If the screen had been in place, then this incident would not have occurred. Study for free with our range of nursing lectures! model of reflection for clinical practice. We could not effectively give reassurance, or fully assess the situation due to the language barrier. 16 (6), pp. Anxiety as a predictor of pain management following termination of first trimester pregnancy. The journal article Reflective Practice: A Learning Tool for Student Nurses, by Peter Mark Wilding provides more information about why it is important to use reflective practice in clinical process and has used Gibb’s cycle to make it easy to use the reflective process. since 2003, Your NursingAnswers.net purchase is secure and we're rated American Journal of Preventative Medicine. During the daily checking of the controlled drugs, the co-ordinator and another midwife, found a discrepancy with the number of Diamorphine 10mg and Morphine 10mg ampoules, there being one too many Morphine 10mg ampoules and one too few of the Diamorphine 10… The Royal College of Nursing (2012) state that nurses must be culturally competent, caring for the needs of people with differences in beliefs, values and cultures, to provide meaningful, beneficial health care. A privacy and dignity report by the Chief Nursing Officer stated that screens if used should be high enough to feel like they are in a separate room. The journal article Reflective Practice: A Learning Tool for Student Nurses, by Peter Mark Wilding provides more information about why it is important to use reflective practice in clinical process and has used Gibb’s cycle to make it easy to use the reflective process. Self-reflection helps students to express emotions and feelings to reliving and to identifying problems and also, to understanding themselves better. *You can also browse our support articles here >. 16 (9), pp. Pre operatively she had an interpreter present, but she had returned to the ward and was not present in recovery. Student nurse’s experiences of communication in cross cultural care encounters. No plagiarism, guaranteed! In future, regardless of my location, I will endeavour to be aware of potential problems that may arise due to the patient’s circumstance or environment. Disclaimer: This essay has been written by a student and not our expert nursing writers. Becoming a nurse: a textbook for professional practice. Kogan Page, London . An overall reflection of the day and how you can use your reflection to improve your practice My last placement has proved to be a huge progress. Millbank Quaterly. Nursing Ethics. Joanna appeared to understand no English at all, I tried to calm her down and reassure her, but she did not seem to comprehend. (2010) found in their study that nurses who experienced difficulties in talking to their patients led to care being mechanical and impersonal, as they were fearful of making mistakes. Gibb’s reflective cycle (1988) allows a systematic and structured analysis and reflection of an event. I feel I gave appropriate care, regardless of Joanna’s reason for admission, and did not treat her any differently because of this. (accessed 18th Sept 2012). Gibbs, G. 1988. Communication is seen as a fundamental component in cross cultural care and language difficulties can lead to insufficient care and poor quality nursing (Jirwe et al. It mainly proposes that nurses must practice reflection-before-action, reflection-in-action, reflection-on-action, and reflection-beyond-action to advance nursing practice. I was unable to find any research that suggested that adults and children should not be recovered together. 17, pp. Reflection in Clinical Nursing Practice; Reflection in Clinical Nursing Practice. Using Gibbs’s reflective cycle has assisted me in making sense of the situation and to put things into perspective, recognising how I can put this learning experience to positive use in my future practice as a Nursing professional. If you need assistance with writing your essay, our professional essay writing service is here to help! reflective practice in frontline nursing. The need for more research on language barriers in health care: A proposed study research agenda. Pugnaire-Gros, C., & Young, L. (2007). When the interpreter arrived Joanna was able to verbalise that it was the presence of the child that caused her upset and anxiety, as it was the last thing she expected to see when she woke up from anaesthesia. Nursing … I feel this reflective essay has been invaluable, and I am able to demonstrate ethical practice, acting in a non-discriminatory and fair manner, within a legal framework , despite my own personal beliefs. Health care is compromised when the patient does not understand what is being said to them (Anderson et al. We've received widespread press coverage since 2003, Your UKEssays purchase is secure and we're rated 4.4/5 on reviews.co.uk. British Journal of Nursing. If you need assistance with writing your nursing essay, our professional nursing essay writing service is here to help! Journal of Nursing Management. In reflection, the screen should have been in place before Joanna came round from theatre to protect both her, and the 3 year old boy’s dignity and privacy. There is a wealth of literature about its apparent advantages and benefits, but very little empirical research into clinical outcomes consequent to reflective practice. Reflective practice is described by Duffy (2008, p.1405) as an active and deliberate process to critically examine practice, where an individual is challenged to undertake the process of self-enquiry. Millbank Quaterly. After the completion of NSG3NCR Nursing: Reflective Clinical practice you will be having all of the traits of the registered nurse and thus you can analyze and evaluate the nursing practices. 