A critical incident is a situation that occurs as a result of a person’s actions that causes an emotional reaction and through reflection can allow a person to analyse the incident and make change, personally and professionally, where necessary (Burns and Rosenburg 2001). The aim of this essay is to examine an incident that occurred whilst I was on clinical placement. Using my chosen reflection model I will reflect back on the incident, analysing the positive and negative aspects, evaluating my performance and producing an action plan for future practice. This essay will allow for in depth reflection and give the opportunity to critically discuss my actions and performance. I have chosen to follow the Gibbs model of refection (Gibbs 1988) (Appendix 1) as this allows for the expression of thoughts and feelings. This model is also less structured than others which and will allow me to offer deeper explanation and critical analysis on a less structured level (Wilding 2008). To maintain confidentiality, the location of the clinical placement and the names of those involved will be omitted from the essay in accordance with the Nursing and Midwifery Council (NMC) code of conduct (2008). In order to follow the Gibbs model of reflection, the remainder of this section will now concentrate of examining the description of the incident and the feelings of those involved. The incident that I wish to discuss arose during my first week of clinical placement in an older adult psychiatric ward and those involved were my mentor, a female patient and I. After settling in quickly to the ward it was highlighted to me by my mentor that I had very good relationships with both staff and patients. It was for this reason that my mentor suggested that I conduct unsupervised 1:1 care plan reviews. This situation has a great significance to me as this was the first opportunity I have had to engage with clients unsupervised and take sole responsibility for a patient. Developing skills in this area is vitally important as this is a feature of nursing which is common place to assist with recovery and situations like these have also been claimed to offer some sort of therapy in itself (Priebe and McCabe 2008). My first care plan review involved an elderly female patient who had been informally admitted to the ward presenting with low mood and anxiety. After gaining consent from the patient I accompanied her to a quiet location where we would not be disturbed and would promote dignity and confidentiality. The review lasted just over the allocated 45 minutes and during this time, as a partnership, we discussed and reviewed the current care plan. During this period I endeavoured to build upon our current therapeutic relationship and document the details of our conversation. At the beginning of the review my initial confidence had began to diminish. Although I remained very warm and open I felt that conversation was stilted as I relied upon the written questions. The patient appeared relaxed and was very forthcoming with her views and further information. As a result of this I began to relax and trust my abilities, although my interpersonal skills improved I was finding it difficult to record information whilst maintaining the conversation. After completing the review, the patient stated that she found me very approachable and felt at ease knowing that there was a person that she could approach with any issues. Directly after the incident I felt that although I was nervous at the beginning of the review, I was able to rely on my interpersonal skills to make the patient feel relaxed. During the review I felt pressurised when recording information and had to complete some of the paper work after the review to ensure that the information was accurate and legible. (Section 2)
Within this section I wish to explore two key issues that I feel play an important role in this particular critical incident. This section incorporates the evaluation and analysis element...
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