Driscoll Model Of Reflection In Nursing

Reflection is a process of exploring and examining ourselves, our perspectives, attributes, experiences and actions / interactions. It helps us gain insight and see how to move forward (Nursing Times 2018). I believe reflection is particularly important when it comes to Nursing, as medicine is constantly changing/ improving and us ourselves medical professionals must adapt with the changes in medicine. I find that reflection is extremely useful in doing this as we can look over procedures or experiences that we have had, how that made us feel, whether we would change anything, then in the future we can see the changes that may have been made, whether this has changed our feelings and opinions on medical practice.

The main intention of this essay is to demonstrate application of basic constituent of the Nursing and Midwifery Board of Australia (NMBA) code of conduct for nurses (2018) using reflective practice. The code of conduct for nurses narrates the principle of professional behaviour to ensure safe practice and code of conduct that need to be followed by nurses in Australia. Reflective practice is a active and dynamic- action based ethical set of skills, placed in a real time and dealing with real, complex and difficult situations ("Reflection in Learning and Professional Development", 2018). Reflection makes us to analyse the experience and highlight the imperfect area that needs to be evaluated again. In Gibbs’s model of reflection (1988), systemic reflection is done followed by specific steps to be a successful in a medical era.

Sue Fitzsimons, Ph.D., RN, senior vice president of patient services and CNO at Yale-New Haven Hospital during the Yale School of Nursing 2013 commencement address, said: "Rejoice in your work; never lose sight of the nursing leader you are now and the nursing leader you will become."

The Royal College of Nursing (2015) (RCN), believe professional values are to be followed to create the evolving nurse, with Advocacy highlighted as a fundamental feature. The central thesis of this paper is to reflect my understanding of advocacy against my own clinical practice as a first-year student nurse. The analysis to reflect on this clinical practice will use Driscolls (2007) ‘The What?’ Model, which questions the stages of the learning cycles to reflect on, the incident, what has been learned and the outcome on both current and future practice. Patient Confidentiality will be protected and respected throughout this reflection as described in The Nursing and Midwifery code (2015) (NMC), and The Data Protection Act (1988), all personal information including the patient’s name is considered privileged information and be dealt in a way which does not comprise the patient’s dignity or infringe upon their right to privacy.

Their 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 especially in the transition of a student nurse into a graduated registered nurse. It is common in the field of nursing to utilise reflective journalling 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. The purpose of this essay is to critically analyse the concept of reflection journalling and to find out if it an essential component to nursing practise in the transition from student nurse to graduate registered nurse.

Throughout the course, we have explored many different concepts and theories that formulate and construct to the phenomenon of what it truly means to be a nurse. I’ve come to the realization, how crucial conducting research and developing theories are in the advancement of nursing practice. These theories have helped enhance my critical thinking, self-awareness, challenged me to be open-minded. Moreover, it as influenced me to care for the biopsychosocial being of the client. According to Peisachovich, (2016) reflection-beyond-action permits professionals with the capability and understanding to “view practice as a holistic approach to care” (p.10). As I reflect on my trajectory from my previous nursing theory on the caring aspect in developing a therapeutic relationship to unitary care approach as suggested by Rogers’ Unitary Human Being (UHB) theory, I consider many thoughts, feelings, values have changed.

My philosophy of nursing is to be an advocate for patients and care and treat each patient holistically and always provide a safe environment while providing patient care. As nurses, we must remember that patients are not and should never be addressed by their room number or medical conditions. Each patient is required and deserves individualized attention and care. As nurses, we should implement individualize clinical judgment to help meet the needs of the patient according to their condition. As nurses, we should enable patients by urging them to end up plainly dynamic accomplices in their own care and take part in shared objective setting amongst ourselves and the patient. Medical professionals are entitled to keep up patient secrecy with the exception of when we have an obligation to report as ordered by law. We should teach patients and their families on illnesses, medicines, and sound practices with a specific end goal to enhance their results.

This semester in Collaborative Practice we were assigned numerous quizzes, papers, and in class activities all centering around collaboration in nursing. The importance of collaboration in nursing has been instilled in us throughout the process of completing these assignments and the class lectures. Some of the topics covered in class include, professionalism in nursing, morals and ethics in nursing, advocacy in nursing, the history of nursing, teamwork and communication in nursing, and more. As the semester is coming to a close, I believe these topics were appropriately covered by lecture and assignments.

The nursing profession is a helping profession, not simply a collection of specific skills to complete a required task (Peckham & Meerabeau, 2007). The actions of a Registered Nurse (RN) can not only affect the relationship with a patient, but the general trustworthiness of the nursing profession as a whole (NCNZ,2012). In this essay the writer will analyse a scenario which negatively impacted on a resident, which was witnessed while on clinical placement and discuss the legal, ethical and professional obligations observed by the RN.

The purpose of returning to a situation that occurred in practice is so that I can reflect on how I handled the situation well and how I can improve in order to make other patients experiences even better.

As I progress through my clinical, I am feeling more confident interacting with patients as I conduct history taking and assessments. Adhering, learning, and following the guidelines will help me as I transition to practice as a nurse practitioner. Health care profession is a lifelong learning career as evidence-based research is conducted for better outcomes and as a clinician I am obligated to stay current with the evidence, provide patient teaching at ll times to promote health and prevent diseases. While caring for patients from different backgrounds, I have learned a lot from about their cultures and how they view their health. As a provider I respect patients view on their health and it is imperative to involve them in shared-decision making.

In the context of professional practices reflection is defined as the examination of personal thoughts and actions (David, 2004). In this essay I am reflecting on an incident that happened in my earlier years of working as a professional nurse. The incident I am sharing and the subsequent learning I have gained by reflecting it helped me in the later years of my nursing career.

INTRODUCTIONThe objective of the following assignment is to analyse and critique a chosen research article, using a particular critical framework as guidance the student will critique and justify the article's relevance and current nursing pratice. Nursing research will briefly be defined and its importance and how it plays an essential part in nursing pratice will be explained. In accordance with the Nursing and Midwifery Council, (NMC) Code of Professional Conduct (NMC, 2005) regarding safeguarding patient information no names or places will be divulged.

In this reflection, I am going to use Gibb's reflective cycle (Gibbs, 1988). On the first day of our placement, the nurse and I went to try gaining consent from a resident to become my patient/resident for my portfolio and nursing care plan. The nurse and I managed to gain consent from Mrs. A to become my patient/resident for my portfolio. With the help of the nurse, I explained to the resident about the portfolio and that I am going through her medical notes and details for me to complete my nursing care plan and to gather her objective data. After our conversation with the resident about the portfolio, the nurse asked me to spend time and talk to Mrs. A to gain her trust so that she will cooperate with me. When the nurse left us, I notice that Mrs. A is nervous of me being there, so I tried to comfort her by spending one hour talking to Mrs. A about her past experiences as a nurse aid. She also mentioned that sometimes she is getting depress because of her regrets in the past, I listened to her stories and regrets carefully and attentively for me to get some details on how to comfort her.

The following reflection demonstrates my awareness for my own cultural influences. Through the cultural lenses of a student nurse and a tennis member. They have impacted the way I view others and is a guidance to my bicultural professional health care relationship.