Reflection has been strongly advocated by the English National Board for Nursing & Midwifery (1994), United Kingdom Central Council (UKCC) (1996), and a wealth of nursing literature over the past decade to improve nursing practice. Reflection is an in-depth consideration of events or situations outside of one-self, solitary, or with critical support. Burnard (1995) argues that, reflection has its roots in experiential learning, as it forms the second stage of the experiential learning cycle. Active reflection gives nurses the confidence in terms of clinical decision making. It can also be a meaning of identifying strengths and weaknesses in practice and enabling nurses to learn from their mistakes. Despite this, critics of reflection had mentioned …show more content…
Reflection might lead to insight about something not noticed in time, pinpointing perhaps when the detail was missed. I believe reflection reaches the parts other forms of thinking can’t reach. Effective reflection on practice is thought to generate nursing theory and answers questions that develop nursing practice (Schon, 1983). However, there is lack of empirical evidence to support on the use of reflection in nursing. Schon (1987), had describes two types of reflection, which is reflection in action and reflection on action. Reflection in action is important for expert nurses to avoid becoming ‘stale’ or bored and preventing burn out. Reflection in action is the hawk in our mind constantly circling over our head watching and advising on our actions while we are practicing. Reflection in action is the process whereby the practitioners recognized a new situation and think it out as it happens and improved during practice. Reflection in action or ‘thinking on your feet’ is perhaps the most familiar to nurses. It is perhaps the lack of opportunity to look at these events away from the clinical setting, and with the absence of a supervisor that adds to the stress that nurses experience in their workplace. Reflection in action is essentially reflection that is done ‘on the hoof’. It refers to the mindfulness that all nurses engage in to a greater or lesser extent when they are going about their daily business as nurses (Anderson & Branch,
According to Hogston and Simpson (2002, p398) reflection is "a process of reviewing an experience of practice in order to better describe, analyse and evaluate, and so inform learning about practice". Wolverson (2000, p24) includes this is an important process for all nurses wishing to improve their practice. I hope that by using reflection I will be able to identify my strengths and weaknesses. This will enable me to focus on particular learning goals and benefit more from my placements. Driscoll (2000, p17) states that reflective learning will help you become more self-aware in your clinical practice.
Introduction: Client My patient, MG was a 72-year-old female who came to the emergency department because of a fall in her bathroom. Her admitting diagnosis was a right hip fracture. Other concurrent health challenges she had were: hypertension (HTN), high cholesterol, chronic obstructive pulmonary disease (COPD), and chronic kidney disease (CKD). MG was a full code status with no known food or drug allergies.
Driscoll (2000) model) consists of three stages (What, So what & Now what) completing one cycle help me to improve my caring practice continuously and learning from those experience for better practice in the future. The cycle starts with a description of the situation (“What”), which include analysis of the incident. “So what” evaluate the experience, including the analysis to make sense of the experience, and the final stage “Now what” is a conclusion of what else could I have done better and an action plan to prepare for, if the similar situation arose again. Baird and winter (2005) gave some reasons why reflection is required in the reflective practice. They highlighted that a reflection could generate the practical knowledge, help to adapt
Reflective practice is thinking or studying about your own experiences, reflecting on what you do. It is process of critically analysing the situations or events and actions in the workplace. Reflective practice has a great impact on the way and quality of care being provided. There are many models available to use to enhance and support reflective practice in care setting. Gibbs’ reflective cycle has described six steps that are involved in reflective process.
Critical Thinking: Tanner (2006), had introduce the term ‘thinking like a nurse’. When I read this article I was wondering what it means and takes to think like a nurse, I am a nurse by profession and yet I don’t even know what it means. In order to be a professional nurse, nurses are required to learn to think like a nurse. To my surprise, to be able think like a nurse, a nurse got to clearly defined and understands what is critical thinking and clinical reasoning. Both terms are powerful terms and these terms explain the mental processes nurses use to make certain that they are doing their most excellent thinking and decision making for their patient’s better outcomes.
