Discuss about the Reflective Learning for Nursing Profession.
Reflection is one of the important attribute in the nursing profession which contributes in the development of critical, autonomous as well as the advanced practitioners. It is one of the most important aspect as in this profession, experience and reflection o such experiences are inter related (Bulman & Schultz, 2013). It had been seen by researchers that an individual nurse who had made time to reflect on their own practice as well as their daily experiences are more capable for providing enhanced nursing care and also have a better understanding of the actions that they had undertaken. These in turn have shown to develop their own professional skills in providing the best care to patients. A nurse who is capable of correctly reflecting her practices can actually examine her own actions and experiences that in turn help them practice and also help them in both clinical and theoretical domains (Saunders et al., 2016). The most benefitting effect of this practice is that it can help not only the nursing students to improve their skills but also develop the practices of enrolled nurses and registered nurses. In order to provide the correct reflection, important attributes that are important are open-mindedness, courage and also willingness to accept and act on all sort of criticism (Atkins & Kultz, 2013). These attributes will help the nurse to develop a true reflection which would be helpful to develop her knowledge and skill in her profession.
Gibbs model is one of the most famous models that is used by nurses to reflect their own practises (Patterson et al., 2016). The firsts step usually helps in describing various situations where she had faced like the treatment of patients who did not provide informed consents, faced cultural barriers, used medical restraints, made mistake in medication administration and others. The next step usually helps in describing the feelings of the nurses. It has helped me to properly reflect what the different negative was or the positive feelings that I had gathered from this experiences that I mentioned. It included the legal obligations that I faced, the ethical dilemma that I went through, the helping of the family members who faced a loss of their near ones and others. The next two steps are the evaluation as well as the analysis method. These steps usually helps a nurse to evaluate what went wrong in the practice and helps him to analyze the alternative ways that could have yielded a better and safe results. Like in the case of medical restraints, I could have made better fall assessment and introduced strategies that would prevent fall rather than applying restraints. Not only negative experiences, it also helps the nurse to evaluate the best steps she had taken and realize how her decision at the correct moment had brought down the best benefits. The next step usually involves the conclusion about the exact understanding of the entire sequences that helped me to conclude what went wrong and what should have been done. As in one case, I concluded through my reflection that I should have asked for informed consent before I took decision on the behalf of the patient to take her for blood samples. All these are concluded properly. The last step is the action plan that had helped me to reflect what should be done by me in similar situation in future. I had learnt that I should always ask for patient consent, do proper procedures for delegation, maintain proper, nursing guidelines and similar others to avoid legal obligations and provide best care.
Standard 8 of the standards of practice for the enrolled nurses usually guides a nursing student or the enrolled nurse to refer to any issues to the registered nurse so that she can guide the enrolled nurse (Halcomb et al., 2017). The registered nurse usually helps the enrolled nurse with evidence based support in order to develop her skills ("Standards-for-Practice---Enrolled-Nurses", 2017). My mentor who was an enrolled nurse helped me develop my skill in administrating medication. Although I had theoretical knowledge of following the five main rules of administration like right route, right direction, right time, right dose and right patient, I was often getting confused about the routes. She had helped me correctly to differentiate the routes discussing their significance. In this way she had helped me in demonstrating analytical skills by accessing as well as evaluating healthcare information. She had also taught me how to develop quality of my skills by monitoring my activities and helping me correct them. She helped me how to overcome ethical dilemma while handling a patient who had confirmed me to perform DNR but went to comma before completing paper works. Thereby in this way, under the guidance of the registered nurses, I learnt to use proper resources to improve current practice.
Atkins, S., & Schutz, S. (2013). Developing skills for reflective practice. Reflective
Bulman, C., & Schutz, S. (Eds.). (2013). Reflective practice in nursing. John Wiley & Sons.
Halcomb, E., Stephens, M., Bryce, J., Foley, E., & Ashley, C. (2017). The development of professional practice standards for Australian general practice nurses. Journal of Advanced Nursing.
Patterson, C., Moxham, L., Brighton, R., Taylor, E., Sumskis, S., Perlman, D., ... & Hadfield, L. (2016). Nursing students' reflections on the learning experience of a unique mental health clinical placement. Nurse Education Today, 46, 94-98.
Saunders, R., Singer, R., Dugmore, H., Seaman, K., & Lake, F. (2016). Nursing students’ reflections on an interprofessional placement in ambulatory care. Reflective Practice, 17(4), 393-402.
Standards-for-Practice---Enrolled-Nurses. (2017). file:///C:/Users/user00/Downloads/Nursing-and-Midwifery-Board---Standards-for-Practice---Enrolled-Nurses. Retrieved 25 April 2017, from https://file:///C:/Users/user00/Downloads/Nursing-and-Midwifery-Board---Standards-for-Practice---Enrolled-Nurses.PDF