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 am a registered staff nurse who prior to commencing my midwifery training was working on a surgical ward facilitating pre and postoperative care for critically and chronically ill patients. I was fortunate that during my nursing training I had an opportunity to be assigned practice placement with the community midwives and visit the labour ward. After this learning experience I was able to make a decision to undertake midwifery training after completing the required period of post registration experience. While with the community midwife I attended antenatal clinics where I practiced midwifery skills, namely palpation and auscultation with a Pinard’s stethoscope and enhanced my communication skills. Unfortunately I was unable to hear anything through a Pinard’s stethoscope and so when I made a decision to pursue midwifery tr...
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... ensure that I practiced my communication, palpation and auscultation skills. I would ensure that I showed confidence when dealing with the women as lack of confidence may make the women anxious as they rely on the midwifery service to provide them the best possible care. I will continue to build on the knowledge and skill provided by my mentor Lucy namely communication, palpations and auscultation, as they are the major skills required to be a competent practitioner. I believe that in future this incident will have a great impact on the care I provide, as should any of the things that came up reappear I will be able to act upon appropriately. As a result of this incident I went home and carried out research on antenatal care and the routine for abdominal examinations. This was aimed at ensuring that I enhanced my knowledge base to allow me to cope effectively.
Saunders (2012) states that the treatment of a breech delivery requires the paramedic team to work simultaneously and efficiently to perform several interventions. He states that the paramedic team should undertake a primary survey and introduce themselves to the patient on arrival. From the initial patient contact, the paramedics should begin providing reassurance to the patient and their family, both verbally and non-verbally (Saunders, 2012). Reassurance aims to reduce patient anxiety, create a rapport with the patient and encourage an environment of care, respect and understanding (Pincus et al., 2013). The paramedic team should complete a secondary survey, including vital signs and a complete patient history, particularly pregnancy relevant
The Codes of Practice is issues to all registered nurses, midwives and health visitors. The Council i...
The purpose of this Reflective assignment is to demonstrate how the application of the Registered Nurses standards for practise (2016) can be used in reflective practise. The Registered Nurses standards of Practise (2016) states that RN’s should develop their practise through reflecting on experiences, knowledge, actions, their feelings and beliefs and recognise how these factors shape professional practise(RNSP, 1.2).Reflection allows individuals to look back on their day-to-day situations and how they made us react and feel; what we would change if we had the chance, to create a different outcome; and what we would do next time to enhance the way we conduct ourselves in a professional manner.
For any mother the birth of a newborn child can be a challenging experience. As nurses it is part of our job to ensure their experience is positive. We can help do this by providing the information they will need to affective care for their newborn. This information includes topics such as, breastfeeding, jaundice, when to call your doctor and even how to put your baby to sleep. When the parents have an understanding of these topics before discharge it can largely reduce their natural anxiety accompanied with the transition to parenthood. Health teaching for new parents is seen as such an important aspect of care on post-partum floors it is actually a necessary component that needs to be covered before the hospital can discharge the patients. At the moment the strategies most hospitals use in Durham Region are Video’s and Parenting Booklets that are primarily based in the English Language. In such a culturally diverse region this becomes a barrier to providing the health teaching to patients who do not speak English as a first language (ESL). This reflection will explore the challenges I faced when providing health teaching to an ESL patient as well as the importance of health teaching in the post-partum area.
My essay will include a discussion of communication, interpersonal skills used in the incident, and finally evidence-based practice. I will conclude by explaining what I have learned from the experience and how it will change my future actions. In accordance with the 2002 Nursing and Midwifery Council, the client details and placement setting has not been disclosed in order to maintain confidentiality. Critical incidents are snapshots of something that happens to a patient, their family, or nurse. It may be something positive, or it could be a situation where someone has suffered in some way (Rich & Parker 2001).
(9) United Kingdom Central Council for Nursing, Midwifery, and Health Visiting. (UKCC) (1992). Primary Health Care, Code of professional conduct for the nurse, midwife and health visitor. London: UKCC.8 (2)
...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.
Pairman,S., Tracy, S., Thorogood, C., & Pincombe, J. (2013). Theoretical frameworks for midwifery practice. Midwifery: Preparation for practice.(2nd ed, pp. 313-336). Chatswood, N.S.W. : Elsevier Australia
Nursing and Midwifery Council (2008) The Code Guidelines for records and record keeping. London: Nursing and midwifery council
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).
This reflective essay will lay emphasis on one of the learning needs I have developed during my two week taster placement in hospital. Reflection helps an individual build upon their skills and makes room for self-criticism as he or she can contemplate upon actions and make relevant changes (Taylor, 2000). I will be applying the “What”, “So what” and “Now what” model of reflection by Driscoll (2000) in this piece of work because it is a more coherent and comprehensible approach to follow when writing a reflective account and is also an easier guide to writing reflections. The learning need I chose to reflect on from my learning plan is having a better understanding of diabetes and the 6 basic medications used in treating the condition since it is a common illness on the ward I am have been allocated on for my first placement. The timescale set for achieving this objective was by the end of my two week placement that is from 27th January to 9th February and I achieved it with the help of a host of factors. In this assignment, all the names of the patients and wards have been omitted and indicated with letters and numbers for confidentiality reasons as stated in the Nursing and Midwifery Council (NMC) code of conduct (2008). The paper will primarily touch on the type 2 diabetes and furthermore on the achievement on my learning need.
Every obstetrician must be skilled with many qualities like communication skills, people skills, bedside manners, and relationship skills, and be able to work under pressure. Having great communication skills helps obstetrician be able to clearly have a conversation with a patient making it easier for them to collect medical history among other important detail. Without great communicating skill the doctor might not know how to properly diagnose a patient and instead of helping them out they actually might be hurting them. When an obstetrician has good people skill it makes it easier to understand people 's differences and abilities from all sorts of backgrounds. Having terrible bedside manners has actually been proven to affect a patient 's health by not fully trusting the doctor. Since an obstetrician works on a team with other medical professionals relationship skills are needed to be able to work peacefully with other doctor and nurses. Learning to work under pressure is a very important skilled need just incase something does not go well during an procedure. At this very point in my life I may not completely master everyone of these skills, but as I move along in life I am sure I will be able to practice these skills making them become easier to
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.
I have used the recommended reading list in the course handbook to write this essay, yet it has taken me several pages and numerous edits to produce this final script. In order to avoid confusion in style, I consulted mainly two books but paid particular attention to Gimenez J (2007) Writing for nursing and midwifery students Palgrave.
This journal is a reflection of my experiences and lessons learned thus far within this course. Upon my reflecting, there were lessons that stood out the most. Also, there are nursing practices in my associate’s degree of nursing program (ADN) that correlates with the standard of care that was recently discussed. This reflection also prompt me to consider more in depth the necessary skills and attributes to become a competent nurse.