The aim of this paper is to analyse a critical incident which occurred at the student health visitor’s area of practice. A critical incident is an event which when it occurs, makes one pause and consider the situation to give an element of understanding whilst dwelling on the negative and positive aspects of the experience in transforming knowledge and behaviour Hannigan (2001), as cited in Elliot (2004). In order for one to analysis an events there is a need for reflection on the process and evaluate its outcome. Critical incident analysis is identified as discussion and reflection on motives and justification of actions used when an incident happens and its effectiveness in enhancing practice in future (Elliot 2004). This process involves …show more content…
In giving an effective analysis Driscoll model (Rolfe, 2011), will be also utilized as it the outline is simple and straightforward giving the reflector room for an in depth analysis and understanding for each stage (Robinson, 2015). It has three outlines which are: the “what” stage this describes the incident, the “So what” stage which is where the incident is analysed and “now what” which is the final stage where the reflector assesses the circumstances and implication on practice (Rolfe, 2011). In discussing the incident, which is lack of information sharing among teams, a critical analysis will be done using evidence based practice. Subsequently, two reflective models will be used to analyse the incident which are John’s Model of Structured Reflection (John, 2006) and Rolf framework (Rolfe, 2011). Finally, a change in practice will be proposed to improve future practice. In relation to the Nursing and Midwifery Council (NMC) Code of Conduct (2008), the mother will be known as Lilly to promote confidentiality and privacy in the critical …show more content…
This critical incident involved a first time mother who gave birth at pre temp- 35weeks. Baby stayed in hospital for two weeks before being discharged home. After about two days of being home, mother called her health visitor, the student‘s practice teacher to inform her that baby was having breathing difficulties. Health visitor advised Lilly take the baby to A&E straight away which she did. Baby stayed in hospital for a further 7days before being discharged. The hospital discharged baby without informing the health visitor. The health visitor (HV) called to get an update, only, informed that the baby had been discharged two days ago. An emergency appointment was booked to visit Lilly and the baby at home immediately where a review of needs where done and care was recommenced. The student health visitor accompanied HV for Lilly new birth visit and was also present when Lilly called her HV for advice with regards to baby having breathing difficulties. The “so what “stage of Driscoll model (Rolfe, 2011) allows the exploration of this incident in all its perspectives. Therefore, critical analysis will be completed with the key themes being effects of having a pre-term baby, maternal anxiety, cultural differences, communication, therapeutic nurse relationship, and its impact on
My role as a patient advisor with Kaiser Permanente began in 2010 after the birth of my daughter. I was induced and spent 6 days in the hospital and during that time my family and I experienced wide fluctuations in the level of care and communication provided by the various healthcare professionals attending to us. At the end of my stay, I shared my observations and perception of the labor & delivery and postpartum hospital experience with the department administrator and ombudsman. Upon providing my feedback I was impressed with the reception I received. My input was welcomed and embraced.
Trawick-Smith (2014) argues “Modern technology has given rise to a set of standard medical procedures used frequently in hospital births in Western Societies” (pg. 89). One of these standard medical procedures is the caesarian section. The caesarian section is a process where the newborn is removed surgically, an incision is made in the abdomen and the baby is removed from the uterus (Trawick-Smith, 2014, pg. 89). Throughout the years the caesarian section has become increasingly popular. The film argues that hospitals have different motives when it comes to the delivery of newborns.
Management of Care Case Study Josepha is working on a medical surgical unit with three other RNs and one LPN. There is also a male and a female patient care tech. Josepha has been a nurse for four months, and after completing two months of orientation she takes a full assignment as a registered nurse. Josepha feels that the assignments she receives are not always fair, as she tends to get the most challenging clients.
