They were quite angry about the behavior of the student. Visual aids were also used to ensure that the patient’s father understood. No plagiarism, guaranteed! A basic principle of nursing is that every patient as well as his family members should be given respect. Critical reflection of this incident has made it clear that there is a deference to those I deem more senior than myself, perhaps due to a subconscious desire to maintain good working relationships. Gibbs’ reflective cycle (1988) is a tool used by numerous professionals, including (but not limited to) health professionals, education workers and those in leadership positions: its purpose is to assist practitioners in reflection, which contributes to continuous personal development (CPD) and helps to ensure that a person is continually learning and improving in their role. This is important for physiotherapists to establish a good patient rapport, especially with children, in order to make physical assessment easier. I started looking at a group of female students from a nearby medical university who were standing near a patient in bed. However, I was quite satisfied that I brought it into the notice of my mentor and senior doctors. I immediately followed my mentor’s instruction and changed the drip. The nurse made no effort to introduce the members of the public or herself to the patient. In the normal situation with young patients, due to the patients young age and the presence of her father, it would be typical to direct most of the questioning towards the patients parents or guardian with whom they attended rather than at the patient himself, despite the necessary inclusion of the patient in the discussion wherever possible. We had received a request for a duplex carotid scan for a patient on ITU who had been admitted due to a large stroke. However, this type of reflection does tend to focus more on the negative aspects of our actions r… Gibbs Reflective Cycle Example- Nursing Essay. Our failure to act as a team could be explained by Rutkowski’s (1983) theory of group cohesiveness. If you need assistance with writing your essay, our professional essay writing service is here to help! I also understand that every member of medical team is an important part of it and must act to reduce risks for the patients. Any opinions, findings, conclusions or recommendations expressed in this material are those of the authors and do not necessarily reflect the views of UKEssays.com. The patient, aged 3 months, attended the clinic with his father regarding his physiotherapy for his Cystic Fibrosis (CF). I will continue to undertake reflective practice by using the model proposed by Gibbs (1988), and will aim to become confident when protecting patient confidentiality, particularly in situations where I am applying clinical skills which are new to me or that I do not feel completely confident with. 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. Gibbs Reflective Cycle Example, The most important factor in this incident was the lack of intervention from myself or the other healthcare professionals. This was clear because when the patient first entered the room, he was looking around the room and not smiling very frequently. The student’s response was absolutely unacceptable as she pushed away his leg with extreme dude. The scan was completed without difficulty and we began to document our findings in the notes. I believe that, as a result of this, I moved some accountability to my senior colleague. Registered office: Venture House, Cross Street, Arnold, Nottingham, Nottinghamshire, NG5 7PJ. Reference this. 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. There are a number of different models of reflection that are utilised by professionals to evaluate past experiences. The situation seems almost moving out of hands and the doctors immediately rushed to the patient and tried to calm him down. A nurse came onto the ward with two members of the public in order to show them around ITU before the man’s surgery. People were found to be more likely to take action if they were the senior person in a situation, and most felt that a positive outcome was as a result of their intervention (Koocher & Keith-Spiegel 2010). While I was in second year of nursing studies, I was appointed in a general ward under the supervisor of senior nurses and doctors. I now feel more confident in protecting patient confidentiality and will aim to always embody the values and principles of a healthcare scientist. Description: What happened?Feelings: What were you thinking/feeling?Evaluation: What was good about the experience? I had been to ITU many times before and it is an environment in which I feel comfortable. Registered Data Controller No: Z1821391. Like every type of writing, on must know the basic principle of every methodology. In this essay, I will reflect upon a experience which I had with a patient using the Gibbs cycle of reflection (Gibbs, 1998) to help to signpost my answer and help the reader to read this essay with ease. So in case of reflective writing, a writer can choose from at least four popular models which are as follow: In this article, we will provide an example & structure of reflective writing for nurses using Gibbs Reflective Cycle. Our professional writers will do their best to create a paper you need and help you succeed in studying. The idea is to systematically reflect on a particular situation to ensure that all aspects have been considered and evaluated, as this will assist the reflector in understanding what to do next time they are in a similar situation. To prevent future events like this occurring I will express any concerns about my clinical skills before beginning any procedures in order to both reduce any authority gradient and to also reduce the diffusion of responsibility as much as possible. When my mentor took over the line of questioning, and the conduction of the assessment, his approach was to ask the patients the questions in a loud and slow voice. Evaluation: From this experience I also learnt that in the case of younger patients, particularly babies, it is important to be able to talk to the parents, as the patient themselves would be unable to provide information. I was with a young female patient when a doctor-on-duty visited and instructed my mentor to change drip of the patient. Do you have a 2:1 degree or higher? It is possible that their intervention garnered no difference in professional behaviour. When we approached her to perform the scan we found that she was under minimal sedation and was having assistance from a ventilator. The patient who was already in great pain started shouting so badly that all the other patients, doctors and visitors had to turn their head toward him. This should help in the development of such skills and make experiences such as this, much easier to manage effectively. This helps us understand why we have to take a quick action in a certain situation. This has been a long-standing protocol which strives to decrease worry before a planned stay in ITU. At study-tutors.com, we have earned the reputation for being a leading provider of original, high-quality essays at affordable prices. 