Using Nursing And Midwifery Board Of Australia

Reflecting on the situation that had taken place during my second placement working in the community. This will give me the perfect opportunity to develop and utilise my commutation skills in order to maintain the relationships with my patient. In this reflection, I am going to use Gibbs (1988) Reflective Cycle. This model is a recognised framework for my reflection. Gibbs (1988). Baird and Winter (2005,) give some reasons why reflection is require in the reflective practice. They state that a reflect is to generate the practice knowledge, assist an ability to adapt new situations, develop self-esteem and satisfaction as well as to value, develop and professionalizing practice. However, Siviter (2004)

As a Registered Nurse is a crucial component to ensure that there is effective communication between the nurse and patient. As well as being respectful to the person’s dignity, culture, values, beliefs and rights. This is because everyone is different, and due to this it is important that I am being cautious to each person’s individual needs.

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

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

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”.

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

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).

As a healthcare professional a therapeutic relationship is fundamental in providing quality patient care. The Nursing and Midwifery Board of Australia (NMBA) National Competency Standards for a Registered Nurse (2006) emphasises Collaborative and Therapeutic relationships as one of the four main domains which make up the standards. The assignment will explore one specific quality on establishing, maintaining and appropriately concluding a therapeutic relationship in relation to a Horizon Hospital and Health Service client, in this case Mary Young. The specific attribute chosen is ‘establishes rapport with individuals/groups that enhances they ability to express feelings, fosters an appropriate context for expression of feeling.’ This attribute is crucial in having the guiding principals for a safe professional practice.

In this assignment I am going to reflect on a clinical situation that has taken place during my placement. I will be using the Gibbs’ reflective cycle which will include the skills of assessment, planning, implementation and evaluation of care and link it to the registered nurse standards for practice – standard 4 , comprehensively conducts and assessments (nursing and Midwifery Board of Australia [NMBA], 2016). The Gibbs’ reflective cycle consists of 6 stages which starts with a description of the situation and what I observed, the second stage is to describe what were my feelings and thoughts were at the time, third stage is an evaluation to explain what worked well and what was good, fourth is an analysis to link the incident to what we have been learning , fifth stage is the conclusion to talk about what else could have been done and the final stage is an action plan to set out next steps for if it was to happen again (Gibbs' Reflective Cycle, 2014).

What is a clinical exemplar? It is a story based on a real patient’s situation and a RN’s practice in clinical setting. Having a clinical experience it is an opportunity for any student nurse not only practicing skills and using theoretical knowledge, but also learning by doing and reflecting on experiences during the placement (Jones, 2013). This experience comes through exploring, developing, questioning, learning and reflecting at the early stage of personal and professional development. Gibbs (1988) Reflective Cycle is one of the models of reflective writing that will be used in this clinical exemplar.

Reflection can be defined as “a process of reviewing an experience of practice in order to describe, analyse and evaluate and so inform learning from practice.”(Reid, 1993) It is an important factor when working within any health profession and midwifery is certainly no exception. Schon (1991) defines a reflective practitioner as “someone who learns by reflecting on current experience and applies that learning to future practice.” Reflection allows midwives to grow and develop professionally as well as personally (Kirkham, 1994) and can guide her into moulding her sphere practice in a positive way to benefit the women she is caring for (Church & Raynor, 2000). It also allows midwives to continue with lifelong learning and put theory to

The introduction of the Gibbs reflective cycle helped the nurses to have a systematic thinking about the different activity phases (Huston, 2014). These logical elements of the procedure are describing the problem, feelings identification, evaluation, analysis, conclusion, and an action plan. Every stage is essential in carrying out the reflective processes for nurses.

The concept of reflective practice, popularized by Schön’s (1983) work, has been applied in nursing for various purposes, including as a way to narrow the gap between theory and practice in clinical practice(Clarke, 1986) and a way to discover knowledge embedded in practice (Benner at al. 1996). Reflection, or thinking about our experiences, is the key to learning. Reflection allows us to analyze our experiences, make changes based on our mistakes, keep doing what is successful, and build upon or modify past knowledge based on new knowledge.