Preview

Reflection in Nursing

Best Essays
Open Document
Open Document
2975 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Reflection in Nursing
Introduction

This essay will demonstrate my reflective abilities within an episode of care in which I have been involved with during my practice placement. It will discuss several issues binding nursing practice with issues of ethics and the model of reflection which provided me with a good structure and which I found most appropriate, is Gibbs model (Gibbs 1988). This particular model incorporates - description, feelings, evaluation, analysis, conclusion and the action plan.
I have examined my own values and beliefs to the individual receiving care and have integrated and explored theory related to this in order to discuss and debate these values which underpin professional practice.
I have chosen to reflect on my observation of the death of a patient in his early 60’s following intensive CPR and the situation which occurred directly after this. I have highlighted areas of professional practice regarding sensitivity to cultural aspects after death which could be improved.
I have omitted names and locations of individuals to comply with the Nursing and Midwifery Council code of conduct (2008), which relates to client confidentiality, so for this purpose, my patient will be called Mohammed.

Description
I had commenced my first day on Adult placement on the ward and received a brief handover. Being privileged to such information I knew was a responsibility and the NMC (2008) standard of Conducts performance and ethics, requires all nurses and healthcare practitioners to recognise their duty of confidentiality owed to the patient. I remember Mohammed, a 62 year old Tunisian man who had been admitted to this surgical ward the previous day from A&E with Haematemeisis. His grasp of the English Language was limited and he was due today to have a simple operation to his stomach area. His emitted volumes of energy and was optimistic and cheerful despite his current condition and pending operation. Mohammed had returned to the UK on a holiday to see his grown



References: British Medical Journal. 301, 6742, 29 Burgess R et al (1988) Practice Placements That Go Wrong Chalovier C (2007) An Introduction to Ethics in Nursing. Nursing Standard. 21, 32, 42-46 Chochinov J (2007) Dignity and the Essence of Medicine: the A, B, C and D of Dignity concerning care Corlett J (2000) The Perceptions of Nurse Teachers, Student Nurses and Preceptors of the theory – Practice gap in Nurse Education. Nurse Education today. 20, 6, 499-505 Department of Health (1992) The Patients Charter Health Service Ombudsman (2011) Care and Compassion? Report of The Health Service Ombudsman On Ten Investigations into NHS Care of Older People. London Huges RG (204) Avoiding the near misses Nursing and Midwifery Council (2008) The Code: Standards of Conducts, Performance and Ethics For Nurses and Midwives. NMC Reyes G, Elhai J (2004) Psychosocial Interventions in the Early Phases of Disasters Royal College of Nursing (1996) Verification of Death by Registered Nurses. RCN, London Sandman L (2005) A Good Death: On The Value of Death and Dying Smith R (2000) A Good Death. An Important aim For Health Services and For Us All. British Medical Journal. 320, 7228, 129-130. Swaffield L (1988) Spiritual Care, Religious Roots. Nursing Times. 84, 37, 28-30. Terema (2005) Partnership For Change Programme: Sharing The Experience. Terema, London Whittington, C (20003a) Collaboration and Partnership in context, in Weinstein, J, Whittington, C, and Leiba, T (eds) Collaboration in Social Work Practice Wright B (1996) Sudden Death. A Research Base For Practice. Second Edition. Churchill Livingstone, London.

You May Also Find These Documents Helpful

  • Powerful Essays

    Nursing and Midwifery Council (2004) The NMC code of professional conduct; standards for conduct, performance and ethics…

    • 6153 Words
    • 25 Pages
    Powerful Essays
  • Powerful Essays

    References: olam v. Feirn Hospital Management Committee (1957) 1 WLR 582. Document No:C1745651, From Lawtel DatabaseBrazier, M. (1992) Medicine, Patients and the Law. 2nd ed. Penguin books: London, UK.…

