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Reflection ideas student nurse
Future practice on reflection for nurses
Future practice on reflection for nurses
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Introduction: One of the clinical skills which I become competent in during my clinical placement is bed washing a patient. I had little or no knowledge of how to wash a patient in a hospital before and this training has provided me an ample opportunity to learn this skill. The reflective model I have chosen to describe my essay is Gibbs model (Gibbs 1998).Gibbs model of reflection is one of the most popular models of reflection and divided into six step process of reflective cycles. These are incorporates in the following: Description of the event, feelings, evaluation, analysis, conclusion, and action plan. I would use this model to describe my essay while relating the theory to the practice. 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. Bed bath can benefit patients immensely as it ensured that there individual needs are met, improved patients psychologically as they maintain their self-esteem and a positive body image. Nurses and patient relationship can be improved through bed bathing as patients can use their closeness with the nurse to discuss issues that trouble them. Bed bath are only suitable for patients who are bed bound, critically ill patients who need some assistance and elderly patients. First stage of Gibbs (1998) model of events requires a description of events. After the handover, I was asked by my mentor to attend to a patient who is bed ridden to have her personal care done with the assistance of one of the health care assistant staff. The patient was recently admitted to the ward and she looks sc... ... middle of paper ... ... Conclusion Aware that, different nurses has their own ways approach to bed washing of patients and as a student nurse, I would always make sure that I followed the general policy or local policy that is in place so that, the care of the patients are met. In conclusion my reflection skills have helped me structure my feelings and thought. 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. Action plan I would continue to reflect and always make sure to follow the local policy regarding bed washing and would seek to improve my knowledge about bed washing of patient and seek advice on things that I do not know. This advice would be use to improve my knowledge and the service of the patient I care for.
The purpose of this Reflective assignment is to demonstrate how the application of the Registered Nurses standards for practise (2016) can be used in reflective practise. The Registered Nurses standards of Practise (2016) states that RN’s should develop their practise through reflecting on experiences, knowledge, actions, their feelings and beliefs and recognise how these factors shape professional practise(RNSP, 1.2).Reflection allows individuals to look back on their day-to-day situations and how they made us react and feel; what we would change if we had the chance, to create a different outcome; and what we would do next time to enhance the way we conduct ourselves in a professional manner.
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
It is evident throughout these research studies that the topic of hand hygiene is particularly relevant to nursing. Nursing has the most face-to-face, hands on interactions with patients. Since nurses come in contact with multiple patients numerous times a day it is crucial that nurses have competent knowledge regarding hand hygiene in order to prevent the spread of infections and diseases.
The focus of health care is and has always been, practicing good hygiene, living a healthy lifestyle, and having a positive attitude reduces the chance of getting ill. Although there is not much prevention we can take for some of the diseases but we can certainly practice good hand hygiene to prevent infection and its ill effects. Research proves that hand washing is surely the most easy and effective way to prevent infection in health care. The question for this research: Is Hand washing an effective way to prevent infection in health care? It led to the conclusion that due to the high acuity, high patient: staff ratio, and lack of re evaluation certain units in the health care facilities cannot adhere to correct hand washing guidelines. Hand
This essay will explore the authors meaning of reflection, how various reflective styles can benefit the practitioners within their settings, and how important reflection is within Early Years Practice. According to Appleby (2010, p.10), reflection is a generic term which describes various behaviours involving feelings, and thinking about thoughts and experiences, in order to examine issues and develop, new understandings and insights. Reflection within practice allows the practitioner to develop a sense of awareness around their daily activities, and helps them to evaluate how they could evolve these activities further, if the given opportunity was to arise again. Similarly, keeping a reflective journal
It is imperative to explore leadership factors that influence nurse use of foam hand sanitizer or soap and water appropriately when cleaning their hands as they enter and leave each patients room. Those in leadership must determine if a higher level of involvement from leadership equals more frequent hand washing from other nursing staff. Leadership must also ensure that the nursing staff understands that implications of not washing their hands after seeing each patient. When each member of the nursing team understands the importance of hand washing, the unit they work on will function better and their patients will have better outcomes.
