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Negatives of reflective practice for nurses
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Recommended: Negatives of reflective practice for nurses
Findings: We discussed last year’s improvement plan priorities and these are as follows Priority 1 • Practitioners to be proactive in identifying and taking forward change and evaluating the impact of the improvements. • Leadership at all levels, where practitioners are being reflective and identifying their own developmental needs, to support improvement. Staff have had many opportunities to reflect on their practice and their own individual skills. During discussions and meetings staff identified one key area they would like to focus on to improve their practice and identified how they would go about this. Staff have received training throughout the year. Ashley has monitored some elements of practice to review the impact training …show more content…
has had on the staff practice and children. However, this needs to be looked at in more depth. Staff were given the responsibility of key development projects in the nursery such as developing the home corner. There is evidence that a lot of work has been put into this with the staff but they need to now evaluate the impact of the developments. Areas for improvement • Although this priority is about staff development the ultimate aim is always improving outcomes for children.
This needs to be made a focus throughout the Improvement Plan evaluation. • Staff need to review the training they have accessed and hold reflective discussions around how this has improved their practice and impacted on children’s outcomes. • More monitoring of staff practice and the use of the areas that have been developed in the nursery to ascertain the positive impact on the children. Priority 2 • To support staff in understanding of the SHANNARI principles and how this supports children’s wellbeing. • Promotion of inclusion by supporting children and families who may have cultural needs and have barrier to learning. There is evidence that parent have been consulted with and have had lots of input in to the nursery over the last year. All feedback for the nursey has been positive and the only comment was that one parent wasn’t able to attend any family days with the nursery. This could be looked at and we could organise a family fun day for existing and potential new parents. This may need to be done at the weekend if this enables more parent access. This will be a good way to advertise the nursery in the area. Areas for Improvement • Review the impact of parental
involvement. • Ensure parental feedback is followed up • Review impact on the children of staff having more knowledge about SHANNARI outcomes. The Improvement plan needs to be evaluated using the HGiOELCC. Look at the relevant Challenge Questions and Features of Highly Effective Practice to do this. Possible priorities for next Year’s Improvement Plan would be 2.3 Learning Teaching and Assessment to support assessment and tracking of children learning and improve staff confidence with identifying learning and writing observations. 3.1Heath and Wellbeing to ensure that staff are fully meeting the children needs with appropriate challenge and support. This will ensure that staff are effectively using the SHANNARI outcomes to plan and support the children. 3-5 Room The children were all engaged when I entered the room, some in the home corner that is looking welcoming and some with sitting with a member of staff involved in a mathematical experience . Self serve rolling snack was being set up and the children are gaining confidence with the routine of this. There was evidence of learning on the walls and around the rooms and this included Literacy, Numeracy and health and wellbeing, both physical with heathy eating and emotions supporting the children positive behaviour. There are a few elements around the room that could be further developed e.g the water and sand area and Ashley had already identified this.
Nurses are able to reflect upon their past experiences of work and build and improve this ensuring their level of competence and skills is in line with NMC guidelines. Improving the quality of care provided to patients is an ongoing process and requires practitioners to contently reflect and improve their practice. (Howatson-Jones, 2013) One way in which reflection can improve the quality of care is through the use of professional supervision, as stated by (Daly, Speedy and Jackson, 2014) a focus for supervision should be enhancing a nurse’s skills and ability to reflect on practice. It should reflect on the standard of care provided and highlight areas for improvement such as further training. This, in turn, leads to a greater self-awareness of practitioners’ own abilities. The process is not about finding faults, but to improve and learn to ensure the quality of care is high and professional for all patients. Being self-aware is a skill important to reflection and the provision of quality of
"Contact is Not Enough" to Build a Team. Journal Of Continuing Education In The Health Professions, 28(4), 228-234, doi: 10.1002/chp.189
If a child is looked after or in care, their opportunities in general may be restricted. This in turn leads to their development being affected in many different ways.
...ths and weaknesses in order to, improve my practice in the role of supporting children and young people. My learning can have a positive impact on future practice as it enhances the quality of children and young people’s health, safety and well-being.
The purpose of this Reflective assignment is to demonstrate how the application of the Registered Nurses standards for practise (2016) can be used in reflective practise. The Registered Nurses standards of Practise (2016) states that RN’s should develop their practise through reflecting on experiences, knowledge, actions, their feelings and beliefs and recognise how these factors shape professional practise(RNSP, 1.2).Reflection allows individuals to look back on their day-to-day situations and how they made us react and feel; what we would change if we had the chance, to create a different outcome; and what we would do next time to enhance the way we conduct ourselves in a professional manner.
