Use Of Gibbs Reflective Model ( Gibbs.1998 )

Melvin Fuller is a patient on the medical-surgical unit who was admitted during the previous evening for exacerbation of chronic obstructive pulmonary disease (COPD). He is an 83-year-old widower with two children who both live an hour away. He lives in a small house and is independent in his care. He has a housekeeper who comes in once a week to clean and fix some meals for him. He was brought to the hospital by his son who was visiting. His children visit him at least once a month. Mr. Fuller has COPD and type 2 diabetes. Alicia Brown is a 19-year-old nursing student in her first clinical rotation. She has been assigned to Mr. Fuller for morning care. Alicia enters Mr. Fuller’s room and notices that coffee has been spilled on his bed and

Equally important the nurse indicated that she was in a hurry and unable to sit down, choosing rather to stand while she talks to the patient. What the nurse did not realise was that she had assumed a power stance and had failed to create an environment that was holistic, conducive and

In the 25th week of her pregnancy, the mother was advised by the nurse to remain on bed rest to avoid further complications and potentially hurting her unborn baby. The mother continued to work from the hospital placing additional stress on the baby despite the nurse’s appeal that such stress can cause the baby harm. Attempts to stop premature delivery were made but failed, the mother asked the medical team not to take any extraordinary measure to save the baby. The premature baby lived but the mother showed little interest in his health and wellness. The nurse tried to the best of her ability to spark

Richard and Parker (1995) argue that reflecting and analysing the incident the practitioner is able to consider how the incident may have been managed differently by applying other knowledge and consequently enable the practitioner to move forward and consider a future situation differently. For the purposes of this piece of work I will be analysing an observation of a meeting between a male and a GP.

In the video the patient is visibly distressed and in severe pain. The patient is trying to explain to her current Nurse that she is dissatisfied with the care provided by the previous nurse. The patient expressed her apprehensiveness over

This would also happen during the night when patients were sleeping. She was often tearful, and at times she would become very distressed and attempt to leave the ward. Due to her having been admitted because of a fall, she was considered high risk for falls, so it was deemed necessary, where possible, to have one member of staff with her at all times to ensure that her safety was not compromised. There were other incidents and challenging behaviours with Mrs Smith, but I have chosen to focus on the situation where she was distressed about the absence of her husband as it was such a fundamental issue for her and a focus for her dementia, therefore a huge challenge for me as a student nurse in knowing how to properly respond.

I am now going to enter into the second stage of Gibbs (1988) model of reflection, which is a discussion about my thoughts and feelings. I was aware of being under the supervision of two qualified nurses and this made me feel very nervous and self conscious. Once my mentor questioned my practice, concerning skin cleansing, I became even more aware of feeling nervous and under pressure. The patient was present and I did not want the patient to feel that I did not know what I was doing. I thought that as I had been observed carrying out this clinical procedure on many other occasions then my practice must have been seen to be correct. I was now feeling very confused about the use of alcohol wipes in the administration of IM injection. I was also concerned that the practice of the qualified nurses was so inconsistent, which led me to evaluate the whole process.

In this situation the father has the right to know about his daughter’s condition, so it is important for the nurse to discuss with the wife her reasons for not wanting him to know and try to encourage her to tell him, as his daughter will need his support.

On arrival, Joe’s mother Catherine was distressed and throughout every stage of Joe’s care it was important Catherine was provided with clear information in order to empower her to make informed choices regarding Joe’s care (Glasper et al. 2010). Parental involvement was introduced after the Platt Report in 1959 which recommended that parents should be allowed to stay with their hospitalised child. The report has led to significant improvements in interactions between parents of hospitalised children and the staff who care for them (Priddis and Sheilds 2011). Sousa et al (2013) carried out a study that found communication between parents and children’s nurses is vital. Sousa et al (2013) found that almost all parents who participated in the questionnaire agreed it was a priority to get information on their child’s health condition. This indicates that is important for nurses to manage the child and family as a whole holistically (NMC 2015). Catherine

During the home health observation day, there were several opportunities to observe a variety of patients with varying levels of functioning ability, different illnesses, and different needs and levels of interaction with the nurse. The first patient seen was a seventy-three year old Caucasian female with an ulcer on her right heel. Several weeks prior, she had scratched her left leg and she also had several small wounds on her left leg. The orders were to clean and redress the ulcer. She has a history of end stage renal disease, pneumonia, weakness, diabetes, dialysis, and right hip fracture. Upon entering the home, the patient was found to be sitting in a wheel chair in the living room watching television with her husband close by her side. She greeted the nurse with a smile and began to update her on her current condition. Her heel was “hurting” and she rated her pain an 8 on a scale of 1 to 10. She also had some “swelling” that she could not “get to go away; because, she could not get up and walk. They need to fix my foot so that I can get up and get around.” She told the nurse that she had been to see the doctor “yesterday” and the doctor had given her a written order that she wanted her to see. The order was written for an evaluation for a soft pressure shoe fitting. The nurse read the order to

For the purpose of this essay, I have selected Gibbs (1988) Reflective Learning Cycle to reflect on an aspect of individual professional practice, which requires development in preparation for my role as a Registered Nurse. Gibbs (1988) Model of Reflection provides a clear description of a situation, analysis of feelings, evaluation of the experience, conclusion, and action plan to make sense of the experience to examine what you would do if the situation happens again.

In this paper, I am going to reflect on the situation that took place during the interview session of my first clinical in an old age home. I am going to use Gibbs Model for Reflection (1988) for this reflective writing in my assignment.

For this reflective piece I am going to write about a situation I encountered whilst on my community placement with the district nurse. To write the essay I will be following "Johns model of structured reflection" as a basis to structure my reflection around.

Throughout this essay I shall be using Gibbs model of reflection. The following reflective account also forms one aspect of the EC hour’s directive, namely that of caring for clients with mental health problems.

The assignment critically discusses a reflective practice with regards to a clinical placement I undertook. In the following critical incident that I encountered I will utilize the Gibbs Reflective Model. Gibbs reflective model is fairly straightforward and encourage a clear description of the situation. Analysis of feelings, evaluation of the experience, analysis to make sense of the experience, conclusion and action plan where other options are considered and reflection upon experience to examine what you would do if the situation arose again (Gibbs 1998). Unlike many other models (with the exception of Boud) Gibbs model takes in to account the realm of feelings and emotions, which played a part in a particular event. My rationale for