During my career as a professional nurse I have worked in several hospitals also attended several cases and those provided me with lot of insights and leanings. As per NMC 2002 guidelines, for protecting identify of the patient, names have been replaced with pseudo names.
For structuring my experience and the subsequent reflection I am using Gibbs (1998) model of reflection as a framework. By using Gibbs (1998) model the practitioner and also take emotions into account. As shown in the below diagram, this model for reflection consists of six stages.
Figure : Gibbs reflective cycle. Source : Oxford Brookes University
Gibbs reflection starts with describing the incident, analysing the feeling, evaluation of the experience, analysis of the experience, conclusion, what else can be done as the final step also it analyse about the future plan how to approach a similar situation in the future.
The incident I want to describe happened during the third year when I was working. When I was working in the causality ward, and an 11 year old named Maria was admitted. From the first sight I figured out that Maria was in great deal of pain and I came to know that she met with an accident. She was conscious and was bleeding profusely.
We have done the preliminary examination and found out that one of her legs were fractured. The people who brought her to the causality already left, she was alone and her parents or relatives were not yet reached the hospital. In that stage along with keeping her conscious I was also trying to establish a therapeutic relationship with Maria to create trust and
References: : Beth Perry Black and Kay Kittrell Chitty, (2007) Burnard, P. 1990, Effective Communication Skills for Health Professionals, Chapman and Hall, London. Caris Verhallen, Kerkstra, and Bensing, (1999) Non-verbal behaviour in nurse-elderly patient communication David S (2004), A practical approach to promote reflective practice within nursing. VOL: 100, ISSUE: 12, PAGE NO: 42 Delaune and Ladner, P.K Funnel, R. and Lawrence, K (2005) Tabbner’s Nursing Care 4E: Theory & Practice Churchill Livingston Gibbs G (1988) Learning by Doing: A guide to teaching and learning methods Hogan and Harkreader, (2004). Fundamental of nursing : Caring and Clinical judgement 2nd Edition. McCabe (2004) Nurse–patient communication: an exploration of patients’ experiences. Journal of Clinical Nursing, 13 (5), 41–49. NMC (2002) Guidelines : http://www.nmc-uk.org/Publications-/Archived-publications/NMC-Archived-Publications Stein-Parbury, J. 1993, Patient and Person: Developing Interpersonal Skills in Nursing, Churchill Livingstone, Melbourne. Walsh (2005) Watson’s Clinical Nursing and Related Sciences White, L. (2005) Foundations of Basic Nursing. 2nd ed. USA: Thomson Delmar Learning. Wood, J.T. (2006) Communication in Our Lives. 4th ed. USA: Thomson Wadsworth.