operative time and complications and postoperative outcomes e.g. ; time to full feedings, incidence of postoperative vomiting, hospital stay and wound dehiscence were recorded. The study was approved by the Research Ethics Committee of the pediatric surgery department, Faculty of Medicine, Cairo University. Informed written consent was obtained from the parents of all patients. Every patients guardian was asked to give a score of his / her satisfaction regarding the cosmetic appearance of the scar and an overall grading regarding how he / she feels about this kind of technique and weather he /she feels his /her child had become normal or not after the operation.
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.
In early 1970s nursing started to move away from routines and rituals towards research-based practice (James and Clarke 1994). Reflection is a broad and complex process (Kenzi-Sampson 2005) therefore there is not a set single definition (Jarvis 1992). According to Reid (1993, p.305) reflection can be defined as a “process of reviewing an experience of practice to describe, analyze, evaluate and so inform learning about practice”. The question is why do we need reflective practice. This essay will try to
Gibbs’ (1988) reflective cycle is an effective tool to reflect after the event on ‘critical’ incidents. These events are based on learning, practical or personal areas, and impactful in a negative or positive way. Gibbs argued that it is not sufficient to just have an experience in order to learn, rather reflection upon this experience is needed. This is to insure that we do not forget what we have learned. In his opinion, the emotional response and the thinking process triggered by the reflection instigates a learning experience.
Postoperative recovery program includes oral feeding, early ambulation, and regular laxative administration. Intraoperative elements may be main determinants to obtain successful postoperative recovery of laparoscopic surgery.8 Naturally, after laparoscopic surgery, patients suffer affordable pains and muscle cramps.8 The postoperative period and the wound healing do not exceed four days.1,8 However, postoperative complications are possible in some cases.8 Complications include bleeding that requires reoperation, bladder injury and small bowel injury which need repairing intraoperatively.8 These complications are associated with multiple risk factors such as proximal colon cancer, side-to-side anastomosis, longer operation time, and longer resected specimen
Reflection, what is it? By David Mulcahy. (14375771) 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.
Though the option presented is less likely to give a better percentage of a positive outcome for the patient. The physician has a clear conflict in pleasing both the insurance company and the patient. The physician also risks not getting paid by the insurance company if they do not administer the less expensive treatment. This conflict could also be
I think this incident had a positive result because I have stood from patient’s angle. I have concerned the feeling of the patient. If I were a patient, I would expect the medical students provide appropriate suggestions for me instead of sharing uncertain information. The most critical outcome is that developing a trust relationship between us. Trust relationship is a kind of interactive process that requires care and concern (Chin, 2001).
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.