...A clinical experience that stands out as significant is the day I had a pregnant patient in my chair. She was my first pregnant patient and I learned a lot in those two appointments. I learned that you should always be aware of the patient by asking how they are doing. Also, I learned that the chair should not be low or too high because it makes the patient feel uncomfortable. This patient stands out a significant because being a pregnant patient she had a lot of buildup on her lower anterior. I used the cavitron on her and everything went perfectly fine. My patient felt great afterwards. This is a learning experience because as a future hygienist I will be seeing patients who are pregnant and having her in my chair prepared me for what I am...
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...Introduction: In this essay, I will discuss several issues that seem to bind nursing practice with questions of ethics, sociology and management. Reflective practice is an important aspect of nursing management and in this essay we discuss implications of discrimination in nursing care and examine the importance of anti-discriminatory perspectives in nursing. In this paper, the case study I will elaborate is of an elderly woman who was of a non-British ethnic origin and spoke little English. A junior nurse visited her home to provide care but her attitude towards the patient has been discriminatory and abrupt, a situation that calls for serious reflection on the issues of racial discrimination at the clinical setting. The patient was apparently treated with leg ulcer. The questions that have to be considered here are: Where in the observation did discrimination occur and how this could have affected the delivery of care given? And how has discrimination influenced the lady’s care? The concept of anti-discriminatory practice as a contemporary issue within adult nursing is discussed here considering observational evidence and similar case studies. Reflection in Nursing: Reflective practice in nursing is guided by models of reflection. Reflective practice model serves as a framework within which nursing or other management professions can work. Reflective practice model is also a structural framework or learning model that serves the purposes of a profession and is particularly...
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...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...
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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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...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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...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...
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...Gibbs Reflective Assignment On Non-Verbal Communication With A Patient With Demenita Introduction This assignment is a reflective account of my first experience when assisting a patient to eat lunch. For the purpose of this assignment I will refer to this patient as Mrs C to maintain confidentiality and comply with the NMC code (2008). It will discuss the importance of non-verbal communication when providing effective nursing care to the elderly. Description Thoughts and Feelings Evaluation I felt this first experience was very rewarding and a big learning curve for me in caring for others. I was delighted that I had been able to support Mrs C to eat nearly all of her meal which she clearly enjoyed. The ‘protected mealtime’ policy ensured that I had time to dedicate to assist her and as she did not have the ability to feed herself, without my help she would have eaten very little or nothing at all. In order to communicate with Mrs C, I modified the usual rules of communication. I did not speak to Mrs C in an inappropriate way or use elder talk which may have damaged her self esteem and confidence (Argle 1994). I talked to her as I would address any adult but put more emphasis on non-verbal communication which according to Caris Verhallen (1999) is the main way in which humans communicate, in order for her to receive my message, extract the meaning and give me feedback. By holding Mrs C’ gaze I was maintaining communication and encouraging engagement and interaction...
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...The aim of this essay is to examine and reflect upon a case study regarding a patient, by focusing on a clinical decision that was made by the author. This particular case study is based around the clinical decision making process of a patient being admitted to hospital for a surgical procedure. A description of the clinical decision making process related to the case study will be addressed; other factors that influenced this process will also be analyzed. Finally, the author will reflect on the decision made using the Gibbs Reflective Cycle. All aspects of this essay will be analyzed and supported by current literature related to the topic. Clinical decision-making is an important skill for all nurses to have, as they are more likely to have a positive impact on patient outcomes (Furze, Nelson, O’Hare, Ortner, Threlkeld & Jensen, 2013). Clinical reasoning can be defined as a “ complex cognitive process that uses both formal and informal thinking strategies to gather and analyze patient information, evaluate the significance of this information and weight alternative options” (Lavote, Pepin & Boyer, 2013, p36). The clinical reasoning cycle is a multi-staged process that nurses and professionals use to “collect cues, process information, come to an understanding of a patient problem or situation, plan and implement interventions, evaluate outcomes, reflect and learn from the process” (Levett-Jones et al, 2010, p516). This eight-stage process may...
