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. This assignment also covers the importance of hope for patients and the role hope plays in terminally ill patients. I will also discuss ways in which health professionals can foster hope in terminally ill patients.
According to Hogston and Simpson (2002, p398) reflection is "a process of reviewing an experience of practice in order to better describe, analyse and evaluate, and so inform learning about practice". Wolverson (2000, p24) includes this is an important process for all nurses wishing to improve their practice. I hope that by using reflection I will be able to identify my strengths and weaknesses. This will enable me to focus on particular learning goals and benefit more from my placements. Driscoll (2000, p17) states that reflective learning will help you become more self-aware in your clinical practice.
Reflection is when an activity or incident requires thought about the action, and is used to determine what points are positive and negative, and how it could be improved or changed if done again in the future. The reflection process begins with thinking about an incident and how the situation can be utilised in future situations. The process consists of being open, this would involve an individual looking at things from a different perspective. In addition, the process would involve being inquisitive, desiring knowledge. 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).
To allow anything to develop in a relationship, both parties must allow the variable to grow and prosper. To develop a variable such as trust, one must possess a number of personal and professional qualities. When a person trusts another person it means opening up for an action and expecting the other (trustor) to act in accordance with his/her (trustee’s) wishes, interests or will (Rortveit K. et al. 2015). The power issue between patients and nurses can cause some patients not to avail of health care services (Rortveit K. et al. 2015). Trust is an important aspect of nursing and has been the focus of nursing theory and research (Rortveit K. et al. 2015).
According to Julia Wood (2004), “communication is a systemic process in which individuals interact with and through symbols to create and interpret meanings. However, Sheppard (1993) suggests that, in the nurse–patient relationship, communication involves more than the transmission of information; it also involves transmitting feelings, recognizing these feelings and letting the patient know that their feelings have been recognized (M, 1993)”. It is a two way process. The patient conveys their fears and concerns to their nurse and helps them make a correct nursing diagnosis. An excellent communication skill between nurses and patients is essential for the successful outcome of individualized nursing care of each patient. The ability to communicate
These two models can be interlinked to enable the student to explore his/her thoughts are feelings without making assumptions whilst creating learning opportunities to change future nursing practice. Due to having two different models of reflection, where Johns (2000) reflective model does not permit the practitioner to delve into their thoughts and feelings, Driscoll (2000) model of reflection enables them to do so to achieve different learning outcomes (Jasper, 2013).
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).
According to Patterson & Krouse (2015), It is important to transfer the message in a good way, for that the communication skills is one of the most important basic skills of nursing leadership. More than that, communication in nursing can make their job efficiently and help them to communicate with a wide range of people, including the patient, patient 's family, and healthcare providers. However, unlike bad communication, which increases nursing staff problem and can lead to worsening the patient health condition, a good communication saves time and reduces the problem of nursing staff in resaving and deliver the right information. Furthermore, communication is not only talking with the patient it’s also listening to what the patient 's family and healthcare providers are saying to collect more information that helps the nurses to save lives. In this paper, I will reflect my communication that goes well with one patient.
A primary concept of nearly all nursing theories is the belief that humans are the center of nursing care. No matter what setting nurses are practicing in, the goal is to optimize patient outcomes by holistically caring for patients, families, and their environments. Imogene King took this idea, divided in into three systems: personal system, interpersonal system, and social system, and related the systems to goal attainment and specific concepts.
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. In doing this the individual can create their own theories behind the event and are able to develop a plan for the future if a similar event was to occur (Jasper M.
that while nurses plays a very important role in improving the health care system of the country,
As a student I found that as I observed or taught my philosophy changed. I looked into other theories to see if I could build upon my existing knowledge and beliefs. Something that would assist me in the classroom and increase my ability to teach.
Communication is described as the interchange of information, thoughts, and feelings between individuals using dialog or other methods (Kourkouta, & Papathanasiou, 2014). Communication between patients, nurses, and other healthcare professionals can influence the patient outcome subsequently, understanding what establishes an effective communication will be beneficial for nurses and other healthcare professionals. Having the skills to articulate efficiently exists beyond having verbal skills. According to Wright (2012), to establish effective communication, a nurse should develop the use of nonverbal cues such as body language, demonstrating active listening skills to facilitate assurance that the interaction remains successful, and having
An event that was significant to me throughout clinical placement was when I forgot to introduce myself to a visually impaired client.
All human beings communicate either with intention or without intention every single day. According to Barth (2014), Palo Alto Team stated “ one cannot not communicate” in one of their axioms of communication. Communication can be defined as “a social process in which individuals employ symbols to establish and interpret meaning in their environment” (Went & Turner, 2014, p. 5). It can be divided into three models in order to enhance our understanding towards the function of communication, which are mainly linear model, interactional model and transcactional model (Wood, 2009). According to Went & Turner, 2014, there are also different traditions and contexts in communication where it helps us to break down difficulty when we attempt to understand communication theory and their process.