INTRODUCTION:
In recent years, reflection has undoubtedly become an important concept in nursing (Price 2004). However, Siviter (2004) explained that reflection is about gaining self-confidence, identify when we need to improve, learning from our own mistakes, looking at other perspectives, improving the future by learning from the experiences, assist an ability to adapt new situations, develop self-esteem, adding value and professionalizing practice. Reflections are based on the Gibbs reflective cycle model (1988). This reflection model consists of six stages to complete one cycle, which facilitates our ability to improve our nursing practice continuously and learning from the experiences for better practices in the future. (Dye, 2011).
…show more content…
We were unhappy and felt less confident to handle old and outdated equipment. We were in doubt whether we could manage the unit efficiently. We were afraid if the limited number of specially trained nurses would be sufficient. We were scared that pediatricians may expect more from us than our …show more content…
We were passionate on the child’s progress. The predominant thoughts and feelings of our unit staff were mainly focusing that the child may deteriorate at any time when each parameter showed some improvement we felt relieved and good.
We were nervous when giving care to the child alone without having a supervisor with adequate PICU training. we had our anxious moments with our outdated equipment. We had doubts and confusion on calculations of certain drugs seldom used in emergency. At times we were emotionally strained and upset with the reactions of some pediatricians. We were concerned that pediatricians would expect more from us than our capability. In view of considering the prognosis of critically ill child, we were in dilemma to give hope for the family about the recovery of the child.
As the child improved gradually, we were elated and felt proud when our efforts were successful. The resilience during this experience motivated us towards greater challenges. In contempt of pediatrician’s discontent with our performance initially during the scenario, they acknowledged and recognized our effort after successful recovery of the child. These experiences motivated us to surpass those difficulties as
During the first nine months of Dominic’s life he was sick several times with colds and digestive complications which are not typical for infants. Physically, Dominic was active the first nine months. At three months he began to start laughing and would focus his eyes on me, the mom (My Virtual Child). At eight months we would play object permanence games which enhanced his cognitive development and at nine months old Dominic was adv...
This is achieved through the close relationship of the family members the pediatric patient. Safety is increased because the family members are treated as part of the health care team and not simply visitors (Moore, Coker, DuBuisson, Swett, & Edwards, 2003). Furthermore, the patients are able to communicate with personnel about what they see happening to their child as well as making decisions regarding what treatments they want their infant to receive (Moore et al., 2003). The input from the patient 's family is very important in ensuring patient safety because the family members know the patient much better than medical staff (IWK Health Centre, 2016). This allows family members to more acutely notice changes in the pediatric patients status which allows them to quickly notify health care professionals. This could prove very beneficial when providing care for a pediatric patient in intensive
Mrs. Farrington was constantly worrying about allowing him out of the house or be with other kids. The hospital constantly kept correcting this behavior by stating that she needs to allow him to be like other kids but sometimes it was her first instinct to prevent hospitalization. Mainly Cody is hospitalized due to weight loss or to clean mucus out of his lungs completely. Unlike Mrs. Farrington who has to deal with the medical treatments daily, her husband is in more denial. When Cody becomes sick he understands to call the hospital but Mr. Farrington has no understanding of Cody’s medicine and such. Though studies have shown that children who are cared by their mother recover faster and are discharged earlier, Mr. Farrington behavior is very concerning (Family-Centered Care and the Pediatrician’s Role, 692). He avoids the topic overall by working constantly. Mrs. Farrington finds this behavior to be strange because if something negative happened to her, Mr. Farrington needs to know these treatments, so they aren’t neglected or performed incorrectly. However, this arrangement between the parents is not very healthy because the stress of Cody condition is completely Mrs. Farrington burden. This makes Mrs. Farrington struggle giving her other children the fair attention they deserve as
I was able to see how stressful it was for parents who also had children at home and had to be at the hospital taking care of their child. Also, for the first time I experienced having to deal with parents who were arguing about their child’s care. I realized how whenever the patient’s mom was out of the room, the child was behaving appropriately for his age, but when the mom would come back into the room, the child would behave differently.
This paper will discuss a case study of Liam, a three-month-old boy who is transferred from the General Practitioner (GP) to paediatric ward with bronchiolitis. Initially, Liam’s chief health issues will be identified, following by nursing assessment and diagnoses of the child’s need. Focus will be made on the management of two major health problems: respiratory distress and dehydration, and summary and evaluation of the interventions with evidence of learning. Lastly, a conclusion of author’s self-evaluation will be present.
