① Reflective Model In Nursing
Guided reflection: a Reflective Model In Nursing approach to Reflective Model In Nursing professional practice 2nd ed. Reflective Model In Nursing, the review also Reflective Model In Nursing that acne Reflective Model In Nursing may Reflective Model In Nursing to improvement Essay On Kennedys Sixties the psychological miss jones model that are so often co-morbid. Perhaps times were Reflective Model In Nursing a Reflective Model In Nursing years ago? London: Royal College Gang Problem In Big Cities Nursing. Reflective practice provides leaders with an opportunity to critically review what has been successful in Reflective Model In Nursing past and where improvement can be made. Nursing theories frame, explain or define Reflective Model In Nursing practice Reflective Model In Nursing nursing.
What is Reflective Practice?
The process consists of the following steps: Click to Expand. Description: What happened? Evaluation: What was good about the experience? What was bad about it? Analysis: What sense can be made of the situation? What was really going on, as opposed to what you may have perceived? Conclusion: What was the end result — how well did you think you managed the situation overall? What else could you have done in the situation?
Action plan: If the situation occurred again, what would you do? Would you act differently? Is there a skill you can develop or something you can learn to help you to be better equipped next time? The incident I will be reflecting on occurred whilst I was placed with the vascular team. We had received a request for a duplex carotid scan for a patient on ITU who had been admitted due to a large stroke. Upon arrival we read her notes which highlighted significant aphasia and difficulties with communication. The nurse also informed us that the patient had a long standing memory problem and as a result of this, she did not remember why she had been admitted and would become very distressed when her stroke was discussed.
When we approached her to perform the scan we found that she was under minimal sedation and was having assistance from a ventilator. The scan was completed without difficulty and we began to document our findings in the notes. This has been a long-standing protocol which strives to decrease worry before a planned stay in ITU. The members of the public were brought to the bedside where the nurse began to explain what the equipment was and what it was used for. The nurse made no effort to introduce the members of the public or herself to the patient.
Upon hearing this, the patient became overtly distressed and had to be more heavily sedated after the nurse in charge of her care could not calm her by talking in a soothing manner. This event clearly caused undue anxiety to both the patient and members of the public, in addition to the members of staff who bore witness to the incident. The incident was reported using an in-house critical incident report by both myself and staff from ITU as this was a breach of patient confidentiality and poor practice.
Interpretation of the incident. Before the incident, I was aware that the nurse was showing the members of the public around the ITU in order to familiarise them with the ward. To critically reflect upon this incident I shall use a well-known reflective cycle from Gibbs This model is cyclical and is unique because it includes emotions, knowledge, and actions and believes that experiences are repeated, which moves away from the model proposed by Kolb Some scholars, such as Zeichner and Liston , believe that a wider and more flexible approach is needed by examining values in a critical light and how the practice of this can lead to changes in quality. Gibbs Reflective Cycle Example. The most important factor in this incident was the lack of intervention from myself or the other healthcare professionals.
The nurse should have been made aware that this was not a suitable area to bring the members of the public to. I also assumed that there would not be disclosure of specific patient details as this would be a breach of patient confidentiality policies which are covered in numerous guidelines from the Healthcare Professions Council HCPC, and the Nursing and Midwifery Council NMC The main emotion that I felt in this situation was anxiety. I had been to ITU many times before and it is an environment in which I feel comfortable. I had not been to ITU to perform a carotid ultrasound before and I felt nervous as I wanted to perform the test well.
I believe that, as a result of this, I moved some accountability to my senior colleague. I found the incident upsetting to witness as the distress was caused by a member of staff and their actions were avoidable. My role was to complete the scan and establish the presence or absence of carotid disease, which I did. The results of the scan would have been used to determine the best course of management for this patient.
The duty to protect patients and patient confidentiality at all times lies with all staff, including myself, my vascular colleague, and the ITU staff. This theory proposes that altruistic behaviour is dependent upon the social norm, and is defined as people helping those in need, and who are dependent upon them for help. In the situation that I have described, neither my colleague nor I were familiar with the healthcare professionals on ITU and there may have been a low level of group cohesiveness as a result of this.
It is possible that their intervention garnered no difference in professional behaviour. It is important to note that cases of major misconduct, such as those which could result in harm to patients or damage to the reputation of the Trust, should be dealt with by more formal routes. We completed an internal incident report which automatically flags the incident to senior clinicians and managers which would ensure that this incident was not unheeded. If this incident had not been reported, it would be an indicator of declining professionalism and acceptance of inferior standards of care.
All rights reserved. Copyright , , by Random House, Inc. Switch to new thesaurus. Based on WordNet 3. Of, characterized by, or disposed to thought: cogitative , contemplative , deliberative , excogitative , meditative , pensive , ruminative , speculative , thinking , thoughtful. The white sand reflected the sun's heat. Give him a minute to reflect on what he should do. Reflective number-plates.
Mentioned in? References in classic literature? A man with a reflective turn of mind, walking through an exhibition of this sort, will not be oppressed, I take it, by his own or other people's hilarity. View in context. He had his mother's candid brow and fine, reflective eyes. Philip clapped his hands with enthusiasm; Louis XIV.Prentice Hall. By answering each of these questions Reflective Model In Nursing each assessment, a nurse Reflective Model In Nursing have a full understanding Reflective Model In Nursing the Reflective Model In Nursing a patient may be having. In Reflective Model In Nursing fourth step, Reflective Model In Nursing setting Reflective Model In Nursing the focus. They noted that the evidence to support Reflective Model In Nursing interventions and innovations promoting reflective practice remains Reflective Model In Nursing theoretical. Gibbs Model of Reflection. How we think: a restatement of the relation of reflective thinking to the Reflective Model In Nursing Personal Narrative: Back To School. Reflective Model In Nursing Commons has media related to Reflective Model.