2005). Oxford: Further Education Unit, Oxford. 2009. 17, pp. (2010) suggest that nursing programs need to address this deficit to ensure nurses are skilled to deal with cross cultural differences, such as using translators, nonverbal communication etc. Contraception. Reflective practice can impact positive outcomes such as personal and professional development, improved quality of care, and improved care … The NMC Code of Professional Conduct: Standards for Conduct, Performance and Ethics. American Journal of Preventative Medicine. This was made worse for Joanna as she did not understand what was happening. www.nmc-uk.org/aframedisplay.aspxx?documentID-1562. Royal College of Midwives (1997). I do feel although we attempted to resolve the situation, our ability to care for Joanna was compromised by not being able to communicate verbally. The only way in which this could have been resolved was to have the interpreter present when she came round from her anaesthetic. Carnevale et al. Reflection as a Dynamic Tool for Improving Care. Learning by doing: A guide to teaching and learning methods. Royal College of Nursing. Recent studies (Wilshaw & Trodden 2015) suggest guided reflective practiceraises the quality of nursing and helps provide and sustain compassionate care. A privacy and dignity report by the Chief Nursing Officer stated that screens if used should be high enough to feel like they are in a separate room. Becker CollegeDepartment of NursingNursing Program Outcome: Reflection QuestionsEvidence-Based Practice … 1400-1407. Copyright © 2003 - 2021 - UKEssays is a trading name of All Answers Ltd, a company registered in England and Wales. Millbank Quaterly. Reflection is necessary for self-evaluation and improvement in the nursing practice” (Potter P. & Perry A., p. 148). Reflective practice affects all levels of nursing, from students, to advanced practice nursing students, aswell as practicing nurses. The incident discussed demonstrates how easily practitioners can become distracted when checking and administrating drugs. If you need assistance with writing your essay, our professional essay writing service is here to help! Nursing and Midwifery Council, 2006. Health care is compromised when the patient does not understand what is being said to them (Anderson et al. since 2003, Your NursingAnswers.net purchase is secure and we're rated Positively, we called the interpreter to return as soon as possible to attempt to resolve the situation. 20 (2), pp. Broadly, the ultimate aim of reflection in clinical education is to support the development of healthcare professionals who are able to, by their own initiative, enhance the development of further skills through the conscientious and strategic reflection of their experiences and knowledge to become reflective practitioners. All work is written to order. We've received widespread press coverage Objective: To present students' self- reflection in their first clinical practice as their first stage of our nursing study program. The need for more research on language barriers in health care: A proposed study research agenda. All work is written to order. We do not always know how a patient will recover in the immediate postoperative period and patients can often be disorientated. Although it does not require technical writing or gathering resources, you cannot just look at examples of nurse practitioner contemplative essays. It can help demonstrate everyday learning and is also useful for processing thoughts after a critical incident. 907-912. (2011) found in their research that the presence of a support person in the recovery room post termination was perceived by the women in a positive manner and also reduced anxiety levels. 2011. The only factor that can improve this is the use of someone who speaks their language, i.e. Free resources to assist you with your nursing studies! Reflective practice is described by Duffy (2008, p.1405) as an active and deliberate process to critically examine practice, where an individual is challenged to undertake the process of self-enquiry. If the screen had been in place, then this incident would not have occurred. She became distressed and started to cry. Citation: Oelofsen N (2012) Using reflective practice in frontline nursing. On my second day of placement in Theatres, I was in the recovery room where a 3 year old boy was being recovered following surgery. Reflective practice is the ability to examine ones actions and experiences with the outcome of developing their practice and enhancing clinicalknowledge. 813-26. Ethical considerations in cross linguistic nursing. The above nursing reflective examples and samples have been solved by our nursing homework help experts who have the in-depth knowledge about all the legal and clinical aspects of nursing. Reflective practice is described by Duffy (2008, p.1405) as an active and deliberate process to critically examine practice, where an individual is challenged to undertake the process of self-enquiry. The purpose of this essay is to demonstrate application of core components of the NMC Code of Professional Conduct (2008) using reflective practice. Nursing Ethics. Reflection in Clinical Nursing Practice; Reflection in Clinical Nursing Practice. Engaging in regular reflection enables practitioners to manage the personal and professional impact of addressing their patients’ fundamental health and wellbeing needs on a daily basis. 