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Reflection about my personal development
Reflection about my personal development
Reflective essay on personal and professional development
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Similar to my previous reflection but within this one I want to focus on my own progression outside of all of my support networks, how I feel I transitioned. I mentioned how when I first came out I was scared, but I wasn’t full of fear. I trusted my training and my knowledge I had developed over my three intense years as a student. I knew I had some experience and competence under my belt, I just needed to learn how to use this. I was so incredibly proud of myself as well, I wanted to be a midwife since I was 14 years old and suddenly I was sitting in the uniform office getting fitted for my bright purple midwives top. I remember looking at myself in the mirror and being overwhelmed with this mixture of feelings and knowing this year was …show more content…
Some days I really did not feel competent. My first rotation was the hardest. I think especially because of the ward I started on. I worked in a 36 bed high acuity, low staffed maternity ward. This provided challenges for my time management which looking back I am now grateful for because it accelerated my learning at a faster pace. I was also challenged with medication management as this was not something I had had a lot of responsibility with as a sudent. But through practice wisdom, revising pharmacology content and getting to know protocols, I fixed this gap in my competence. I do admit that initially I utilised my support networks well and was consulting with senior staff in regards to management of situations I was unsure of and I think this showed my acknowledgement of where my own personal scope ended and where I knew I needed help to ensure the safety of my …show more content…
I was just doing my job and doing it well! I then trasitioned to birthing suite on the north shore, this bought a whole new basket of challenges. I was incredibly unconfident with induction of labour. Mainly because of my lack in confidence with vaginal examinations. Inductions also meant drawing on many other skilss from my midwifery tool box which I knew I needed to work on such as I.v cannulation, artifical rupture of membranes, syntocinon augmention etc. etc. I too gained confidence fast in this ward because of the amount of inductions I was involved in. Initially I did not trust myself and felt the need to have some vaginal examinations checked due to my finidings heavily influencing plans. After my first week I no longer did this. Before long I found myself so confident with my abilities and supported by my competence that I was challenging reasons for inductions, does this really meet our guidelines and procotols? Or are we really doing what is best and safe for this mum and baby? It felt good!! I felt like a midwife! Advocating for women, finally, something I had looked up to many other midwives for doing.. Now I’m doing
Instead of focusing on what others were or were not doing, I decided to start focusing on me and goals I wanted to accomplish. One day, I was on the computer surfing the net and happened to get on social media. I happened to come by a post about The Birth Well doula training. A doula is a professional birth support person who assist women emotionally, physically, and with information during pregnancy, birth, and for a short while during postpartum. This sounded like a perfect opportunity to exercise my getting out and broadening my circle and meeting new people all the while fulfilling my birth worker goals from long ago. I decided to look into it, so on the day of the Q & A meeting I attended. I learned about the process, and I signed up for the classes. I was both super excited, and also super nervous at the same time because my family and I were experiencing financial hardships at the time, and I was about to be taking $400 dollars of our funds and investing into a career that was all up to me on whether or not it flourished.
Clay is not naive. He may be misguided, misled, and mistaken, but he is anything but naive. Clay is an individual who has shed the roots of his race, disregarding many of the cultural implications that such a decision could have on him. He is a misguided individual who, because he is human, does the wrong things at the wrong times for the wrong reasons. He continually struggles with his own identity and the power struggle between him and Lula. The notion of power dynamics in The Dutchman is brought forth in the character of Clay, who knows the limits of his power, takes the forbidden fruit from the more powerful Lula, and fantasizes about his own life.
...o find a balance between interventional and non-interventional birth. With this being said, I also understand that there are strict policies and protocols set in place, which I must abide to as a healthcare provider, in any birth setting. Unfortunately, these guidelines can be abused. Christiane Northrup, MD, a well recognized and respected obstetrician-gynecologist has gone as far as to tell her own daughters that they should not give birth in a hospital setting, with the safest place being home (Block, 2007, p. xxiii). Although I am not entirely against hospital births, I am a firm believe that normal, healthy pregnancies should be fully permissible to all midwives. However, high-risk pregnancies and births must remain the responsibility of skilled obstetricians. My heart’s desire is to do what is ultimately in the best interest of the mother, and her unborn child.
When I started my first job as a nurse in the Surgical Care Unit I was a novice nurse, I did not have experience, I lacked of the confidence to demonstrate safe practice and I required continual verbal and physical cues in from my preceptor. I was developing my nursing judgement and the graduated nurse residency program offered lectures and clinical experience that helped me to
Nursing and Midwifery Council (NMC). (2015). [online]. [Accessed 5 April 2017]. Available at: (-- removed HTML --) .
