Reflection In Nursing

The professional value that I have chosen to reflect on from my practice is based on privacy and dignity for a patient admitted in the hospital. To enhance my reflection development, Driscoll (2007) model of reflection; What? So what? Now what? will be apply. According to (Lowenstein, Bradshaw, and Fuszard, 2004), reflection is the method of analysing and reviewing one’s practice as a nurse, with the aim of improving one’s interactive skills with both patient and colleagues. Reflection is a method of re-evaluating practice accounts and providing substitute tactics to doing things (Howatson-Jones, 2016). Reflection is a vital learning tools which can progress on innovative knowledge (O'Carroll, Park and Nicol, 2007) and enables the nurses to mirror on their practice effectively (Johns and Freshwater, 2009). The name used throughout this reflective assignment will be considered as pseudonyms to maintain confidentiality and to conform with the Nursing and Midwifery Code of Conduct (NMC) (2015).

Using Bortons (1970) model of reflection, I am going to reflect on an experience I have had whilst out in practice working on an acute dementia ward based in the north of England. There was a patient (Miss A) on the ward during my time at placement that constantly used to seek reassurance and was very repetitive with everything she said. The patient did sometimes become intimidating and threatening when she wouldn’t get attention from staff members. The ward had 18 patients we were nursing and it did become very hectic and challenging a lot of the times therefore staff did not always have the time to sit and have conversations with Miss A. One morning Miss A came to the nursing station as usual and constantly kept banning on the desk, the

The structure, processes, and outcome factors of nursing care are reflected in Nursing-Sensitive Indicators (NSIs). There are several things that the nurses in the provided scenario could have done to promote quality patient care. By being aware of restraint use as an NSI the hospital staff would be more likely to increase their focus and attention to its need and any development of complications. This increased focus and attention could have led to the development of educational opportunities for the hospital staff on the identification of pressure ulcer related complications. Had the nurse and nursing

As cited by Jarvis (2012, p.203), “the skin is the sentry that guards the body from environmental stresses and adapt it to other environmental influences.” Maintaining the elderly patient’s skin integrity requires a holistic care approach. As a nurse, one of our best practices is performing a thorough skin assessment of the whole body of our patients. A detailed head-to-toe skin assessment and clear documentation can help the interdisciplinary team in generating individualize plan of care. I perform a thorough assessment by inspecting the patient’s skin color, temperature, texture, moisture, and for presence of wounds. I ensure that the information I obtained from the skin inspection is clearly documented in the patient’s chart and plan of care, and any skin changes are communicated to the physician or nurse practitioner.

The following essay is a reflective account on an event that I, a student nurse encountered whilst on my second clinical placement in my first year of study. The event took place in a Fountain Nursing Home in Granite City. I have chosen to give thought to the event described in this essay as I feel that it highlights the need for nurses to have effective communication skills especially when treating patients that are suffering with a mental illness. Upon arriving to the Nursing home for the second time on Thursday November 14,2013; assigned the same patient as before. On meeting my patient the first thing I noticed myself doing without even thinking about it was giving her a visual inspection. Before nursing school I never really looked at

Bethell, E. (2005). Wound care for patients with darkly pigmented skin. _Nursing Standard, 20_ (4), 41-49. Retrieved April 14, 2006, from OVID MEDLINE database.

A pressure ulcer is a localized injury to the skin usually over bony prominence, as a result of pressure, or pressure in combination with shear. It is estimated that 5 to 10 percent of patient admitted to the hospital acquire a pressure ulcer and it result in increased suffering, morbidity and mortality. The policy titled Pressure Ulcer Prevention and Managing Skin integrity provides direction for the nurses to prevent the development of pressure ulcer. It

Sue Fitzsimons, Ph.D., RN, senior vice president of patient services and CNO at Yale-New Haven Hospital during the Yale School of Nursing 2013 commencement address, said: "Rejoice in your work; never lose sight of the nursing leader you are now and the nursing leader you will become."

In this reflection, I am going to use Gibb's reflective cycle (Gibbs, 1988). On the first day of our placement, the nurse and I went to try gaining consent from a resident to become my patient/resident for my portfolio and nursing care plan. The nurse and I managed to gain consent from Mrs. A to become my patient/resident for my portfolio. With the help of the nurse, I explained to the resident about the portfolio and that I am going through her medical notes and details for me to complete my nursing care plan and to gather her objective data. After our conversation with the resident about the portfolio, the nurse asked me to spend time and talk to Mrs. A to gain her trust so that she will cooperate with me. When the nurse left us, I notice that Mrs. A is nervous of me being there, so I tried to comfort her by spending one hour talking to Mrs. A about her past experiences as a nurse aid. She also mentioned that sometimes she is getting depress because of her regrets in the past, I listened to her stories and regrets carefully and attentively for me to get some details on how to comfort her.

Incorporating the use of a cost-effective skin care product, daily skin assessments, and staff education, may be an effective way of managing the healing of skin breakdown in the hospitalized patient. (Brunner et al., 2012)

The purpose of returning to a situation that occurred in practice is so that I can reflect on how I handled the situation well and how I can improve in order to make other patients experiences even better.

A weakness within the study was the authors inability to use 40.8% of hospital patients participation in the pain prevalence study, this was due to illness, difficulty of assessment or patients were unavailable either off the floor 24%, or in isolation (Briggs, et al., 2013). Another strength within the study was the authors decision to use the 1998 European Pressure Ulcer Advisory Panel classification (EPUAP), the reason for this was that the updated version for 2009 was not being used at the participating hospitals, and this classification was familiar with the staff doing the skin assessments, allowing for all participating hospitals to have the same standards of skin classification in place (Briggs, et al.,

This is a reflective essay using Gibb’s model of reflection. It is a six-way overview valuation process which highlights effective practice through conditions of evidence and widens knowledge and experiences and grows confidence that if the situation is repeated the practitioner will be better equipped to deal with it. The components of the six-overviews are; description, feelings, evaluation, analysis, conclusion and an action plan (Gibbs, 1998). It is an outline of an experience I had whilst on placement in a surgical ward in an acute hospital in relation to delivery of bad news. All names and identities of the patients and hospital have been changed to maintain confidentially in accordance with the Nursing Midwifery Council (NMC, 2015). Ingram (2017) advised that primary care agencies to use reflective practice and encourage integrated working with all professionals within the community and hospitals of the local trust. I had chosen Gibb’s model of reflection as it allow a structured and thorough account of the incident be develop and enable the implementation of an appropriate action which can be taken if a similar event occur in the future.

In the context of professional practices reflection is defined as the examination of personal thoughts and actions (David, 2004). In this essay I am reflecting on an incident that happened in my earlier years of working as a professional nurse. The incident I am sharing and the subsequent learning I have gained by reflecting it helped me in the later years of my nursing career.

Working in a healthcare domain means providing the most effective and beneficial care for the incompetent patients. Particularly, to those who needs intimate nursing assistance such as dressing, bathing, eating, toileting and skin care activities ( Wurster 2007).This is especially true if the person is mentally, emotionally, and physically dependent like the clients in nursing homes. Nurses, health care assistants or support workers and other health care providers ought to educate themselves for improving quality of care and exceeding specific benchmarks in regards to pressure sores ( Wurster 2007). All the same the basic