Introduction In my assignment I have been asked to analyse and reflect on learning a clinical skill that I gained experience in, in the clinical skills laboratory. As a student of the BSc. Nursing (General) programme I have completed a module on, The Art and Science of Nursing. Throughout this module, we explored the historical advancement of nursing and how it has evolved since the time of Florence Nightingale. We also discussed how to be professional in the hospital setting and also how to deliver good quality care, by taking part in the practical tutorials each week. In the lectures we were shown how to reflect back on our experiences and I have chosen to reflect on the skill of taking and documenting blood pressure. In my assignment I will use Gibbs’ model of reflection (1988) as a framework to guide my writing, because I feel this model best helps me to think back on my practical performance in the lab. According to Chauhun and Nobel (2009) reflection allows the healthcare worker to refer back to an event and analyse their thinking processes and method in order to gain a new …show more content…
By going through each section you can fully analyse a situation yourself. The aim of Gibbs’ model is to challenge our own expectations and to see how we can improve on our skills. In the description, you tell the reader what you are going to reflect on. For feelings you discuss your thoughts about the experience. In evaluation you talk about how well things went. In the analysis you consider what you think might have helped or prevented the experience from going well. For the conclusion, you would discuss whether you could have done anything else or, could have responded differently to the situation. Finally, in the last section, the action plan, you would describe what you could improve on if the situation was to occur
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
“She envisioned what nursing could be and should be and set about bringing this vision to fruition. She created a model of nursing that persists to this day in the form of honor and respectability associated with nurses, highly structured nursing education, and holistic patient care approaches. She was ahead of her time, engaging in research and effecting sweeping policy changes when women were heavily discouraged from such endeavors.” She was a leader and reformer who led the way for the development of science based practice in the 21st century. “If we were to derive one simple lesson from Nightingale’s life and work, it would come from this single unifying thread that society has a big responsibility for the health of all its members.”
This reflection is sought about through the use of reflective cycles, for example Gibbs (1988). Reflection enables the student to develop his or her own theories behind why an event occurred, this is also achieved by linking theory to practice in order to gain a deeper understanding (Levett C. 2010, Stonehouse D. 2011). For this practice placement portfolio the reflective cycle that I have chosen is The Reflective Cycle by Gibbs (See appendix one) (Gibbs 1988). Although it wasn’t made predominantly for reflection through nursing scenarios, as it was developed for educational purposes, it does give the student a cycle which can be used easily to analyse their event in a linear fashion. Although Gibbs reflective cycle is one which is mainly focused on the event itself, rather than the knowledge that can be sought from delving further into the reasoning behind an event, it does create a cycle which allows the individual to focus on their actions and the reasoning behind what they did.
Reflecting on the past seven weeks I have acquired countless knowledge, which I will use to further strengthen my profession as an Advanced Practice Nurse. The course allowed me to think beyond my current practice knowledge and acquired innovative ways to evaluate the situation at hand. The learning objective in program outcome four helps set standards that I will use to guide my clinical practice to meet various healthcare needs. Using the case studies has helped to further enhance my knowledge on disease physiological state, using differential diagnosis, disease manifestations, and clinical presentation. It has also taught me the skills on how to differentiate between similar diagnoses to properly identify the problem and treat the patients.
The following reflection piece is based on an event which I experienced during my internship placement. Johns model of reflection will be used for this assignment. The reflection is based around my own personal experience with a terminally ill patient. It focuses on one main issue, providing hope for patients and how I felt about it. it also discusses my feelings, the knowledge I had, my knowledge gaps and what I learnt through literature during my reflection.
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.
The professional values that I have chosen to reflect on is consent. Using Driscoll (2007) model of reflection which is components circle involves three events: what? So what? Now what? A reflection account will focus on my experience of working in the surgical ward.
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
In the past I have shown my strength in this area of nursing care when looking after family members that have fallen victim to sickness. Whenever someone tells me that they are not feeling well, I immediately jump into action and try my best to make sure that they feel “cared for” .The feeling of pride and satisfaction I experience after caring for a person that is unwell is what originally made me choose nursing as a career. Caring is a basic attribute of human growth and development (Griffin 1983). This is why, as a nursing student I know it is such an important strength to be utilised when helping a patient to feel better.
Reflection is like looking in a mirror and describing what you see. It’s about thinking back to an experience and questioning what I did, and emotions that I felt during the experience, and then reflecting on a better and more sufficient way of doing it in the future (UNISON, 2016). Gibbs Reflective Cycle is the model that I have chosen to use while reflecting back on the module “Learning from service users and carers”, Gibbs believes that this module is useful for helping people learn from what that they experienced. He calls this “Learning by Doing” (Mind Tools, 2016). When finding out that a module I would cover on the social work degree was learning from service users and carers, my initial thought was care homes and carers within them.
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.
Learning such skills should start at university [12,13]. This helps them efficiently apply theoretical knowledge acquired at university in real-world situations where they are expected to solve patient ’s problems [12]. Given that the main goal of education in medical sciences including nursing is to develop professional competence, decision-making skills and problem-solving, nursing education is responsible for creating an environment where students can learn and acquire cognitive, affective and psychomotor skills. Therefore, nursing students are provided with practical skills, strategies, and approaches so that they will able to solve patient’s problems in real-world situations in the future
In this course, I learned the different nursing theories and how it has been
It is very easy to get wrapped up in the day to day tasks that we complete as nurses. But in order to give our patients the best possible care, we must look at our day through a holistic lens. The following essay will outline the theory as created by the “lady with the lamp” Florence Nightingale. We will look at the different components that are important to a patient’s health and outline on to incorporate these components into current practice.