Preview

Nursing Reflection on Clincial Prcatice

Powerful Essays
Open Document
Open Document
1297 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Nursing Reflection on Clincial Prcatice
REFLECTIVE ACCOUNT OF A CLINICAL SCENARIO ~

(AN ASPECT OF NURSING CARE)

Reflection on Clinical Practice – First Placement (Year 1)

The following essay is a reflective account on an event that I, a student nurse encountered whilst on my first clinical placement in my first year of study. The event took place in a nursing home. All names have been changed to protect the confidentiality of the patient (NMC, 2008).
Throughout this essay I shall be using Gibbs model of reflection. The following reflective account also forms one aspect of the EC hour’s directive, namely that of caring for clients with mental health problems.
I have chosen to reflect on the event described in this essay as I feel that it highlights the need for nurses to have effective communication skills especially when treating patients that have suffered a stroke and also those that have a mental illness.

Mrs. Lewis was admitted to the nursing home as a permanent resident following a severe stroke which left her paralysed on her right side. Due to the stroke Mrs. Lewis suffered aphasia (loss of speech) and also dysphasia (difficulty swallowing). Prior to having a stroke Mrs. Lewis had been diagnosed with dementia which meant that she was often very confused and could be anxious. Mrs Lewis was completely reliant on healthcare assistants to help her with all activities of daily living.
Mrs. Lewis’ dysphasia meant that all medications and feed had to be given via a PEG (percutaneous endoscopic gastrostomy) feeding tube. On this particular day my mentor asked me to administer Mrs. Lewis’ medications and to set up the Peg feed unit ready for later in the day. I had observed my mentor give medications via the Peg tube on other patients and had practiced administering medications and feed in this way numerous times for other patients so I felt reasonably confident in doing this.
I had not met Mrs. Lewis before and upon entering

You May Also Find These Documents Helpful

  • Powerful Essays

    I was on my third day of residential care placement; the staff had just started to take turns for their morning tea break so I took the time to catch up on my case study patient’s medical history in the nurses’ station. Within a few minutes the Manager of the rest home ran in to gather the blood pressure machine and bandages. She informed another student nurse and myself to “take these to Max’s (pseudonym) room NOW, while I call an ambulance”.…

    • 2088 Words
    • 9 Pages
    Powerful Essays
  • Powerful Essays

    nursing relection

    • 2902 Words
    • 8 Pages

    This essay will reflect on my personal and professional development during my first year on the nursing diploma programme. I will do this by discussing my experience with the five essential skills clusters which include care, compassion and communication, medicine management and nutrition and fluid management. I will relate the five skills by showing an understanding of a recognised model of reflection. Reflection, is a way of analysing past incidents to promote learning and improve safety, in the delivery of health care in practice. For the purposes of this essay I have chosen the Gibbs reflective cycle model (Gibbs, 1988, cited in O’Caroll & Park, 2007, p86), will be followed, as it gives an opportunity to produce a structured account of the discussion. Gibbs (1988) consists of six stages to complete one cycle which is able to improve my nursing practice continuously and learning from the experience for better practice in the future. The cycle starts with a description of the situation, next is to analysis of the feelings, third is an evaluation of the experience, fourth stage is an analysis to make sense of the experience, fifth stage is a conclusion of what else could I have done and final stage is an action plan to prepare if the situation arose again. In order to respect the patient’s and staff member’s confidentiality (Nursing Midwifery Council, (NMC), the code of standards of conduct, performance, and ethics for nurses and midwives, 2008), the precise location of this placement will not be named. Consent (NMC, 2008) has been obtained from patients mentioned within this essay, although in the interest of maintaining confidentiality (NMC, 2008) of the patients, therefore pseudonyms will be used.…

    • 2902 Words
    • 8 Pages
    Powerful Essays
  • Good Essays

    personal statement

    • 1015 Words
    • 5 Pages

    This paper introduces you to my world. It explains my professional goals, including why I am pursuing my Bachelor of Science in Nursing (BSN). This paper addresses my current role as a registered nurse (RN) at St Mary’s hospital on the Neuro Trauma Intensive Care Unit (NTICU). I will explain how I got where I am today. I will inform you of my understanding of importance of integrity. I will express my importance of how ethics play a role in my life and how Fowler (2010) broadened my understanding of ethics. Lastly, I will cover why professional writing and communication is so important to the profession of nursing.…

