...This essay will discuss a clinical skill in which I have become competent in practicing. I will use a reflective model to discuss how I have achieved the necessary level of competence in my nurse training programme. The reflective model I have chosen to use is Gibbs model (Gibbs 1988). Gibbs model of reflection incorporates the following: description, feelings, evaluation, analysis, conclusion and an action plan (Gibbs 1988). The model will be applied to the essay to facilitate critical thought, relating theory to practice where the model allows. Discussion will include the knowledge underpinning practice and the evidence base for the clinical skill. A conclusion to the essay will then be given which will discuss my reflection skills, acknowledge my competence and show my personal and professional development. The clinical skill I have chosen to reflect on within this essay is the administration of Intramuscular (IM) injections. I have chosen this as within my first clinical placement this was a widely used method of drug administration and I became involved in the process of IM injections. I therefore researched the topic of IM injections and my knowledge within this area developed. The first stage of Gibbs (1988) model of reflection requires a description of events. I was asked to administer a drug to a patient via IM injection. I had observed this clinical skill on a variety of occasions and had previously administered an IM injection under supervision. On this occasion I...
Words: 1398 - Pages: 6
...There are many reasons why I'm happy in my new career in nursing, a profession full of humanism, sacrifice and dedication. There have been many positive experiences in my performance during this course such as the improvement of my English, the knowledge gained in the field of nutrition and legality, but my greatest satisfaction has been in clinical practice in the hospital assigned. I have experienced the importance of a proper performance of nursing technique in each of the procedures to be performed with the patients, the interest of nurses in training us and the gratitude of patients when we give them a quality service. It is extremely important to follow the steps in each nursing techniques because omit or used incorrectly can have negative consequences in the diagnosis, treatment and complications in the patient. Once, the equipment used in hospital to measure blood pressure did not work properly and it was necessary to use a conventional aneroid sphygmomanometer, the result was a significant difference in the patient's blood pressure due to an incorrect technique. Diastolic blood pressure was very high because they interpreted the change in tone of the last heartbeat and not its total disappearance as a reference in this data. In another case, a patient suffered a slight aspiration due to the angle used to raise the head of the bed was less than the appropriate while eating lunch. These experiences were used by nurses to discuss them later in a teaching exercise. So...
Words: 534 - Pages: 3
...Reflective Practice – Part A Originally reflective practice was commonly used to deal with well documented problems in professional practice. However the use of reflective practice has made a shift to also be used in main stream educational practice. (Bradury et al. 2009) This then makes it credible to use reflective practice to assess my progress so far at university. I will do this by sing Driscoll model of reflection (by Barton) model of reflection that I undertook in class. Using Driscoll ‘What?’ ‘So what?’ Now what? Reflection model, along with headstart I identified potential weaknesses that could hinder my university study. After completing headstart it was apparent what my ‘what?’ was ‘writing in higher education’ came up as something...
Words: 1476 - Pages: 6
...interpersonal communication at its core. Virtually all nursing work revolves around the need for nurses to be effective communicators, whether relating to colleagues or with service users. (Morrall 2001). This essay seeks to discuss an evidence based experience learnt in clinical practice. For the purpose of this essay the author has chosen communication skills, since it is the basis for which verbal, non verbal and written ideas are conferred among the nursing staff. Some key policies and evidence taken from (research evidence or from this essay) will be identified and discussed. It also seeks to conclude with a general analysis from the overall main findings of this essay. The National Midwifery Council (NMC) (2008) state that nurses must take part in appropriate learning and practice activities that maintain and develop their competence and performance. As a nurse in training, I had been given the opportunity to complete a four weeks placement in a rehabilitation unit. The services provided included the admission of patients requiring rehabilitation therapy and specialist nursing attention. I was elected by my mentor to sit in their weekly review meeting consisting of the Multidisciplinary Team (MDT) in order to facilitate my learning objectives. As a student my role was to observe how the MDT addressed, planned and implemented patient care. This was necessary since nurses are required to maintain up-to-date and accurate records of assessments, risks and problems, care...
