...experience of learning from reflection on giving intramuscular (IM) injections, using Gibbs's (1988) reflective model. I demonstrate how practice anxiety, as a student nurse, can be dealt with through effective mentoring. I chose the seminal theory of Gibbs reflection on practice, as it illustrates six significant stages; description, feelings, evaluation, analysis of the incident, conclusion and an action plan Ghaye and Lillyman (1997). Gibbs cycle is used throughout the process of reflecting on the incident to help me make sense of my practice and understand what l could do differently to enhance good practice. I use my experience from a placement simulation as I could not be on actual placement due to unforeseen circumstances. Reflection is a process through which healthcare practitioners and students can learn from experience and use the knowledge to inform and improve practice Schon, (1983). The ability to reflect on one's actions is particularly imperative in clinical practice and discourse. As Jarvis (1992) asserted, there is no consensus on the definition of reflection as it is a broad concept. Reid (1993, p305.) define reflection as; “a course of action reviewing an occurrence of practice to describe, analyse, evaluate and so inform learning about practice” Schon (1983) identified two types of reflection which are; reflection in action, which takes place during the event where the practitioner may not be aware that it is happening and reflection on action, which takes place...
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...and its impact on me and other colleagues. Using Gibbs (1988) Reflective Cycle I will identify the situation in which the issue arose, the thoughts and feelings it evoked, an evaluation of positive and negative aspects experienced. I will analyse the situation in order to reach a conclusion and to formulate an action plan. To preserve patient and staff confidentiality no one will be named. I believe Gibbs model of reflection to be a framework with which I can address an issue from the workplace as I find it easy to utilise and believe it supports my reflective learning style as a pragmatist. Cottrell (2008). This approach to learning advocates Ryle (1949) where thoughts and feelings impact directly on the way we behave. This way of thinking suits me personally as I trained as a Cognitive Behavioural Counsellor and believe I take a rational and cognitive approach to problems. Neenan and Dryden (2004). Consequently I believe it to be a model or framework with which I can use as I develop as an Assistant Practitioner. The incident I am using for reflection for this essay involves an 87 year old lady that had suffered a pre-tibia laceration and attended the minor injuries department of Accident and Emergency. Following examination by a Nurse Practitioner I was asked to treat the injury. I cleaned the wound aseptically removing the developing Haematoma from under the skin flap and occluded using steri-strips. A Mepitel non- adhesive dressing was then applied. I secured the...
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...boundaries and leads to better communication and therefore a better outcome for the patient. (Pullen & Mathias, 2010) Being able to reflect upon situations is vital in the role of the nurse. Being able to examine personal thoughts and perceptions enables the nurse to have greater self awareness and build upon strengths and develop personal and professional competencies. (Somerville, D. et al 2004) Reflection has been described as being able to think about a situation, make sense of it and ultimately learn from it. (Clarke and Graham 1996) Taking a period of time to reflect and review a situation allows a person to move on and through the learning experience, become a better practitioner (Bulman et al 2012) By being able to reflect and ask myself what would I do differently or could my practice have been better will only help to develop my skills and knowledge and influence my future as a practitioner in a positive way. Having looked at several reflective models of learning, such as Gibbs (1988), Driscoll (2000) and Dewey, I have decided to use the Kolb (1984) model of reflection throughout this assignment. Kolb's (1984) experiential theory of learning has four distinct stages of a cycle. This incorporates an actual learning experience; being involved in a situation, then observing someone one else in that situation, reflecting upon...
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...1 Reflection Reflection is an everyday process. We reflect on a range of everyday problems and situations all the time: What went well? What didn’t? Why? How do I feel about it? We don’t usually follow a formula for this, it just happens as feelings, thoughts and emotions about something gradually ‘surface’. We might choose to do something differently, or not, as a result of reflecting, but reflection is essentially a kind of loose processing of thoughts and feelings about an incident, a meeting, a day – any event or experience at all. Reflection can be a more structured way of processing in order to deal with a problem. This type of reflection may take place when we have had time to stand back from something, or talk it through, as in: ‘On reflection, I think you might be right’, or ‘On second thoughts, I realised he was more upset than me.’ Structured reflection If we consciously reflect, maybe as part of our work or family role, there tends to be a rough process of ‘How did it go? What went well? Why? What didn’t? Why? What next?’ Examples might be of a football coach reflecting after a match, a teacher reflecting on a lesson, or simply a parent thinking about how best to deal with a teenager. In this kind of reflection, the aim is to look carefully at what happened, sort out what is really going on and explore in depth, in order to improve, or change something for next time. This brief guide will look at what is meant by reflection, suggest forms of structured...
