Analysis
Using John’s (2000) model of reflection, I managed to observe and analyse the patient daily, ensuring that empathy and compassion were at the very top of my agenda. This enabled me to perform a detailed analysis of the root cause of the problem of which I identified core issues that needed effective support. According to Maher (2011)” a healthcare professional’s reflection can be used to support the implementation of improvements adding value to their learning and finding the root cause of a problem”. The main issues of concern which needed interventions were identified as communication, individual support both humanitarian and clinical, recognition of a patient as an individual, and communication.
In analysis therefore i came to the
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The Geeta case study shows that most patients need compassion, empathy and a feeling of being wanted asked or supported as individual and not treated as a patient (Shapiro, 2008). Lack of all this could result in self induced isolation, loneliness, aggression and distress (Frank, 2004).This calls for a shift in the paradigm towards the culture of accepting things at face value although some have been documented. It also needs to recognize whilst giving due weight to “the complexity of human dynamics and its changeable nature” (Youngson, 2007).Communication between a nurse, carer and a patient is and will remain the only way that is non clinical and the least expensive towards building and cementing the patient carer …show more content…
The case study allows us to question practices or cultures that are embedded within systems. They also shows that compassion is “important to patients and staff alike in order to address socially constructed ways and forces that stop staff feeling and acting upon compassion” (Petit- Zeman, 2006; Gamble and Denning, 2017).
This case study also shows that communication is paramount to support in care whereas all staff have to communicate the needs of their patients and theirs in order to facilitate smooth working conditions.
Senior managers should give attentive detail to overworking nurses; create an assessment of needs that would cover a range of needs and issues. Although most diet needs are taken when a care plan is devised for a patient. However, there is need of changes for people whose dietary needs are different from others. This will also take into consideration their cultural medical and religious needs.
Patients have to be the centre of care and their personal needs be uppermost in the line of duty. Many work places nowadays give importance to bureaucratic documentation and care giving has stopped to be
Personal statement Please consider the following in support of my application for a position of an Acute Stroke staff nurse (HASU/ L21) at Leeds Teaching Hospitals NHS Trust. I completed my nursing studies in 2012 gaining a Bachelor of Nursing Science (Adult) degree from the University of Nottingham. Since qualifying, I have worked on a 16 bed hyper-acute stroke admissions ward. The ward triages and admits patients straight from the ambulance service, GP surgeries and the Emergency Department. Where appropriate patients are thrombolysed on the ward and acute patients are cared for and closely monitored in their first few days post stroke.
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,
As a patient who was paralyzed for months, Mrs. Baier relied on others daily. She expressed how team members who treated her without compassion made her stay more difficult in the ICU; however, those who expressed compassion and sympathy made the stay more
Demonstrating ‘respect for patients’ values, preferences and expressed needs,’ is one of the eight dimensions of person centred care outlined by the Picker Institute (ref). Morgan and Yoder (2012) described ‘respectful care’ as being an attribute of person centred and while the author does not disagree with this idea of ‘respectful care’ being inherent to person centred care, the author believes that Slater (2006) more accurately describes dignity and respect as being antecedents of person centred care. These antecedents drive respect of personal values, individual needs and decisions, a consequence of which is an improved therapeutic relationship and health outcomes. The author considers this view of dignity, compassion and respect as antecedents
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
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.
A recent study by Griffiths (2008) showed the fundamentals of patient care may have been lost and patient focus was diminished. He explained that nursing had become too technical due to the healthcare environmental crisis and the focus was taken away from the fundamentals of patient care. Although the ward on clinical placement was evidently over stretched, the fundamentals of patient care was still upheld due to the regiment implementation of the RLT model of nursing. Initial assessment allowed nurses to plan and implement measures from early admission which inevitably made all aspects nursing care
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.
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
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?
Providing care to a patient is a particularly challenging process that requires a great deal of effort from a nurse. A nurse’s ability to give quality care to their patient is an important aspect to a patient’s life both now and in the future. As such, nurses must exhibit specific qualities in their practice in order to maintain the best standard of care for their patients. Given this, I believe that the standards of knowledge, advocacy, and self-awareness are foundational to the nursing practice and to a nurse’s capacity to provide quality patient care. Knowledge
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.
The aim is to create a professional who is empathetic, accountable and self-aware. The Knowledge dimension emphasises the practice of life-long learning and skills development. It also requires the acquisition of knowledge about cultural and socio-economic situations within the professional’s region. The Empathetic dimension centres around identifying with patients’ situations and develops from a professional’s understanding of academic knowledge, his/her own self-awareness and of patients’ perspectives (Olckers, Gibbs & Duncan, 2007: 3). The Reflective dimension involves internal and external self-assessment of previous experiences to allow for personal and professional growth (Olckers, Gibbs & Duncan, 2007: 4).