Preview

reflective piece on clinical skill

Satisfactory Essays
Open Document
Open Document
358 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
reflective piece on clinical skill
Over the past couple of weeks I have been reflecting on a clinical skill where I was the nurse who had to assit a patient who was unable to feed herself. By reflecting on my experiences I became aware of my feelings, communication, and observations which was not in the forefront of my awareness during my recording. The following paper I am going to evaluate how the skill was preformed so it can be improved for future practise. I have choosen to use Gibbs (1998) model of reflection as cited by Mc Cabe & Timmons (2006).

Description of what happened
I was given the scenario where I had to assit a patient who had injured their hands and where unable to feed themselves. As I approached the patient she was sitting upright in a chair with a hospital gowan on. I began by introducing myself as the nurse letting my patient know I was going to be feeding her today. According to Sully & Dallas (2005) our first encounter with a patient can be crucial for the therapeutic relationship to continue therefore introducing yourself is imperative thus I continued to communicate with the patient in a frenidly manner. I placed the food tray on the table along side the patient. I proceeded to clean my hands with the alcohol rub before I sat down in front of the patient. I asked the patient would she prefere to start with the yougart or the biscuits. The patient decided to start with the yougart.
What were my feelings
As I sat outside reading over my scenario my first thought was a happy thought as I am a mother to two children to whom I have feed through their infancy therefore I felt very calm, When I introduced myself to the patient I was feeling confident until I realised I never washed my hands before I placed the tray along side the patient when I thought about it I started to feel self conscious but could not dwell on the fact and contined to adressress the patient in a polite manner. As from that point I started to feel very anxious.
Evaluation of positives and negatives

You May Also Find These Documents Helpful

  • Good Essays

    aha moment in nursing

    • 782 Words
    • 3 Pages

    This essay will discuss a clinical experience in which I feel more competent in practicing. I will use a reflective model to discuss how I have achieved the necessary level of competence in my nurse training programme.The reflective model I have chosen to use is Gibbs model (Gibbs 1988). Gibbs model of reflection incorporates the following: description, feelings, evaluation, analysis, conclusion and an action plan (Gibbs 1988). The model will help facilitate critical thought process as it relates theory to practice. Discussion will include the knowledge underpinning practice and the evidence base for the clinical skill. A conclusion to the essay will then be given which will discuss my reflection skills, acknowledge my competence and show my personal and professional development.…

    • 782 Words
    • 3 Pages
    Good Essays
  • Powerful Essays

    Reflection-Leg Ulcers

    • 2209 Words
    • 9 Pages

    In my context with the patient, it is important for me to improve the nurse-patient relationship. In this relationship, there is a sense of trust and a mutual understanding exists between a nurse and a patient that build in a special link of the relationship (Harkreader and Hogan, 2004). (Peplau 1952, cited in Harkreader and Hogan 2004) note that a good contact in a relationship builds trust as well as would raise the patient’s self-esteem which could lead to new personal growth for the patient. Besides, (Ruesch 2007) mention the purpose of the therapeutic communication is to improve the patient’s ability to function. So in order to establish a nurse-patient interaction, a nurse must show up caring, sincerity, empathy and trustworthiness (Kathol, 2003). Those attitudes could be expressed by promoting the effective communication and relationships by the implementation of interpersonal skills. Johnson (2008) define the interpersonal skills is the total ability to communicate effectively with other people.…

    • 2209 Words
    • 9 Pages
    Powerful Essays
  • Better Essays

    Hand Decontamination

    • 1773 Words
    • 8 Pages

    Description of what happened.On the day we were firstly introduced to hand decontamination, using a power point presentation. This presentation introduced the topic, looking at my it is important in clinical areas, when hand washing should be used, where I should be washing my hands and we was also shown the correct technique that should be used for effective hand decontamination. After looking at the theory behind the topic we went into a mock clinical setting to practice the technique. We were separated into smaller groups, in these groups we took it in turns to wash our hands, following the correct procedure that we will use out in the practice areas. After being put into groups and practicing the technique, we used UV gel on our hands to show up the areas we had missed, under the UV light. What were you thinking and feeling?During this I was feeling excited about the prospect of learning a new and my first clinical skill, as a student nurse. As well the feeling of excitement, I was also feeling nervous as I was thinking about working in groups with people I was not completely familiar with yet and having to practice the technique in front of these people. Also thinking about learning my first skill made me nervous as this was one of many clinical skills I will be learning…