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. According to American Mobile (an AMN Healthcare company), there are various ways to show respect for the patients especially in critical conditions. Nobody knew what actually happened as everyone was busy. In this essay, I will reflect upon a experience which I had with a patient using the Gibbs cycle of reflection (Gibbs, 1998) to help to signpost my answer and help the reader to read this essay with ease. All work is written to order. This will most likely be achieved through increased exposure to patients within my clinical placement and I will try to ensure that I increase my exposure to individuals of a variety of nationalities wherever possible within my placements. However, in this setting, it was very difficult to ask any questions to both the patient or to their parent and instead, most of the information about the health of the patient and their physiotherapeutic interventions which they required was gained from the examination of the patient and not from any information which they provided. I was with a young female patient when a doctor-on-duty … 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 UKDiss.com website then please: Our academic writing and marking services can help you! Besides, it establishes a connection between two different segments of our professional life (1) theory which we learn by reading and (2) practical what we learn by getting practical experience in an actual working environment. In this way, we learn how to document occurrence of an incident during initial stages of our professional career. I feel that if I had not been as anxious I would have been more likely to intervene; however it is clear that both my colleagues and I should have intervened more quickly. Create a reflective piece using the Gibbs Reflective Model which identifies an incident in the workplace where there was a lack of leadership. Tolerance of poor standards was highlighted by the Francis report (2013) as a consequence of poor staffing, policies, recruitment and training, and leadership.Analysis, The patient had a jugular line in place, which I had anticipated would make the scan more difficult and therefore probably contributed to my increased level of anxiety. You can use this model to break down the steps of reflection, draw conclusions and decide on how you are going to improve practice. I found the incident quite shocking and I regretted why I did not scold the student when she came up with an extremely rude reaction. Conclusion I was very surprised when the nurse did not check the patient’s notes beforehand, and the distress caused to both the patient and the members of the public was entirely unnecessary. The results of the scan would have been used to determine the best course of management for this patient. She also glanced at the patient’s notes and then informed the members of the public that she had been admitted to ITU because of a stroke. This is not an example of the work produced by our Essay Writing Service. At that time, I decided not to embarrass the student right in front of so many other people. Nurses and Midwives in the UK are formally required to record 5 pieces of reflection on either continuing professional development (CPD) or practice related feedback to improve their nursing practice. Rutkowski’s (1983) showed that the group is more likely to act in accordance with the perceived social norm if there is a high level of group cohesiveness. Reflection-on-action encourages individuals to re-live past events, with an emphasis on developing a more effective action plan for any future, similar events that may occur. 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. The duty to protect patients and patient confidentiality at all times lies with all staff, including myself, my vascular colleague, and the ITU staff. Copyright © 2003 - 2020 - UKEssays is a trading name of All Answers Ltd, a company registered in England and Wales. In the case of the patient who was not fluent in speaking English, I have noted the importance of speaking both loudly, and slowly and using all the different sorts of body language possible in order to ensure that the patient’s parents were put at ease and were able to comprehend the questions, which were being asked. Looking for a flexible role? Gibbs Reflective Cycle Example, Having witnessed the distress caused to both the patient and members of the public, I am now aware of the important of being more assertive if similar situations were to arise in future. Handovers are a critical element of nursing practice. Our custom essay writing service is aimed at giving you the professional writing help you need to succeed. Free resources to assist you with your university studies! *You can also browse our support articles here >. I was really shocked to see the behavior of the student who should not be behaving like this with a patient. Tied to this is a conscious effort on my part to refrain from assuming that I can predict the actions of other healthcare workers and I will always prioritise the welfare of patients in my care. For example, it was clear that there was a need to build a rapport with the patient themselves, despite their young age, in order to put them at ease during their physical, physiological examination. In this essay, I will reflect upon a experience which I had with a patient using the Gibbs cycle of reflection (Gibbs, 1998) to help to signpost my answer and help the reader to read this essay with ease.. This again, helped the patient’s father to understand the meaning of what was being carried out and what was being said. Professional college paper writers: #1 Best Essay Writer: Are you looking for a custom essay service to accommodate your specific needs? Description The event in question occurred during the handover phase of a nursing experience. What else could you have done in the situation?Action plan: If the situation occurred again, what would you do? Action plan: The experience also showed that I must work on my communication skills and my coping strategies in different clinical situations. For example, when my tutor was asking whether the patient had taken his antibiotics for his CF and what physiotherapy he thought his child required. Every nurse and doctor must treat all the patients with equality and understand their problems and prospective. 