IntroductionIn this assignment I will be exploring the legal, professional and ethical issues involved in bed bathing a patient/client in a hospital setting. I will be reflecting on a personal experience, experience during a seven week placement on a diabetic ward. I have decided to use a reflective cycle which is an adaptation from Gibbs’ (1988) model.This reflection has provided a systematic approach to my learning and to my nursing practice. Within this essay I intend to discuss approaches to assessing, planning, implementing and evaluating care.
Heron (1977) refers to the process of reflecting as a ‘conscious use of the self’. Once one becomes consciously aware of their actions, it is easer to recognise the reason for doing them in the first instance. The first stage of this process is to acknowledge our actions by reflecting we reveal to our selves how we act, such actions are spontaneous and without forethought attention.
To maintain my clients autonomy I am unable to disclose any client information, accordingly I have given my client the name Mrs Jones this is to protect and respect my client’s confidentiality as stated by the NMC Code of Professional Conduct.
Gibbs' model of reflection (1988)DescriptionDuring any client’s admission stage an assessment on the client’s skin care regime is made, this takes into account the clients personal preferences, the level of function the client may have to provide self-care and the amount of assistance required to promote optimal hygiene procedures in the form of bed baths, in respect of encouraging independence. The reason why we bed bath clients is to promote personal hygiene and to give them a sense of well-being it also maintain intact skin i.e. prevention of pressur...
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...is assignment has allowed me to understand professional, legal and ethical issues of providing care and the dilemmas surrounding health care professionals.
In the future I would not always go on the clients say so and seek professional advice and not just take the patient word.
BibliographyBartter. K, (2001) Ethical Issues in Advanced Nursing Practice. London: Reed Elsevier Plc GroupBurnard. P, Chapman. C, (2004) Professional and Ethical Issues in Nursing. 3rd Edition. London: Elsevier LimitedGlasper. A, Grandis. S, Jackson. P, and Long. G, (2003) Foundation Studies for Nurses: using Enquiry Based Learning. New York: Palgrave MacmillamThe NMC Code of Professional Conduct Standards for Conduct, Performance and Ethics. Standards 07-04. London: Nursing Midwifery CouncilTschudin. V, (1999) Nurses Matter: Reclaiming Our Professional Identity. London:Macmillan
Rich, K. & Butts, J. B. (2014). Foundations of ethical nursing practice (Chapter 4, 3rd ed.). In K. Masters (Ed.). Role development in professional nursing practice. Burlington, MA: Jones & Bartlett Learning.
This reflective essay will demonstrate the concept of reflection. The model of reflection by Driscoll, 2007 has been followed in this essay to reflect the clinical skills that I have studied and practiced in week 7to week 9 of this unit which assisted me to get prepared for the practical experience which I will commence at the end of this semester. I have practiced numerous skills during the practicals class, but this essay will be a focus on taking care of bedsore and wound management.
Ethics has been a popular topic in nursing for a long time. Nurses are expected to demonstrate ethical decision-making as well as professionalism. I believe that in order to accomplish this, they need to use the ANA Code of Ethics as framework for their decision-making. It is also imperative for nurses to have a strong understanding of ethics, because they will be faced with many difficult ethical decisions that do not always have a straightforward solution.
This paper will focus on two BNUR leaner outcomes (University of Calgary, 2013) relevant to my learned understanding of nurses as ethical decision makers. I will outline the ways that I have seen ethics used and not used in practice, what I learned about ethics and its use in my theory courses and throughout my practicums, and I will reflect on how this understanding will translate into my professional practice moving forward.
