolfe et al (2011) noted that reflecting on the event and thinking about any action that could have been taken differently. For effective changes to occur when reflecting, the reflector should pay attention to what they are thinking, how they are feeling and what they recall (Taylor 2010 cited in Howatson-jones 2013)

Answer: As a new nurse, I try to collect the holistic data from the patient via face to face interview and