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Case study of nursing reflection
Positives and negatives of reflection in nursing
Reflective essay on importance of reflection in nursing practice
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For students on the path to becoming well-educated nurses, the concepts of reflective and critical thinking have been stressed to be of vital importance to not only the profession but also the process of learning. In this assignment I will apply the concept of reflective thinking by reflecting on my personal motivations for choosing the career of nursing, the reasons that lead me to believe I have the potential to be a successful nurse. Another important aspect of this essay is to introduce the concept of reflective practice and elaborate on the importance of nurses applying this in the field.
When reflecting on the reasons for choosing career in nursing, my main motivation is my passion and interest in the fields of anatomy, physiology and
For example, I am particularly interested in the fields of oncology and palliative care where a nurse is a pillar of support, both physically and emotionally, when a person feels weak, is not in optimal health or depends on comfort care in the final stages of their life.
To introduce the concepts of reflection and reflective practice it is crucial to clarify exactly what reflection infers. ‘Reflection is a process of going back over something after it has already occurred’ (Daly, Speedy and Jackson, 2014, p.120). Having analysed this definition, I have come to the understanding that reflection comes down to critically analysing a past action or experience with the purpose of self-improvement and an increase in competence.
As the concept is such a heavily discussed topic many researchers have formed their own definitions, and while most of these interpretations are all very similar, different theorists stress different aspects. This has resulted in a variety of frameworks for reflection, developed to provide structure to the order of reflecting on experiences and
Step by step, this recognised framework aids us in asking ourselves the right and critical questions with self-development in mind. Questions such as: What has happened and how do I feel about what happened? How did I experience this? Good or bad? What can I do to turn this around? Or what did I do to make this a positive experience? Implementing reflective practice in the workplace benefits nurses by allowing them to continuously fine-tune and improve on their skills, thus reducing the risk of errors for all parties involved, and consequently ensures patients receive a better standard of care. To illustrate with a quote: “The outcomes of reflection are so profound, and so personally enlightening, that you are unable to let them go, or to return to former unquestioning ways.” (Emden,
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
The purpose of this essay is to reflect and critically study an incident in a clinical setting whilst using a model of reflection. This will allow me to analyse and make sense of the incident and draw conclusions relating to personal learning outcomes. The significance of critical analysis and critical incidents will briefly be discussed, followed by the process of reflection using the chosen model. The incident will then be described and analysed and the people involved introduced. The names of the people involved have been changed to protect their privacy and I will examine issues raised in light of the recent literature relating to the incident.
According to Bandman & Bandman (1995), critical thinking is defined as the rational examination of ideas, inferences, assumptions, principles, arguments, conclusions, issues, statements, beliefs and actions. In this subject ‘Critical Thinking in Nursing’ has emphasized critical thinking as an essential nursing skill and its definition of critical thinking have evolved over the years. In short, the general definition of critical thinking is self-directed, self-disciplined, self-monitored and self-corrective thinking. Every nurses must cultivate rigorous standards for critical thinking, however they cannot avoid completely the situatedness and structures of the clinical traditions and practices. They must make decisions and act quickly according to
Middleton, J. (2004). A Practical To Promote Reflective Practice Within Nursing .Retrieved March 31, 2004 from www.nursingtimes.net.
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 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.
Definitions of reflection vary depending on the discipline of the author. Having reviewed the literature, Bulman (2008, p.2), a nurse, defines it as “reviewing an experience from practice so that it may be described, analysed, evaluated and used to inform and change future practice”. It is a personal process requiring honesty, openness, self-awareness, courage and a willingness to act on criticism. It acknowledges that feelings and emotions influence actions. Critical reflection involves in depth examination and questioning of personal, social, historical, cultural and political assumptions and perspectives that are embedded in actions. It is an active process enabling one to make sense of events, situations and actions that occur in the workplace (Oelofsen, 2012). It transforms a situation in which there is confusion and doubt to one that is clear and coherent (Dewey, 2010).
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.
Hillard, C. (2006) ‘Using structured reflection on a critical incident to develop a personal portfolio’, Nursing Standard Vol 21(2) 35-40
The ability to reflect critically on one’s experience, integrate knowledge gained from experience with knowledge possessed, and take action on insights is considered by some adult educators to be a distinguishing feature of the adult learner (Brookfield 1998; Ecclestone 1996; Mezirow 1991). Critical reflection is the process by which adults identify the assumptions governing their actions, locate the historical and cultural origins of the assumptions, question the meaning of the assumptions, and develop alternative ways of acting (Cranton 1996). Brookfield (1995) adds that part of the critical reflective process is to challenge the prevailing social, political, cultural, or professional ways of acting. Through the process of critical reflection, adults come to interpret and create new knowledge and actions from their ordinary and sometimes extraordinary experiences. Critical reflection blends learning through experience with theoretical and technical learning to form new knowledge constructions and new behaviors or insights.
Reflection is a key part of our personal development plan that is significant from both academic and employment perspectives. It investigates and someway measures our present level of skills and knowledge by looking back to reflect our latest performance and monitoring future improvements (Gallagher K., 2013, p. 23-24).
Reflective practice is a process of thinking and critically analysing one’s experience to improve professional practice. Reflection on nursing situations not only promote the nurse’s professional development but also improve the quality of nursing care to patients (Gustafsson & Fagerberg 2004). According to Dolphin (2013), reflection process consists of systematic appraisal of events and examination of its each component to learn from the experience to influence the future practice. Though there are many models available to structure the reflection, I have chosen Gibbs model (1988) as it follows specific steps in a systematic way in reflection process. And also, this model emphasises the role of emotions and acknowledges the importance of emotions in the reflection process. This is a simple framework and this assignment will follow the headings as per this model. The incident I will be reflecting
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.
Critical thinking in nursing process is a process by which the nurse with critical spirit can obtain, organize, and analyze information, apply it with experience in a real scenario and also make informed decisions (Potter & Perry).Critical thinking and its importance has been examined carefully through the years by many scholars, because it is an essential element in the nursing practice (Edwards,2007).Explanation and description from critical thinking scholars have coincided, making stress upon the three elements mentioned above. We observe that implementing and making decisions are the cornerstones of critical thinking in life in general and in the nursing practice in particular. Hence, critical thinking entails the thinking process, not just problem solving or decision making. We will study the importance of these elements.