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...of communication amongst the health care professionals and how a good nursing documentation is an integral part of nursing. It will also demonstrate how reflection enabled me to make sense of and learn from this experience, as well as identify any further learning developments needed to improve my practice and achieve the level of competency needed for when I qualify as an assistant practitioner. While discussing the knowledge underpinning practice, evidence based literature will be reviewed to support my discussion and for the purpose of reflection the essay will be written in the first person. Spouse, J, et al (2008). Jonhs, C (2009) defined reflection as learning through our every day experiences, towards realising one’s vision of desirable practice as a lived reality. He also added that it is a critical and a flexible process of self inquiry and transformation of being and becoming the practitioner you desire to be. However, Ghaye, T et al. (2000) stated that for the health care professionals to develop a more reflective posture, they must fully embrace both the principles and the practices of reflection. It is about becoming more aware of how we learn and how this affects what we think, feel and do. There are different models for reflection; some are more complex and detailed than others. To help me with my reflection, I have chosen Gibbs (1988) reflective cycle as a guide: The names of the patient, staff members and health care setting will be changed to protect...
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...RA3 – Reflection of techniques Barometer of confidence +Using a scale system helped me identify what current level I felt I was. +Open questioning for the analysis of current level enabled me to explain why I felt I was at the current level stated and give examples to reinforce the level indicated. -The scale system though is relatively vague in regards to numbers and their value. It is through interpretation of their value in regards to how confident you are rather than a systematic and calculated approach. This means the level you suggest you are currently achieving could be over or under the realistic level. -Answering is subjective and could have an element of bias. There are no set criteria to base the level and descriptive answering on. Learning Styles Questionnaire +Questions asked reinforce a particular learning style when answers are collated, to make the claim to be stronger in a particular learning style more valid. +Questions can be related to the careers work that I do and therefore indicate the learning styles I tend to use in appointments. -Questions can be interpreted in a variety of situations, so the answers given may not truly reflect the learning styles being used. -Final scoring of answers given doesn’t indicate the scale of which a learning style is used. It is only an indication and further analysis would need to be used to definitively suggest the learning styles more suited to an individual. My results are fairly even and don’t indicate...
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...Date: 27th October, 2014 Title: Morrisons breaks pledge on low prices Link: http://www.thesundaytimes.co.uk/sto/business/Retail_and_leisure/article1475669.ece The ethical issue was related to credibility of a company. It was about Morrisons the supermarket increased prices of some products marked with “I’m cheaper” sign after promising to cut prices permanently on over 1000 goods six months ago. The supermarket claimed the rise in prices was only a reflection of “commodity inflation” and still “lower than they would have been” without the “I’m Cheaper”cuts. No doubt by increasing the price of goods, the supermarket could compensate the losses from the inflation in supply costs. This do help to maintain profitability of the supermarket and strengthen the confidence of its investors. Also, even though the prices had been raised, they were still lower than the general prices of these goods. The promise of enduring price cut was kept. It was a win-win situation in the eyes of Morrisons. One of the problems arose in this issue was the reputation of Morrisons towards the customers was deeply affected. Although action of increasing the prices due to inflation was justifiable, Morrisons still broke part of its vow of long-lasting price cut. A credibility gap between Morrisons and customers might have been develop as a result. Moreover, the intention of the supermarket was to maintain its profitability while the issue of the news had leaded to a fall in its share price of 0.46...
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...Critically discuss the importance of reflection in the practice of management Student ID:20583416 Course: The reflective manager (MD4046) Lecturer: Dr. Elias Hadjielias Fall 2012 Assignment no. 1 Table of Contents Introduction Page 1.1 General Introduction to Reflection 3 1.2 Objectives and Purpose of the essay 3 Main Body 1.3-1.6 Review of Literature 3-4 1.7 Personal opinion of the writer 4 1.8 A practical example of Reflection in a certain case 4 1.9 Recommendations from the writer 5 Conclusion 2.0 Summary pg.3 5 2.1 References ...
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...Johns Model of reflection Johns model is based on five cue questions which enable you to break down your experience and reflect on the process and outcomes. John (1995) used seminal work by Carper (1978) as the basis for his model exploring aesthetics, personal knowing, ethics and empirics and then encouraging the reflective practitioner to explore how this has changed and improved their practice. Carper B (1978) Fundamental patterns of knowing in nursing. Advances in Nursing Science. 1, 1, 13-23. Greater Manchester AHP/HCS Life Long Learning Project Team. Hand out 3 Models of reflection. Available URL http://64.233.183.104/search?q=cache:Ta_9a2Ad4FUJ:www.bolton.nhs.uk/SHA/LLL/resources/reflective/Framework%2520for %2520Reflection.doc+Johns+Model+of+Structure+Reflection&hl=en&ct=clnk&cd=4&gl=uk th Accessed 11 January 2008 Hilliard C (2006) Using structured reflection on a critical incident to develop a professional portfolio. Nursing standard 21 (2) 35-40 Johns C (1995) Framing learning through reflection within Carper’s fundamental ways of knowing in nursing. Journal of Advanced Nursing. 22, 2, 226-234 Johns Model of reflection Johns Model of Reflection Description of the experience Describe the experience and what were the significant factors? Refection What was I trying to achieve and what are the consequences? Influencing factors What things like internal/external/knowledge affected my decision making? Could I have dealt with it better What other choices did I have...