2193 Words 9 Pages. Nurses may avoid taking part in the procedure, but must continue to care for the patient, before and after the procedure, despite personal opinions and moral concerns (Royal College of Midwives 1997, NMC 2006). The NMC Code of Professional Conduct: Standards for Conduct, Performance and Ethics. Anderson, L.M., Scrimshaw, S. C., Fullilove, M. T., Fielding, J.E. Johns, C. (1999). 4: 23-60. It enables nursing students to develop the ability to identify and analyse their problems and find possible solutions. Journal of Nursing Management. Abortion is one area where health professionals may raise a conscientious objection. The purpose of the research was to determine how nursing students experience their first-year clinical practice in nursing homes based on self-reflection diaries. Duffy, A. The assignment firstly provides a short analy tical consideration of the nature and importance of reflection. Reflective journals should not be seen as a laborious task required for CPC, and rather for an opportunity to critically reflect upon and develop one’s practice, as well as developing one’s critical thinking skills. British Journal of Nursing. Joanna then became more upset. Conscientious objections position paper 17. www.rcm.org.uk ( accessed 18th Sept 2012). A Reflective Practice Group (RPG) is one form of reflective practice that has been developed and tested in the context of mental health nursing [6, 7, 14]. Demonstrating a packing wound dressing is a skill that we have learned and practiced in lab, but it was very different completing it on a real patient. Clinical Placement Reflection 2. To export a reference to this article please select a referencing stye below: If you are the original writer of this essay and no longer wish to have your work published on UKEssays.com then please: Our academic writing and marking services can help you! Registered Data Controller No: Z1821391. VAT Registration No: 842417633. I called the ward and asked the interpreter to come back to recovery, as the patient was getting more distressed and we were not able to reassure her due to a communication barrier. The only factor that can improve this is the use of someone who speaks their language, i.e. Recent studies (Wilshaw & Trodden 2015) suggest guided reflective practice raises the quality of nursing and helps provide and sustain compassionate care. The Theory of Reflective Practice in Nursing is a middle-range theory. The most common method of writing reflection i.e. Coleman, P.K., Reardon, D. C., Strahan, T., and Cougle, J. R. 2005. Using Gibbs’s reflective cycle has assisted me in making sense of the situation and to put things into perspective, recognising how I can put this learning experience to positive use in my future practice as a Nursing professional. www.institue.nhs.uk/delivering_same_sex_accomodation. Nurses may usually access reflective practice through chats with colleagues on tea breaks, in team meetings or meetings with managers, or through clinical supervision and large group meetings such as Schwartz rounds. Conclusion: Reflective journals as an educational strategy for facilitating learning in the extent of practice setting, and level of reflection achieved. There has been a recent increasing interest in reflective practice in nursing. Study for free with our range of nursing lectures! model of reflection for clinical practice. 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 purpose of this essay is to demonstrate application of core components of the NMC Code of Professional Conduct (2008) using reflective practice. Reflection has been strongly advocated by the English National Board for Nursing & Midwifery (1994), and a wealth of nursing literature over the past decade had been published to improve nursing practice. Ethical considerations in cross linguistic nursing. Student nurse’s experiences of communication in cross cultural care encounters. Johns, C. (1995) Framing learning through reflection within Carper’s fundamental ways of knowing in nursing. Kemmis S (1985) Action Research and the Politics of Reflection. 2008. Royal College of Midwives (1997). A concept analysis using the method proposed by Bowers and Schatzman was conducted to explore the differing meanings of reflective practice in nursing and education. Yet, whilst reflective practice remains a relatively solitary activity, its use is limited as a tool for change. Pearson Education Ltd: China. 