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The importance of reflection in healthcare
Reflection in health care practice
Introduction to health assessment
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The nursing profession is wide with many specified disciplines, which is why there is a necessity for frameworks to be implemented. These frameworks govern various procedures including: health assessments, effective communication, nurse/patient interactions, education and health promotion, clinical reasoning and reflective strategies. These procedures are vital to the function of a health service and must be moderated to ensure treatment is being delivered effectively.
Inadequate data collection from patients is unacceptable, which is why it is necessary to have and implement health assessment frameworks or strategies. Health or nursing assessments are continuous cycles of data collection and making inferences. There are steps to be taken to ensure adequate collection of objective and subjective data, these steps need to be taken in order otherwise an inaccurate assessment may occur. These steps are: assessment, diagnosis, planning, implementing and evaluation (Lewis, Foley, Weber, & Kelley, 2011, p. 2-5). Nursing assessments aim to collect subjective and objective data to determine a patient's overall functionality in order to make a clinical judgment, the nurse collects data relating to all areas of individual health. It is my opinion that appropriate health assessments are necessary to ensure a patient receives the correct treatment plan. All health assessment frameworks follow the same steps in organizing treatment, due to the wide scope of nursing disciplines there are varying focuses on these individual steps i.e. the emergency room could be more focused on the assessment in order to triage the patient. To help alleviate the patients or family members who may be distraught a health professional should take the time to expla...
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... of previous events. To conclude, reflection is a skill necessary to the efficient function of a nurse in order to identify risk factors, which can be reduced by better preparation.
To summarize, there is a constant need for health frameworks to govern nursing procedures. Nursing assessments require frameworks to reduce risks of wrong treatment, effective communication is required between colleagues and patients to avoid confusion. A standard of professionalism is required to ensure nurses aren’t over involved with their patients, education is important in promoting individual health, clinical reasoning is vital for the immediate treatment of a patient. Lastly reflection is ideal to analyse the positives and negatives, it is best to follow the Gibbs reflective cycle when evaluating methods. Health frameworks will play a constant role in the regulation of procedure.
...the patient’s family more within the assessment after obtaining the patients consent, but my main aim in this case was to concentrate the assessment, solely on the patient, with little information from the family/loved ones. This is a vital skill to remember as patients family/loved ones can often feel unimportant and distant toward nursing staff, and no one knows the patient better than they do, and can tell you vital information. Therefore involvement of family/ carers or loved ones is sometimes crucial to patient’s further treatment and outcomes.
This essay will demonstrate an understanding of the clinical reasoning cycle which describes the procedure by which nurses gather prompts, process the data, come to an understanding of a patient’s problem, design and implement interventions, assess results, and reflect on and learn from the process (Hoffman, 2007; Kraischsk & Anthony, 2001; Laurie et al., 2001). The clinical reasoning cycle consists of five main stages, it comprises of; considering the persons condition, collecting indications and data, processing the information, recognizing problems/issues and detailing the assessment (Levett-Jones 2013). Throughout this essay these five main parts of the clinical reasoning cycle will be discussed and put into context. The first step of
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
Rush, S., Fergy, S., Wells, D., 1996. Nursing Process. [pdf] Available at: [Accessed 05 December 2013].
To make good nursing decisions, nurses require an internal roadmap with knowledge of nursing theories. Nursing theories, models, and frameworks play a significant role in nursing, and they are created to focus on meeting the client’s needs for nursing care. According to McEwen and Wills (2014), conceptual models and theories could create mechanisms, guide nurses to communicate better, and provide a “systematic means of collecting data to describe, explain, and predict” about nursing and its practice (p. 25). Most of the theories have some common concepts; others may differ from one theory to other. This paper will evaluate two nursing theorists’ main theories include Sister Callista Roy’s
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).
It may have been something you did differently that had a positive result and you may conclude you would do it again upon reflection. The most important part of reflection is making sense of situations and events that occur so that our decision making and any actions we take lead to good, effective 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 areas that could be developed.
ANA describes “The Scope of Nursing Practice (as) the “who,” “what,” “where,” “when,” “why,” and “how’ (8).’ In other words, it is the responsibility of the nurse to know who their patient is, what the patient’s diagnosis and treatment are, where it is they will be delivering treatment, the rationale behind their actions, and how they will deliver the care. By following the scope of practice, nurses reduce avoidable errors and are aware of the liability their actions entail. The ANA also puts forth a nursing process to guide nurses in treatment. The constantly evolving process is currently assessment, diagnosis, identification of outcomes, planning, implementation, and evaluation (ANA 9). Though this method has dramatically improved nursing care, it may be necessary to repeat steps to adapt to a patient’s changing needs and pathologies. By following guidelines set by the ANA, nurses are able to better connect with their patients and instill the image of professionalism to the public while also optimizing safety
According to the American Nurses Association, nursing is defined as “the protection, promotion, and optimization of health and abilities, prevention of illness and injury, facilitation of healing, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, groups, communities, and populations” (American Nurses Association, 2016). Nurses have many jobs and responsibilities and wear many different hats. Nurses can perform at many different levels depending on their scope of practice which is defined by the board of nursing in one’s state of residence. It is important as nurses to understand and follow
Reflecting back on the all the information learned this semester, I am amazed at how much I learned. Working in healthcare makes you aware of a lot of the topics that were covered, however, when you apply it to yourself, in a personal relationship, it becomes much more powerful what the impact of each topic is.
Nursing entails self- directed and cooperative health care for the society at large in all contexts. It includes the promotion of appropriate practices to enhance health, prevention of diseases,
Dougherty, L. & Lister, s. (2006) ‘The Royal Marsden Hospital manual of Clinical Nursing Procedures: Communication 6th Edition Oxford: Blackwell Publishing Ltd
The nursing process is one of the most fundamental yet crucial aspects of the nursing profession. It guides patient care in a manner that creates an effective, safe, and health promoting process. The purpose and focus of this assessment paper is to detail the core aspects of the nursing process and creating nursing diagnoses for patients in a formal paper. The nursing process allows nurses to identify a patient’s health status, their current health problems, and also identify any potential health risks the patient may have. The nursing process is a broad assessment tool that can be applied to every patient but results in an individualized care plan tailored to the most important needs of the patient. The nurse can then implement this outcome oriented care plan and then evaluate and modify it to fit the patient’s progress (Taylor, C. R., Lillis, C., LeMone, P., & Lynn, P., 2011). The nursing process prioritizes care, creates safety checks so that essential assessments are not missing, and creates an organized routine, allowing nurses to be both efficient and responsible.
Especially since nurses in the course of their day-to-day work need to be able to act autonomously and make appropriate clinical judgements (9). Reflection can be of value in making sense of difficult situations, as it allows one to clarify the situation for themselves and the outcome is to have a changed perspective which enables the nurses to improve his or her clinical judgement (2). Thus why, it is imperative nurses engage in lifelong reflection which recognises its value for professional growth and development and improvement in the quality of patient care (7). The Gibb’s model of reflection, for example is a great tool that nurses can use daily to help improve these skills.
For the Health Assessment and Health Promotion portion of NURS 255, we were paired with 66 year old G.T., a resident of the senior living community Freedom Village. Over the course of two visits, we were able conduct a health history and physical assessment on our client, who was in outstanding health in comparison to her other individuals her age. She even reported, “this may not be too interesting to you -- I don’t have much wrong with me.” Our health assessment was incredibly average, with normal responses across the board and an occasional childhood story thrown in. The only health concerns that she had were related to weight-loss, risk for breast cancer, symptoms of a 10-year-old hip injury, and common fears about end-of-life and her social