Driscoll (2000) model) consists of three stages (What, So what & Now what) completing one cycle help me to improve my caring practice continuously and learning from those experience for better practice in the future. The cycle starts with a description of the situation (“What”), which include analysis of the incident. “So what” evaluate the experience, including the analysis to make sense of the experience, and the final stage “Now what” is a conclusion of what else could I have done better and an action plan to prepare for, if the similar situation arose again. Baird and winter (2005) gave some reasons why reflection is required in the reflective practice. They highlighted that a reflection could generate the practical knowledge, help to adapt
It includes describing the incident, your thoughts and feelings at that time, evaluation about the incident, analysis of the situation, what else could you have done, and the action plan that if happen again, what will you do? Reflective practice enables healthcare professionals not to be stagnating and do strategic planning. It is part of their continuous professional development and an assurance of high standards of care quality provided. Reflective practice bridges gap between theory and practice (Brightside,
The evaluation is the final part of my three mandatory written pieces of my graded unit. The final evaluation stage of the graded unit requires me to reflect on how the activity went, whilst highlighting my strengths, areas that require future development and identify my weaknesses, this, in turn, will enable me to adapt my practice to ensure I am continuously supporting patients to the standards set within The Nursing Midwifery Council (NMC). Looking back on the activity, I am proud of myself for being able to plan and follow the activity through to complication. When completing the book with Mr X I found it to be an enjoyable activity that not only offered benefits to Mr X but also to myself, it allowed me to understand the importance of building a therapeutic relationship with a patient. Building a successful therapeutic relationship required me to have good communication and interpersonal skills, (Radcliffe and Ford, 2015), that allowed me to build a relationship with Mr X based on mutual trust and respect.
One of the most prevalent ethical issue associated with reflective practice is that of confidentiality, although no names are revealed when reflection takes place, it can be questioned as to whether the interactions we have with patients should be used to help further our professional development (Hargreaves J. 1997). Reflection and reflective practice also have professional implications as it increases the student’s vulnerability as they are recounting events which could have caused them distress in the past as reflection itself is a process which requires the individual to reveal the minute details of how an event made them feel, therefore it is vital that people who are undergoing this process have the support that they require (Cleary M. et. al. 2013). Knight K. et. al (2010) argue that not only do students need this supervision, reflective practice groups should be favoured as they give the students more support, not only from their supervisor but also their peers who could be going through the same
This becomes difficult to manage when the midwife has several women and babies to care for, as well as having time to mentor students such as myself. Nurses and midwives take pride in their caring and compassionate traits. However, staffing levels may influence these important attributes. Each individual nurse is different and provides the best level of care possible, yet it is found that some nurses
In this booklet we want to challenge you to think about reflective practice and how you might use reflective practice in your workplace to improve the way you practice, your working relationships and ultimately achieve better outcomes for you and the young children you work with. We all reflect but in different ways and about different things. Often the reflection provides the “story of the day” that we may muse overby ourselves or tell a sympathetic ear, but ultimately the “story of the day” we want others
The Process of Reflection The process of reflection is central to clinical supervision. Launer (2003) describes external and internal factors in supervision whereby clinical practice and sharing skills are external and reflection is an ‘internal conversation.’ Brunero & Stein-Parbury (2008) discussed the effects of clinical supervision in nursing staff and argued that self-reflection generates a sense of self-awareness and knowledge to the individual. Supervisees or students may be asked what happened during a clinical event, how they felt, the implications of their actions and what they would do differently if faced with the same situation.
With reflection it is important that the individual is honest, which needs to be reflected in written record keeping, this enables others to easily understand what has occurred (Williams et al, 2012). Reflective practice is mainly used to assist nurses and healthcare professionals to gain an
Introduction Teamwork builds up the ability of nurses and other healthcare providers to implement higher quality and a more holistic care. In this essay, firstly, I am going to discuss about teamwork in nursing. Secondly, I am going to talk about the importance of teamwork within nurses and other healthcare providers. Thirdly, I am going to discuss about the benefits of having teamwork and proper delegation needed among nurses. And lastly, using Singapore nursing board, code of ethics and professional conduct that direct to this clinical situation.
The Term reflection can have many meanings to many people. Reflection can carry meanings that range from the idea of professionals engaging in solitary introspection to that of engaging in deep meaningful conversations with others. But for this assignment I will focus on; what is refection in the clinical setting, why it is important for health care professionals to reflect and where the ideology of reflection came from. I will also provide a personal experience of reflection during my time in the clinical setting that helped me to come up with a solution to a challenging situation. WHAT IS REFLECTION?
The Gibbs’s reflective cycle comprises of six stages, which are description, feeling, evaluation, analysis of the incident, conclusion and an action plan. I used these stages as a guidance tool during the process of reflective essay about my critical incident (Parsons and White 2008). Nursing in the past was more habituated and ritualistic than rational and precision. Nurses were not encouraged to question their practice let alone reflective practice.
The arrival of a new baby, especially the first always marks a new beginning for a mother. It comes with a lot of challenges more so if the mother is less knowledgeable about baby care. Take such as cleaning the baby for the first time, or feeding, it is not easy. The baby is still fragile and slippery and needs a special care. But if the mother is not ready for all these, or maybe, does not have any knowledge on what to do, the baby’s life might be endangered since the baby needs a special care which only the mother can give.