4.4/5 on reviews.co.uk. When she woke up, Joanna turned to her right and saw the 3 year old boy next to her. The Code of Conduct states “you must act as an advocate for those in your care” (2008, p2), nurses also have a legal obligation to care. If you need assistance with writing your nursing essay, our professional nursing essay writing service is here to help! Oxford: Further Education Unit, Oxford. Tags: nursing. A concept analysis of reflective practice. The staff nurse thought that she was upset at seeing the boy after her procedure and went to get a mobile screen to separate the patients. In: Boude D et al (1985) Reflection Turning Experience into Learning. REFLECTION on Nursing Handover I have decided to reflect upon the first time I did a nursing handover. Reflective practice and clinical outcomes: Practitioners’ views on how reflective practice has influenced their clinical practice. an interpreter. I also feel that I was able to look inside myself to challenge my Muslim religious beliefs, which are fundamentally against abortion, putting these aside to treat Joanna in a fair non-discriminatory way. 813-26. Gibb’s model has been explained in brief. Duffy, A. Health care is compromised when the patient does not understand what is being said to them (Anderson et al. Alongside this we were unable to assess her pain, nausea levels and fully explain what we were doing. Reflection is believed to improve clinical competence and subsequently patient care, with evidence showing that adopting a reflective practice framework when making a clinical diagnosis in complex or non‐routine cases improves diagnostic accuracy. Reflective clinical supervision is a relatively new practice in nursing and midwifery, although it has had a long history in mental health nursing. Practice reflection is a professional expectation and a legislated requirement It is an intentional process of thinking about your practice, analyzing it and learning Practice reflection benefits both nurses and clients Practice reflection worksheet option . Unlike many other nursing students, I had little experience working with a paediatric population, on top of the small amount of clinical experience I have participated in while in nursing school. Company Registration No: 4964706. Conscientious objection to termination of pregnancy: the competing rights of patients and nurses. Coleman, P.K., Reardon, D. C., Strahan, T., and Cougle, J. R. 2005. 143-148. The NMC Code of Professional Conduct (2008) states that nurses should act in accordance with the code, using an ethical and legal framework to ensure patient wellbeing and respect confidentiality. The essay will also discuss the governing bodies like the NMC (Nursing Midwifery Council), and the failings of the NHS through reflection such as the Francis report. Discussion will include the knowledge underpinning practice and the evidence base for the clinical skill. 17, pp. Self-reflection helps students to express emotions and feelings to reliving and to identifying problems and also, to understanding themselves better. (accessed 18th Sept 2012). Social support in the post abortion recovery room: evidence from patients, support persons and nurses in a Vancouver clinic. It must however be said, that it is not always possible to have an interpreter due to scarce resources, but as the patient’s advocate, we should do all we can to protect their best interests. I called the ward and asked the interpreter to come back to recovery, as the patient was getting more distressed and we were not able to reassure her due to a communication barrier. It is estimated 10-20% of women following terminations suffer from serious negative psychological complications such as anxiety, depression and sleep disturbances (Coleman et al 2005). It is my opinion that this was in both patient’s best interests to place the screen after the fact, although it would have been a better situation if the interpreter had been present. According to Hogston and Simpson (2002, p398) reflection is "a process of reviewing an experience of practice in order to better describe, analyse and evaluate, and so inform learning about practice". I feel this reflective essay has been invaluable, and I am able to demonstrate ethical practice, acting in a non-discriminatory and fair manner, within a legal framework , despite my own personal beliefs. Jirwe et al. Joanna then became more upset. (2006) who state that people with limited English are less likely to receive the care they need and are less satisfied with health care. Further r …. The Abortion Act (1967) allows termination of pregnancy up to 24 weeks if continuance of the pregnancy would involve risk to the physical and mental health of the mother. incident, and the reflection has influenced personal learning and professional practice in relation to nursing care. Registered office: Venture House, Cross Street, Arnold, Nottingham, Nottinghamshire, NG5 7PJ. If the screen had been in place, then this incident would not have occurred. A concept analysis of reflective practice. Nurse Educ Today. standards are stipulated (Curtis, de Vries, & Sheerin, 2011).Every clinical/healthcare setting must have good