    • 3773 Words
    • 12 Pages
    Powerful Essays
  • Good Essays

    The salty wind sent Alice Clark’s hair rushing behind her as the boat pulled closer to the dock of the small land mass only minutes away. From her standing position leaning over the rail, she could see the figures of the few people who inhabited the remote place just off of the coast of Nova Scotia. It seemed they had all shown up to see the tourists getting off of the ferry—the visitors of the day.…

    • 656 Words
    • 3 Pages
    Good Essays
  • Better Essays

    This paper will summarize chapters 1-5 in the book The Psychosocial Aspects of Death and Dying. We will take a deeper look at each of these chapters and explain what they mean. The chapters we will be talking about will be the following: Death: Awareness and Anxiety, Cultural Attitudes Toward Death, Processing the Death Of A Loved One Through Life’s Transitions, The Psychology of Dying and last but not least Social Responses To Various Types of Death. By taking a deeper look at the above mentioned chapters we will obtain a better understanding about society’s and individual’s viewpoints on death and dying as well as the many different responses that both society and individual’s have, and how it affects the grieving process.…

    • 1475 Words
    • 6 Pages
    Better Essays
  • Powerful Essays

    Theories surrounding the understanding and meaning of death tend to focus on either religion or medicine. Religious attitudes to death are more abstract, while the medical world attempts to separate the living from the dead and the ill from the healthy, providing rationality in the face of demise (Seale 1998, p. 75). Seale (1998, p. 76) describes religion as a means of relieving death anxiety for the living; explaining that those who believe in an afterlife have a less dramatic relationship with death. Harding, Flannelly, Weaver and Costa (2005, p. 253) substantiate this idea with findings that show significantly less death anxiety and considerably more death acceptance amongst religious groups. Moreover Freud (cited in Koenig, 2001, p. 98) sates that “only religion can give meaning to life”. In contrast Seale (1998, p. 75) explains the medicinal outlook on death in two distinct veins, the first being the “best hope” for those who are suffering and are close to death and the second being a “reasonable account” for why all people must die. In addition Seale (1998, p. 77) places medicine and death in direct opposition stating that medicine seeks to cure the “natural death”. Contrastingly, Zola (2011, p. 487) states that the role of medicine within death is not concerned with saving lives, but instead with the controlling of terminally ill or elderly patients. This thought is ripe throughout work surrounding palliative care (see Conrad 1992), however some scholars see the implementation of medical care as simply providing support for those on the verge of passing (Zimmerman & Rodin, 2004, p. 122). In summary, both religious and medicinal approaches to understanding death by the living are still both extremely popular, however the array of works which document…

    • 1519 Words
    • 7 Pages
    Powerful Essays
  • Satisfactory Essays

    In William Faulkner “A Rose for Emily’’ we think about who is Emily, what does the rose symbolizes, and most of all who is the narrator. Throughout most of Faulkner’s story for me as a reader I wanted to figure that out. In the beginning Emily is presented as a woman who grew up wealthy never having to worry about anything. But over time things changed after her father’s death. Later on, Emily never really takes notice of the present.…

    • 480 Words
    • 2 Pages
    Satisfactory Essays
  • Powerful Essays

    The Author Atul Gawande is a surgeon, staff writer for The New Yorker and a professor at the Harvard Medical School. Being Mortal: Medicine and What Matters in the End was an inspiring book that unwrap people’s mind for discussion and question our current practice of medicine and care. It is easy for audiences of all ages to relate to this book even if the young do not think about the process of death. It has a comprehensive coverage of medical sociology, where it deliberates on the evolution, controversial conversation of medicine and issues after medicine becomes impotent to people’s health. Gawande uses recounts of people (patients) and his own reflections on the stories to illustrate the dilemmas of the two facet of medicine: to attempt…

