Reflection has been defined as an active, persistent and careful consideration of any belief or supposed form of knowledge (Dewey, 1933. Dawn, 2007). Reflective practice is a process to improve quality of performance in the workplace, skills up to date throughout workplace and leads to understanding the field of care. Reflection requires self-awareness and analysis (Schutz et al, 2004). To reflect the incident, I have used Gibbs (1988) reflective cycle because it easy to follow, well structured and it allows reflection on feelings as well as actions (Pat, L., 2008). Besides that, it helps to recognize what we do well and how to interpret in the other situations. I’m working in surgical and transplant ward for five years as a staff nurse. My expectation before I was confirmed working in surgical ward is questioning myself that am I talented to be a good staff nurse in this ward?. According to Julie .D. et al, (2005) is the transition from student to registered practitioners is the most arduous learning journey. Nursing Division has developed an orientation program and it is improve from year to year. Julie .D. et al, (2005) describe the good impact among staff nurses in views of rotational development programme. This program had built strength among staff to work hard and be a good staff nurse. One incident has happened to me and until now I cannot forget about it. It was happened four years ago. On that time, I’m still new qualified staff nurse and lack of experience. I have one post coronary artery bypass grafting patient and planned for discharge the next day. Two days patient keep complaint of vomiting, nauseated, poor appetite and tiredness (Jose et al, 2007). All vital signs were stable except patient had bradycardia. I thought it was normal, so I did not mention to the doctor in charge during ward round as patient look stable. Two hours before pass over report, patient look very weak. Immediately I ask my senior staff nurse what...
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