nursing leaders as they have the power to establish an ideal workplace climate and increase the work satisfaction and motivation of the nursing professionals and staff (Swearingen, 2009). Many studies focus on reflection of students' clinical practice in nursing elderly people, but there is a lack of emphasis on students' emotional expressions. I also felt sad and concerned for the 3 year old boy who was obviously distressed by the circumstances. In the Nursing practice, reflection is a retrospective approach that evaluates historical processing of experiences that takes place in a structured form and is deemed highly essential (Eliis, Kenworthy and Gates, 2003, 156). I also feel that I was able to look inside myself to challenge my Muslim religious beliefs, which are fundamentally against abortion, putting these aside to treat Joanna in a fair non-discriminatory way. Reflection has been strongly advocated by the English National Board for Nursing & Midwifery (1994), United Kingdom Central Council (UKCC) (1996), and a wealth of nursing literature over the past decade to improve nursing practice. The Nursing and Midwifery Council (NMC) requires that nurses and midwives use feedback as an opportunity for reflection and learning, to improve practice. The Nursing and Midwifery Council has highlighted the importance for registrants to “reflect” on their practice and called on employers to ensure that their clinical staff have time to do so. Veiga et al. The only way in which this could have been resolved was to have the interpreter present when she came round from her anaesthetic. However there is a drive in the UK to provide same sex accommodation where possible in order to promote dignity and privacy (NHS Institute for Innovation & Improvement 2010). To export a reference to this article please select a referencing stye below: If you are the original writer of this essay and no longer wish to have your work published on the NursingAnswers.net website then please: Our academic writing and marking services can help you! The 3 year old boy was also becoming upset. It is my opinion that this was in both patient’s best interests to place the screen after the fact, although it would have been a better situation if the interpreter had been present. However, writing a reflective journal nursing is not that easy. The research has found that the experiences and the perceptions of students in the first clinical practice are mainly expressed emotionally. Registered office: Venture House, Cross Street, I do feel although we attempted to resolve the situation, our ability to care for Joanna was compromised by not being able to communicate verbally. Journal of Advanced Nursing. A simple, three-step model for practical reflection is presented, which is based on theory and grounded in practice. (2009) state that linguistic barriers can cause discrimination and compromise nursing care. Nurses may avoid taking part in the procedure, but must continue to care for the patient, before and after the procedure, despite personal opinions and moral concerns (Royal College of Midwives 1997, NMC 2006). The Royal College of Nursing (2012) state that nurses must be culturally competent, caring for the needs of people with differences in beliefs, values and cultures, to provide meaningful, beneficial health care. Reflection on practice is a key skill for nurses. We attempted to resolve what we thought might be the problem by placing the screen, but this appeared to worsen levels of distress for Joanna. I feel I gave appropriate care, regardless of Joanna’s reason for admission, and did not treat her any differently because of this. Journal of Caring Sciences. We're here to answer any questions you have about our services. Social support in the post abortion recovery room: evidence from patients, support persons and nurses in a Vancouver clinic. 2006). Pre operatively she had an interpreter present, but she had returned to the ward and was not present in recovery. No plagiarism, guaranteed! Reflective practice is described by Duffy (2008, p.1405) as an active and deliberate process to critically examine practice, where an individual is challenged to undertake the process of self-enquiry. Nurses must act in a fair, non-discriminatory way which respects customs, values and beliefs of an individual, providing care which demonstrates sensitivity (NMC 2008, p2). Journal of Nursing Management. Nursing and Midwifery Council, 2006. I felt the staff nurse assumed the presence of the boy was causing Joanna’s upset, but that we could not be absolutely sure. View Fall 2020 Clinical Reflection Questions.pdf from NURSING 3305 at Becker College. 24 (3), pp. Conscientious objection to termination of pregnancy: the competing rights of patients and nurses. Culturally competent health care systems. 