It is the underlying foundation of the process, on which other phases of the process are based upon (Foster & Hawkins, 2005). The nursing assessment is the foundation to building a therapeutic patient-nurse relationship. The patient-nurse relationship begins to form at the first encounter. Nursing assessment is the first encounter between patient and nurse. First impressions are made and these judgements can greatly affect how a client perceives a nurse (Patrick, 2013).
Reflecting on this clinical practice has been unquestionably beneficial to me. It is helped me ascertain further information about dignity and the importance of it. It has also allowed me to evaluate the care I give and develop personally and professionally. Using the Gibbs (1988) reflective framework has enabled me to look at all aspects of the clinical practice and gain essential information relating the maintenance of dignity. I have found this assignment of reflecting extremely interesting and have enjoyed learning new things about myself and the care I give in clinical practice.
Reflection has been strongly advocated by the English National Board for Nursing & Midwifery (1994), and a wealth of nursing literature over the past decade had been published to improve nursing practice. Reflection is an in-depth consideration of events or situations outside of one-self, solitary, or with critical support. Burnard (1995) argues that, reflection has its roots in experiential learning, as it forms the second stage of the experiential learning cycle. Active reflection gives nurses the confidence in terms of clinical decision making. It can also be a meaning of identifying strengths and weaknesses in practice and enabling nurses to learn from their mistakes.
Introduction/Description The purpose of this essay is to deliver a reflective account of the learning and educating actions required to change a stoma bag. A third year student carried out the actions required to complete the task within a ward setting. The Royal College of Nursing (RCN), 2015 describe reflection as a process where nurses are given the opportunity to reflect on significant events that have taken place and explore their knowledge and practical skills in an objective way. Using analysis and evaluating the nurses actions, provides a learning opportunity, allowing future practice to be improved including professional development and patient safety (Nursing and Midwifery Council, (NMC) 2015). For this assignment, Gibbs (1988) reflective framework will be used.
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 way that we learn from an experience in order to understand and develop practice” (Jasper 2003) Reflection is a way of going through thoughts and feelings about an incident, or a challenging day and gives us a chance to come to terms with our thoughts and feelings about it. Reflection can be very useful in the clinical setting when dealing with a difficult or challenging situation.
Evidence 2 The second academic illustration that I would like to submit for therapeutic nursing intervention is the PowerPoint presentation on Joanne R. Duffy: The Quality Caring Model © completed in NUSC 5003, Theory in Nursing, in the Spring semester of 2015, (see Appendix D). My PowerPoint presented Joanne R. Duffy’s theory and her focus on the clinical problem that “Nurses don’t seem to care” for which she created The Quality Caring Model ©. The concept illustrates the theoretical and the practical influences in jointly engaging quality of care with human caring and patient outcomes. When considering the assignment for NUSC 5003, Theory in Nursing, I exercised analytical reasoning skills by conducting extensive research on The Quality
Reflective practices as well as self awareness are very important for health care professional to develop their skills in providing high quality care (Bulman and Schultz, 2013). I was able to carry out nursing intervention for Anne effectively and provide sufficient health promotion advices. My academic work and the previous placements along with the self reflection enabled me to reinforce my knowledge and clinical skills, but more importantly, it developed my self confidence level. My efforts to seeking assistance and assessment of my skills enabled me to step up my skills to become more independent and I was able to confidently complete my nursing interventions for Anne. I was also able to provide the rationale for the nursing interventions that I offered to Anne and this helped to improve the effectiveness of my nursing practice.
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.
It should occur throughout the nursing process as well as at the end. It allows the nurse to evaluate the patient’s response to the nursing interventions that were provided and the progress the patient is making with their treatment. The nurse can then plan further care based on what worked well and what didn’t work for this patient (Ackley and Ladwig, 2014). The nurse evaluated the care that was provided to John. The goal was not met entirely and as a result the care plan was revised by the nurse.
The use of reflection through self-assessment has been suggested as particularly relevant to nurses/midwives due to the nature of their work - the need to respond to individual requirements and needs of patients, and to avoid rigid routines of caring acts that can lead to performing duties on ‘autopilot’ (Cox, in Platzer, Blake & Snelling, 1997) or trial and error basis. Self-assessment is thus suggested to prevent complacency or caring through pattern / ritual from occurring, by reflecting on ones practices to allow for individualised patient