    • 1462 Words
    • 6 Pages
    Powerful Essays
  • Better Essays

    Transition Paper

    • 1218 Words
    • 5 Pages

    In the world of medical ethics no sector of healthcare has been under more scrutiny and has drawn more phisophical debates, been under review or been a more sensitive and critical part of the healthcare field than the world of ethics in the field of nursing. Nursing is one of the most pivotal aspects of every medical practice in the world. And today the importance of nursing ethics is ruling right up there with the importance of oxygen. It is an irrefutable fact that ethical standards are both critical and absolutely irreplaceable as part of the very strands that are woven to make up the fragile fabric which represents the field of internal medicine. Nursing ethics then acts as the balance of the pendulum of medical healthcare and services provided throughout the entire world. In this transition paper I will expound and give examples of why the ethics of nursing are as vital to the healthcare system as are doctors in surgery. In conjunction with that we will also discuss the consequences, the damage, and the tragedy that can be experienced if the principles of ethics are not only applied but also followed.…

    • 1218 Words
    • 5 Pages
    Better Essays
  • Satisfactory Essays

    Although each person reacts to the knowledge of impending death or to loss in his or her own way, there are similarities in the psychosocial responses to the situation. Kubler-Ross' (1969) theory of the stages of grief when an individual is dying has gained wide acceptance in nursing and other disciplines. The stages of dying, much like the stages of grief, may overlap, and the duration of any stage may range from as little as a few hours to as long as months…

    • 782 Words
    • 4 Pages
    Satisfactory Essays
  • Powerful Essays

    Death is a personal event that man cannot describe for himself. As far back as we can tell, man has been both intrigued by death and fearful of it; he has been motivated to seek answers to the mystery and to seek solutions to his anxiety. Every known culture has provided some answer to the meaning of death; for death, like birth or marriage, is universally regarded as a socially significant…

    • 5729 Words
    • 18 Pages
    Powerful Essays
  • Powerful Essays

    I was on my third day of residential care placement; the staff had just started to take turns for their morning tea break so I took the time to catch up on my case study patient’s medical history in the nurses’ station. Within a few minutes the Manager of the rest home ran in to gather the blood pressure machine and bandages. She informed another student nurse and myself to “take these to Max’s (pseudonym) room NOW, while I call an ambulance”.…

    • 2088 Words
    • 9 Pages
    Powerful Essays
  • Best Essays

    Nursing and Midwifery Council (2004) The NMC Code of Professional conduct: Standards for Conduct, Performance and Ethics. London: Nursing and Midwifery Council.…

    • 1660 Words
    • 7 Pages
    Best Essays
  • Best Essays

    Care at the end of life

    • 2220 Words
    • 6 Pages

    It is a fact that humans are born to die. What was once considered a natural part of life has changed to an experience that may be more painful for the patient, family, and caregivers due to the advances in medical care. New procedures have allowed life to be extended longer than ever before. The question is: has the dying experience improved? This paper will include a review of death and dying from the perspectives of the patient and caregivers. An unfortunate case will be discussed, and the organizational structure, culture, and governance that led to this situation will be reviewed. Recommendations for the changes necessary to prevent such cases in the future will be included.…

    • 2220 Words
    • 6 Pages
    Best Essays
  • Powerful Essays

    Bioethics

    • 5866 Words
    • 24 Pages

    Death and dying have now moved from being a taboo subject to one that is the basis for books, research studies, magazine articles, and television programs. In the past, death was a more private matter, usually occurring at home. Now, over 85 percent of deaths happen under medical supervision, usually in a hospital or nursing home. Another change that has taken place with time is the medical developments that have made death more a matter of deliberate decision; e.g., organ transplants, kidney dialysis. Still another change has begun to be apparent.…

    • 5866 Words
    • 24 Pages
    Powerful Essays
  • Satisfactory Essays

    Furthermore, it is argued, we ourselves have an obligation to relieve the suffering of our fellow human beings and to respect their dignity. Lying in our hospitals today are people afflicted with excruciatingly painful and terminal conditions and diseases that have left them permanently incapable of functioning in any dignified human fashion. They can only look…

    • 559 Words
    • 3 Pages
    Satisfactory Essays

Related Topics