I initially considered midwifery when I attended an antenatal scan with my auntie and heard the heartbeat of the unborn baby for the first time. Listening to discussions regarding health concerns and family support highlighted the importance of the midwife and mother relationship. Two years ago I was given the opportunity to be my mum’s birthing partner alongside my dad. I saw how the midwives interacted and were supportive through the birthing and decision making process. It was found that the baby was breach and the safe option was a caesarean section, and with the complications discussed mum was able to make the right decision. I attended pre and postnatal appointments and listened to the midwives offering advice and guidance, develop a birthing plan as well as check and monitor the health and wellbeing of mum. These first hand experiences have given me a deeper understanding of the role of a midwife and how communication and building trusting relationships is key during these emotional and vulnerable times for a woman, and inspired me to become a midwife.
On an early Tuesday morning Patient Y, a 42-year-old Hispanic woman, arrived at the maternity unit for a scheduled induction. An induction is defined as, “the stimulation of uterine contractions by medical or surgical means before the onset of spontaneous labor” (Ricci, 2013, p. 727). She was 40 weeks and two days. She was a multigravida with two previous vaginal deliveries and one prior cesarean section (C-section). The reason the physician scheduled her to be induced was because she was of advanced maternal age and a multigravida.
Chances are that terms such as “midwife” and “home birth” conjure up for you old-fashioned images of childbirth. These words may bring to mind scenes from old movies, but you’re not likely to associate them with the modern image of childbirth. Do you know anyone who has had a midwife-assisted birth or a home birth? Would you consider one?
The hospital room holds all the usual scenery: rooms lining featureless walls, carts full of foreign devices and competent looking nurses ready to help whatever the need be. The side rails of the bed smell of plastic. The room is enveloped with the smell of plastic. A large bed protrudes from the wall. It moves from one stage to the next, with the labor, so that when you come to the "bearing" down stage, the stirrups can be put in place. The side rails of the bed provide more comfort than the hand of your coach, during each contraction. The mattress of the bed is truly uncomfortable for a woman in so much pain. The eager faces of your friends and family staring at your half naked body seem to be acceptabl...
In this rotation, I learned the procedure of a c-section. I also learned how tough the skin really is. How much pressure is used to remove a baby from the uterus. I loved how hands-on this experience was, and how much my RN let me witness. I love how much I learned, and got of this experience. There is nothing I disliked about this rotation. It was an amazing day for me at the internship.
As mentioned by Hunter and Arthur (2016), one of the main reasons I could maintain and improve my practice was due to clinical placements. During clinical placements we are frequently being assessed and taught in dealing with real situations. Feelings As learning is a lifelong process, I’m sure there are many things I need to improve and learn to better myself. However, the lessons I learned during the course as a nursing student shall always remain as a bedrock for my future development.
I had seven weeks of experience at the medical floor, where I learned a lot about skills and how to work in the hospital environment. After the break
All things considered my first mother baby clinical went very well. I am more confident in the care I provided and will be providing throughout the next few weeks. If need be, the nurses were right there to answer questions or assist in my learning. I do know I have room for improvements, though I am aware it will take more practice. Having such cooperative patients and parents allowed me to take my time and be more thorough to ensure I was grasping concepts. As I continue to connect class content and what is seen in the hospital
In this reflective account I will reflective upon an incident that occurred while on practice placement. I will identify how I recognised the limitations of my knowledge and skill as a student midwife and made the transition from a registered nurse to that of a student midwife. I will employ Gibbs (1988) reflective cycle, as it comprises six stages that will enable me to holistically reflect upon the incident. The name of the woman has been changed to Jane; with my mentor’s name has been changed to Lucy due to the Nursing and midwifery council (2008) code of professional conduct clause 5.1 which maintains treat patient’s information as confidential and use it only for the purpose for which it is given. I will begin giving a brief account of my previous work and training experience before commencing the midwifery course. A definition will be given of a Pinard’s stethoscope as it played a vital role.
I was both excited and scared on my first day. I was curious about everything that I could see, smell and hear. I was excited because everything was new to me. The office was very quiet, all the physicians were concentrate on their work. Everything in the office was organized very well. The equipments were gleaming as they attracted me to touch. The smell of the ink was still dimly in the air. I got a little scared when I stepped into the hallway. It was really crowded, people seem very busy no matter if they were patients or physicians. People were everywhere. It was really easy to pump into someone. Rapid footsteps made flap sounds on the marble floor. The smell of the hospital special antiseptic solutions was very pungent. The call bells in the wards were very sharp, and they were coupled with the red lights in front of the wards and white walls. I had never felt more nervous before. I felt dazed because I had no idea what I could do, but this was piqued my fighting will more. Overall, I like this place. The department where I worked in was called the comprehensive internal medicine ward, and it also included a rheumatology clinic. Though I had volunteered in hospital for a very long time in school, I’ve never got a chance to get in the real business as a volunteer. So I was eager to learn everything. My instructor was a really person. He was near my father’s age, so he took care of me like his daughter....