    • 1015 Words
    • 5 Pages
    Good Essays
  • Powerful Essays

    Bedside Reporting

    • 2129 Words
    • 9 Pages

    McCabe, C. (2004). Nurse-patient communication: an exploration of patients‘ experiences. Journal Of Clinical Nursing, 13(1), 41-49.…

    • 2129 Words
    • 9 Pages
    Powerful Essays
  • Good Essays

    would encounter as a nurse that could change my life forever. On a fateful day in 1998, there was an…

    • 758 Words
    • 4 Pages
    Good Essays
  • Better Essays

    Nursing Theory in Practice

    • 1092 Words
    • 5 Pages

    Descriptions of how communication concepts are applied in the nursing practice through interaction with the patient, establishing the intention of the interaction, deciding on interventions to be used, assessing the impact of the interventions and evaluating the implication of the subsequent information obtained and then act accordingly (Hamilton, 2007).…

    • 1092 Words
    • 5 Pages
    Better Essays
  • Good Essays

    person centered care

    • 300 Words
    • 1 Page

    The Department of Health’s Essence of Care (2010) Benchmarks for communication states “All staff must demonstrate effective interpersonal skills”. Bach and Grant (2011) suggest effective interpersonal skills include active listening, good attending and empathy, which in turn aid therapeutic communication. McCabe and Timmins (2006) proposed therapeutic communication with patients begins with active listening and states that “active listening requires not only the act of hearing but also an active interpretation of what is heard”. Initially in this interaction the staff nurse does not actively listen to the patient and therefore does not acknowledge the importance of the patient’s worries. Arnold and…

    • 300 Words
    • 1 Page
    Good Essays
  • Powerful Essays

    Boyd et al (1985) suggest reflection to be an: ‘...important human activity whereby people recapture their experiences, consider them and evaluate them '. Reflection has been strongly advocated by the UKCC (1996) and a wealth of nursing literature during the last decade, with the aim of improving practice via a structured means of identifying, reviewing and making sense of relevant practice knowledge (Conway 1994, Jarvis 1992, Palmer et al 1994).…

    • 1334 Words
    • 6 Pages
    Powerful Essays
  • Good Essays

    My mentor asked me to observe her feeding Mr Comer. She had prepared my learning the week previously by providing literature on the subject of feeding elderly patients and discussion on safe practice for feeding patients with dysphagia.…

    • 1143 Words
    • 5 Pages
    Good Essays
  • Powerful Essays

    Communication in Nursing

    • 1688 Words
    • 7 Pages

    McCabe, C. (2004). Nurse-patient communication: an exploration ofpatients ' experiences, Journal of Clinical Nursing, 13, 41-49.…

    • 1688 Words
    • 7 Pages
    Powerful Essays
  • Best Essays

    Nurse Communication

    • 1326 Words
    • 6 Pages

    “Communication is at the heart of who we are as human beings.” (Rimal & Lapinski, 2009, p. 247). Communication is defined in the Australian Oxford Mini Dictionary as the sharing or imparting of information (2010, p. 102). The ability to communicate effectively with patients is important in establishing a therapeutic relationship that will contribute to their care needs, both physically and emotionally (Stein-Parbury, 2009, p. 9). This essay is about the communication skills used by Nurse Gwen during a consultation with Mrs Smith in scenario two. Throughout the essay, it will identify three types of communication skills used by Nurse Gwen, empathetic listening, open-ended questions and body language. This essay will also explore how Nurse Gwen used these skills and explain why they were effective in easing the concerns of Mrs Smith.…

    • 1326 Words
    • 6 Pages
    Best Essays
  • Powerful Essays

    Experience of observing interventions of qualified nurses and also doing them under supervision now enables me decisions or give interpretations on the basis of my gut feeling. These have made me more assertive and grow in confidence in my interaction with patients and colleagues. I am now able to connect with patients on a level as fellow human beings not just as "bed number X". The patient should be treated Page4…