Nurses are able to reflect upon their past experiences of work and build and improve this ensuring their level of competence and skills is in line with NMC guidelines. Improving the quality of care provided to patients is an ongoing process and requires practitioners to contently reflect and improve their practice. (Howatson-Jones, 2013) One way in which reflection can improve the quality of care is through the use of professional supervision, as stated by (Daly, Speedy and Jackson, 2014) a focus for supervision should be enhancing a nurse’s skills and ability to reflect on practice. It should reflect on the standard of care provided and highlight areas for improvement such as further training. This, in turn, leads to a greater self-awareness of practitioners’ own abilities. The process is not about finding faults, but to improve and learn to ensure the quality of care is high and professional for all patients. Being self-aware is a skill important to reflection and the provision of quality of
Davis J. Anne Diane Marsha and Aroskar A. Mila (2010). Ethical Dilemmas and Nursing Practice. Pearson
The purpose of this essay is to reflect and critically study an incident from a clinical setting whilst using a model of reflection. This will allow me to analyse and make sense of the incident and draw conclusions relating to personal learning outcomes. The significance of critical analysis and critical incidents will briefly be discussed followed by the process of reflection using the chosen model. The incident will then be described and analysed and the people involved introduced. (The names of the people involved have been changed to protect their privacy) and then I will examine issues raised in light of the recent literature relating to the incident. My essay will include a discussion of communication, interpersonal skills used in the incident, and finally evidence based practice. I will conclude with explaining what I have learned from the experience and how it will change my future actions.
Reflective practice is a process of thinking and critically analysing one’s experience to improve professional practice. Reflection on nursing situations not only promote the nurse’s professional development but also improve the quality of nursing care to patients (Gustafsson & Fagerberg 2004). According to Dolphin (2013), reflection process consists of systematic appraisal of events and examination of its each component to learn from the experience to influence the future practice. Though there are many models available to structure the reflection, I have chosen Gibbs model (1988) as it follows specific steps in a systematic way in reflection process. And also, this model emphasises the role of emotions and acknowledges the importance of emotions in the reflection process. This is a simple framework and this assignment will follow the headings as per this model. The incident I will be reflecting
Rolfe, Gary; Freshwater, Dawn; Jasper, Melanie (2001). Critical reflection for nursing and the helping professions: a user's guide. Houndmills, Basingstoke, Hampshire; New York: Palgrave. pp. 26–35
This assignment focuses on an incident which was experienced during a community placement. The patient suffered from bowel cancer, my mentor and I were visiting her to change her dressing. The names of people have been changed to ensure confidentiality Nursing and Midwifery Council (NMC, 2008). Gibbs (1988) cited in Jasper (2013) will be used as the reflective model because it is simple and, easy to understand. Through the model’s six key stages I will describe my experience and how I maintained dignity while giving personal care to patients in the community. Writing a reflective account makes one relive their thoughts and, feelings and make appropriate changes when required (Howaston-Jones, 2013).
Ethics govern our relationships with others. Ethics and morals are very similar, in that both deal with questions of right and wrong. Societal or cultural norms determine ethical behavior whereas moral behavior depends on the individuals own sense to decide about what is right and wrong (Ethical Dilemma Scholarly Peer-review Journal, 2017). In nursing, ethical dilemmas are ethically controversial situations experienced through the healthcare professional’s obligation to inform the patients, support participation in patient decision making and patient advocacy. The goals of healthcare professionals are inherently ethical and involve protecting patients from harm while providing care that benefits them (Kim, Han & Kim, 2014).
Garrett, T. M., Baillie, H. W., & Garrett, R. M. (2010). Health care ethics: Principles and problems (5thed.). Upper Saddle River, NJ: Prentice Hall.
Patient’s personal hygiene is a vital part of the nurse’s role. Young (1991) described cleanliness as a basic human right, not a luxury the need for the patient to physically cleansing and which would include skin, hair and nails.
In every nurse's career, he or she will face with legal and ethical dilemmas. One of the professional competencies for nursing states that nurses should "integrate knowledge of ethical and legal aspects of health care and professional values into nursing practice". It is important to know what types of dilemmas nurses may face
In conclusion, there are numerous legal and ethical issues apparent in the nursing practice. Nurses should study and be as informed as they can with ethics and legality within their field in order to ensure no mistakes occur. Ethical issues vary based on patient’s views, religion, and environment. Nurses are influenced by these same views, but most of the time they are not the same as the patients. As a nurse we must learn to put the care of our patients and their beliefs, rights, and wishes before our own personal