16 (9), pp. 907-912. Tags: nursing. She became distressed and started to cry. 436-444. Reflection-in-action is usually developed with nursing practice. Discussion will include the knowledge underpinning practice and the evidence base for the clinical skill. Journal of Caring Sciences. In future, regardless of my location, I will endeavour to be aware of potential problems that may arise due to the patient’s circumstance or environment. Coleman, P.K., Reardon, D. C., Strahan, T., and Cougle, J. R. 2005. Conscientious objection A-Z Policy sheet. Registered office: Venture House, Cross Street, They apply ethical theory in that the patient should be respected as a unique person, their right to self-determination upheld, respect for privacy and the nurse’s responsibility for one’s competence and judgement. Duffy, A. Psychology & Health. (2011) found in their research that the presence of a support person in the recovery room post termination was perceived by the women in a positive manner and also reduced anxiety levels. Jirwe et al. We attempted to resolve what we thought might be the problem by placing the screen, but this appeared to worsen levels of distress for Joanna. Delivering same sex accommodation. Student nurse’s experiences of communication in cross cultural care encounters. The only way in which this could have been resolved was to have the interpreter present when she came round from her anaesthetic. 68-79. It is my opinion that this was in both patient’s best interests to place the screen after the fact, although it would have been a better situation if the interpreter had been present. Pearson Education Ltd: China. View Fall 2020 Clinical Reflection Questions.pdf from NURSING 3305 at Becker College. Nursing. Disclaimer: This is an example of a student written essay.Click here for sample essays written by our professional writers. Reflective practice is the ability to examine ones actions and experiences with the outcome of developing their practice and enhancing clinicalknowledge. A privacy and dignity report by the Chief Nursing Officer stated that screens if used should be high enough to feel like they are in a separate room. Published: 13th Feb 2020. Reflective practice and clinical outcomes: Practitioners’ views on how reflective practice has influenced their clinical practice. When she woke up, Joanna turned to her right and saw the 3 year old boy next to her. It is my opinion that this was in both patient’s best interests to place the screen after the fact, although it would have been a better situation if the interpreter had been present. Some of my strengths in this domain would be recognizing changes in my clients and reports this to my team nurse to addresses the change together, setting out priorities to meet multiple patient’s needs, and evaluating outcomes of healing initiatives. Sellman, D., and Snelling, P. 2010. Nurses must act in a fair, non-discriminatory way which respects customs, values and beliefs of an individual, providing care which demonstrates sensitivity (NMC 2008, p2). Social support in the post abortion recovery room: evidence from patients, support persons and nurses in a Vancouver clinic. (2009) state that linguistic barriers can cause discrimination and compromise nursing care. In accordance with the Nursing and Midwifery Council (2004) Code of professional conduct, confidentiality shall be maintained and the patient’s name is changed to protect indentity. Copyright © 2003 - 2021 - NursingAnswers.net is a trading name of Nursing and Midwifery Council, 2008. Although it does not require technical writing or gathering resources, you cannot just look at examples of nurse practitioner contemplative essays. Through reflective practice in nursing, you get to assess your growth as a student, nurse, and individual. Reflective practice affects all levels of nursing, from students, to advanced practice nursing students, aswell as practicing nurses. 84 (1), pp.111-133. The research has found that the experiences and the perceptions of students in the first clinical practice are mainly expressed emotionally. Contraception. Oxford: Further Education Unit, Oxford. Nurse Educ Today. Learning by doing: A guide to teaching and learning methods. Reflective clinical supervision is a relatively new practice in nursing and midwifery, although it has had a long history in mental health nursing. The drug error was discovered by the co-ordinator at the end of the day shift. Reflection as a Dynamic Tool for Improving Care. Becoming a nurse: a textbook for professional practice. They apply ethical theory in that the patient should be respected as a unique person, their right to self-determination upheld, respect for privacy and the nurse’s responsibility for one’s competence and judgement. This was made worse for Joanna as she did not understand what was happening. Free resources to assist you with your nursing studies! Reflective practice: In the realm of nursing, Reflective practice has turned into a key issue and is consistently mentioned (Gustafsson, Asp, & Fagerberg, 2007). Many studies focus on reflection of students' clinical practice in nursing elderly people, but there is a lack of emphasis on students' emotional expressions. Jirwe, M., Gerrish, K., and Ermami, A. It must however be said, that it is not always possible to have an interpreter due to scarce resources, but as the patient’s advocate, we should do all we can to protect their best interests. Nurses may usually access reflective practice through chats with colleagues on tea breaks, in team meetings or meetings with managers, or through clinical supervision and large group meetings such as Schwartz rounds. 4.4/5 on reviews.co.uk. The staff nurse thought that she was upset at seeing the boy after her procedure and went to get a mobile screen to separate the patients. Through observations and clinical practice, I managed to develop my nursing skills both as an independent learner, but also as a member of the health team. Nursing Inquiry, 6, 241-249. The staff nurse thought that she was upset at seeing the boy after her procedure and went to get a mobile screen to separate the patients. I am concerned that Joanna’s level of anxiety, may have caused her increased pain, and may also have affected her recovery in the longer term. View professional sample essays here. Study for free with our range of university lectures! Communication is seen as a fundamental component in cross cultural care and language difficulties can lead to insufficient care and poor quality nursing (Jirwe et al. Alongside this we were unable to assess her pain, nausea levels and fully explain what we were doing. The main themes are interwoven and influence each other. Oxford: Further Education Unit, Oxford. Do you have a 2:1 degree or higher? 