There are many reflective models that I could have used, including Johns (2004), Driscoll (2000), Atkins and Murphy (1994), Kolb’s (1984), and Gibbs (1988). I decided to utilize the Gibbs (1988) model as a framework, because it focuses on different aspects of an experience and allows the learner to revisit the event fully. By contemplating it thus, I am able to appreciate it and be guided to where future development work is required.
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
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).
Definitions of reflection vary depending on the discipline of the author. Having reviewed the literature, Bulman (2008, p.2), a nurse, defines it as “reviewing an experience from practice so that it may be described, analysed, evaluated and used to inform and change future practice”. It is a personal process requiring honesty, openness, self-awareness, courage and a willingness to act on criticism. It acknowledges that feelings and emotions influence actions. Critical reflection involves in depth examination and questioning of personal, social, historical, cultural and political assumptions and perspectives that are embedded in actions. It is an active process enabling one to make sense of events, situations and actions that occur in the workplace (Oelofsen, 2012). It transforms a situation in which there is confusion and doubt to one that is clear and coherent (Dewey, 2010).
... in caring for the patient. While bed-bathing my patient I used my interpersonal, listening and communication skills. These helped me when I was talking and giving instructions to my patient. I discovered how important communication is in nursing between the nurse and the patient in order to understand each other fo example asking a patient for consent. Moreover, it is during bed-bathing that the nurse and patient can form a therapeutic relationship leading the patient to trust the nurse. During bed-bathing my patient I also checked to see the skin for example bruises and pressure sores. Since communication and listening skills are vital in nursing, I will, therefore, need to improve my skills so I can be a better nurse in the future. Moreover, next time I should not let my feelings get in the way when approaching a similar or same situation like this in the future.
Washing of the hands with antiseptic soap after a contact with saliva, open wounds, blood, urine, vomitus or stools. The washing should last for at least 30 seconds. Because of the risk of infection with HIV, protection of the physiotherapist should also include work wear, plastic medical gloves and mask. The physiotherapist should be able to treat each patient as an individual. Human dignity must be respected. Small details such as the use of the first name of the patient, the complete explanation of the whole treatment details and continuous guidance for the patient’s orientation at the place and time are widely applied. The recovering environment of the intensive care unit should include the presence of windows to make the accommodation of the patient more pleasant and help him orientate in time. Applying all that non clinical aspects during the treatment will give a positive outcome on the treatment and together with the experience will make the work much more
The systematic review; Interventions to improve hand hygiene compliance in patient care, conducted by the Cochrane Collaboration investigated inventions to improve hand hygiene compliance within patient care. The review included 2 original studies with an additional two new studies (Gould & Moralejo et al., 2010). Throughout the review it was affirmed that among hand hygiene is an indispensable method in the prevention of hospital-acquired infections (HAI), the compliance among nurses’ is inadequate. Nurses are identified within the public as dependable and trustworthy in a time of vulnerability due to their specialised education and skills (Hughes, 2008). Thus, it is imperative that evidence based practice is cond...
Thirdly, reflective therapy assists the nurse in the theory application to the nursing practice. In the clinical settings, nurses are limited in time to reflect uninterruptedly. However, Kofoed (2011) cited that an opportunity for the reflection can be in the form of a case conference. This method will allow a nurse to present a case, analyze the scenario, and gain feedbacks from the multidisciplinary team for
In addition, healthcare workers’ handwashing technique differs from the one you use at home. It is “important that all surfaces of the hands are cleaned thoroughly to dislodge and wash away pathogens” (Burton & Ludwig, 2015, pg. 261). The spread of pathogens in a healthcare setting happens with high likelihood. Therefore, it is imperative to wash one’s hands in the following situations. First, upon entering the patient’s room, secondly, anytime your hands are visibly dirty, third, between caring for two patients in the same room, forth, immediately after removing your gloves, and finally after touching body fluids, secretions, excretions, or contaminated