I will reflect on an incident that occurred during my shift to develop positive attitude towards nursing informatics. In this reflection, I am going to use Gibbs (1988) Reflective cycle. This model is a recognized framework for my reflection. Gibbs (1988) consist of six stages to complete one cycle which is able to improve my nursing informatics and learning from the experience for better practice in future. The cycle starts with description of the situation, analysis of the feelings, evaluation of experience, analysis to make sense of experience, and conclusion of what else I could have done and also action plan to prepare if the situation arose again. However, Siviter (2004) explains that reflection is about gaining self confidence ,identify when to improve, learning from own mistakes and behavior, looking at other people perspectives, being self aware and improving the future by learning from the past. In my context with the patients, it is important that the nurse incorporates nursing informatics to improve health care delivery. However Hebda and Czar (2009) defines nursing informatics as the use of information and computer technology to support all aspects of nursing practice, including direct delivery of care ,administration, education and research. Nursing informatics involves the use of computer based information system which according to Stair and Reynolds (2008,pg 4) is defined as a set of interrelated components that collect ,manipulate, store and disseminate data and information and provide a feedback mechanism to meet an objective. Description
I had just reported from the four months maternity leave and during the shift changeover, I was informed by my colleagues of the new method of requesting for investigations online and that I was to see the team leader to take me through the process. I heard my colleagues discuss a lot on how the new system was consuming their time and since it had been made a hospital policy they had no choice than to adhere to it. This did not sound interesting to me as I did not even have computer literacy and wondered why the institution had changed the system. I shied off from seeking help from my team leader since I did not want to be embarrassed for not being a computer literate. I decided that I am going to use the old method and when I am asked,I will defend myself and say that I did not know about it. Unfortunately, the team leader did not realize that I had just reported from long leave and needed updates or maybe she waited for me to take an initiative to seek for updates from her as it always happens when one comes back from long leave which did not happen. During the doctor’s rounds, one of my patients had some request for investigations and because the phlebotomy rounds had already taken place, one of the doctors obtained the blood from the patient and left for me to charge and send it to the laboratory. I decided to give the health care assistant the specimen to take to the laboratory hoping that the laboratory technicians would charge it as they had always done before the introduction of the new system. During the exit round, the doctor inquired on the report and when I called the lab they said that I was supposed to check from the computer. Since I did not have any computer literacy, I pretended that I was checking but the doctor got impatient and decided to check by himself. On checking, the doctor found that the specimen was never charged and so could not access the report. On calling the laboratory technician, it was reported to the doctor that the specimen was discarded because it was assumed to be a reject since they had not found the details online. The doctor got so upset with me and insisted that I should explain to the patient what happened so that he could obtain more specimen. I got so confused because I didn’t have the exact words to tell to the patient. I then gathered courage and told the patient that the specimen obtained earlier was not enough for the...
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