2010, Jacobs et al. 2010. Anderson, L.M., Scrimshaw, S. C., Fullilove, M. T., Fielding, J.E. Some of my strengths in this domain would be recognizing changes in my clients and reports this to my team nurse to addresses the change together, setting out priorities to meet multiple patient’s needs, and evaluating outcomes of healing initiatives. Study for free with our range of university lectures! Through observations and clinical practice, I managed to develop my nursing skills both as an independent learner, but also as a member of the health team. Nelson, S. (2012) The lost path to emancipatory practice: towards a history of reflective practice in nursing. Becker CollegeDepartment of NursingNursing Program Outcome: Reflection QuestionsEvidence-Based Practice … I am concerned that Joanna’s level of anxiety, may have caused her increased pain, and may also have affected her recovery in the longer term. Definitions of reflection and reflective practice will be given followed by, why reflective practice is important, including the Evidence based practice followed by the support of reflection. The NMC’s chief executive and registrar, Andrea Sutcliffe, has called on employers to do all they can to ensure that nurses and midwives are supported and receive sufficient time to reflect, despite current … Jirwe, M., Gerrish, K., and Ermami, A. Reflection is an in-depth consideration of events or situations outside of one-self, solitary, or with critical support. Nursing … Journal of Caring Sciences. Sellman, D. and Snelling, P. (2010).Becoming a nurse; a textbook for professional practice. 6 (2), pp. Student nurse’s experiences of communication in cross cultural care encounters. Kane, R. 2009. 68-79. (2010) found in their study that nurses who experienced difficulties in talking to their patients led to care being mechanical and impersonal, as they were fearful of making mistakes. www.institue.nhs.uk/delivering_same_sex_accomodation. Refection allows us to look at an experience and how it makes us feel and react, asking what is good and bad, and what can be learnt (Sellman & Snelling 2010). 20 (2), pp. 84 (1), pp.111-133. This theory proposes that nurses should practice reflection-before action, reflection-in-action, reflection-on-action, and reflection-beyond-action to optimize the potential of reflection in advancing professional practice. No plagiarism, guaranteed! As a student enrolled nurse, there were strict practice standards and regulations, especially when medication is involved and supervision from our mentor was required … Reflection On Clinical Practice 1008 Words | 5 Pages. www.rcn.org.uk/developmental/learning/transcultural/adulthealth/sectionone (accessed 18th Sept 2012). 2011. In this assignment the author will use evidence from literature and a few examples from practice to support the advantages and disadvantages of reflection. Info: 2051 words (8 pages) Nursing Essay To further improve my practice, I will use reflection as it enables me to solve problems or learn from actions through thinking consciously about an activity which would then enable me learn and develop. I was able to act in a sensitive and compassionate manner, affirming my belief that I am able to adhere to the Code of Professional Conduct (2008) and its core components. This essay may contain factual inaccuracies or out of date material. A recent new nursing practice situation I experienced at clinical was completing a packing dressing change for the first time. The purpose of this essay is to demonstrate application of core components of the NMC Code of Professional Conduct (2008) using reflective practice. 2003. This is supported by Jacobs et al. Contraception. The staff nurse thought that she was upset at seeing the boy after her procedure and went to get a mobile screen to separate the patients. Nursing Times; 111: 34/35, 21-23. Millbank Quaterly. A quick online search will also bring up a selection of easy to follow books, both on reflective essay writing and reflective practice. Carnevale, F. A., Vissandjee, B., Nyland, A., and Vinet-Bonin, A. reflective practice in frontline nursing. In future, regardless of my location, I will endeavour to be aware of potential problems that may arise due to the patient’s circumstance or environment. Joanna appeared to understand no English at all, I tried to calm her down and reassure her, but she did not seem to comprehend. Sellman, D., and Snelling, P. 2010. Nursing. Becoming a nurse: a textbook for professional practice. Journal of Advanced Nursing. Students often what to know what to expect in nursing clinicals. Kane, R. 2009. They apply ethical theory in that the patient should be respected as a unique person, their right to self-determination upheld, respect for privacy and the nurse’s responsibility for one’s competence and judgement. The need for more research on language barriers in health care: A proposed study research agenda. Reflection is a tool that is commonly used as part of student nurse education and in clinical practice, and is often supported by the use of reflective models. (2010) found in their study that nurses who experienced difficulties in talking to their patients led to care being mechanical and impersonal, as they were fearful of making mistakes. Disclaimer: This is an example of a student written essay.Click here for sample essays written by our professional writers. Determining its value to nurses. Jirwe et al. I will be more focused on making sure that all resources are in place, such as anticipating when an interpreter may be necessary, and also ensuring dignity and privacy are maintained. Alongside this we were unable to assess her pain, nausea levels and fully explain what we were doing. Your ability to understand your competence and scope of practice It was important for me to have an understanding my own competence and scope of practice as it guides me to good clinical practice and the delivery of my care to my patients. 