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...Personal reflections are characterized as learning through experience in gaining new insights and changed perception of self and practices. Reflection can be a difficult experience without the support and guidance of an expert (Johns, 2004). This personal reflection presents an exciting opportunity for me to consider how successful my placement in the intermediate care has been in terms of my own personal learning. By reflecting on the positive aspects of the placement, I will be able to make sense of my personal learning and apply what I have learnt into future careers. At the beginning of my placement I knew very little about intermediate care or services it provided regarding alternatives to hospital care for elderly patients. In preparation for my placement, I visited a local health center and spoke to a therapist who agreed to send me information about intermediate care service. I familiarized myself with the services that are offered by intermediate care, for instance in house provisions and therapist group run services. This helped to alleviate some of my anxiety about the placement that I experienced during my first week, reflecting on my experiences has helped. During my placement I was allocated a mentor who was a knowledgeable and professional nurse. I learnt so much from my mentor, especially what it takes to be a crucial member of a rapid response team of the intermediate care service. Shadowing the mentor gave me the opportunity to observe all the rapid...
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...Refraction and Reflection People often wonder why it is that when looking at fish in an aquarium, the fish seems to suddenly change to a different position as we look at them from different viewpoints. What makes Diamonds seem to sparkle so much, or even when a straw is inserted into a glass it looks tilted or at an angle. All of these questions has the same answer and are all examples of Refraction, Refraction is the change in direction of light as it changes speeds passing from one material into another, it slows down when light enters a denser material, and is also the key component in fiber-optic transmissions. Although reflection and refraction are often construed as one in the same they are however different. Reflection tends to occur when light bounces off of an object. But the amount of reflection often depends on how even the surface is. Meaning if a surface is smooth or even flat (specular) it will bounce off at equal angles; like when you look in the mirror at the reflection of yourself, or in a clam body of water. Or perhaps if the surface is rough (diffuse) the light will however scatter into different directions, like off of clothing or paper. Or for instance this is why the “setting sun” my have a reddish tint and why the sky is blue. Degradation could be defined as the ratio of optical output power to the input power in the fiber of length. Some factors that can cause degradation of signal strength in fiber-optic transmission are absorption (intrinsic...
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...Reading Reflection 1 Reading Reflection Holly Schultz Eng 125 Sherita Smedley November 3, 2014 Reading Reflection 2 From the two pieces of work that were presented were The Story of a Hour by Kate Chopin and The Welcoming Table by Alice Walker. The piece of work that is going to be discussed is The Welcoming Table by Alice Walker. This piece of literature captured my interest to a personal level. The piece of literature kind of hits home with what I see and how I feel that the woman that was presented in the literature was treated by the other people. The key terms that are going to be use to describe this literature piece will be tone, symbol, and figurative language. The main reason that this literature work captured my interest is because I can place myself in her shoes. I have been in positions and also have been in places that people did not want me there, or that I did not feel welcome in their circle. There was one incident that I remember; I was trying to find a church that could feel comfortable going to, some place that I can look for answers if I had questions. I believe that is what the little old woman was doing in the literature work in The Welcoming Table. It seems like the woman wanted to do was pray and be able to speak to Jesus in his own house. The people of the church did not want her to be there because she was not wearing the right clothes, and she was not like them, that is what I got from the reading. The people that were in the church were not happy...
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...Unit 9 Reflection Christy Gatlin CM107 Unit 9 Reflections For this assignment I have been instructed to reflect back to the unit two assignment and unit three journal entry. In the unit two assignment we were asked to discuss our goals for college composition 1. Looking back at the goals I set for myself I do believe that I have achieved my goals. My goals were to learn how to correctly write an introductory paragraph and a conclusion paragraph. This course has helped me reach those goals. Strategies I used to achieve those goals was doing research, using the reading material given to us through the Kaplan Library and studying. Without the reading material and the professor being so helpful I don’t think I could have achieved the goals I had set for myself. I am most proud of myself for learning how to write a thesis statement and why it is important. I never really knew how to start a paper correctly. Having an effective thesis in your introductory paragraph is very important. It can make your break paper. The thesis is a statement that tells what your paper is about and why. The project I just completed has taught me a lot. It has taught me to be more comfortable with my own writing skills. It has also taught me that I still need to work on citation and giving proper credit where it is due. I understand why we do citations but I just still need to work on it. I will have to use this in other classes for papers. I think now is a time to set another goal for myself...
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...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...
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...As a member of this group, I think everyone was treated with respect and that was one of the key attributes of that group. This allowed everyone to feel comfortable enough to express their voices and opinions. With the artefact project, we were all able to provide input and all of our individual ideas were taken considerably and never turned away. There have been times where the group would get distracted during workshops however I think it allowed all of the members to become comfortable with one another and we always completed our work in the end. From the formation of this group, we formed strong friendships which allowed us to excel in the group project. Some of the groups most difficult moments would have to have been focusing on the task at hand. When we would meet up to discuss our group artefact project, too many distractions got in the way of actually getting sufficient work done. This resulted in the group having to rush everything dangerously close to the due date. This released stress and members were increasingly getting frustrated with one another. These distractions include phones, other assignments, chatting, and people having to leave early. To prevent this next time from happening, it could be suggested that we start the project as early as possible so that it can be completed whilst it is still fresh in our minds and when we have time and motivation to do it. During the presentation time, I was quite surprised with the way my group presented our project to...
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