Related Introduction There are a number of different models of reflection that are utilised by professionals to evaluate past experiences. The two main types of professional reflection are reflection-on-action and reflection-in-action Somerville and Keeling, Reflection-on-action encourages individuals to re-live past events, with an emphasis on developing a more effective action plan for any future, similar events that may occur.
Reflection using Gibbs Reflective Cycle Description I undertook a full assessment on a patient with a sacral pressure sore. The patient had limited mobility, dementia and does not speak. I completed the assessment using observation as a primary source.
The care assistants were reluctant to engage with the nursing process rendering some specific measurements as ineffectual compromising the eventual Waterlow score.
I conducted the assessment with my mentor and gave a logical explanation how I administered the wound and gave rationale for the dressings I chose. I spoke to the care assistant to reiterate my action plan as it was pivotal to a successful wound healing.
Feelings Initially I felt confident. I had observed pressure sores before and I had prior knowledge of dressings and pressure relief. When I discussed about the patient with the care assistant, I ensured we were outside the bedroom as it unprofessional to talk over a client.
The health records were of poor quality and had not been updated. This remark I regretted as it undermined my authority and I appeared amateurish. Care records are a legal working document in progress.
I felt overwhelmed and looked to my mentor to support me. I provided evidence that consolidated my evaluating skills and put my basic wound knowledge into practice, within a safe nurturing environment.
I rushed the assessment and regretfully completed it away from the nursing home. Analysis Payne identifies that professional partnerships are at risk if a nurse has insufficient knowledge required to perform ethically, thus undermining their own authority.
The care assistant knew I was a student nurse and treated me, not as a partner in care but as a learner. I failed to develop the partnership more and relied on my mentor too much when I conversed with the carer. I was looking for affirmation which was lacking within me. Crawford et al believe empowerment inspires the self determination of others, whilst Fowler et al identifies listening skills and the encouragement in the participation of care motivates nurses to actively support changes in patient care.
Entwistle and Watt remind practitioners that participation requires communication skills that are not universally possessed so nurses must be flexible in their approach to champion the participation of others.
Using these concepts I could have built a rapport with carers, praising them for the care they provide, promoting partnership in care whilst emphasising the importance of the care plan. I found it difficult to disengage from the patients many problems and only to focus on the wound. When choosing a suitable nursing framework, Roper et al describe care planning as a proposal of nursing intervention that notifies other nurses what to do and when.
This model is used throughout the community and is thought to be a simplistic, easy to use everyday tool that enables nurses to identify actual and potential problems. The main strength of my care plan was in identifying specific measurable outcomes exclusive to the client that were adaptable.
I used evidence from reputable sources to identify suitable dressings to promote granulation and healing by sourcing up to date journals from the Cinahl and current trust policies. Prioritising delegation and assertiveness as part of my learning needs I will now create an action plan that will ensure my future mentors will recognise the effort I extol to succeed in practice.
Conclusion I conclude my implementation of the care plan was successful. The wound healed and the patient was discharged from the community case load. I demonstrated I can assess patients holistically, but require further practice when addressing client and carer concerns.
To use nursing frameworks effectively nurses have to create an inclusive partnership with the client, family, professionals and care providers and demonstrate a broad knowledge of basic nursing care. Successful care plans are universal tools that empowerment others, giving them the direction to advocate safe holistic care based on evidence.
Action Plan To encourage the participation of others I will become conversant in wound care. I will learn to identify the stages of healing by researching the biology of wound care.
I will disseminate this to peers, as the sharing of knowledge is a fundamental part of holistic nursing care.
As I develop from a supervised participant to a participant in care delivery I will continue to read research and reflect my practice on a daily basis.As a follow-up to Tuesday’s post about the majority-minority public schools in Oslo, the following brief account reports the latest statistics on the cultural enrichment of schools in Austria.
Vienna is the most fully enriched location, and seems to be in roughly the same situation as Oslo. Many thanks to Hermes for the translation from alphabetnyc.com EPISTEMOLOGICAL PLURALISM.
The concerns that fuel the discussion of women and computers are best served by talking about more than women and more than computers. For the purpose of this essay, I will use Gibbs () Reflective Learning Cycle to reflect on an aspect of individual professional practice, which requires development in preparation for my role as a Registered Nurse.
Gibbs () Reflective Learning Cycle encourages a clear description of a situation, analysis of feelings, evaluation of the .
Walter "Walt" Whitman (/ ˈ hw ɪ t m ə n /; May 31, – March 26, ) was an American poet, essayist, and journalist.A humanist, he was a part of the transition between transcendentalism and realism, incorporating both views in his alphabetnyc.comn is among the most influential poets in the American canon, often called the father of free verse.
His work was very controversial in its time. Until the fire of , the two Houses of Parliament (Lords and Commons) met in the medieval Palace of Westminster, a group of buildings that stood on the same site as the present Houses of alphabetnyc.com the 14th century to the Lords sat in the White Chamber.
In the Lords moved into the building of the Court of Requests. PREFACE TO THE SECOND EDITION. To make room for this brief Preface, it has been necessary to suppress a list of Acknowledgments, printed in the first edition, and including the names of Lord Lindsay and the late Sir Charles Firth, the Royal Historical Society (for permission to use the Clarke Papers) and Worcester College, Oxford (for permission to print from the Clarke MSS.).