...mplications that allow for opportunities of change. One of the presumptions is for training and staffing (Shi & Singh, 2012). With the utilization of health care improvements, the staff will need additional instructions on the performance of equipment and how to efficiently achieve the desired results. Managers or supervisors recognize the need for supplemental staffing and training to optimize patient satisfaction and quality of care. The health care administrator must also focus on changes in insurance policies and rules governing the provision of medical assistance (Shi & Singh, 2012).
I was able to develop skills that will be relevant for practice in the future and support my professional development. This case study allowed me to focus on a specific case that developed my understanding of theory, law and policy that organisation use to provide services for families. I was able to enhance my understanding of the Cycle of change, Children Act 1989 and Working Together safeguarding policy. Developing my understating of evidence based practice and the importance of linking theory to
The ability to become reflective in practice has become a necessary skill for health professionals. This is to ensure that health professionals are continuing with their daily learning and improving their practice. Reflective practice plays a big part in healthcare today and is becoming increasingly noticed.
...onomy. Day care can be a positive option for parents seeking help with child care. It is self-assuring for many parents that are struggling to raise a family while balancing job security, to know that there are a variety of options out there for the watching of children. As with any difficult task, the monitoring of child safety concerns should stay primarily as a parent’s number one responsibility and concern. Today there is government help and assistance by providing mandatory safety and ethics requirements that are enforced through safety-regulatory agencies and through inspections for compliance for the purpose of licensing approval. It is a welcome thought for parents to know that they may be doing their children a favor in using a day care, by helping their young ones become better prepared for kindergarten and giving them an opportunity to learn new skills.
Continued Professional Development is now an important part of ongoing registration with the NMC and is essential in maintaining professional standards. In order to revalidate, nurses must write 5 reflective accounts within a 3 year period and each reflective account must explain what the nurse has learnt from the CPD activity and explain how it relates to the Code of Conduct and in particular the 4 themes of Prioritising People, Practicing Effectively, Preserving Safety and Promoting Professionalism and Trust.. Nurses also have to discuss the written reflective accounts with another NMC registered nurse coving the 5 reflective accounts Section 9.2 of the NMC code of conduct asks nurses to “gather and reflect on feedback from a variety of sources, using it to improve your practice and performance” (NMC, 2015) This is why the NMC promotes reflective practice as it ensures the nurse is practicing within their competency and in a safe manner while identifying any areas for improvement in their practice Reflective practice also makes the nurses more accountable for their actions.. (NMC, 2015) Reflective writing is an important feature of professional practice. Nurses have to keep a record of their continued professional development. At annual reviews nurses are able to present evidence of their development through a portfolio which should contain reflective accounts of their practice. These reflective accounts will help them identify strengths and weaknesses, highlight their performance, improve their skills and highlight any area that could be
Reflection is a significant component of pre-registration education (Davis et al.2000). Hillard (2006) claims that for practitioners to learn from an experience they need to go beyond description and should reflect on their experiences in practice as this could potentially uncover any underlying influences, motivations and knowledge. Reflecting on an experience could then be identified as a process to bridging the gap between theory and practice (Bulman & Schutz, 2004).
Supervision and feedback offers critique and support to improve trajectory in learning, education, knowledge and accountability. Given and used constructively it assists with potential development and enhances understanding (Kadushin & Harkness, 2002). It creates confidence, encouragement and emotional support; which helps relieve stress (Kirkland & Manoogian, 1998). To demonstrate professional commitment and taking responsibility to my practice I ensured I asked for personal feedback. To my delight the carer expressed she felt comfortable with me as I provided empathy and a sense of understanding just by listening. Also, core issues were discovered which lead to self-directed discussion based on solutions she wanted. This feedback was essential in providing me confidence and motivation.
Help improved my clinical skills and professional development, made me proactive and thus have learnt that reflection is an important tool for student nurse to improve on their practice.
Reflection within early year’s settings and schools allows for the practitioner to think about the work that is being completed either whilst doing it or after it has occurred, the reflection allows for seeing how the work has gone or whether it needs to be changed for future practice. Schön is a key writer about reflection and illustrates the differences between reflection in action, reflection on action and reflection whilst completing the task. The above critical skills help all practitioners to develop understanding as they hugely impact on others lives, if this skill is not engaged in then practice could be effected (Leeson, 2004).
First, we chose to utilize participant reaction, as it is the easiest system of assessment, as well as the least time-consuming method. Distributing a questionnaire at the end of the training will enable us to receive immediate feedback from the participants as to how effective they felt the training was. The participants will be able to rate how the training was implemented, and we can then see immediately the areas in which our training can be improved. With this method, however, we run the risk of not capturing the long-term effectiveness of the training, as it is only based on initial perception. To mitigate this possible shortfall, we also chose to utilize organizational effectiveness. Although this is a time-consuming process, over an extended period of time, that involves comparing a group of individuals that completed our training to a group of individuals who did not go through our training, we believe this will be able to tell us if our training methods are effective at providing a lasting