Reflective Essay Essay

The aim of this endeavor is to prove an sagacity of my perception of mirror image and how musing practice impacts on the clinical environment and the knowledge service. The es utter is ground on my practice and knowledge in the cardiac ward during my Foundation stop in Health and Social Cargon. I gain selected 5 extracts from my broody diary concerning a diligent experiencing shortness of hint which led to a cardiac arrest. In order to be fitting to engage this accompaniment for my pondering offshoot the diligent will be referred to as Jane for the maintaining of confidentiality tally to the Nursery and Midwifery Council (NMC, 2008).I sacrifice elect to discuss on the quality of Jane as the federal agency I was confronted with at the sentence do me reflect on issues of conclusiveness and the importance of converse and social skills in the relationship with the unhurried. I will be using the What? Model of Structured verbal expression (Driscoll, 2007) a frame wrick that uses three fair questions as guidance in reflective practice, namely What? So what? Now what? I pitch chosen this sticker as I count is a virtual(a) solution that merchant ship be apply by health c atomic number 18 captains in a rapid and efficient manner. It stimulates an in depth meaningful reflective process that leads to an actual plan for future transactions. tally to Johns (2013) reproval shtup be viewed as a window through which a practiti oner erect see himself in the context of his practice and subscribe to a clear view of his/her experience, being able to wangle water an analysis surrounded by what should be make and the actual practice.Searching for a latelyer go steadying of the decisions and actions taken in ones activity ignore hand evolution of each professional and the set upment of his/her consummation practice (Benner, 2001). The process of reprehension elicit be developed on two levels depending on its complexity and t he exposit it comprises. Therefore thoughtfulness can be do in a deep and meaningful manner that considers all aspects of the short letter or in a piffling manner that leads to solving problems ground on factors such as tradition or work pressure (Lowe et.al, 2007). An early(a) dip of reflection can be the centering on the negative aspects of the way a situation has been managed instead of concentrating on the strength for development based on a critical evaluation (Bradbury-Jones, et.al, 2009). When trying to purify knowledge from practice, thither are some(prenominal) works of reflection aimed at directing idiosyncratic reflection.Among them, the Gibbsmodel of reflection (1988, cited in Callara, 2008) has stages that implicate the description of the situation, feelings experienced during the situation, an evaluation regarding the positive(p) and negative aspects, an analysis process followed by a conclusion which should include what could have been done in the situa tion and an action plan for future actions if a akin situation occurs (Gibbs, 1988, cited in Callara, 2008). Johns model of reflection (2013) on the other side focuses on questions regarding the intention of the action taken, the reason that was at the base of action, the practical and affective consequences on the patient, the patients family, the practitioner and his/her work colleagues. Johns (2013) as come up as highlights the importance of influencing internal and outside(a) factors in the decisional process and the possible option solutions that could have been found. The reflection process suggested by Johns (2013) ends with a learning phase that aims at understanding the effects of the experience and how it reflects on practice. Although there are numerous reflective frameworks, none of them should be used as a rigid mother fucker which asks questions that drive to be answered.They are all mean to offer a certain mental synthesis of the reflective process and guide the practitioner towards deeper understanding (Lowe et.al, 2007). I have chosen Driscolls model as I believe it is a practical in any casel that allows free mooting and rapid understanding of the situation. Coward (2011) states that following a rigid model of reflection limits the thinking process and undermines the reflective process. Throughout my reflective process I have chosen to discuss also on the subject of decision devising as the Code of Professional convey (NMC, 2008) underlines the fact that nursing practitioners are responsible for their decisions. During a working solar sidereal mean solar day in a hospital there are numerous clinical decisions that essential to be made and as Dowie (1993, cited in Raynor, 2005) states, the decisional process is manly a choice amid some(prenominal) alternatives. According to Burns and Bulman (2000) through reflection we can have a clear understanding of the reasons that lie down our decision. This is what I have learned during my training and through my clinical experience, that only thinking about the actions I take in different situations helps me evaluate my work and understand what further knowledge I need in order to be sum a professional.Writing a journal that comminuted my thoughts and worries on specific situations I was confrontedwith in the cardiac ward helped me learn and develop my skills, as Moon (2004) stated. Jane was a 60 year old lady diagnosed with valvular heart disease. She has been submitted in the hospital several times in the origin place as she experienced shortness of breath and released from the hospital when her conformation stabilised. On that day I was aid the obtain observing the patients, pickings merry signs and recording blood results. Her observations on that day were within normal limits, however regular(a) so she complained about shortness of breath. Her economise had just audited half an hour before and the breathing problems appeared after he left. The suck in asked her if she received any unsettling unuseds show from her preserve because her state changed suddenly after he left. She told us that one of her sons was in town for a short period of time, came to visit not knowing she was in the hospital and left worried buns pedestal as he had to be back at work in the same(p) day. The concur told Jane that her son will be fine and probably will come back to visit rattling soon. However, I could see that Jane was feeling anxious and had a desperate look in her eyes.She repeated several times that she couldnt breathe and the arrest told her that she will be fine if she tried to calm down and relax. The nurse didnt seem to worry too much as the patients observations were within limits. Jane saw the fact that I was gazing at her while wondering if this is to a greater extent than the observations top executive show. She took my hand and asked me not leave, because she infallible someone by her side. At kickoff I told her I would be there for as long as she wishes, but then I was called to help other nurses because they needed me in the ward. I aware her that I will come back. Unfortunately, the day passed very quickly and time came for me to go home. Before I left, I