    • 1773 Words
    • 8 Pages
    Better Essays
  • Satisfactory Essays

    Nvq Unit 4222-222

    • 338 Words
    • 2 Pages

    e always seek assistance. thing you try is resollving When a resident is eating and drinking we always keep their dignity and make sure they are comfortable by. Sitting them at the table, if needed we put an apron on them so they don’t ruin their cloths. We give them all a drink in a suitable cup or beaker. If a resident needs assistance with eating and drinking we sit on a chair next to them so they feel comfortable and not intimidated in any way by standing over them.…

    • 338 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    Health Care Graded Unit

    • 1149 Words
    • 5 Pages

    I am currently studying HNC Health Care and as part of my course I have to complete a graded unit, this will entail three stages; Planning, development and evaluation. This will be carried out while on placement within a hospital setting, within the planning stage I have to choose a patient and assist them with a nursing activity. I have chosen to follow Roper Logan and Tierney twelve activities of daily living the reason for this is that I find it to be the nursing model that is most effective as each activity has its own importance to the survival of life; also it follows the objectives of my graded unit. I have chosen the AL of eating and drinking as the patient I have chosen has severe Rheumatoid arthritis and has lost the use of her hands so she is unable to feed herself so my aim is to assist her whit this AL ”For a variety of reasons a patient may require assistance with the actual activity of eating and drinking, and this should be given graciously and with dexterity so that he will be protected from the needless embarrassment resulting from the lack of independence in this AL”(Roper Logan Tierney.p141). While I am assisting with this task I must remember to respect Mrs A’s dignity at all times.…

    • 1149 Words
    • 5 Pages
    Good Essays
  • Good Essays

    When I introduced myself to patient A for the first time she seemed very distressed. She was lying in bed on her side. She had a notepad and pen in bed beside her. She was able to write down that she felt very uncomfortable in the bed. I quickly learnt that she was also able to give a ‘thumbs up’ gesture for a yes as an answer and a ‘flat hand’ as a no answer. This meant you could ask her questions with a simple answer. It was important to maintain eye contact however still being to acknowledge her hand gestures. Body language is also important, so in order to do both I bent down to gain the important eye contact. I asked her if it was her position she was in and she gave a flat hand gesture, which indicated no, then I asked if she’d like any pillows on her bed, as she had none, to which she replied in the same way. She then wrote down that it was the mattress as she couldn’t move around easily on it. I told her this was because it was a pressure relieving air mattress. I told…

    • 792 Words
    • 4 Pages
    Good Essays
  • Powerful Essays

    For a couple of years I was the diabetic nurse at a county jail. I had a diabetic patient that was new to the jail and I was seeing the patient for the first time. I always tried to make my patients feel comfortable by having them sit in a chair and I did the same so we would be on the same level. This particular patient was very angry and did not want to speak…

    • 1546 Words
    • 7 Pages
    Powerful Essays
  • Good Essays

    When I was thinking about writing this journal post a particular experiences came into my head. I pushed it aside for the fact that it didn't fit the criteria for this journal. However, after struggling trying with writer's block, I gave in to my original thought. The experience I am going to be talking about doesn't fit the criteria of being a patient/nurse interaction because I wasn't with a “patient” or in a clinical setting.…

    • 595 Words
    • 3 Pages
    Good Essays
  • Good Essays

    I informed patient H it was meal time and directed her to her chair by her bedside, supporting her to sit and positioned a bedside table over her chair. H expresses distress and agitation when sitting in the dining room at meal times with the other patients therefor patients H’s preferences are respected by supporting her to feed at her bed area. I put a plastic green apron on her to protect her clothes and maintain her dignity, washed my hands and put a green apron over my own clothing for hygiene purposes in accordance with my wards food hygiene policy. As the patient only consumes fluids I got a Fortisip drink from the fridge, poured it into a handled plastic cup and added a straw. Fortisip drinks have a high nutritional and energy value and are used as meal replacement in cases such as this patient. I communicated with the patient verbally in an encouraging manner and held the cup and directed the straw to her mouth. I did this at several intervals, making sure I left a sufficient time in between sips to enable her to swallow the contents of the liquid, encouraging conversation…

