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Reflection in Nursing

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Reflection in Nursing
Introduction

This essay will demonstrate my reflective abilities within an episode of care in which I have been involved with during my practice placement. It will discuss several issues binding nursing practice with issues of ethics and the model of reflection which provided me with a good structure and which I found most appropriate, is Gibbs model (Gibbs 1988). This particular model incorporates - description, feelings, evaluation, analysis, conclusion and the action plan.
I have examined my own values and beliefs to the individual receiving care and have integrated and explored theory related to this in order to discuss and debate these values which underpin professional practice.
I have chosen to reflect on my observation of the death of a patient in his early 60’s following intensive CPR and the situation which occurred directly after this. I have highlighted areas of professional practice regarding sensitivity to cultural aspects after death which could be improved.
I have omitted names and locations of individuals to comply with the Nursing and Midwifery Council code of conduct (2008), which relates to client confidentiality, so for this purpose, my patient will be called Mohammed.

Description
I had commenced my first day on Adult placement on the ward and received a brief handover. Being privileged to such information I knew was a responsibility and the NMC (2008) standard of Conducts performance and ethics, requires all nurses and healthcare practitioners to recognise their duty of confidentiality owed to the patient. I remember Mohammed, a 62 year old Tunisian man who had been admitted to this surgical ward the previous day from A&E with Haematemeisis. His grasp of the English Language was limited and he was due today to have a simple operation to his stomach area. His emitted volumes of energy and was optimistic and cheerful despite his current condition and pending operation. Mohammed had returned to the UK on a holiday to see his grown



References: British Medical Journal. 301, 6742, 29 Burgess R et al (1988) Practice Placements That Go Wrong Chalovier C (2007) An Introduction to Ethics in Nursing. Nursing Standard. 21, 32, 42-46 Chochinov J (2007) Dignity and the Essence of Medicine: the A, B, C and D of Dignity concerning care Corlett J (2000) The Perceptions of Nurse Teachers, Student Nurses and Preceptors of the theory – Practice gap in Nurse Education. Nurse Education today. 20, 6, 499-505 Department of Health (1992) The Patients Charter Health Service Ombudsman (2011) Care and Compassion? Report of The Health Service Ombudsman On Ten Investigations into NHS Care of Older People. London Huges RG (204) Avoiding the near misses Nursing and Midwifery Council (2008) The Code: Standards of Conducts, Performance and Ethics For Nurses and Midwives. NMC Reyes G, Elhai J (2004) Psychosocial Interventions in the Early Phases of Disasters Royal College of Nursing (1996) Verification of Death by Registered Nurses. RCN, London Sandman L (2005) A Good Death: On The Value of Death and Dying Smith R (2000) A Good Death. An Important aim For Health Services and For Us All. British Medical Journal. 320, 7228, 129-130. Swaffield L (1988) Spiritual Care, Religious Roots. Nursing Times. 84, 37, 28-30. Terema (2005) Partnership For Change Programme: Sharing The Experience. Terema, London Whittington, C (20003a) Collaboration and Partnership in context, in Weinstein, J, Whittington, C, and Leiba, T (eds) Collaboration in Social Work Practice Wright B (1996) Sudden Death. A Research Base For Practice. Second Edition. Churchill Livingstone, London.

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