Journal: Reflective Practice for Nurse

Introduction

Reflection on practice may be a key talent for nurses. We tend to never learn through memorizing involvement unless begin to study from reflecting on our experiences. Reflective practice is that the cyclic method of internally examining and exploring a problem of concern, triggered by expertise, that clears and clarifies that means in terms of self, existing information, and experience; leading to a modified abstract perceptive and observation. Nurses create excellence among the welfare of their patients by siding 24/7, obtaining information into symptoms, and dealing with the families. My reflective practice is characterized by the ability to look at activities and encounters with the results of making their viable and upgrading nursing knowledge. My reflective journal focused on three incidents mainly effective communication failure, a medication error, and workload in nursing homes that I experienced in my past work settings. Each clinical scenario is a chance for learning. I actually have chosen Gibbs's model of reflection to guide my reflective method. Gibbs's model goes through six important points to assist the reflective method counting illustration of events, feelings, evaluation, analysis, conclusion, and eventually action set up.

Effective Communication Failure

The first incident arose while I used to be working in the post-operative ward wherever the relinquishment was completed inaccurately. The ward had semi-permanent clients; the bulk of them had conditions that were stable. No one had undergone surgical interventions or else procedures, and there have been no changes in their medications. My colleague who was wrapping up her turn was during a surge to go away and avoid the serious traffic on the streets. Later, so as to spare time she aforementioned “you know everybody here, nothing is changed since yesterday”. This was her relinquishment, and she cleared out instantly a short time later. In response to the present, I administered my shift as was common. Later on, I used to be thinking about the alternatives that the nurse may need to take, and mirrored on the experiences.

The initial feelings have been surprise, shock, embarrassment, and uncertainty. The emotions of uncertainty came from being cleared out with patients who had not had a correct relinquishment. In spite of the actual fact that “nothing had changed” from the previous day this was still a large total of knowledge to contemplate. Many of the clients had complicated cases that enclosed co-morbidities, and there have been components of dangers of abrupt changes in people’s conditions. In expansion to the present, two of the clients had a hypersensitivity reaction that will increase the complexities of their care it absolutely was clear that carrying on with the move as just in case of the relinquishment had been fruitful was not the proper course of activity to own taken. This was an each positive and negative experience. The negativity stemmed from dropping self-belief during a colleague, and from considering the fact that strategies which might be instructed as being steadfast are not constantly taken once followed. On the opposite hand, the quality stemmed from having the ability to find out from a contemporary encounter and to satisfy new challenges. Once the colleague had left, the leading a supply of action would are to own alerted a head nurse to the things. Learning this becomes a high-quality outcome. As a junior nurse, repeating procedures correctly is incredibly vital. Throughout the training phase there is a large quantity of data to collect, process, and learn. This data will have real suggestions for a client’s health; therefore the stakes area unit terribly high as compared to another profession. On the opposite hand, not all sensory experiences within the nursing profession are finished fantastically. A few individuals are unskilled about their work and a few sudden encounters arise once everybody works to the simplest of their capability. This handover provided a really ideal for the necessity for critically reflective practice. This changed into the first occasions that had emerged wherever the professionalism of a colleague become called into question and anywhere the potential guides of movement had been quite humiliating to adopt. Looking for offer assistance promptly would have been more appropriate. It was blessed that on this event there were no issues. First of all, it is important to own the confidence to mention to my colleague “please stay and repeat the handover” might have reduced the risks substantially. I sense relaxed speak me to my colleagues and asking advice from them to find out from their experiences.

Medication Error

The second situation involves the administration of an incorrect narcotic drug to a postoperative client . The incident took place whilst checking and administering a managed drug. The drug mistake was located by the in-charge nurse at the tip of the day shift. Myself is that the selected person to ascertain the quantity of controlled medication. The medications were correct on the previous daily check. On being knowledgeable of the mistake my preliminary feelings had been confusion, disbelief, and horror. I felt terribly disturbed and humiliated that I had created this error, due to the fact that qualifying as a nurse I had never created such a miscalculation. Later on, I remembered I was speaking to my colleague about her private affairs once I checked the drug. I felt embarrassed that I had permissible myself be diverted amid that point. Nurses should be aware of policies or protocols related to medication administration. This incident has highlighted the necessity for vigilance at all times and modified my practice to keep away from drug errors occurring within the future. Medication errors are an alarming problem in healthcare frameworks everywhere around the globe. Medication errors may additionally take place in all levels of remedy, along with prescribing, replicating, medicinal drug checking, preparation, administration, and observance. As mistakes take place, these errors should be applied as a gaining knowledge of encounter to replicate upon and during this manner preserve a strategic distance from them happening once more. The management of medication could be an important part of the nurse’s position. From my expertise of the incident, I actually have learned a valuable lesson. I will not allow myself to be amused from different members of staff, patients, or relatives whilst I am within the method of administering medication. My reflective practice has comprised an important analysis of myself focus. This scenario has been a getting-to-know curve and that I currently feel that I have progressed in my practice and become a more robust nurse within in the future.

