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Reflection of Care Management

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Reflection of Care Management
This assignment will reflect on and critically analyse my personal and professional development in the domain of care management over the last three years. It will additionally outline how I plan to continue to develop in this domain once I have qualified as a registered nurse. My development so far will be analysed from the perspective of the skills, knowledge and values required of a registered nurse. Through this reflection I hope to confirm that my practice meets the standards for entry onto the nursing register as outlined by the nursing and midwifery council ((NMC) 2008).
Due to the nature of this assignment and for the purpose of reflection, as supported by Fulbrook (2003), I will adopt a narrative approach that conveys thoughts, feelings and experiences that examine my nursing practices, and support it with professional commentaries. Biber et al (2002) agree with the use of first person narrative for reflection in academic writing.
Care management, according to Weety et al (2001), is a process of collecting information through assessment, to enable the nurse to make a series of clinical judgements and subsequent decisions about the nursing care each individual needs. Fedoruk and Pincombe (2000) explain that modern health care settings are complex and the registered nurses’ ability to effectively manage care requires highly developed skills. Peate (2006) suggests skills in prioritisation and delegation are essential to care management. This is supported by Sitivier (2004) who adds the ability to effectively manage care will impact on staff, resources and the setting and achieving of goals.
In order to structure my reflections I will use the Rolfe et al (2001) framework for reflective practice model which is based around Bortons’ (1970) developmental model. Pryce (2002) states this is a simplistic cycle composed of three questions which asks the practitioner; what, so what, now what. Through this analysis I will give a description of the situation which



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