Words: 880 - Pages: 4
...Introduction: Child development involves biological, psychological and emotional changes that take place in human beings from birth to the end of adolescence. Psychological changes comprise motor skills and other psycho-physiological processes such as cognitive development (Levine & Munsch 2010). Cognitive development refers to the construction of a thought process which consist not only reasoning, problem solving and decision making, but also it includes cerebral activities such as thinking and memory (Woolfolk-Hoy & Hoy 2004). From this process child will start to learn to analyze the condition and reasoning, which will advances throughout the childhood till adulthood. This essay will discuss the effect of multiple factors such as environmental and social variable on cognitive development. Essay will also explore the importance of understanding developmental psychology for nursing practice. Environment and social variables have a high influence on cognitive development. Jean Piaget and Lev Vygotsky have done remarkable research and develop their own theories in understanding of cognitive development in children. Even though, Jean Piaget and Lev Vygotsky have varied theory about cognitive development, both theories are equally significant to understand cognitive development of a child. According to Lev Vygotsky’s socio-culture theory of development, child’s cognitive development is greatly influenced by the social interaction and culture(Slavin 1996). Lev Vygotsky believed...
Words: 2433 - Pages: 10
...Mentorship Module In this essay I aim to reflect and critically analyse my completion of the learning development plan and to identify how the skills and knowledge that I have gained as a mentor will enable me to lead learning in my area of practice. I will be using the What model of reflection (Driscoll 2000) throughout this essay. What? - As part of the mentorship module I was required to complete a Learning Development Plan (LDP). Part of the LDP involved writing a lesson plan which was then taught to a student under the supervision of my mentor. A copy of the lesson plan can be found within the LDP. An assessment plan was then used to evaluate the learning that had taken place and to assess the competency of the student. I am employed as a Paramedic Practitioner by a National Health Service (NHS) Ambulance Trust and I decided to teach the skill of Intubation to a student Paramedic. The lesson plan included assessing the level of knowledge of my student at the start in order to pitch the lesson at the right level. Gopee (2008:47) cites Ausubel et al (1978) on the view that most meaningful cognitive learning takes place as a result of interaction between the knowledge the individual already processes, and the new information that the individual encounters. Thus the most important factor influencing the learner is what the learner already knows. In order to assess my student, I used the Airway Management assessment sheet currently in use by my Ambulance Trust (NHS Ambulance...
Words: 1750 - Pages: 7
...educational experience and your personal search for purpose? What is your greatest fear? How can you overcome it? Write about one specific educational experience from your past where you addressed a fear and overcame it and how you succeeded in this process. I look forward to implement my knowledge which I got by this education to be in better position in my professional career and be a efficient clinical nurse for the assistant of my patients. I fear about to implement my thinking in word and sentence on my essay papers I came from India and this is my first experience in online classes but I can overcome my fear by improving my writing skills by writing different essays and many discussion and in presence As I begin this experience, I look forward to expanding my education and becoming a better nurse for my patients. My greatest fear is being able to write well-written papers because it has been a while since I have had to write one. I can overcome my fear by watching the tutorial videos and practicing my writing skills through these discussion boards and future essays. One specific educational experience from my past where I addressed fear was when I came to this country for this first time and had to pass my RN exam. Although I was afraid, I studied to the best of my ability, took the exam and passed it. If I let my fear overcome my dreams, I would not be where I am now. I was able to succed in this process because I overcame my fear in order to practice in my profession...
Words: 568 - Pages: 3
...Examples of Reflective Writing Example 1 I arrived on the ward at 7:30 ready to begin a 12-hour shift. After receiving handover, my mentor assigned me the job of bathing Mr B with the help of a healthcare assistant. Mr B has Creutzfeldt-Jakob disease (CJD), a progressive disease of the nervous system with rapid deterioration due to spongiform encephalopathy. He is not expected to live to Christmas, even though he is only 19 years old. He is mentally aware of what is going on but is physically unable to demonstrate activities of daily living, including eating and drinking, has limited communication skills and is doubly incontinent. He is unsafe on his feet so mobilises with a wheelchair. I approached Mr B’s bed and asked his consent to take him for a bath. While the bath was running we began helping him to undress. He looked rather nervous. At the thought of myself being in his position, being the same age as him, I began to feel embarrassed too. I thought that I could not possibly be a professional individual if I let my embarrassment and sympathy get in the way of my nursing care. We assisted Mr B into the bath and started his wash. I knew he was uncomfortable and wanted to be able to wash himself, but was unable to do so. I was finding it difficult to look him in the eye, especially when it came to washing his genitalia. I tried to ease this by making conversation, but in a way this made matters worse. After the bath we dried Mr B, dressed him and returned him...
