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Effective reflective practice
Reflective practice
Effective reflective practice
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The reason for this essay is to reflect on a critical incident experience during my six week placement as a student nurse on an orthopedic ward. To explore an event as a critical incident is a value judgment, and the basis of that judgment is the significance attached to the meaning of the incident. Critical incidents are created or produced by the way we look at a situation. Tripp (1993)
The incident chosen has made an impact on me due to the fact the side effects of surgery can be very critical to a patient’s life, as would be demonstrated in the critical incident chosen (D.V.T). Deep vein thrombosis.
There are various reflective models written by various theorists and they include: Atkins and Murphy (1994), Stephenson (1993), Johns (2000), and Gibbs (1988). For this critical incident the model I have chosen to use is Gibbs (1988) reflective model as a guide because it is more understandable and will reflect more clearly on this critical incident. It is widely known that experience alone is not adequate enough to guarantee that any learning takes place, so it is important that integration of past experiences with new experiences occurs. This is done through the process of reflection. (Fitzgerald 1994).
“To be self aware is to be conscious of one’s character, including beliefs, values, qualities, strengths and limitation. It is about knowing oneself” (Burnard 1992). “It underpins the entire process of reflection because it allows people to see themselves in a particular situation and honestly observe how they have been affected by the situation and to analyse his or her own feelings.” (Bulman and Schultz 2008). “Through reflection you develop skills in being able to watch yourself in action, during the course of you...
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...health professionals and students. Nursing Standard 27.25 (2013): 41-48. Print
NMC - Nursing Midwifery Council (2015), The Code for nurses and midwives
http://www.nmc.org.uk/standards/code/
SCHÖN D A (1983) The Reflective Practitioner: how professionals think in action London: Temple Smith
Stephenson (1993) In Reflective practice in nursing: the growth of the professional
practitioner, ed. A.M. Palmer, S. Burns and C, Bulman 1994, Blackwell Scientific
Publications, Oxford, UK and Boston, USA.
Taylor, Beverly J. (2000) Reflective Practice: A Guide for Nurses and Midwives. Open University Press
Tripp, D. (1993) Critical Incidents in Teaching. Developing Professional Judgement. London: Routledge.
Williams, B (2001) Developing critical reflection for professional practice through problem-based learning. Journal of Advanced Nursing, Apr;34(1):27-34.
...hat has worked and what hasn’t. If a student for example is taking blood for the first time and something goes wrong, they don’t find the right vein. Reflective practise would help that student to understand what he/she done wrong while carrying out the procedure and how they could stop that from happening again. Not is only reflective practice good for pointing out the bad factors of something but can also be there for when a procedure goes exceptionally well. If a health professional finds a certain technique works better than what’s in place already, reflective practise is a good way to shear the information you found with other colleges so they can carry out that particular producer. Gibbs 1988 is an example of reflective practice, he uses six stages when doing reflective practice which include Description, feelings, evaluation, analyse, analyse and actions plan.
According to Driscoll (2000), there are three processes when reflecting on one’s practice. They are: ‘What?’, ‘so what?’ and ‘Now what?’ Using Driscoll’s reflective cycle will enable me to link theory to practice.
This assignment focuses on an incident which was experienced during a community placement. The patient suffered from bowel cancer, my mentor and I were visiting her to change her dressing. The names of people have been changed to ensure confidentiality Nursing and Midwifery Council (NMC, 2008). Gibbs (1988) cited in Jasper (2013) will be used as the reflective model because it is simple and, easy to understand. Through the model’s six key stages I will describe my experience and how I maintained dignity while giving personal care to patients in the community. Writing a reflective account makes one relive their thoughts and, feelings and make appropriate changes when required (Howaston-Jones, 2013).
Burns, S. Bulman, C. Palmer, A. (1997) Reflective Practice in Nursing - The growth of the professional practitioner. London: Blackwell Science.
Rolfe, Gary; Freshwater, Dawn; Jasper, Melanie (2001). Critical reflection for nursing and the helping professions: a user's guide. Houndmills, Basingstoke, Hampshire; New York: Palgrave. pp. 26–35
I am going to use Gibbs (1988) Reflective Cycle. This because Gibbs is clear and precise allowing for description, analysis and evaluation of the experience helping the reflective practitioner to make sense of experiences and examine their practice. Taking action is the key; Gibbs prompts to formulate an action plan. This enables the reflective practitioner to look at their practice and see what they would change in the future, how they would develop/improve their practice.
This essay will explore the authors meaning of reflection, how various reflective styles can benefit the practitioners within their settings, and how important reflection is within Early Years Practice. According to Appleby (2010, p.10), reflection is a generic term which describes various behaviours involving feelings, and thinking about thoughts and experiences, in order to examine issues and develop, new understandings and insights. Reflection within practice allows the practitioner to develop a sense of awareness around their daily activities, and helps them to evaluate how they could evolve these activities further, if the given opportunity was to arise again. Similarly, keeping a reflective journal
“The ultimate value of life depends upon awareness and the power of contemplation rather than upon mere survival” (Aristotle, n.d.) Reflection is a process that begins with looking back on a situation, thinking about it, learning from it and then using the new knowledge to help you in similar situations in the future. We need to evaluate through reflection to determine whether change is needed. We can then decide what action is needed and what we should do the next time we are faced with a similar situation. It might not necessarily be something you have done wrong, it may well be you were happy with the outcome of a situation you had some input into and would do again.
Around the 1960s, nursing educational leaders wanted to formulate a nursing theory that contained knowledge and basic principles to guide future nurses’ in their practice (Thorne, 2010, p.64). Thus, Jacqueline Fawcett introduced the metaparadigm of nursing. Metaparadigm “identifies the concepts central to the discipline without relating them to the assumptions of a particular world view” (MacIntyre & Mcdonald, 2014). Fawcett’s metaparadigm of nursing included concepts of person, environment, health, and nursing that were interrelated. The metaparadigm ultimately contributed to conceptual framework to guide nurses to perform critical thinking and the nursing process in everyday experiences in clinical settings.
Hood, L. (2013). Leddy & Pepper 's conceptual bases of professional nursing. Lippincott Williams & Wilkins.
Burton, A. (2000) Reflection: nursing’s practice and education panacea? Journal of Advanced Nursing; 31: 5, 1009–1017.
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).
As it mentioned above this reflective essay is based on the main theory on Reflection, which is the Honey and Mumford’s learning styles that was developed from Kolb’s work. This is based on four stages of specific styles of learning:
Taylor B (2004). Reflective practice: A guide for nurses and midwifes. Maidenhead: Open University Press
“Self-awareness is a psychological state in which people are aware of their traits, feelings and behaviour. Alternatively, it can be defined as the realisation of oneself as an individual entity.” (Crisp & Turner, 2010). In other words, self awareness is recognising one’s personality which includes strengths, weaknesses, thoughts, beliefs and emotions.