Gibbs Reflection
Topics: Nursing, Pain, Nurse, Dementia / Pages: 13 (3124 words) / Published: Apr 15th, 2013


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

References: Alexander M, Fawcett J, Runciman P. (2006). Nursing practice: hospital and home: the adult: 3rd edition. Oxford, UK, Churchill Livingstone. P969. Abbey J, Piller N, De Bellis A et al (2004). The Abbey pain scale: a 1-minute numerical indicator for people with end-stage dementia. International Journal of Palliative Nursing. 10 (1); 6-13. Allman k. (2000). Monitoring in the Recovery room. Update in Anaesthesia. 11 (9); 1-2. Berger P, Hamers J, Huijer A, Zwakhalen MG. (2006). Pain in elderly people with severe dementia: A systematic review of. BMC Geriatrics, 6 (3); 15. Briggs E (2002) The nursing management of pain in older people. Nursing Older People. 14 (7); 23-29. Gibbs, G. (1988) Learning by Doing: A Guide to Teaching and Learning Methods. Oxford further Education Unit. Oxford Brooks University. Herr, K. Decker, S. (2010). Assessment of the Abbey pain Scale. Available at: Accessed: 2nd May 2012. Hofoss D, Hjortdahl P, Krogstad U. (2004). Doctor and nurse perception of inter-professional co-operation in hospitals . International Journal of Quality Health Care , 16 (6); 491-497. NMC (2008) The code in full. Available at: Accessed on 1st May 2012. McClean W (2003). Identifying and managing pain in people with dementia.. Nursing and Residential Care. 5 (9); 428-430. Philp I. (2007). The assessment of pain in older people. British Pain Society National Guidelines. No 8. Available at Accessed on 1st May 2012. Price, B. (2005). Self-assessment and reflection in nurse education, Nursing standard. 19 (29); 33-37. Roberts K. (2011). Gibbs reflective cycle - action plan. Available at : Accessed on1st May 2012. Sampson, E. Kitchen, G. (2012) North west dementa Centre. Available at: . Accessed on 25th April 2012. Tanner CA. (2006). Thinking like a nurse: a research-based model of clinical judgment in nursing.. Journal of nurse education. 45 (6); 204-11. Williams, B. (2001). Developing critical reflection for professional practice through problem-based learning. Journal of Advanced Nursing. 34; 27–34.

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