The whole perspective of a child being in intensive care is hard, and especially for parents who do not know how to handle the situation of having their newborn baby in intensive care. There are many challenges that parents face; facing emotional problems is the biggest challenge. Not knowing how to handle the whole situation of seeing their new born child in a situation like intensive care is pretty hard. It is pretty intimidating and not being to take care and be able to hold their baby all day like they would want to, is also hard. Parents face high levels of distress, anxiety, depression, and trauma symptoms. Mothers have a harder time dealing with their emotions. They carried their baby inside them for several months, have felt the kicks and the movements, and they often feel like a failure feeling guilt and shame. A mother wants the best for their baby and they often think that their baby will have complications with growth and development, and often blaming themselves for giving birth to an unhealthy baby wondering what they could have done differently. Because of the parents stress and anxiety of not knowing what will happen, there is an inability to preform a normal parenting role. Perhaps the best way for parents to be able to relax and be more helpful to their babies is to move on from the situation and only look forward the health of the child. Parents also loose one of the best memories they wish they could keep fo...
...y Journal of the American Academy of Pediatrics. Committee on Early Childhood, 2000. 15 May 2011. Web.
...tional support to parents, develop their positive self-image, and helps parents explore the situation so that they can not only understand, but also predict the development within the specifics of the disease and its course. Helping parents build interaction with a child and provide him or her with emotional support in order to improve a child’s emotional state will also improve quality and safe care in the clinical practice.
Pediatrics can be a tiresome and stressful job, but the feeling one gets after seeing a smile on a child’s face makes all the difference in the world. To know that one has made an impact on a child makes a twenty-four hour shift at a hospital or studying for a board test worth it. Just like the rest of the world, pediatricians strive to make an impression. Their legacy is the hope inspired in every sick or suffering child’s heart. At the end of the day, changing a child’s life for the better is the greatest reward any pediatrician can receive.
Caring a warm lighthearted personality is beneficial when working with children and families who remain in the situations immense enough for their children to require surgery in order to survive. I absolutely love the pure enjoyment of working with children. Connecting to the children, in these situations, is a key component when caring for them in order to understand how they may react and feel in certain situations; however, as surgeons, we can not attach to the patients and grow close to them because of certain regulations in order to ensure the sanity of the surgeons. Emotional attachments with the patients attempt to be withheld for the best performance of the surgeon in the operation room and with my limited emotions I show, I maintain these
When interacting with parents and their child, we should speak in a warm, caring, patient, and professional tone. Parents that we will interact with will not only be experiencing the same vulnerability and exhaustion that all new parents experience, but may also be nervous or fearful for their child. As OT professionals we should provide as much relevant medical information as possible in a professional and empathetic manner. At times we may have to reassure the parent that we and any associated healthcare team will do all we can to help. A health literacy assessment can be given to the parent so we can provide instructions in ways they will understand and be able to implement proper care for their child. Repeating important information at the beginning and end of therapy sessions will help to ensure that the caregiver understands. When providing parents with essential information we should practice the “teach back technique”, as we learned in class, to confirm their understanding. We should do our best to be available to answer any questions that the parent or care giver may have. Because infants learn through play, pamphlets that provide information about a diagnosis, or play activities designed to help encourage an infant’s growth may be very helpful. Parents of infants with specific diagnoses may benefit from individual or group therapy. Providing positive emotional resources to the parent of an infant will help them to fulfill their child’s
Reflective practice aids nursing students by “helping them understand what they have done well, what they might do differently, why a particular situation developed, and how to handle challenging events in the process” (Walton, Lindsay, Hales, & Rook, 2018, p. 66). Reflective practice has enabled myself to discover mistakes that were made and determine an appropriate solution. Realizing a mistake can help to assist others to avoid making a similar mistake. It is important to make mistakes and learn from them as a nursing student rather than a professional nurse, where the mistakes could result in death or serious harm (Pijl Zieber & Williams, 2015). Reflective practice allows recognition of my own strengths and weaknesses. Establishing one’s strengths and weaknesses can either boost one’s confidence or lower it (Walton et al., 2018). The discovery of my strengths and weaknesses is a convenient tool, to be used to my advantage. Reflective practice also allows me to connect different situations together and learn about how each situation relates to another. The use of reflection tools such as making connections between situations, allows the increase of confidence as a nursing student (Graue, Rasmussen, Iversen, & Dunning,
Help improved my clinical skills and professional development, made me proactive and thus have learnt that reflection is an important tool for student nurse to improve on their practice.
The purpose of this essay is to reflect on my experience as an adult student nurse from a clinical setting in older adults using Gibbs (1988) model of reflection. Gibbs cycle is systematic , straight forward and encourages a clear description of the situation (Vaughan, no year). It will allow me to analyse and provide better understanding of my experience and draw conclusions relating to personal outcomes. Forrest (2008) described three purposes of reflection: to re-examine our understanding of knowledge, to enhance our own personal awareness and to assess the appropriateness of our action. On the other hand, Smith (2011) mentioned that students can use critical reflection as it uses a number of learning outcomes that may include enhanced thinking,
In this trade journal, Christian and other members of Alabama’s Nursing school discuss certain tasks and responsibilities that pediatric nurses deal with on a daily basis. Christian goes about sharing these responsibilities, by touching on the different care and treatment aspects that nurses teach to children who have just become diagnosed. The author also addresses, how a pediatric nurse does not just have to care for the ill child but how they also care for the emotional needs of the child’s family as well.