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. I had not been to ITU to perform a carotid ultrasound before and I felt nervous as I wanted to perform the test well. In fact, they decided to complain to disciplinary committee so no such incident could happen in future again. I have chosen Gibbs model as a simple way of taking you through the steps of reflecti… Feelings: Upon reflection, I feel that although, at first the situation did both feel and appear new and challenging, my ability to communicate with the client was not helped by the fact that I was unable to think of a new way to phrase the questions, which I had. Would you act differently? Nursing Essay Sample ± Newessays.co.uk Newessays.co.uk Nursing Essay Sample Page 2 Figure One: The Gibbs Reflective Cycle (source: adapted from Cherry and Jacob, 2005). 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. Meeting this patient and his father also highlighted the requirement to adapt not only the language used when asking questions, but also the language tone and the nature of my body language used throughout the assessment. Disclaimer: This work has been submitted by a university student. Example & Features of Reflective Writing. Use critical analysis of a reflective cycle to explore how this incident has increased your knowledge and understanding of professional practice with respect to the values and behaviour s in the field of nursing… If you do not have the time for all your college writings, our experienced essay writer will have your back. What was bad about it?Analysis: What sense can be made of the situation? You can view samples of our professional work here. I believe that having greater confidence in my ability to scan would have reduced my diffusion of responsibility and allowed me to act in a more autonomous fashion. 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 (1984). Though, I thought to talk to the student that she should never be so rude with the patients, Unfortunately, I couldn’t say a word. Reflective Essay Using Gibbs Reflective Cycle Evaluation The only good thing observed is that this is a small healthcare facility and that the staff seemed to work as a team and communication between them was easy. Analysis: My experience has taught me that in order to improve my communication skills with patients of different languages, I will need to increase my interaction with a range of patients with different native languages and those who are not fluent in speaking English. After this unpleasant incident, I noticed that I really needed to improve my confidence level to face people for the sake of patients. I believe that an informal intervention as described by Koocher and Keith-Spiegel (2010) would have been appropriate in this situation. When asking such questions, he pointed to a prescription on his desk, which helped the father to understand what was being said. Gibb’s (1988) model has allowed me to critically reflect on my behaviours and has allowed me to identify aspects of my behaviour which may be detrimental. The patient was crying due to severe pain in his body and unintentionally, he moved his leg which slightly hit a student. 20th Nov 2018 VAT Registration No: 842417633. He was less interested in his surroundings and appeared to be much more at ease. Study for free with our range of university lectures! Use critical analysis of a reflective cycle to explore how this incident has increased your knowledge and understanding of professional practice with respect to the values and behaviour s in the field of nursing, and how future your behaviours will change. When examining the patient, my tutor made sure that he looked at the patients father at all times when speaking and also that he used body language to highlight the meaning of what he was saying also. The nurse should have been made aware that this was not a suitable area to bring the members of the public to. While I was in second year of nursing studies, I was appointed in a general ward under the supervisor of senior nurses and doctors. Order Original and Plagiarism-free Papers Written from Scratch, Any citation style (APA, MLA, Chicago, Harvard and others), Our writers write all papers from scratch. There should also be a greater emphasis to establish strong working relationships between healthcare professionals to in turn increase levels of group cohesiveness (Rutkowski et al 1983).Action plan, My future practice will involve becoming more proactive when I believe that there is a risk to patient confidentiality, and I will not assume that other members of staff will act in a professional manner at all times. It is important to note that the way in which this outcome was measured (taken from data described as ‘feelings after intervention’), may have introduced bias as it is likely that participants felt pleased with their courage in acting in an appropriate manner, regardless of the outcome of the intervention. The incident I will be reflecting on occurred whilst I was placed with the vascular team. Later I told everything about this incident to my senior who advised me to bring it into the notice of doctors. If this incident had not been reported, it would be an indicator of declining professionalism and acceptance of inferior standards of care. Upon arrival we read her notes which highlighted significant aphasia and difficulties with communication. This way we are sure the paper is original and unique. Gibbs Reflective Cycle Example. After being within our company for a small amount of time, and after I had smiled at the patient and looked at him to engage him when speaking to his father it was clear that he felt much more relaxed and comfortable as he began to smile and look at us when we were talking. 