Bortons Model Of Reflection In Nursing

Critical reflection is vital to develop evidence based practice for safe and quality approaches to professional nursing practice. Nursing professionals should critically reflect on events to identify what health professionals might do to improve their practice and reduce the risk of a similar error. Reflective practice can help to learn from their mistakes, be empowered and most importantly to deliver best possible care to patient as nurses must work closely with their patients to develop a therapeutic relationship. Critical reflection is a valuable skill to ensure patient centred care. This practice promotes personal development by enhancing students’ self-awareness, their sense of community, and their sense of their own capacities for

The professional value that I have chosen to reflect on from my practice is based on privacy and dignity for a patient admitted in the hospital. To enhance my reflection development, Driscoll (2007) model of reflection; What? So what? Now what? will be apply. According to (Lowenstein, Bradshaw, and Fuszard, 2004), reflection is the method of analysing and reviewing one’s practice as a nurse, with the aim of improving one’s interactive skills with both patient and colleagues. Reflection is a method of re-evaluating practice accounts and providing substitute tactics to doing things (Howatson-Jones, 2016). Reflection is a vital learning tools which can progress on innovative knowledge (O'Carroll, Park and Nicol, 2007) and enables the nurses to mirror on their practice effectively (Johns and Freshwater, 2009). The name used throughout this reflective assignment will be considered as pseudonyms to maintain confidentiality and to conform with the Nursing and Midwifery Code of Conduct (NMC) (2015).

In this assignment I shall be exploring how laws and abiding by them can affect healthcare personnel and how this can improve my future practice as a registered nurse. I will be using the Bortons (1970) reflection model in which it follows the process of what, so what and now what (Reflective Practice 2018). I am using this model rather than others such as Gibbs (mindtools.com n.d.) because I believe with Law my personal emotions and feelings will have no effect on Laws, whereas with Bortons reflective model it feels less about emotions and more about what I will do in the future.

Skin integrity is an important concept that’s nurses assess on their patients. A key skill in nursing practice is to frequently assess the skin for possible breakdown or decreased skin integrity. Skin assessments should be conducted thoroughly once a shift and frequently reassessed for any signs of change. Skin discrepancies may be the first sign of an underlying issue. Early detection of any breakdown can help to implement interventions sooner. Unfortunately, unless there is a major skin discrepancy, skin issues can easily get overlooked, specifically in documentation and report. The focus of this paper is to research new skin integrity assessments to improve documentation effect and accuracy, resulting in decreased prevalence of skin breakdown in hospitalized patients. Topics discussed include reviewing current practices and new skin assessment techniques that decrease the prevalence of skin breakdown and pressure ulcers.

This objective will affect my future nursing practice because conducting physical head to toe assessments and obtaining vital signs is a different process when working with paediatric patients rather than adults. It is crucial to note any changes that I can catch throughout my assessments, and vital signs since paediatric patients might not be able to communicate with me if they feel any changes in their health. By understanding the anatomy and physiology, the developmental stages of children, and obtaining accurate vital signs and assessments, it will increase my knowledge, skill, ad judgment to successfully complete and distinguish any abnormities and changes during my assessments. Also, knowing the developmental stages and distraction therapy method techniques can help me provide thorough examinations and find ways to help my patients cope if they are feeling anxious and scared.

My knowledge from a number of first aid courses influenced my decisions in how to care for Max, for example knowing not to move Max due to suspected injuries. Also my knowledge gained from praxis lectures and clinical practice helped to influence my decisions as I knew the importance of keeping the patient warm, clean, comfortable and advised while assessing the patient. This was demonstrated when looking after Max as the care-giver and I used appropriate hygiene practices and communication between the care giver, myself and Max to guarantee we all knew what was happening as well as what was needed.

The purpose of this essay is to look at barriers of compassion and what nurses could do overcome these barriers. Three sub topics will be looked at over the course of this essay and a conclusion will be made to evaluate these essays findings and to provide some input into battling these barriers so that patients can receive high standards of patient care.