The workload in Nursing Homes

In the third reflective incident that I had, while I used to be running as a group of workers in aged care inside the dementia care unit, I occurred to witness a condition where in I was given involved. Most of the residents on this unit were the use of continent pads. While on my day shift I found that there had been no good enough bed sheets or linen for the residents. Generally, there may be constantly greater linen stored within the linen rack, in order that it may be used by the nurses for bed making. On the other hand, I discovered that there was growth variety of soiled linen for washing inside the laundry. I then checked with the night workers regarding the dirty-faced linen within the laundry. They suggested that it had been due to the utilization of irrelevant length of continent pads. Because of the inappropriate continent pad is used for the residents, mattress wetting becomes going on at regular intervals throughout the night as an end result in the staff’s workload have been elevated. Due to a lack of data, recognition, and negligence, staff has been the usage of the irrelevant pad size. I am making an attempt to seek out, I used to be no longer formidable enough, the manner I had practiced nursing before was totally different, and there was a lack of evidence-based practice. I might were sad, unhappy, uncared, and being on my own. The internal factors influencing me such as lack of bravery, self-belief, and positiveness. My fears and uncertainty concerning my follow with lack of data and therefore the distinction within the way I practiced nursing have been a number of the factors that made me to behave inappropriate ways. It was my duty to inform to the duty in charge what I had observed. The reflection concerning my action helped me to examine my nursing practice. I might handle the constant state of affairs higher within the future. I ought to be assertive, responsible, and uplift my profession. Gibbs's reflective cycle allows me to remodel my actions. I am assured and daring enough to act as an expert nurse.

Conclusion

On my reflective assignment, I have selected the Gibbs model of reflection to guide my reflective method. The advantage of this model is that it permits me to find out experiences and make modifications for my future profession. I already declared my reasons why I am selecting this model in addition to a few discussions on the importance of doing reflection in nursing practice. These troubles helped me to expand from being a freelance learner to a self-regulated learner. Practical information is crucial to data development and the skilled growth of nursing. Each clinical issue is an opportunity for learning. Within the future, I aim to be a lot of proactive, assured, and assertive.

References

1. Aldhafeeri, N. A., & Alamatrouk, R. (2019). Shaping the Future of Nursing Practice by Reducing Medication Error. Pennsylvania Nurse, 74(1), 14–19. Retrieved from https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=137298586&site=ehost-live.
2. Anderson, P.,&Townsend, T. (2013). Medication errors: Don’t let them happen to you. American Nurse Today, 8(6), 13. Retrieved from https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103233235&site=ehost-live.
3. Athanasakis, E. (2013). Synthesizing Knowledge about Nursing Shift Handovers: Overview and Reflections from Evidence-Based Literature. International Journal of Caring Sciences, 6(3), 300–313. Retrieved from https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103886160&site=ehost-live.
4. Barbour, J. F. (2013). The Making of a Butterfly: Reflective Practice in Nursing Education. International Journal for Human Caring, 17(3), 7–12. Retrieved from https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103867933&site=ehost-live.
5. Wain, A. (2017). Learning through reflection. British Journal of Midwifery, 25(10), 662–666. https://doi.org/10.12968/bjom.2017.25.10.662
6. Wang, H.-F., Jin, J.-F., Feng, X.-Q., Huang, X., Zhu, L.-L., Zhao, X.-Y., & Zhou, Q. (2015). Quality improvements in decreasing medication administration errors made by nursing staff in an academic medical center hospital: a trend analysis during the journey to Joint Commission International accreditation and in the post-accreditation era. Therapeutics And Clinical Risk Management, 11, 393–406. https://doi.org/10.2147/TCRM.S79238.
7. Zelinski,V.(2012).Critical Thinking, Problem-Based Learning and Reflective Practice.Tabbner’s Nursing Care:Theory&Practice,251.