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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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...appropriate conclusions supported by the data. The concept of profesional journal as a means of developing reflective practice has become a popular topic in classrooms, professional journals, conferences, and continuing education programs (Boud & Walker, 1998). Many other names for profesional journal appear in nursing literature, including log, journaling, narrative pedagogy, dialogue journals, reflective practice, and reflective writing. Whatever people says, reflective profesional journal requires writing, a great deal of it. However, journals are an integral part of the teaching/learning in many nursing programs as well as in allied health programs and education in general. The purpose of this essay is to review the literature related to profesional journal and reflective practice and how it can be beneficial in the teaching/learning process. Reflective practice is a means of self-examination that involves looking back over what has happened in practice in an effort to improve performance or to encourage professional growth (Ruth-Sahd, 2003). Profesional journal is a method that is frequently used in nursing education as an active learning technique to enhance reflective practice. Why is reflective practice so important? The literature cites numerous reasons for utilizing profesional journal/reflective practice in the academic setting. According to Pinkstaff (1985), students find that ideas become clearer...
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...PNR400 Role Development for the Practical Nurse Leadership Reflective Essay Assignment Grade: 10% of final grade Length: 4 pages maximum, Due Date: October 19, 2015 at 7:00 pm (see below) * 12 font, New Times Roman, double spaced, excluding reference list and title page. * Hard copy and electronic copy due at beginning of class as assigned by professor * Include a copy of the rubric with the hardcopy of your essay * Submit an electronic copy to Safe Assign on your assigned due date. Topic: Reflections: Leadership Development as you transition from learner to practitioner This essay is a critical analysis of your personal journey reflecting on your leadership skills development as you transition from being a student to a practice RPN. It may be helpful to focus on one significant experience and/or challenge: Examine how it made you feel made and how you have grown and developed leadership skills as a result. The primary focus is on your development of leadership skills as you transition from learner to practitioner. It should be honest and include examples, details, and relevant literature to support your opinions and thoughts. A good reflective essay should help you to understand yourself better. It must be written in the first person. Though this is a reflective paper, you need to clearly support your thoughts and ideas with references from the literature. Theoretical references may come from the literature related to leadership theory...
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... ACADEMIC AND PROFESSIONAL DEVELOPMENT. COURSEWORK TWO ID: 1376702 WORD COUNT: 1448 This assignment will reflect on an issue that has arisen in my workplace 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...
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...Contents Introduction ………………………………………………………………….Pages 2-3 Discussion…...…………………………………………………………………Pages 4-14 Conclusion …………………………………………………………………...Pages 15-16 References ………………………………………………………………….Pages 17-20 Introduction This essay aims to explore the processes of teaching, training and mentoring of adults. The setting in which this will be explored and linked to, will be one of nursing, although it is recognised that the fundamental theories explored may be applied to any setting where the teaching, training and mentoring of adults occur. The essay will explore the writer’s understanding regarding the role of a mentor within the workplace and the theoretical ties surrounding mentorship and how these are linked into the writer’s role of a mentor. Any names or areas of work mentioned in the essay have been changed in order to maintain confidentiality, clause five of the Nursing and Midwifery Council (NMC) Code of Professional Conduct: Standards for Conduct, Performance and Ethics (NMC 2004). The term ‘mentor’ is defined by the English National Board (ENB) and the Department of Health (DOH) to “denote the role of the nurse, midwife or health visitor who facilitates learning and supervises and assesses students in their practice setting” (ENB & DOH 2001a P6). Nicklin and Kenworthy (2000) define a mentor as someone who by example and facilitation guides, assists, and supports the student in learning new skills, adopting new behaviour and acquiring...
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...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 is concerned with personal learning. John (1999) mentorship...
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...Definition of Reflective Practice Reflective practice is a way of studying your own experiences to improve the way you work (Deakin, 2010) Reflective practice highlights the importance of learning from experiences after thinking about it and relates the practical experiences to the theoretical learning approaches (Oxbridgewriters, 2011). Definition Cont’d It is a process by which practitioners focus on how they interact with their colleagues and environment in order to obtain a clearer picture of their own behaviour, thus building on existing strengths. Reflective Practitioner is usually engaged in some kind of activity (often professional) which they can use to reflect on their strengths, weaknesses and areas for development (Somerville & Keeling, 2004) Definition Cont’d Critical reflection includes questioning routines, habitual practice, challenging “conventional wisdom”, being able to ask others and ourselves “why-type” questions . Such as: 1What is my nursing care like? 2 Why is it like this? 3 How has it come to be this way? 4 What aspect of it would I like to improve? 5 Whose interest are being served (or denied) by my job? (Scribid, 2010) Benefits of Reflective Practice Increases confidence and allows one to become a more proactive professional; Improves the quality of care given and close the gap between...
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