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? 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. I was asked to carry out a subjective assessment of the patient however, the setting of this encounter was rather different from the set-up which had been used in the past, and although I had seen patients who were younger in the past, this patient was different as it rapidly became apparent that he had been brought by his father who was unable to speak fluent English and was also unable to understand much English at all. Create a reflective piece using the Gibbs Reflective Model which identifies an incident in the workplace where there was a lack of leadership. Conclusion: In conclusion, due to the presence of both the patient (the baby) and his father, not only did this patient encounter bring with it the challenge of the language barrier, but it also brought the experience of needing to integrate multiple people into a conversation without loosing the flow of the conversation. In addition, we check each paper for plagiarism before sending it to our customers. Company Registration No: 4964706. Gibbs Reflective Cycle Example. Description . I felt, at this point however, that I had let myself and the mentor down, as I was unable to conduct the procedures which I was expecting to and I also felt that I had let the patient down, through my inability to communicate effectively with them. Description of the event: During my clinical placement I have encountered a number of patients, each one possessing a unique personality thereby required a slight adaptation of my professional behaviour in order to communicate most effectively with each individual. This is because when a child has a condition such as CF, it is regularly the parents who will be worried and concerned about this and additionally; it is the parents who deal with the physiotherapy and the treatments, which the child receives. Use critical analysis of a reflective cycle to explore how this incident has increased your knowledge and understanding of professional practice with respect to the values and behaviour s in the field of nursing… From this incident, I learnt that it is never too late to bring such incidents into notice of the disciplinary committee. The two main types of professional reflection are reflection-on-action and reflection-in-action (Somerville and Keeling, 2004). From simple essay plans, through to full dissertations, you can guarantee we have a service perfectly matched to your needs. My role was to complete the scan and establish the presence or absence of carotid disease, which I did. Some scholars, such as Zeichner and Liston (1996), 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. 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. At the time, I thought to tell the doctors what actually happened, however, there was no time to create a scene because the situation was already gone out of control. I also learnt that it is my first priority to protect my patients at any cost. Is there a skill you can develop or something you can learn to help you to be better equipped next time? The first of these is that I will no longer assume that all members of staff will act in accordance with guidelines about patient confidentiality. In addition, the patient’s father kept looking at the trained physiotherapist (my mentor) for reassurance and guidance with the language being used and thus, this made me also look towards my mentor for help. This clearly made the difference between the patient not understanding what was being said to gaining an appropriate understanding and being able to answer the questions properly and accordingly. I found the incident upsetting to witness as the distress was caused by a member of staff and their actions were avoidable. Gibbs Reflective Cycle Example- Nursing Essay. To critically reflect upon this incident I shall use a well-known reflective cycle from Gibbs (1988). As a trainee healthcare scientist, I aim to consistently implement the values and principles as set forth by the HCPC (2012) of a clinical scientist, and although this experience was difficult, I now feel that I have a greater understanding of these principles and values.Changes in norms and behaviours, Due to the incident, I have formed a new set of behaviours. Now I can realize that my courage to bring the incident into the notice of the doctors has changed a lot of things. I have recently reviewed my Nurses Reflection Diary(Workbook) to include a model of reflection. Our academic experts are ready and waiting to assist with any writing project you may have. Gibbs Reflective Cycle Example, Further work (Koocher & Keith-Spiegel 2010) has demonstrated that irresponsible professional behaviour can be averted by informal interventions. 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, 2012) and the Nursing and Midwifery Council (NMC 2015).Feelings. I would then physically assess the patient. The main emotion that I felt in this situation was anxiety. Reflective writing is one of the most effective ways to build critical thinking capabilities. The process consists of the following steps: Click to Expand. Additionally, it will be the parents of the child who will manage the symptoms that their child has, and conduct the physiotherapeutic interventions on the child until they come of age where this can be continued by the child. 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. We've received widespread press coverage since 2003, Your UKEssays purchase is secure and we're rated 4.4/5 on reviews.co.uk. Somehow, doctors were able to manage the situation. Additionally, as an important part of medical team, it is the responsibility of a nurse to create an environment where best possible treatment and care can be given to the patients. It is important to note that acting in the patient’s best interests was also part of my role, and I feel that I did not fulfil this completely. It is possible that the major obstacles which prevented me from speaking out in this incident were my perception of an authority gradient between myself and my colleague and low group cohesiveness.
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