This assignment will reflect on the effectiveness of my clinical and interpersonal skills in relation to my position as a nurse in a busy critical care unit. It will primarily focus on one particular patient and the care they received by myself in their immediate post operative period. In accordance with the NMC’s code of professional conduct names will not be used to protect the patient’s confidentiality. NMC (2008).
Reflection is an important tool for all health care practitioners. It can improve our skills and help us understand the choices we make while in practice. Williams (2001) states that “Reflective learning involves assessment and re-assessment of assumptions and critical reflection occurs whenever underlying premises are being questioned”. Critically reflecting on events we experience will continually add to our understanding and knowledge base. “Reflection makes the practitioner mindful of their practice, encouraging analysis and increasing self-awareness in relation to our own skills, knowledge and emotions”. Price, (2005).
There are many different models of reflection available but for the purpose of this assignment I shall be using Gibbs (1988). Gibbs reflective cycle is a simple analytical approach to reflection which encourages a clear description of the event. It also analyses the feelings felt at the time and includes an evaluation of the event and tries to make sense of it. Finally Gibbs examines what you would do if the situation arose again.
A 89 year old woman was admitted to the recovery ward for monitoring after a dynamic hip screw procedure of the right hip. The patient was received by myself and I immediately began the ABCDE approach to caring for the patient while the anaesthetist began his verbal handover of the patients medical history, intra operative care and instructions for post operative care including iv fluids and analgesia. The anaesthetist explained the patient had advanced
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