83(3), pp. The incident occurred whilst checking and administering a controlled drug. Johns, C. (1995) Framing learning through reflection within Carper’s fundamental ways of knowing in nursing. The next patient admitted was a Polish lady, who I will call Joanna, in order to maintain confidentiality. In: Boude D et al (1985) Reflection Turning Experience into Learning. In the UK, advanced clinical practice roles in nursing started to be developed in the 1970s and 1980s with the introduction of specialist roles for nurses, and the introduction of autonomous community clinical Nurse Practitioners . The purpose of the research was to determine how nursing students experience their first-year clinical practice in nursing homes based on self-reflection diaries. When she woke up, Joanna turned to her right and saw the 3 year old boy next to her. In the clinical practice, this retrospective activity facilitates in the promotion of quality care. (2010) found in their study that nurses who experienced difficulties in talking to their patients led to care being mechanical and impersonal, as they were fearful of making mistakes. 2003. Joanna appeared to understand no English at all, I tried to calm her down and reassure her, but she did not seem to comprehend. www.nmc-uk.org/aframedisplay.aspxx?documentID-1562. Reflection on practice is a key skill for nurses. Reflective practice is described by Duffy (2008, p.1405) as an active and deliberate process to critically examine practice, where an individual is challenged to undertake the process of self-enquiry. Reference this. The only way in which this could have been resolved was to have the interpreter present when she came round from her anaesthetic. 2 3. London: Nursing and Midwifery Council. Delivering same sex accommodation. This is supported by Jacobs et al. Becker CollegeDepartment of NursingNursing Program Outcome: Reflection QuestionsEvidence-Based Practice … 813-26. I also feel that I was able to look inside myself to challenge my Muslim religious beliefs, which are fundamentally against abortion, putting these aside to treat Joanna in a fair non-discriminatory way. I called the ward and asked the interpreter to come back to recovery, as the patient was getting more distressed and we were not able to reassure her due to a communication barrier. Clinical Placement Reflection 2. Newessays.co.uk Nursing Essay Sample Page 1 Nursing: a Reflective Practice Experience Introduction The purpose of this assignment is to provide a critical reflection of an incident t hat occurred within a nursing context. 24 (3), pp. I also feel that I was able to look inside myself to challenge my Muslim religious beliefs, which are fundamentally against abortion, putting these aside to treat Joanna in a fair non-discriminatory way. Anxiety as a predictor of pain management following termination of first trimester pregnancy. The Theory of Reflective Practice in Nursing is a middle-range theory. I felt helpless as I could not fully understand why she was upset, and I was unable to reassure her or calm her down. Citation: Oelofsen N (2012) Using reflective practice in frontline nursing. (2010) suggest that nursing programs need to address this deficit to ensure nurses are skilled to deal with cross cultural differences, such as using translators, nonverbal communication etc. 2009. She was admitted following an elective termination of pregnancy. 2008. Internationally, clinical supervision is increasingly recommended as an important component of continuing professional development. Thus, reflective practice is believed to be supported by various reflective practices, e.g. It can help demonstrate everyday learning and is also useful for processing thoughts after a critical incident. 1 Furthermore, it is a mandated component of medical training and clinical and professional development. Do you have a 2:1 degree or higher in nursing or healthcare? (2011) found in their research that the presence of a support person in the recovery room post termination was perceived by the women in a positive manner and also reduced anxiety levels. I do feel although we attempted to resolve the situation, our ability to care for Joanna was compromised by not being able to communicate verbally. 143-148. I was concerned that Joanna may have felt more isolated by putting the screen there, and maybe felt judged because of her procedure. We attempted to resolve what we thought might be the problem by placing the screen, but this appeared to worsen levels of distress for Joanna. However, we also had to take into consideration the 3 year old boy, who was frightened, scared and also becoming upset. 20 (2), pp. It I difficult to say whether placing the screen was the right action after Joanna became upset, as it seemed to cause Joanna more distress. Reflective practice enables nursing students to make sense of, and learn from, the experiences they have each day and if nurtured properly can provide skills that they will come to rely on throughout their nursing careers. The purpose of this essay is to demonstrate application of core components of the NMC Code of Professional Conduct (2008) using reflective practice. Social support in the post abortion recovery room: evidence from patients, support persons and nurses in a Vancouver clinic. 24 (3), pp. Nursing Times; 108: 24, 22-24. To export a reference to this article please select a referencing stye below: If you are the original writer of this essay and no longer wish to have your work published on the NursingAnswers.net website then please: Our academic writing and marking services can help you! Info: 2051 words (8 pages) Nursing Essay Duffy, A. Nursing and Midwifery Council, 2006. Journal of Clinical Nursing. There has been a recent increasing interest in reflective practice in nursing. Reflection Of Clinical Practice Nursing Essay. Kane (2009) states in accordance with the NMC nurses must give appropriate and comprehensive care to all patients, regardless of their reason for being in hospital.
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