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Applying theory to nursing practice
Applying theory to nursing practice
Applying theory to nursing practice
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The objective of this assignment is to explore and reflect upon a situation from a clinical placement. Reflective techniques will be used to reveal how well or badly the situation was handled. And how the incident, and the reflection has influenced personal learning and professional practice in relation to nursing care.
According to Hogston and Simpson (2002, p398) reflection is "a process of reviewing an experience of practice in order to better describe, analyse and evaluate, and so inform learning about practice". Wolverson (2000, p24) includes this is an important process for all nurses wishing to improve their practice. This will be investigated using a reflective nursing model.
In accordance with the 2002 Nursing and Midwifery Council, the clients' details and placement setting has not been disclosed in order to maintain confidentiality.
The incident occurred during the first week of the placement. The writer was then asked to perform an electrocardiogram (ECG) on a sixty six year old lady in the minors department. Hinchliff, Montague and Watson (2000, p398) states that an ECG is a graphic recording of the electrical processes that initiate the contraction of the cardiac muscle, performed by attaching electrodes to the body that are then connected to an electrocardiograph.
On completion, the ECG was checked by a doctor and instructions were given to rush the patient to the resuscitation department of the Emergency department. This incident was chosen for discussion as the consequences could have been great if not dealt with correctly.
The reflective model chosen is the John's model. This is an appropriate model for a students level, being described by Burns and Bulman (2001, p11) as providing support ...
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...ober, J. (1998). Nursing Practice and Health Care. (3rd ed). London: Arnold Publishers
Hogston, R. & Simpson, P. (2002). Foundations of Nursing Practice. (2nd ed). Basingstoke: Palgrave
Marks, C. (2001). 'Reflective practice in thermoregulatory nursing care'. Nursing Standard. 15, (43), p38 - 41
Nicholls, C. & Sani, M. (2003). 'The treatment of cardiovascular disease in older people'. Nursing Older People. 15, (7), p30 - 32
Perry, A. (1997). Nursing, a knowledge base for practice. (2nd ed). London: Arnold Publishers
Powell, H. (2002). 'A time to reflect'. Learning Disability Practice. 5, (7), p16 - 18
Taylor, B. (2001). Reflective Practice. Buckingham: Open University Press
Wilkinson, J. (1999). 'Implementing reflective practice'. Nursing Standard. 13, (21), p36 - 40
Wolverson, M. (2000). 'On reflection'. Professional Practice. 3, (2), p31-34
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
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.
In this assignment, the reflection will be structured using the educational cycle (framework) of Graham Gibbs, as per the recommendations of Rolfe et al. (2001), in that it is often neither the subject nor the content of what we reflect on that is necessarily important, but rather its analysis in terms of what can be drawn out in understanding and learning.
In accordance with the 2002 Nursing and Midwifery Council, the clients' details and placement setting has not been disclosed in order to maintain confidentiality.
Middleton, J. (2004). A Practical To Promote Reflective Practice Within Nursing .Retrieved March 31, 2004 from www.nursingtimes.net.
In order to engage in meaningful communication and develop effective communication skills, nurses must engage in the process of reflecting on how communication skills are utilised in practise. Reflection allows the nurse opportunity to gain a deeper insight into personal strengths and weaknesses and to address any areas of concern in order to improve future practise (Taylor 2001). A further aim will be to reflect on how communication skills have been utilised within nursing practise. Various models of reflection will be examined, and a reflective account of a personal experience which occurred during placement will be provided using a model. This reflective account will involve a description the incident, an analysis of thoughts and feelings and an evaluation of what has occurred. Fin...
The reflective model I have chosen to use is Gibbs model (Gibbs 1988). Gibbs model of reflection incorporates the following: description, feelings, evaluation, and ...
Santa Barbara, CA: Learning Works, 1996. Print. The. Girod, Christina M. Learning Disabilities. San Diego, CA: Lucent, 2001. Print.
Reflective accounts help nurses become more self-aware and develop a deeper understanding of themselves. Through reflective practice, the nurse can develop skills such as critical thinking and a greater understanding of interpersonal relationships (Sommerville, 2004). Reflective practice can increase the quality of care and promote good practice.
The following essay is a reflective paper on an event that I encountered as a student nurse during my first clinical placement in my first year of study. The event took place in a long term facility. This reflection is about the patient whom I will call Mrs. D. to protect her confidentiality. Throughout this essay I will be using LEARN model of reflection. I have decided to reflect on the event described in this essay since I believe that it highlights the need for nurses to have effective vital signs ‘assessment skills especially when treating older patients with complex medical diagnoses.
Hillard, C. (2006) ‘Using structured reflection on a critical incident to develop a personal portfolio’, Nursing Standard Vol 21(2) 35-40
Reflective practice can improve the quality of nursing service. Reflective practice can advance critical thinking, enhancing professional nursing. According by Oelofsa N (2012), explain the reflection practice is an essential skill for nurses impact their patients fundamental health and well-being needs on a daily basis. I want to give Gibbs the reflection model
Since I am bound by the Nursing and Midwifery Council Code of Conduct (2008), and in line with the Data Protection Act (1998) of confidentiality a pseudonym of Zara has been used to protect the patient’s identity. Staff names, ward name and other information that might reveal the NHS Trust has been omitted in order to comply with the NMC (2008) code of conduct and the Data Protection Act (1998).
The classroom is a diverse place where learners from all different genres of life meet. Included in these learners are those that display learning disabilities. According to the British Columbia School Superintendent’s Association, ‘learning disabilities refer to a number of conditions that might affect the acquisition, organization, retention, understanding or use of verbal or nonverbal information. These disorders affect learning in individuals who otherwise demonstrate at least average abilities essential for thinking and/or reasoning’. They also posit that ‘learning disabilities result from impairments in one or more processes related to perceiving, thinking, remembering or learning. These include, but are not limited to language processing,