Nvq Level 3 . Hcs 032 2) Be Able to Reflect on Practice.

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2.1. Explain the importance of reflective practice in continuously improving the quality of service provided. It is important to continuously review and reflect on practices used in order to improve or change approaches strategies and actions that can benefit the service user and likewise the service giver to provide a continually improving service. This can be done in a structured approach with regular supervisions with a line manager where reflective questions can be asked and looked at to analyse where something may have gone well or not so well and what could have been done differently to improve the situation or what could be done in the future to make things better and maybe see things from a different perspective so as to understand how the service user may perceive a certain scenario. Also the use of a diary, reflective journal, learning log or critical incident journal is very helpful. There is also a theory called the Kolb Learning Cycle which is broken down into four different stages ie: Concrete Experience (doing/having an experience) then Reflective Observation (reviewing/ reflecting on the experience) then Abstract Conceptualisation (concluding/learning from the experience) and finally Active Experimentation (planning/trying out what you have learned) which brings you back to the first stage. A perfect example of implementing the Kolb Learning Cycle can be demonstrated in an experience I had on an occasion when I was dealing with a service user who was, some years ago, diagnosed with MS and had been referred to us by his G.P. who had, the previous day diagnosed him with a UTI (urinary tract infection) for which he had been prescribed a course of antibiotics. As is usual with a UTI, the service user was in a state of confusion, was unable to mobilise due to loss of balance and was very dehydrated and weak. The initial assessment recorded that

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