    • 1262 Words
    • 6 Pages
    Good Essays
  • Good Essays

    The assignment critically discusses a reflective practice with regards to a clinical placement I undertook. In the following critical incident that I encountered I will utilize the Gibbs Reflective Model. Gibbs reflective model is fairly straightforward and encourage a clear description of the situation. Analysis of feelings, evaluation of the experience, analysis to make sense of the experience, conclusion and action plan where other options are considered and reflection upon experience to examine what you would do if the situation arose again (Gibbs 1998). Unlike many other models (with the exception of Boud) Gibbs model takes in to account the realm of feelings and emotions, which played a part in a particular event. My rationale for using the reflection framework to the clinical encounter is to try and demonstrate my ability to link theory to practice during the process of reflection. I also choose the Gibbs model to help me structure this paper. The model was also chosen to help demonstrate critical reflection within my role of being a student in the practice learning environment. Through my discussion I will also be applying the literature which underpins my experiences in practice. The way the reflection would be defined and a brief description of the surgical procedure including the complications which can arise will be also discussed. Siviter (2008) points out that by using a model of reflection as a guide the practitioner can find the process of reflecting easier. Johns (2004) cautions that a model could become a prison that the practitioner tries to fit into rather than a tool to make sense of a situation. I would suggest that a model should be used as a framework by which reflection is structured, but not followed as a rigid guide which could hamper the practitioner’s reflective account. Bolton (2005) supports this by implying that a less structured approach instead of a restrictive framework would be more suited to helping the practitioner develop…

    • 1119 Words
    • 5 Pages
    Good Essays
  • Good Essays

    Reflective Report

    • 1083 Words
    • 5 Pages

    Reflection is an active process that helps health care professional gain a deeper understanding of their experiences (Varghese, 2010). This essay will discuss about the academic achievements which were obtained during the last semester through a reflective model. The reflective model I have chosen is Gibbs's model (1988). Gibb's model of reflection incorporated the following: description, feelings, evaluation, analysis, a conclusion and an action plan (Brooker et al, 2003).…

    • 1083 Words
    • 5 Pages
    Good Essays
  • Good Essays

    Our professor Ingrid Roberts let us choose which patient we wanted to care for that day and to make sure that nurses assigned had a student nurse shadowing with them. There were 12 patients that day and only three nurses available. I was able to listen to Resident Physician doing their rounds. I was able to go with my nurse and the patient who needed an Upper GI exam to the Radiology department. I did a physical assessment and focus assessment on a female adolescent post-surgery for cellulitis right thigh. I also experienced doing a physical assessment on a preschooler who had appendicitis but ruptured. I collected urine, made sure I recorded I & O’s properly, and also monitor any sign of infection for the post-surgery patient. I was able to use therapeutic communication technique to a patient who was having Upper GI examination. She was crying non-stop and wanted to vomit the contrast. However, we were successful that she was able to complete the…

    • 920 Words
    • 4 Pages
    Good Essays
  • Good Essays

    An example of this was observed in a patient care situation on a med surgical unit, where the ADN nurse was taking care of a patient with…

    • 634 Words
    • 3 Pages
    Good Essays
  • Satisfactory Essays

    essay ms gause

    • 469 Words
    • 1 Page

    patient and has a issue with not knowing what to give the patient and having to apologize and…

    • 469 Words
    • 1 Page
    Satisfactory Essays
  • Better Essays

    reflection finished copy

    • 1099 Words
    • 3 Pages

    In this assignment I will reflect on, my journey from carer to student nurse, reflecting on my thoughts and experiences. I will outline my strengths and weaknesses using two models of reflection to compare. I have chosen to use the models of reflection, Gibbs (1988) as this reflective cycle is fairly straight forward; it encourages a clear description of a situation. Kolb (2004) learning cycle shows; learning theory through your experience.…

    • 1099 Words
    • 3 Pages
    Better Essays