During the process of reflective thinking and outcome based information, the groundwork of the committee’s moral and ethical values is laid. Feelings are turned into objective ideas so the family is empowered and emotionally supported. Personal feelings are left outside the door with full respect of patient rights and probable outcome discussed inside. “The process of critical thinking by the nurse is driven by the patient and family” (Chitty & Black, 2011, p.173).…
There are 3 energy systems the body uses to create ATP. They are the ATP-PC system, the lactic acid system and the Aerobic energy system. Both the ATP-PC and lactic acid systems are anaerobic and therefore do not use oxygen, and the aerobic system does use oxygen. When we begin to exercise the first system we would use to create ATP is the ATP-PC system. This system acts by creating ATP from phosphocreatine, making use specificially of the phosphate molecule.…
This essay will discus a decision that was made on a local male acute ward. Using this example, an analysis of the decision making process has been made and a reflective model has been used in order to generate personal knowledge that will inform further practice (Rolfe, 2011a). A pseudonym of Tim has been used for the discussed patient to maintain confidentiality in accordance with the NMC code of conduct (2010a).…
Health professionals are privileged because they are able to help and change people’s lives by the care they offer, but this can only happen if the staff is fully informed and has all the details on the patient’s health history. This information usually can be obtained without difficulty but for sensitive issues a trust based relationship needs to be established in order for the patient to provide all their medical history. This is known as confidentiality to patients and is extremely important in be kept. Many patients struggle to give information because it may either cause shame to them or they may feel rejected by the health care staff. Such is the case for a couple of teen girls who put their trust on a nurse on an NBC ER episode. This paper will describe an ethical dilemma which a nurse encounters and tests her ethical principles in regards to breaching confidentiality. The paper will also explain how an ethics committee may help in this complex situation.…
This essay will consider ethics in nursing, discuss values and morals and how dignity and respect in patient care is influenced; considering the importance of reflection and the implications it has on effective practice from the perspective of a student nurse. The scenario “Call Me Joe” provided by Nursing and Midwifery Council (NMC) (2010a) highlights concerning issues and bad practice that are happening in modern day nursing practice, and using the Driscoll and Teh (2001) reflective model: What, Now What and So What, to consider the care that Joe is receiving; considering how the nursing practice affects him directly and the implications of the nature of knowledge in nursing practice. Part of the way in which nursing practice is developed is through evidence based practice. Evidence based practice informs modern practice by using reliable, valid and relevant research and clinical experts to inform and improve nursing practice and patient care, enabling care that improves and makes a positive difference (Malloch & Porter-O’Grady 2010). It is through evidence based practice that pre-registration nurses are informed and trained and how professional development is maintained (Adams 2009). Nurses must use evidence to improve the standards of care to achieve higher standards in the nursing profession; evidence based practice improves the quality of nursing care guiding practice to ensure best practice is attained and is supported by literature and evidence (Brooker & Nicol 2003). It is evidence based practice that healthcare practitioners often draw upon to support clinically based reflections. Reflection is a process which enables healthcare professionals to improve practice through continuous monitoring (Daly et el 2010). Throughout the pre-registration nursing programme, the importance of reflection in practice is taught and is developed throughout, extending into post-registration to become a vital part of a nursing career and portfolio development. Reflection…
Not all of the learning you do will take place on a course or a lecture, or through the latest textbook. A very large amount of your learning will take place while doing your job. Everything you do at work is part of a process of learning. Even regular tasks are likely to be important for learning because there is always something new each time you do them. A simple task like taking someone a hot drink may result in a lesson – for example, you may find that the person tells you they do not want tea, but would prefer coffee this morning.…
d) How standards can be used to help a social care worker reflect on their practice…
2. Be able to meet the communication and language needs, wishes and preferences of individuals.…
Over the past couple of weeks I have been reflecting on a clinical skill where I was the nurse who had to assit a patient who was unable to feed herself. By reflecting on my experiences I became aware of my feelings, communication, and observations which was not in the forefront of my awareness during my recording. The following paper I am going to evaluate how the skill was preformed so it can be improved for future practise. I have choosen to use Gibbs (1998) model of reflection as cited by Mc Cabe & Timmons (2006).…
In my discussion also, I shall use reflective the cycles of Gibbs’s as a framework to reflect upon my own experience in reducing falls. Gibbs’s reflective cycle consist of descriptions, feelings, evaluation analysis, conclusion and action plan (Bulma, 2000). With regard to confidentiality procedures in code of professional conduct as per Nursing and Midwifery Council (NMC 2002), I have decided to camouflage the patient’s name as Tom. During my placement, tom was assigned to me as a primary nurse in collaboration with my mentor.…
For this assignment I will be writing a reflective account which will identify a significant episode of care in which I had been involved with, by identifying the pathophysiology and the disease process for the chosen patient; this will be presented by giving a brief outline of the psychosocial influences of the illness for the patient and others who may have been involved with the care. I will also reflect upon this episode by using a reflective model and examining the nursing process, using a holistic perspective throughout the reflective framework. Maintaining confidentiality is a key element, outlined in the Nursing Midwifery Council the Code (2008).…
What is reflective practice? In short, it’s a practice that helps you become an active learner. Many of us, including myself, may be considered or interpreted as passive learners. Passive learning goes a bit like this: we read textbooks, we follow everything our instructor or teacher tells us (sometimes we tune out), we write exams and then…we forget what we learned. It’s common and though not everybody goes through this, historically, it happens more often than not. However, with active learning we engage in conversations with our classmates and teacher, we ask questions, we figure out answers, we contribute and learn and teach each other. And ultimately, we engage with ourselves (and seldom tune out as a result). Oxford dictionary defines reflection as “a serious thought or consideration…an idea about something, especially one that is written down and expressed”. Reflective practice facilitates coping. From a personal perspective it is different for each of us like writing personal journals or talking on the phone with family/friends. From a professional perspective this is usually mores structured like when we complete our weekly log after a clinical day and reflect on what occurred during our time on the unit and reflect on a single moment and how we felt about it.…
This assignment will explain three effective practice principles: criminogenic need, programme integrity and responsivity, followed with a brief case example of how it is used in my professional practice.…
The first week lesson was focused on the historical development of the Advanced Practice Nursing (APN) role and evidence-based practice from the perspective of various philosophical and theoretical foundations. In which I have learned about various roles and responsibilities of APN. As the scope of practice for APN is vary from state, I have explored the role and scope of practice of Nurse Practitioner (NP) in Texas. The second week lesson was focused on the complexity theory and selected skills, understandings, and integrative abilities of the APN and specialty nurse practitioner practice. In which I have learned about the APN’s leadership role in healthcare policy to facilitate best practices for diverse populations. It is important for APN…
This essay will discuss a clinical experience in which I feel more competent in practicing. I will use a reflective model to discuss how I have achieved the necessary level of competence in my nurse training programme.The reflective model I have chosen to use is Gibbs model (Gibbs 1988). Gibbs model of reflection incorporates the following: description, feelings, evaluation, analysis, conclusion and an action plan (Gibbs 1988). The model will help facilitate critical thought process as it relates theory to practice. Discussion will include the knowledge underpinning practice and the evidence base for the clinical skill. A conclusion to the essay will then be given which will discuss my reflection skills, acknowledge my competence and show my personal and professional development.…