The Importance Of Reflection In Nursing

Kim & Loretta (2003), stated that Atkinson & Murphy (1993) identified the key skills needed for reflection as ‘self awareness, the ability to recollect and describe accurately key aspect of the situation, critical analysis of the situation and synthesis of new knowledge gained with the previous knowledge, in order to develop a new perspective’. I will discuss,

What is reflection? Reflection is defined by Wilkinson (1996) as an active process whereby the professional gains an understanding of how historical, social, cultural, cognitive and personal experiences have contributed to professional knowledge and practice.

The purpose of this essay is to reflect on my personal role in the inter-professional team and the delivery of healthcare that I have encountered during my duty as a health care assistant in one of the hospitals here in England. In accordance with the NMC (2002) Code of professional conduct, confidentiality shall be maintained and all names have been changed to protect identity. The purpose of reflection as stated by John's (1995) is to promote desirable practice through the practitioner's understanding and learning about his/her lived experiences. I have decided to reflect upon an incident with the nurse in charge in one of my shifts and in order to structure my reflection I

Reflection is a process of exploring and examining ourselves, our perspectives, attributes, experiences and actions / interactions. It helps us gain insight and see how to move forward (Nursing Times 2018). I believe reflection is particularly important when it comes to Nursing, as medicine is constantly changing/ improving and us ourselves medical professionals must adapt with the changes in medicine. I find that reflection is extremely useful in doing this as we can look over procedures or experiences that we have had, how that made us feel, whether we would change anything, then in the future we can see the changes that may have been made, whether this has changed our feelings and opinions on medical practice.

Skin integrity is an important concept that’s nurses assess on their patients. A key skill in nursing practice is to frequently assess the skin for possible breakdown or decreased skin integrity. Skin assessments should be conducted thoroughly once a shift and frequently reassessed for any signs of change. Skin discrepancies may be the first sign of an underlying issue. Early detection of any breakdown can help to implement interventions sooner. Unfortunately, unless there is a major skin discrepancy, skin issues can easily get overlooked, specifically in documentation and report. The focus of this paper is to research new skin integrity assessments to improve documentation effect and accuracy, resulting in decreased prevalence of skin breakdown in hospitalized patients. Topics discussed include reviewing current practices and new skin assessment techniques that decrease the prevalence of skin breakdown and pressure ulcers.

Reflection and reflective practice can be defined in many ways. Therefore, Mackintosh (2015) argues that the definitions of reflection are unclear, flawed and lack clarity. It can be argued that reflection is reviewing an experience within practice to

Reflection is defined by Howatson-Jones (2013), as “a way of examining your experience in order to look for the possibility of other explanations and alternative approaches to doing things” (p. 6). The practice of reflection is important for numerous reasons. As stated by Hargreaves and Page (2013), reflections promote good practice and in the occurrence of a difficult or challenging situation, they can help to identify where things went wrong and how to improve the outcome for future incidents. As identified by Jasper, Rosser and Mooney (2013), reflection offers benefits to both the patient and the practitioner. Practitioners are more likely to avoid routine practice, continuously develop their knowledge and identify faults to improve on. Patients are more likely to receive higher standards of safety and better quality of care

This essay will consider ethics in nursing, discuss values and morals and how dignity and respect in patient care is influenced; considering the importance of reflection and the implications it has on effective practice from the perspective of a student nurse. The scenario “Call Me Joe” provided by Nursing and Midwifery Council (NMC) (2010a) highlights concerning issues and bad practice that are happening in modern day nursing practice, and using the Driscoll and Teh (2001) reflective model: What, Now What and So What, to consider the care that Joe is receiving; considering how the nursing practice affects him directly and the implications of the nature of knowledge in nursing practice. Part of the way in which nursing practice is

Reflection is described as a way of reviewing experiences from practice so that it can be described and analysed and used to change future practice (Bulman and Schutz, 2004).

The term “reflection” directly refers to one’s own ability for serious thought or consideration regarding events, which have occurred in the past. Professional bodies and organisations utilise reflective practice within continuous professional development as an effective tool to evoke critical thoughts regarding their own actions. This analysis of one’s own

Cooney, A. (1999) Reflection demystified: answering some common questions. British Journal of Nursing 8(11): 1530-1534.

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.

Kolb (1984) suggested that reflection plays a key role in transforming experience into knowledge. It has been suggested that reflection is a fundamental process for learning as a development; rather than merely the ability to retain information (Reynolds, 1998). Schon (1983) suggested critical reflection as a strategy for developing from practice to solve complicated or difficult situations, that require problem solving and a degree of “artistry” Schon (1983). Schon (1983) was one of the first theorists to look at reflection in terms of reflective practice. Moon (1999) defines reflective practice as "a set of abilities and skills, to indicate the taking of a critical stance, an orientation to problem solving or state of mind." Essentially, this is a readiness to continuously analysis and review practice.

It was only when I redefined the practice in layman's terms that I realised I practice reflection in my every day life. I tend towards analysis and evaluation on a daily basis, whether it is in analysing how I talk to someone, how my sessions with my scout group work or how I use my reading to increase my vocabulary.

From time to time, malpractices happen in every workplace. It is important for persistent reflections to improve nursing qualities. Reflection being described by Raelin (2002) is the practice of standing back to examine the meanings of things happen around us. Reflection helps to identify malpractice and makes improvement accordingly. By reflection, nurses identify areas for improvement and improve their “quality” as models. Besides, reflection makes us more receptive to the alternatives of reasoning and behaving (Raelin,2001). There is critical reflection which is a deeper and broader type of reflection and is a collective action to enhance organizational learning and change (Gray, 2007). Furthermore, it encourages learning at a more profound and transformative level (Mezirow, 1990). Now I have established the habit of periodical reflection and I am striving to achieve appropriate critical reflection. Critical reflection involves questioning long-established believes and attitudes but may lead to resentment of the staffs. It has to be carried out skillfully at appropriate time. I discovered that the practice of critical reflection would