Reflective Assignment on Self-Development and Person-Centered Care focusing on a Real-Life Case Stud

The Gibbs Reflective Model 1988 and its Six Stages

The purpose of this assignment is to critically reflect on my own self-development in practice, including assessing my own behaviour, values, and decision-making approach. It will also include a real-life case study and the use of a person-centred approach while working collaboratively with other members of the multidisciplinary team (MDT) to provide high-quality care to those who use the services. According to the Nursing & Midwifery Council (NMC) 2019, reflection is important in nursing because it allows us nurses to make sense of a situation we encounter in practice, whether positive or negative, and it allows us to identify areas for learning and growth that we can incorporate into our professional development. Furthermore, NMC states that reflection encourages us to share ideas and learn from other MDT members in order to improve the quality of care we provide to our patients. To structure my assignment, I will use the Gibbs Reflective Model 1988. This model appeals to me because it is divided into six stages, making it easier for me to reflect on my experience in practice. According to NMC (2018), in order to maintain confidentiality of the patient I was caring for, I will refer the patient as Ms N.

 

LO3: Using real life case studies, appraise how your ownbehaviour, values, beliefs, professional practice, and approach to decision making, enables the development of an integrated, person-centred approach?

 

LO4: Evaluate how your professional knowledge and skills can complement those of other professions to provide person-centred, integrated care.

 

look at nhs values and ethical values in nursing and how they relate to the situation and how I can implement this as a future nurse. Talk about effective communication, the importance of teamwork in this situation and link it to Belbin team role and how in the future I can help resolve the situation. In Belbin’s team role I found myself to be a completer finisher and implementer.

 

During my first year of placement, I worked on the gastrointestinal ward, where me and supervisor were allocated to look after Ms N admitted with ketoacidosis and hypertension. Ms N lived alone without support from family as they lived 5 hours away. Miss N was also an alcoholic with type 2 diabetes depending on insulin. She took Humulin 22 units of insulin every morning but has got history of memory loss. Due to communication barrier, it was difficult to communicate with Ms N as she did not speak English however her first language was Arabic . Therefore, when the MDT were assessing or reviewing, I noticed Ms N was always calling one of the family members to translate for her which made Ms N treatment complicated.

The Case Study: Working with Ms. N on the Gastrointestinal Ward

Miss N had granulated chronic wound on her right leg of which me and my supervisor went to apply dressing over to stop it from getting infected. When we entered Miss N's room, we introduced ourselves to the patient, explained the procedure to her and gained her consent. However, she appeared confused and agitated which I realise she did not understand what we were about to do. My supervisor told me to go ahead with the dressing under her supervision using aseptic technique before applying dressing over the wound to prevent infection and promote wound healing. The patient became aggressive while I was cleaning the wound and grabbed my wrist so tightly that I became scared and that’s when my supervisor told me to stop and not proceed with the procedure. 

 

 

I was therefore confused with the whole situation and not happy with the action taken. When we left the room, I asked my supervisor why the patient was violent and why we had to stop the procedure when the dressing was not changed. This put me in a position where I felt unsure of my nursing skills. My supervisor explained the reason for Ms N behaviour was due to communication barrier as she did not understand the procedure. I felt sorry for the patient because she had arrived in a setting where no one spoke or understood her language which made her vulnerable. On the other hand, I can sympathise with Ms N has wound can be extremely painful when being cleaned and redressed.

 

 
In retrospect, the experience had both positive and negative aspects that contributed to a better understanding of the patient experience and my role as a future nurse in practise. This situation made me realise the importance effective communication when treating patient as it helps us provide holistic care that meets patient needs. The Language barriers have a significant impact in healthcare settings because they affect how we communicate with patients and healthcare professionals from various backgrounds, making it difficult to provide high-quality care to our patients of which implements the Human Rights Act 1998 and Equality Act 2010 (Al Shamsi, et. 2020). I came to realise that we failed to provide good care for Ms N as we did not use other forms of communication such nonverbal communication looking for an interpreter. *What non verbal communication is & and form non verbal communication we could have used in the situation.

*Also state what the nmc  code of conduct say about interpreters that it is important to find interpreters & state why it’s not good to use   family members to interpret for the patient ( find references for this )

Effective communication is critical in healthcare because it helps healthcare professionals provide patient safety by preventing misunderstandings while in practice (Ali M.2017). It also enables them to share information and make decisions while keeping the patient at the centre of their care (Levit et al.,2013). 

 

What I have noticed in the situation :

Introduced themselves to the patient and asked for consent of her care

Antiseptic Technique was used when dressing and cleaning wound which shows Knowledge

 

 

Lack of translators in the setting 

Nonverbal communication. (failure to use ) 

 

Realised communication is important because without 

 

lack of sense of awareness: not knowing my patient  ( managed to build rapport with the patient)

 

Me and my supervisor failed the patient 

 

 

Communication barriers in nursing,

 
(Include this in conclusion and action plan – as future nurse I can improve communication with colleagues and patient and relatives. Benefits of effective communication. 

NHS values & ethical values how they relate to this situation (conclusion & action plan - how you as a student nurse can apply theses values 

 

Teamwork – the importance of it in nursing and how it can be applied in this situation.