Words: 1848 - Pages: 8
...Real Essays From Stanford Medical Students Comments Regarding Plagiarism The essays contained within this document were written by current Stanford medical students and have been carefully read and reviewed by file reviewers, interviewers, and admissions staff and officers at Stanford Medical School as well as dozens of other medical schools across the country. We must emphasize that you need to be honest in writing your personal statements. If you borrow material or use quotes from other sources, make sure to credit them appropriately. Not giving credit where it is due is not only disastrous to your essay, but it is also illegal. Admissions officers read hundreds, and even thousands of personal statements each year, and have developed a fine tune sense for detecting plagiarism as well as remembering the essays they’ve read. You owe it to yourself to be hones, open, and sincere in writing your personal essay as it is a reflection of yourself and what is important in your life and your decision to pursue a career in medicine. Stanford Essays The following essays were written by real Stanford medical students in preparing their applications. We suggest that you read through all of the essays to get a diverse view of the types of themes and styles which have been successfully used for personal statements. Each personal statement is exactly that, personal. No one format or style will work for everyone. However, there are structures and themes which are common throughout...
Words: 13099 - Pages: 53
...Examples of Reflective Writing Example 1 I arrived on the ward at 7:30 ready to begin a 12-hour shift. After receiving handover, my mentor assigned me the job of bathing Mr B with the help of a healthcare assistant. Mr B has Creutzfeldt-Jakob disease (CJD), a progressive disease of the nervous system with rapid deterioration due to spongiform encephalopathy. He is not expected to live to Christmas, even though he is only 19 years old. He is mentally aware of what is going on but is physically unable to demonstrate activities of daily living, including eating and drinking, has limited communication skills and is doubly incontinent. He is unsafe on his feet so mobilises with a wheelchair. I approached Mr B’s bed and asked his consent to take him for a bath. While the bath was running we began helping him to undress. He looked rather nervous. At the thought of myself being in his position, being the same age as him, I began to feel embarrassed too. I thought that I could not possibly be a professional individual if I let my embarrassment and sympathy get in the way of my nursing care. We assisted Mr B into the bath and started his wash. I knew he was uncomfortable and wanted to be able to wash himself, but was unable to do so. I was finding it difficult to look him in the eye, especially when it came to washing his genitalia. I tried to ease this by making conversation, but in a way this made matters worse. After the bath we dried Mr B, dressed him and returned him...
Words: 1844 - Pages: 8
...Instructions Write a 100 to 200 word reflective essay describing your growth in Curricular Endpoint A, B, C, and D. In your essays, please describe the activities or assignments that have helped you progress in the curricular endpoint. Please also describe how your experiences and growth will impact your future practice. Please write your essays below each curricular endpoint. You may attach relevant artifacts (e.g. photos or text) Curricular Endpoint A: Patient Care Provide patient care in cooperation with patients, prescribers, and other members of an interprofessional health care team based upon sound therapeutic principles and evidence-based data, taking into account relevant legal, ethical, social, cultural, economic and professional issues, emerging technologies, and evolving biomedical, pharmaceutical, social, behavioral, administrative and clinical sciences that may impact therapeutic outcomes. Years ago the practice of pharmacy mainly involved preparing and dispensing drugs that have been prescribed to patients while lacking patient interaction, However, the pharmacy profession now has moved from that of a "count and pour era" to that of patient-centered care. In other words, no longer does the practice of pharmacy includes simply filling out prescriptions, but also include being part of the health care team. It now includes being directly involved in patient care; providing counseling about new drug therapy, and providing education on disease process. Due to the...
