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importance of communication competence
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importance of communication competence
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MY REFLECTION ON THE CORE COMPETENCE IN MEDICAL PRACTICE MODULE
Knowledge is continuously derived and analyzed from the experience of learners validating the truism that experience is the best teacher (Kolb, 1984). The aim of this module was to assist international students improve their communication skills which is key to a successful medical practice. This essay examines my journey through the module, sums up my experience and highlights its relevance to my career.
The module composed of seven classical themes, consisting of topics such as Gibbs cycle, language for debates, changing NHS culture, mind maps, leadership for academic skills, communicating in difficult situations, health education, presentation skills, etc. A presenter’s appearance
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Our first lecture heralded the beginning of theme one. Communication-anxiety is a challenge new student’s face (McCroskey, 1970). Initially, I was apprehensive at the beginning of the lecture due to culture shock and the challenge of acclimatizing to a new environment. However as we began to interact my initial fears were allayed. We shared experiences about our trip to the UK and had a lecture on Gibbs reflective cycle. Gibbs cycle is a theoretical model of reflection (6 steps) in which one step informs the other steps (Gibbs, 1988). In theme two, we learnt about how culture affects health care and the changing NHS culture (Francis report). The report was an inquiry into the Mid Staffordshire NHS scandal. Francis (2013) concludes that there should be a true commitment by all those who work in the NHS in ensuring that the patient comes first. The need to choose a culture of learning, safety and transparency were the key summary of the inquiry. Furthermore, we looked at leadership qualities, reflected on our individual leadership qualities, had a debate on ward rounds and learnt some medical idioms. Theme three emphasized on ideas for academic writing which involved how to plan an essay and mind map. Mind mapping is a diagrammatic way of expressing thoughts on any particular subject which involves placing the main topic at the Centre and branching main ideas that relate to the central topic (Buzan, 2013). My colleagues and I participated in the various exercises and group work presented. Mind map is a collaborative learning tool (Budd
Reflection is turning experience into Learning. Reflection is a conscious, dynamic process of thinking about, analysing, and learning from an experience that gives insight into self and practice.
The professional value that I have chosen to reflect on from my practice is based on privacy and dignity for a patient admitted in the hospital. To enhance my reflection development, Driscoll (2007) model of reflection; What? So what? Now what? will be apply. According to (Lowenstein, Bradshaw, and Fuszard, 2004), reflection is the method of analysing and reviewing one’s practice as a nurse, with the aim of improving one’s interactive skills with both patient and colleagues. Reflection is a method of re-evaluating practice accounts and providing substitute tactics to doing things (Howatson-Jones, 2016). Reflection is a vital learning tools which can progress on innovative knowledge (O'Carroll, Park and Nicol, 2007) and enables
The use of reflection within the profession of nursing is crucial, according to the Nursing and Midwifery Council (NMC) all nurses and midwives must have a reflective discussion with another registered nurse or midwife as part of their revalidation. The discussion is based upon five written reflective accounts, the NMC suggests this is to prevent working in professional isolation and to encourage a culture of sharing, reflection and improvement between professionals within the trust.
Going into this unit, I personally thought I understood the meaning of the topic that was going to be covered in week 1-3. Which consisted of sociocultural considerations and nursing practice, cultural safety, culture worldview, lifeworld, social justice and Australian history and current health. However, after learning the deeper meaning of each topic I had a personal deeper understanding and realized how my perspectives of the topics were just a small aspect of the full
This experience will definitely influence my future practice; my action plan would be using those teaching strategies in preparing students to face the clinical environment, to ensure optimal patients’ health outcomes and it helps to build a competent and independent clinician.
Look back: During my third week clinical experience, I did both computer charting and paper charting (for maternal assessment) with nursing care plan. Besides charting, I reported my significant findings of the mother verbally to the primary nurse.
...ssional Development in Health and Social Care: Strategies for Lifelong Learning: Oxford, GBR: John Wiley & Sons, Ltd, Publication
There are a lot of obstacles that medical interpreters have to face in order to be a good medical interpreter. There are times when the medical interpreters run behind in their appointments because the doctors come in late for the appointment. “The interpreter schedules for an hour only, but the doctor runs behind and takes one and a half hour, which makes the interpreter late for another appointment, so they get complaints from the patients,” Ms. Renuka said as grabbed herself a bottle of water from the refrigerator. The hospital staffs and the patients do not understand each other’s culture sometimes, so the medical interpreter has to explain the culture. “Interpreters explain the culture, but some don’t understand the culture or respect it. For example, yelling and slapping the kids is culturally accepted in Nepali. Therefore, some families do that in the hospital, and some staffs blame the entire Nepali community for yelling and slapping their kids. In these situations, the interpreters try to be the educator to make both parties understand each other, but it’s very hard and unsuccessful sometimes,” said Ms. Renuka with a hint of sadness in her voice. The interpreters do their best and usually are successful at making the hospital’s staffs and the patients understand each other’s culture, but there are times where they are unsuccessful at making the staffs and the patients understand each other’s cultural differences.