asked the nurse who was attending Jane about her condition and she verbalise she was still upset about the news her husband have her, but that her medical checkup conditions was within limits. When I returned the next day I was informed by the nurse that Jane suffered a cardiac arrest everywhere the night and although cardiac procedures were made slide fastener could be done and she was pronounced dead. My first thought after I hear the news was that probably, considering her heart condition post write in code could have been done. However, after I subscribe to the journal and the notes I made in it about this case and applied the Driscoll model I began questioning about my actions and think about what I should be doing if a similar situations occurs.Reflecting on the incident made me wonderwhether I acted accordingly with the NMC (2008) which states that I am accountable for my actions and omissions even if I follow the advice of other professionals. This is what happened in this situation as well, as I matt-up and thought that there dexterity be much than unsettling news that could be sorry Jane. Even so, it is well-known the fact that emphasis influences the medical condition of patients with heart diseases and this could have been a hint that her condition mightiness get worse (Meterko, et al, 2010). According to Basford (2003) fretfulness and fear of the patient can be reduced if he/she receives the affective give of a nurse. I felt I didnt do enough for Jane, as the least I could have done was to be there and talk to her and maybe her breathing would have come to a regular level. Basford (2003) highlights the importance of communication and interpersonal skills of nursing practitioners in their relationship with the patient. organism warm and appearing willing to listen and talk to the patients can sometimes make a big difference in someones medical condition. I believe that the lack of communication with the patient was the biggest mistake I made in this case. I feel know that if I stayed by her side and tried to foster her she would have become more relaxed and perhaps wouldnt have triggered the cardiac arrest. I think that at that time ensure her that it will all be finely and that feeling better was the or so main(prenominal) thing for her and her son as well was the best thing to do.This was a smudge where the decision I made was not according to NMC (2008) as the relationship between me and the patient was broken because of lack of communication. This situation made me think about my communication skills and how important they are in my profession. universe assertive and saying whats on my mind if I have a suspicion that more than what meets the eye mi ght happen is what learned I should do in the future. Moreover, I think I still have to work on my empathy and commiseration as I believe this would improve also the quality of the observations I make during the time I dangle with patients. Reflecting on the action I took made me understand that guidelines cannot prepare me for all types of situations that can be met in the ward. They are very useful s guidance for the legal age of cases, but most of the times it is the man-to-mans responsibility to act as he thinks its appropriate at the given time (Scott and Spouse, 2013).This assertion becomes more relevant especially when it comes to traffic with interpersonal issues that dontcome crossways as essential tasks in dealing with patients. Focusing on the regular work practices and tasks most of the times takes our mind away(predicate) from the interpersonal aspect and the fact that we are genuinely the ones that patients look at for leniency and relief (Rolf et.al, 2001). T here are situations, as the case of Jane when listening and being by the patients side can bring more benefit than beat their blood pressure or taking vital signs. Conclusion verbal expression can vary from deep and meaningful to sciolistic inquiry. As I stated higher up the sustenance for patients can be change through reflective practice that leads to a plan of action for future situations. The case of Jane helped me understand the importance of communication and compassion in the relationship with the patient. Also, although I might not be the one most experienced in situation, I should have the courage to speak my mind and intensify certain issues if I feel they could make a difference in the patients condition. Driscolls model of reflection made me understand the situation I was in, identify my learning needs and husking ways through which I can improve my performance and patient care. I also believe that reflection also helps health care professionals become propel and empowered by the feeling that they actually have a word to say in the care of the patient and that they can influence important situations and outcomes for their patients.ReferencesBenner, P., 2001. From Novice to intellectual Excellence and Power in clinical nursing Practice. London Prentice mansion house Basford, L., 2003. Theory and Practice of Nursing An integrate Approach to Caring Practice. Nelson Thrones Bradbury-Jones, C. et.al, 2009. A new way of reflecting in nursing the Peshkin Approach. diary of advanced Nursing, 65 (11), pp.2485-2493 online gettable at http//www.onlinelibrary.wiley.com Accessed the fifteenth of February 2014 Callara, L.E., 2008. Nursing precept Challenges in the 21st Century. Nova Publishers Coward, M., 2011. Does the use of reflective models curtail critical thinking and therefore learning in nurse education? What have we done? Nurse Education Today, 31(8), pp.883-886 online Available at http//www.nurseeducationtoday.com Accessed the 12th ofFeb ruary 2014. Driscoll, J., 2007. Practising Clinical inadvertence A Reflective Approach for health care Professionals. Elsevier Health Sciences Johns, C., 2013. Becoming a Reflective Practitioner Oxford Blackwell Science Ltd Lowe, M., Rappolt, S., Jaglal, S. and Macdonald, G., 2007. The Role of Reflection in Implementing Learning from Continuing Education into Practice. ledger of Continuing Education in the Health Professions, 27(3), pp.143-148 online Available at http//www.onlinelibrary.wiley.com Accessed the eighteenth of February 2014 Meterko, M. et al, 2010. Job Satisfaction of Primary financial aid Team Members and Quality of Care. American Journal of Medical Quality, 26(18), pp.8-9 online Available at http//ajm.sagepub.com Accessed the 15th of February 2014 Moon, J., 2004. Reflection in learning and professional development, theory and practice. Oxon Routledge Falmer Nursing and midwifery Council (NMC), 2008. The code standards of conduct, performance and ethics for nurses a nd midwives. London Nursing and Midwifery Council Raynor, M.D.,et.al, 2005. Decision Making in Midwifery Practice. Elsevier Health Sciences Scott, I. and Spouse, J., 2013. Practice based learning in nursing, health, and social care Mentorship, facilitation and supervision. Chichester Wiley-Blackwell . Rolf, G., Freshwater, D. and Jasper M. (2001) Critical reflection for nursing and the luck professions a users guide. Basingstoke Palgrave Macmillan