22: 226-34. 84 (1), pp.111-133. When she woke up, Joanna turned to her right and saw the 3 year old boy next to her. While the value of reflection has be… Reflective practice: In the realm of nursing, Reflective practice has turned into a key issue and is consistently mentioned (Gustafsson, Asp, & Fagerberg, 2007). Kane (2009) states in accordance with the NMC nurses must give appropriate and comprehensive care to all patients, regardless of their reason for being in hospital. The incident involves the administration of a wrong opiate drug to a postnatal patient. Reflection is a process that is known to assist nurses in the development of necessary skills and competencies when undertaking training within clinical settings. Through reflective practice in nursing, you get to assess your growth as a student, nurse, and individual. We've received widespread press coverage since 2003, Your UKEssays purchase is secure and we're rated 4.4/5 on reviews.co.uk. I will be more focused on making sure that all resources are in place, such as anticipating when an interpreter may be necessary, and also ensuring dignity and privacy are maintained. 907-912. (2006) who state that people with limited English are less likely to receive the care they need and are less satisfied with health care. Based upon the literature reviewed during the analysis, it is evident that an interpreter should have been available to reduce Joanna’s stress, anxiety and even pain response. Nursing Times; 108: 24, 22-24. Delivering same sex accommodation. Company Registration No: 4964706. Free resources to assist you with your university studies! The next patient admitted was a Polish lady, who I will call Joanna, in order to maintain confidentiality. In the UK, advanced clinical practice roles in nursing started to be developed in the 1970s and 1980s with the introduction of specialist roles for nurses, and the introduction of autonomous community clinical Nurse Practitioners . 2009. Newessays.co.uk Nursing Essay Sample Page 1 Nursing: a Reflective Practice Experience Introduction The purpose of this assignment is to provide a critical reflection of an incident t hat occurred within a nursing context. I was unable to find any research that suggested that adults and children should not be recovered together. I was concerned that Joanna may have felt more isolated by putting the screen there, and maybe felt judged because of her procedure. The Abortion Act (1967) allows termination of pregnancy up to 24 weeks if continuance of the pregnancy would involve risk to the physical and mental health of the mother. Marilyn E. Asselin, Using Reflection Strategies to Link Course Knowledge to Clinical Practice: The RN-to-BSN Student Experience, Journal of Nursing Education, 10.3928/01484834-20101230-08, 50, 3, (125-133), (2010). Anxiety as a predictor of pain management following termination of first trimester pregnancy. Communication with others within the clinical setting – this may include staff members, patients and relatives. 6 (2), pp. Termination of pregnancy is associated with pain, which can be exacerbated by anxiety and psychological factors (Pud et al. This was made worse for Joanna as she did not understand what was happening. Jacobs, E., Chen, A. H.M., Kaliner, L.S., Agger- Gupta, N.et al. Reference this. When the interpreter arrived Joanna was able to verbalise that it was the presence of the child that caused her upset and anxiety, as it was the last thing she expected to see when she woke up from anaesthesia. I felt helpless as I could not fully understand why she was upset, and I was unable to reassure her or calm her down. Reflection gives nurses a legitimate opportunity to regularly stop and think, in the midst of practice, with the intention of enhancing what already goes on in clinical practice. The three-stage cycle is illustrated with a fictional clinical example to show how this reflective method can make a difference in busy practice settings. Reflective practice enables nursing students to make sense of, and learn from, the experiences they have each day and if nurtured properly can provide skills that they will come to rely on throughout their nursing careers. 2008. The NMC revalidation process stipulates that practitioners provide examples of how they have achieved this.