Words: 1115 - Pages: 5
...exposure to evidence- based practice because not only does it better prepare students for future clinical experience, but it also helps students build confidence when dealing with field work. To support this claim, the author discusses and analyzes a cross-sectional survey that focused on the knowledge relationship of nursing students who were acquainted with evidence-based practice. The study was conducted on 436 students who attended both a private or public university and also met the criteria of either being a sophomore, junior or senior, a part-time or full-time student and able to read and write in English. These specific students were then asked a serious of questions relating to their own self- evaluation on the amount of confidence and preparedness they possess in the field. The results showed that students who participated more in a research based learning method had more positive outcomes in their knowledge and attitude and also “generally found to increase with advancing academic class level” (Brown, 2009, pg.6). The purpose of the authors’ discussion on this specific study was to prove that nursing student’s performance will increase if you take them out of a classroom environment and place them into more clinical situations. This source provides credible information with the use of quantitative data and charts making it an extremely useful source when writing an essay relating to this topic of nursing. Robb, M., & Shellenbarger, T. (2014, November 10). Strategies...
Words: 678 - Pages: 3
...Upon review of my application, you may have three questions which stand out. Instead of “ignoring the elephant in the room,” I’d like to address these concerns you may have: 1. Why did I attend so many colleges? You’ll note, I started at BYU, then transferred to Dixie State University, then Utah Valley University, followed by Salt Lake Community College, and lastly, University of Utah. Trust me, this was not by design. After my 1st year at BYU, I went home for the summer . . . and let’s just say, “I met a boy.” I probably needn’t say more, but I’m compelled to do so. I deferred at BYU to remain home fall semester and attended DSU. The next semester, I returned north for schooling; but, enrolled at UVU because I discovered I could be a practicing...
Words: 997 - Pages: 4
...MODULE CODE: MOD001840 SID NO : 0711950 WORDS : 2,000 SUBMISSION DATE: 10TH OF MAY 2013 The purpose of this essay is to provide a reflective account of mentoring a pre-registration nursing student in practice. A reflective model (Gibbs 1988, appendix 1) I will analyse the experience between myself as a mentor and the student under the supervision of a qualified mentor. The learning styles, The name of individuals involved shall not be mentioned in order to protect confidentiality in accordance to the Nursing and Midwifery Council (NMC, 2008) Emphasis will be put on how an environment may be created to foster a long life learning and teaching and the learning strategies that were utilised, coupled with principles of assessment and the assessment tools that were used. The role of a mentor in facilitating learning will also be appraised. What is reflection? According to, Taylor (2000), “reflection means the throwing back of thoughts and memories in cognitive act such as thinking, contemplation, meditation and any other form of attentive consideration in order to make sense of them, and to make contextually appropriate changes if they are required”. The purpose of reflection as stated by John (1999) is to promote desirable practice through the practitioner's understanding and learning about their lived experiences. John (1999) mentorship reflection. This mentorship encourages practitioners to work through a series of reflective cues, the last of which...
Words: 2462 - Pages: 10
...The purpose of this essay is to discuss, within a case study context, the impact of severe mental health problems on a client whose care I have been involved in and, to discuss how the condition has affected the person, their informal carers, family and supporters. This essay will aim to provide an explanation of severe mental illness as well as an overview of the chosen client’s background, diagnosis and the impact this has had on them and those involved in their care. To protect the identity of the client and to respect the principle of confidentiality, a pseudonym has been used throughout this essay (NMC, 2008). The reason for choosing John for my case study is that having worked with him for approximately 2 years now, I feel I have already developed a therapeutic relationship with him. Having this Therapeutic relationship means there is an ongoing rapport resulting in John feeling at ease in disclosing personal information.. There is no universal understanding of what a severe mental health illness is it tends to be seen differently by the person experiencing it, their family and doctors. The term can refer to an illness where psychosis occurs, e.g. Schizophrenia; it also includes mood disorders, e.g. manic depression, schizoaffective disorder and clinical depression, and often referred to severe mental illness Psychosis describes the loss of reality a person experiences. (Rethink, 2009). This case study is based around a 24-year-old man who shall be referred to as John...
Words: 1693 - Pages: 7
