In the context of professional practices reflection is defined as the examination of personal thoughts and actions (David, 2004). In this essay I am reflecting on an incident that happened in my earlier years of working as a professional nurse. The incident I am sharing and the subsequent learning I have gained by reflecting it helped me in the later years of my nursing career. During my career as a professional nurse I have worked in several hospitals also attended several cases and those provided me with lot of insights and leanings. As per NMC 2002 guidelines, for protecting identify of the patient, names have been replaced with pseudo names. For structuring my experience and the subsequent reflection I am using Gibbs (1998) model of reflection as a framework. By using Gibbs (1998) model the practitioner and also take emotions into account. As shown in the below diagram, this model for reflection consists of six stages.
Figure : Gibbs reflective cycle. Source : Oxford Brookes University Gibbs reflection starts with describing the incident, analysing the feeling, evaluation of the experience, analysis of the experience, conclusion, what else can be done as the final step also it analyse about the future plan how to approach a similar situation in the future. The incident I want to describe happened during the third year when I was working. When I was working in the causality ward, and an 11 year old named Maria was admitted. From the first sight I figured out that Maria was in great deal of pain and I came to know that she met with an accident. She was conscious and was bleeding profusely.
We have done the preliminary examination and found out that one of her legs were fractured. The people who brought her to the causality already left, she was alone and her parents or relatives were not yet reached the hospital. In that stage along with keeping her conscious I was also trying to establish a therapeutic relationship with Maria to create trust and confidence. As a medical professional it is important to build trust and confidence of the patient because it will increase the self-esteem of the patient and helps in diagnosis of the situation and in the process of healing (Hark reader & Hogan, 2004). During that time I have noticed that Maria was not responding to my voice and not screaming and shouting like any other children do. For a short time I was wondering the reason for that and I immediately realised that her speaking and hearing was impaired. The situation was much more complicated than I was initially thought, in short I was dealing with a half conscious deaf and dumb girl, having multiple fractures also the possibility of internal bleeding. However as the biggest challenge I felt was her corporation. I can feel from her face that she was very nervous and in pain and also helpless to convey the difficulty she was facing. Feelings
For taking the case forward and working with Maria, it is very critical to establish a good connection and communication between us. I remembered that communication could be established not only by verbal exchange but also means such as non-verbal exchange also (Black & Chitty, 2007). In Maria’s case non-verbal communication using hand signals was the only way of communication that possible. I have stated completing the essential medical procedures, alongside I was trying to create a rapport with her by showing some hand signals which expresses sympathy and care. When I was with her I always tried to keep an eye contact so that she gets a feeling that I am interested and wanted to help her. According to Caris (1999) eye contact is a good way to communicate the sense of interest in the person one is conversing with. From Marisa’s reaction I figured out that my efforts were giving me good results, she started pointing where all she was feeling pain. Also she tried to tell me the whole chain of events happened using hand gestures. Evaluation
From the experience with...
Beth Perry Black and Kay Kittrell Chitty, (2007)
Burnard, P. 1990, Effective Communication Skills for Health Professionals, Chapman and Hall, London.
Caris Verhallen, Kerkstra, and Bensing, (1999) Non-verbal behaviour in nurse-elderly patient communication
David S (2004), A practical approach to promote reflective practice within nursing. VOL: 100, ISSUE: 12, PAGE NO: 42
Delaune and Ladner, P.K
Funnel, R. and Lawrence, K (2005) Tabbner’s Nursing Care 4E: Theory & Practice Churchill Livingston
Gibbs G (1988) Learning by Doing: A guide to teaching and learning methods
Hogan and Harkreader, (2004). Fundamental of nursing : Caring and Clinical judgement 2nd Edition.
McCabe (2004) Nurse–patient communication: an exploration of patients’ experiences. Journal of Clinical Nursing, 13 (5), 41–49.
NMC (2002) Guidelines : http://www.nmc-uk.org/Publications-/Archived-publications/NMC-Archived-Publications
Stein-Parbury, J. 1993, Patient and Person: Developing Interpersonal Skills in Nursing, Churchill Livingstone, Melbourne.
Walsh (2005) Watson’s Clinical Nursing and Related Sciences
White, L. (2005) Foundations of Basic Nursing. 2nd ed. USA: Thomson Delmar Learning.
Wood, J.T. (2006) Communication in Our Lives. 4th ed. USA: Thomson Wadsworth.
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