There are many demanding professional adjustments when transitioning from student nurse to graduate nurse and the use of refection during this time is said to be a very important tool in guiding the learning process. It is common in the field of nursing to utilise reflection to critically analyse certain experiences and reflect on how they made them feel and react. This involves looking deeper into a particular experience and deciding what was good, what was bad and what would be a better course of action if they were to re encounter it in the future. However there may be potential barriers when trying to make judgements about a students inner most thoughts and personal experiences. The purpose of this essay is to critically analyse the concept of reflection and to find out if it is an essential component to nursing practise in the transition from student nurse to graduate registered nurse.

I believe that reflective practice is essential to carrying out clinical skills effectively. It allows the nurse to reflect on their actions and perhaps, think what they will do if a similar scenario were to occur at a future stage. I reviewed Kolb's model of reflection. This

In this case study I will use Gibbs (1988) model of reflection to write a personal account of an abdominal examination carried out in general practice under the supervision of my mentor, utilising the skills taught during the module thus far.

The objective of this reflection is to explore and reflect upon a situation from a clinical placement on an orthopedic unit. The incident showed that I did not provide safe, timely and competent care for my patient when the oxygen saturation was low. Furthermore, this reflection will include a description of the incident, and I will conclude with explaining what I have learned from the experience and how it will change my future actions.

Following an adaption of Johns’ model of structured reflection (Jasper, 2003), I will discuss an event that occurred during my residential placement as a nursing student, what I have learnt and how I would act if the situation arose again. Lastly, I will discuss what I have learnt in relation to the Nursing Council of New Zealand competencies for cultural safety and communication.

As higher standards expected are from the public and higher patient safety demands are expected from health boards, therefore, there is a need for a way of measuring standards of practice which can be achieved through active thinking in a clinical environment brought about by critical reflection (Rolfe, Jasper & Freshwater 2011). Reflection has become such a key component in the role of a nurse that the Nursing and Midwifery Council (NMC) have seen it fit to include it in their professional code of conduct the Code: Professional Standards of Practice and Behaviour for Nurses and Midwives, hereafter referred to as the Code (Nursing & Midwifery Council [NMC], 2015). With reflection being a vital skill for nurses to continue their professional development (Parrish & Crookes, 2013), an analysis of what it means to reflect within nursing is needed by all who intend to enter the profession to ensure its effective use is applied.

Reflection is used by nurses and health care professionals to incorporate theoretical and practical knowledge (Cowen et al 2009). On the other hand, Rolfe et al (2011) noted that reflecting on the event and thinking about any action that could have been taken differently. For effective changes to occur when reflecting, the reflector should pay attention to what they are thinking, how they are feeling and what they recall (Taylor 2010 cited in Howatson-jones 2013)

09/08 When I have arrived at the unit every shift, the first thing I do before receiving report and starting my assessments is washing my hands. However, I consistently wash my hands before and after I enter in a patient’s room throughout my shift using the guidelines from the CDC to prevent the transmission of infection in my patients. I also administered medicaments safely for all my patients using the six rights and the three checks of med administration. I verified the patient’s name, the doctor’s order in the MAR before and after I remove the meds out of the med room and at the bedside, I verified my patient’s name and date of birth against the arm band in accordance with the initiatives for National Patient Safety Goals (NPG.01.01.01; NPG.01.01.07). This week, I managed the care of four patients. I delegated the BP’s and BS’s to the NA. I did all my assessments and documented them. I passed all the medications for all four patients on time before 2200p. On this time, another change of shift occurs and assignments are divided to accommodate based on the census and personnel availability by the charge nurse. I prioritized my patients based on their acuity and ordered meds. I administered first a beta blocker and an ACE inhibitor with parameters (held if SBP of 110 or less) for my patient with a BP of 152/77, then I administered Pro-stat 30 mg protein drink and docusate sodium a stool softener to another of my patients. I recognized that was not easy to manage and