Reflective Practice

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INTRODUCTION
In this essay, I will reflect upon my practice placements and discuss my development in relation to professional/ethical practice, care delivery, care management and personal/professional development. These are the four domains related to the learning outcomes required by the Nursing and Midwifery Council (NMC, 2004)) for entry in to the professional register. They are all concerned with promoting high standards of professional practice and good quality of patient’s care. I will also reflect upon the Enquiry Based Learning (EBL) activities and discuss how these have contributed to my development in practice. I have changed all the names used in this essay for confidential reasons (NMC, 2004). Nurses and other health care professionals are faced with challenging and unique situations in practice, by reflecting on these experiences it allows learning to take place and gain flexible ways in which to respond to these situations (Burns and Bulman, 2000). According to Whitehead and Mason (2003, reflection is the process of examining personal thoughts and actions while focusing on your-self interaction as an individual with colleagues and the environment to obtain a clearer picture of their own behaviour. They further describe it as a process within which a practitioner can think about and achieve a better knowledge of their practice. It is therefore a learning tool which provides a basis for changing practice through a systematic procedure that is logically constructed. Two different forms of reflection exist, reflection-on-action and reflection-in-action. Reflection-on-action means re-running and analysing events which have occurred in the past while reflection-in-action entails examining individual behaviour and that of others in situations which offer learning opportunities (Maslin-Prothero, 1997). Therefore, by writing and keeping a reflective journal, nurses can identify personal and professional growth to recognize their achievements (Ghaye and Lillyman, 2001). EVIDENCE

Professional/ethical practice
Ethics is a code of principles governing correct behaviour and in the nursing profession; it includes behaviour towards clients, their families, visitors and colleagues (Fergusson et al, 1998). The professional and ethical obligations for nurses are set out in the new “code of professional conduct: standards for conduct, performance and ethics” (NMC, 2004). NMC is the body that sets out regulations for registered Nurses and Midwives. The main purpose for these regulations is to inform the profession of the standard of conduct required of them, in terms of their professional accountability and practice (NMC, 2004). It is also to inform the public, other professions and employers, of the standard of conduct expected of a registered Nurse/Midwife (NMC, 2004). To achieve its aims and objectives, the NMC maintains a register of qualified Nurses and Midwives; sets out standard of Nursing and Midwifery education, practice and conduct. It also provides advice on a professional standard to Nurses/Midwives and considers allegation of misconducts or unfitness to practice due to ill health. If a Nurse or Midwife acts against the code of conduct, he/she may have his/her names removed from the register (NMC, 2004). Care delivery

Delivering care to various client groups across different care settings must be orientated towards practice which is responsive to their needs (Hinchcliff et al, 2003). It is reflected through the ability to assess needs, diagnose and plan, implement and evaluate care and empower clients and their carers to participate actively. Care management

This is the capacity to accept responsibilities for the efficient and effective management of care provided within a safe environment (Hinhcliff et al, 2003). It involves being accountable in taking responsibilities to delegate aspects of care to other team members and to effectively facilitate/supervise their work. Both the nursing and other wider...
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