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evluation of clinical reasoning
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Utilising John’s model of structured reflection I will reflect on the care I instigated to a patient with complex needs. The patient in question was admitted to the Emergency Assessment Unit for surgical patients then transferred to the ward where I work as a staff nurse.
The patient in question was admitted with suspected pancreatitis. This piece of reflection will pay particular attention to the care I gave the patient in the form of instigating admission documentation, assessing their condition, instigating care plans and administration of any medications required. The patient in question had complex needs and as a staff nurse and according to the NMC (2009) I should be able to provide the care he/she required.
The main aim of this reflection is to demonstrate that I provided this care. During my training as a student nurse, I have been involved with many patients with complex needs of a with the support of a mentor, however this was, primarily, the first time since qualified and on completion of my registration that I became responsible and accountable for my practice.
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).
DESCRIPTION
The patient was transferred into my care via the Emergency Assessment Unit for Surgical Patients (EAUS). I was given handover by the charge nurse who has already pre-a...
... middle of paper ...
...e disease process of pancreatitis. This situation has changed my practice by looking more in-depth into disease processes and the complications I could be faced with. I need to beware of how conditions can change and always be one step ahead in foreseeing these changes to be able to deal with these situations when they arise.
REFERENCES
Bulman, C. & Schutz, S. (2004) ‘Reflective Practice in Nursing’ 3rd Edition Oxford:
Blackwell Publishing
Davis, C; Finlay, L; & Bullman, A. (2000) ‘Changing Practice in Health and Social Care, London: Open University Press
Dougherty, L. & Lister, s. (2006) ‘The Royal Marsden Hospital manual of Clinical Nursing Procedures: Communication 6th Edition Oxford: Blackwell Publishing Ltd
Hillard, C. (2006) ‘Using structured reflection on a critical incident to develop a personal portfolio’, Nursing Standard Vol 21(2) 35-40
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
Nurses are constantly being encouraged to be reflective practitioners (Sommerville and Keeling, 2004). Reflective practice can be defined as the process of making sense of events, situations and actions that occur in the workplace (Oelofsen, 2012; Boros, 2009) It helps the practitioner in thinking and examining his actions and behaviour thereby, aids in his learning and improvement. Reflective practice is important for nurses. The NMC Code (2002) states that nurses are responsible for providing care to the best of their ability to patients and their families. As nurses, according to Sommerville and Keeling (2004), they need to focus on their knowledge, skills and behaviour to ensure that they are able to meet the demands made on them by this commitment. Identifying strengths enable nurses to learn, develop and grow professionally.
Burns, S. Bulman, C. Palmer, A. (1997) Reflective Practice in Nursing - The growth of the professional practitioner. London: Blackwell Science.
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).
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 will be using the What? Model of Structured reflection suggested by Driscoll (2000), a recognised framework for reflection to demonstrate my ability to reflect on a clinical skill with the professional value of privacy and dignity.
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.
This essay is going to reflect upon the nursing skills I developed during a period of placement simulations, placing emphasis on oral care, communication with a non-engaging patient and bed bath. It will outline the fundamental aspects of clinical nursing skills that I have begun to acquire. This will also highlight the learning processes which took place and how it helped me to enhance my knowledge, and ethical values in order to deliver quality and safety of care. Using a variety of sources from current literature, I will use a reflective model to discuss how I have achieved the necessary level of learning outcome. By utilising this model I hope to demonstrate my knowledge and understanding in relation to these skills as well as identifying areas with scope for learning.
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 introduced myself to the patient stating that I was a student nurse and gained verbal consent to carry on with the assessment, as a student nurse you must respect patients wishes at all times, if t...
The purpose of this essay is to reflect and critically study an incident from 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 then I will examine issues raised in light of the recent literature relating to the incident. My essay will include a discussion of communication, interpersonal skills used in the incident, and finally evidence based practice. I will conclude with explaining what I have learned from the experience and how it will change my future actions.
A study conducted by academics found that undergraduate nurses feel reflection is the key to changing and improving their practice. (Bulman, Lathlean, & Gobbi, 2011). Reflection assists nurses to enhance their nursing abilities by encouraging them to reflect on negative experiences, in order to overcome similar experiences in the future. This essay will aim to demonstrate the importance of reflection within nursing, additionally providing me with a platform to reflect on my decision to become a nurse. I will begin by reflecting upon the factors that influenced me to choose nursing, followed by an explanation of the benefits that reflection has on nursing. The essay will conclude by summarising how I will put reflection in practice throughout
We often replay situations in our minds, thinking back on what occurred, reviewing interpersonal aspects of events, and maybe even second guessing our own actions during an event. This is when nurses learn most, as they attempt to make decision and reflect upon their actions (3). Self-reflections in nursing is something that a professional nurse considers throughout his or her entire career (7). By writing reflections the nurse can distance herself from the experience, enabling more objective writing in the reflection
Continued Professional Development is now an important part of ongoing registration with the NMC and is essential in maintaining professional standards. In order to revalidate, nurses must write 5 reflective accounts within a 3 year period and each reflective account must explain what the nurse has learnt from the CPD activity and explain how it relates to the Code of Conduct and in particular the 4 themes of Prioritising People, Practicing Effectively, Preserving Safety and Promoting Professionalism and Trust.. Nurses also have to discuss the written reflective accounts with another NMC registered nurse coving the 5 reflective accounts Section 9.2 of the NMC code of conduct asks nurses to “gather and reflect on feedback from a variety of sources, using it to improve your practice and performance” (NMC, 2015) This is why the NMC promotes reflective practice as it ensures the nurse is practicing within their competency and in a safe manner while identifying any areas for improvement in their practice Reflective practice also makes the nurses more accountable for their actions.. (NMC, 2015) Reflective writing is an important feature of professional 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 area that could be
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.