    • 1948 Words
    • 8 Pages
    Powerful Essays
  • Better Essays

    The purpose of my paper is to reflect upon the student-preceptor relationship and how it shapes the views and interests of the novice nurse within the nursing profession. Thinking back, clinical opportunities that were meaningful to me have been when I built a positive and professional relationship with my preceptors. These well developed relationships have directly correlated with how well my overall clinical experience has gone and they’ve shaped the type of nurse that I would like to become. The reason that I’ve chosen to speak on this topic is the result of a particular nurse on the Cardiovascular Surgery Unit (4B) during my placement at the Toronto General Hospital (TGH). As I entered TGH on Sunday May 26th, I was aware that my designated preceptor would not be facilitating my learning on this particular shift. This was the result of her assignment as the charge nurse on the unit. As the charge nurse, her presence was continuously required at the nursing station as she could not be at the bedside. My preceptor had then indicated to me that I would be working with a more senior nurse on the unit. When I met this nurse: she greeted me with a smile, introduced her name and credentials, and told me a little bit about her professional background. The first topic of discussion that I had with her was her familiarity with the Scholar Practitioner Program (S.P.P); she mentioned briefly hearing about it. As a result of this I gave her a debriefing of the S.P.P, told her how the students learnt, mentioned my learning objectives, and gave her a little description of my own educational background. What struck me by surprise was how she received this new program. Unlike some of the preceptors that I’ve heard about from my co-learners, she was positive and willing to work with me to build a nursing foundation. This made me feel even more willing to be on the unit and to embrace my learning. Furthermore, she had given me a…

    • 1852 Words
    • 8 Pages
    Better Essays
  • Good Essays

    In this assignment, I need to reflect on the situation that taken place duringmy clinical placement to develop and utilise my interpersonal skills in order tomaintain the therapeutic relationships with my patient. In this reflection, I amgoing to use Gibbs (1988) Reflective Cycle. This model is a recognisedframework for my reflection. Gibbs (1988) consists of six stages to complete onecycle which is able to improve my nursing practice continuously and learningfrom the experience for better practice in the future. The cycle starts with adescription of the situation, next is to analysis of the feelings, third is anevaluation of the experience, fourth stage is an analysis to make sense of theexperience, fifth stage is a conclusion of what else could I have done and finalstage is an action plan to prepare if the situation arose again (NHS, 2006). Bairdand Winter (2005, p.156) give some reasons why reflection is require in thereflective practice. They state that a reflect is to generate the practice knowledge,assist an ability to adapt new situations, develop self-esteem and satisfaction aswell as to value, develop and professionalizing practice. However, Siviter (2004,p.165) explain that reflection is about gaining self-confidence, identify when toimprove, learning from own mistakes and behaviour, looking at other peopleperspectives, being self-aware and improving the future by learning the past.In my context with the patient, it is important for me to improve thetherapeutic relationship which is the nurse-patient relationship. In the therapeuticrelationship, there is the therapeutic rapport establish from a sense of trust and amutual understanding exists between a nurse and a patient that build in a special…

    • 1024 Words
    • 5 Pages
    Good Essays
  • Good Essays

    Unit 49

    • 1004 Words
    • 5 Pages

    I have been working for a while in the Nursing Home and I have met patients with different situations. We have been dealing with more Nursing residents but getting to know with Dementia patients is very interesting. I have met Mrs. E which had been discharged from the hospital. She couldn’t communicate properly on what she wants, even her family are having a problem to recognize the things she liked and wants. It was a challenge for us to help her in her daily personal hygiene and especially eating and drinking. When she arrived we tried to comfort her and made comfortable. Her family was very supportive in her care but it’s very hard to predict what she really wants. We checked her weight, as the process of checking if what they need for their nutrition. Mrs. E had been spitting out food at meal times so we have tried to give her sweet drinks to divert her attention with the food. During the past days we have been trying to identify on how to communicate with her through different ways until we tried to hold her hands while eating to keep her calm.…

    • 1004 Words
    • 5 Pages
    Good Essays