This reflective essay will discuss three skills that I have leant and developed during my placement. The three skills that I will be discussing in this essay are bed-bath, observing a corpse being prepared for mortuary and putting canulla and taking it out. These skills will be discussed in this essay using (Gibb’s, 1988) model. I have chosen to use Gibb’s model because I find this model easier to use and understand to guide me through my reflection process. Moreover, this model will be useful in breaking the new skills that I have developed into a way that I can understand. This model will also enable me to turn my experiences into knowledge that I can refer to in the future when facing same or similar situations. Gibbs model seems to be straightforward compared to the other model which is why I have also chosen it. To abide by the code of conduct of Nursing and Midwifery Council (NMC) names of the real patients in this essay have been changed to respect the confidentiality.
The case study focused on a nursing student named Jane, who described how she “absorbed her patient’s emotional trauma like a sponge” (Rees, 2012, pg. 321). Through reflective practice, Jane claimed she was able to “deal with the emotional challenges such as fear she frequently felt in practice” (Rees, 2012, pg. 321). Dr Rees findings established how reflection can help nurses manage their emotions, in order to help the individual gain strength to overcome emotions brought about by the practice of nursing. Clearly reflective practice assists a nurse in being a success throughout their
I believe placing student nurses in the clinical setting is vital in becoming competent nurses. Every experience the student experiences during their placement has an educative nature therefore, it is important for the students to take some time to reflect on these experiences. A specific situation that stood out to me from my clinical experience was that; I didn’t realize I had ignored the patient’s pain until I was later asked by the nurse if the patient was in any pain.
After meeting with our patient twice, I believe we have set into place a relationship where the patient is very open to us about her health. This is helpful for my partner and I as an open and honest patient is beneficial as we assist them in their health. Goals for next semester include reducing our patient’s blood sugar as well as reducing our patient’s fibromyalgia pain. Our patient has expressed to us that her glucose is high but she is ok with the high number as long as she is feeling relatively healthy. We hope to give practical ways to reduce blood sugar throughout next semester so hopefully we can reduce that number by semester’s end. Our patient is going to see her physician soon, so we hope to get an update on the patient’s fibromyalgia
Throughout my final ten weeks at my placement, I have grown and overcome so many obstacles. I have accomplished a wide range of skills since the beginning and have been improving on them as I gained experience. At my placement as a student nurse, I have gained a lot of confidence, skills, knowledge and experiences that have helped me act and work in a professional way. All the experiences I have had during the ten weeks of my student years have helped me in shaping me into a professional.
Most of us might thought that doctors are equipped by their medical education with the ability to treat disease and the training to smoothly comfort the dying. However, in her book, Dr. Chen shares with us the ironic reality that thorough medical education and culture not only does not prepare doctors for inevitable death of some of their patients but shun the confrontation with death almost completely (Chen, 2007). When it comes to facing death, physicians are just as at a loss as the rest of us. Dr. Chen explores the phenomenon that doctors avoid talking about death among patients as well as themselves by sharing her clinical experiences. She was particularly inspired when she witnessed a break with tradition: one doctor tried to console an elderly woman whose husband is dying and stayed with her by the side of the bed instead of just closed the curtain and left family members along with their dying relative (Chen, 2007). That scene of compassion and humanity, in the midst of machine beepings and buzzings, was an excellent example to show what physicians can do when nothing can be done. And when a doctor opens to confronting his own fears and doubts, he will be ready to prepare his patients for the "final exam". Therefore, self-reflection and dialogue is something a physician can do beyond cure, and it is also what Dr. Chen really wants to tell us about.
This week’s clinical experience has been unlike any other. I went onto the unit knowing that I needed to be more independent and found myself to be both scared and intimidated. However, having the patients I did made my first mother baby clinical an exciting experience. I was able to create connections between what I saw on the unit and the theory we learned in lectures. In addition, I was able to see tricks other nurses on the unit have when providing care, and where others went wrong. Being aware of this enabled me to see the areas of mother baby nursing I understood and areas I need to further research to become a better nurse.