1) I took responsibility for a full patient load during the last few weeks. I was responsible for doing a head-to-toe assessment, administering medications, and charting. I was responsible when contacting the necessary members of the interdisciplinary team, such as PT/OT, SW, the care home, the laboratory, or the MRP. I also spoke with family members in person and over the phone. I maintained patient confidentiality by not giving any identifying information over the phone, and stayed within my scope of practice, identifying to the family members that they would have to wait to speak to the physician to find out certain information.
Reflecting on the past seven weeks I have acquired countless knowledge, which I will use to further strengthen my profession as an Advanced Practice Nurse. The course allowed me to think beyond my current practice knowledge and acquired innovative ways to evaluate the situation at hand. The learning objective in program outcome four helps set standards that I will use to guide my clinical practice to meet various healthcare needs. Using the case studies has helped to further enhance my knowledge on disease physiological state, using differential diagnosis, disease manifestations, and clinical presentation. It has also taught me the skills on how to differentiate between similar diagnoses to properly identify the problem and treat the patients.
Upon reflecting on this experience, I feel like I am more confident in handling the situation should it arise again. Reflecting on it has made me realise that not everything I did was wrong and has helped me to explore what I need to improve on. Reflection is important in the nursing profession as it allows us to think about our actions and talk about how we could have carried them out differently (Johns and Burnie, 2013). Reflection plays a big role in developing the student into a nurse (Barbour,
In this booklet we want to challenge you to think about reflective practice and how you might use reflective practice in your workplace to improve the way you practice, your working relationships and ultimately achieve better outcomes for you and the young children you work with. We all reflect but in different ways and about different things. Often the reflection provides the “story of the day” that we may muse overby ourselves or tell a sympathetic ear, but ultimately the “story of the day” we want others
Nurses are constantly in a position where they are challenged by encounters with people from different backgrounds. Within this reflection, explanations will be provided on the reasons for picking the papers and the content that has stimulated an emotional response. Furthermore, how it will enhance my nursing practice such as incorporating respect, reflection and awareness of self and the community when caring for Aboriginal and Torres Strait Islander people will be discussed.
This week I met with a social worker at Cherry Health which is located a few blocks from Heart of the City. When I met with the social worker we did a role playing exercise. She played a client that was experiencing depression and sadness. In addition, she role played as a client that she typically work with at the agency and I role played as the therapist. I enjoyed the role play because I was able to receive feedback about my progress.
Besides, the physiotherapists have to practise the process of reflection in physiotherapy care. Reflection is a process of reviewing an experience in order to describe, analyze,
Reflection is not about evaluating an intervention of the client, but rather the process of theory that we use through our own experience and knowledge (Duncan, E., 2009). Also, it is imperative to recapture practice experiences and mull them over critically in order to gain new understandings and to improve future practice as a therapist (Finlay, L., 2008) as the healthcare sector is constantly changing and upgrading itself. Reflection also allows us to apply our knowledge that is improving to a wide variety of cases that we may encounter, be it a case that we have seen before or a totally new case that we have to
We also discussed how to be professional in the hospital setting and also how to deliver good quality care, by taking part in the practical tutorials each week. In the lectures we were shown how to reflect back on our experiences and I have chosen to reflect on the skill of taking and documenting blood pressure. In my assignment I will use Gibbs’ model of reflection (1988) as a framework to guide my writing, because I feel this model best helps me to think back on my practical performance in the lab. According to Chauhun and Nobel (2009) reflection allows the healthcare worker to refer back to an event and analyse their thinking processes and method in order to gain a new
This journal article discusses the benefits of using different types of “thinking”, particularly reflective thinking and how this approach brings about a better form of nursing practice. The RN’s transitioning to BSN in this program are valued in their current knowledge and challenged with case studies or scenarios in which they must apply clinical judgment, individually or as a group in order to develop specific patient centered care without deviating from evidenced-based practice or quite possibly create a better policy or protocol. The effectiveness of this environment of learning allows the RN’s to exercise their intuition, knowledge and skills as the faculty relinquish what’s “right” vs. “wrong” and encourage these advanced nursing students