Nursing Reflection Essay
1419 WordsApr 18th, 20116 Pages
Reflection on a clinical Skill
This essay will discuss a clinical skill in which I have become competent in practicing as a student nurse. 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 be applied to the essay to facilitate critical thought, relating theory to practice where the model allows. Discussion will include the knowledge underpinning practice and the evidence base for the clinical skill. A conclusion to the essay will…show more content…
My mentor said that this was acceptable and I continued to administer the injection, omitting the use of the alcohol wipe. On the previous occasions when I had administered IM injections I had not cleansed the site and had never been instructed to adopt this practice.
I am now going to enter into the second stage of Gibbs (1988) model of reflection, which is a discussion about my thoughts and feelings. I was aware of being under the supervision of two qualified nurses and this made me feel very nervous and self conscious. Once my mentor questioned my practice, concerning skin cleansing, I became even more aware of feeling nervous and under pressure. The patient was present and I did not want the patient to feel that I did not know what I was doing. I thought that as I had been observed carrying out this clinical procedure on many other occasions then my practice must have been seen to be correct. I was now feeling very confused about the use of alcohol wipes in the administration of IM injection. I was also concerned that the practice of the qualified nurses was so inconsistent, which led me to evaluate the whole process.
Evaluation is the third stage of Gibbs (1988) model of reflection and requires the reflector to with state what was good and bad about the event. I was aware that research by Workman (1999) suggests that the use of skin cleansing wipes is inconsistent and not necessary in IM injections if the patient appears to be physically clean
Reflection on the nursing process, using Gibbs 1988 model
1434 WordsMay 4th, 20046 Pages
This is a reflective essay based on a situation encountered during my first six-week placement on an ear, nose and throat ward at a local hospital. In order that I could use this situation for my reflection the patient will be referred to as "Mr H". This is in order that his real name is protected and that confidentially maintained in line with the NMC Code of Professional Conduct to
"Treat information about patients and clients as confidential and use it only for the purpose for which it was given."
In order to help me with my reflection I have chosen Gibbs (1988), as the model to help with my reflective process. This model comprises of a process that helps the individual look at a situation and think about their thoughts and feelings.…show more content…
I felt extremely self-conscious when standing by the bedside. I did not know how conscious the patient was of the situation around him, so it was obviously important to talk to him. I found it difficult to know what to say and was really conscious of others listening to me and wondered if I was saying or doing the right things. The atmosphere in the room was very quiet, my mentor and other staff present were very concerned he may die whilst we were washing him, so we were all doing our best to ensure the family were allowed back into the room as quickly as possible. The family were obviously anxious and upset at being away from him for any length of time.
The good that came out of the situation was that the care plan for the last days of life had been met. The patients and the family's psychological, social and spiritual needs had been addressed, and the patient was comfortable and free from pain (Kemp 1999). The care that was carried out protected the patients' dignity and respected him as a human being, with his family being involved as much as possible with his care.
The bad thing about the situation was that medically there was nothing more that could be done for this patient. All the family could do was to sit by his bedside and wait for their loved one take his last breath, and to be at peace.
I chose this incident to reflect upon because I found it