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Reflective Account - nursing

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Reflective Account - nursing
RETURN TO NURSING PRACTICE

REFLECTIVE LOG

MODULE LEADER:
STUDENT NUMBER: 1

INTRODUCTION

This essay demonstrates the significant learning that resulted as a consequence of using critical reflection on my practice. The reflective process helped me to realise how my practice needed to change after I experienced a personal and practice-related issue during and after my clinical placement.

Reflective practice is an important component of all nurse education programmes. The Nursing and Midwifery Council's (NMC) The Code: Standards of Conduct, Performance and Ethics for nurses and Midwives (NMC, 2008), states that nurses must continue to keep knowledge and skills up to date during their professional careers. Reflection can improve a nurses 'repertoire of skills' (Matthews, 2004).

Reflection is a term much talked about yet there is no single, universally agreed definition (Chirema, 2007). However, there are many prominent thinkers and writers in the area who have made considerable contributions to the ongoing dialogue. As a learning process, reflecting on practice and turning experience into learning requires a framework or model in which to understand the experience and make sense of it. This may include other people with whom to interact and share experiences with. Indeed, much of the literature enthusiastically encourages reflection on experiences in nursing. It expects that by doing so, it will improve the professionalism of the practitioner by automatically transferring the new knowledge, skills and expertise into practice (Wallace, 2010).

After trialling a few models of reflection, I eventually settled on Gibbs' (1988) model (refer to figure 1). I find this a simple and easy to use model and it suited my personal style of learning. However, reflection often reveals shortcomings and it has potential to leave the practitioner feeling insecure and demotivated. Yet O'Callaghan's (2005) reflective writing



References: Argyris, C (1999) On organisational learning. Oxford: Blackwell Publishing. Bolger G (2007) Letter (by e-mail): administering care without empathy is not nursing. Nursing Standard 21 (42) pp33 Castledine, G (2009) in Never forget the importance of caring in British Journal of Nursing 18 (8) pp515 Castledine, G (2010) in Critical thinking is crucial in British Journal of Nursing 19 (4) pp271 Chimera K D (2007) The use of reflective journals in the promotion of reflection and learning in post-registration nursing students Dawkins R. (1976) The selfish gene. 2nd edn. Oxford: Oxford University Press Glasper A, Richardson J (2005) A Textbook of Children 's and Young People 's Nursing O 'Callaghan N (2005) The use of expert practice to explore reflection. Nursing Standard 19 (39) pp41-7 Matthews E (2004) Concordance with pain medication: reflection on an adverse incident British Journal of Nursing 13 (9) pp551-5 Moyer, V, Williams, K, Elliott, E (2004) Evidence Based Pediatrics and Child Health 2nd Edn. London: BMJ Books. Nursing and Midwifery Council (2008) The Code: Standards of conduct, performance and ethics for nurses and midwives. NMC: London Patient Information for the Gloucestershire Health Community Rivers R, Cohen L, Counsell C (2006) Science: critical to patient care. Nurse Leader 4(3) pp40-4 Sackett DL, Rosenberg WM, Gray JAM, Haynes RB, Richardson WS Schon, D A (1991) The reflective practitioner. Hampshire: Arena Ashgate Publishing. Schutz S, Bulman C (2004) Reflective practice in nursing 3rd edn. Blackwell Publishing Ltd, Oxford pp47-72 Wallace, S Walsh and Ford (1989) in Philpin, S (2002) Rituals and nursing: a critical commentary in Journal of Advanced Nursing 38 (2) pp 144–151 Taylor BJ (2006) Reflective Practice: A guide for Nurses and Midwives Timmermans S, Berg M (2003) The Gold Standard: The Challenge of Evidence-based Medicine and Standardisation in Health Care. Temple University Press, Philadephia Appendix 1 – Nursing Care Plan

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