I have tried to incorporate the model in the essay to facilitate critical thinking and relating theory to practice in the essay. This essay also aims to include a discussion about the knowledge underpinning practice and the evidence base for the requirements of an important clinical skill for the students of nursing. I will also provide a conclusion to the essay which will discuss my reflection skills, acknowledge my insight and competencies gained during the clinical practicum and show my personal and professional development. The clinical skill I have chosen to reflect on within this essay is the management of peripheral intravascular devices (PIDs). My clinical placement was in the day surgery ward of the hospital so I had numerous opportunities of
The model of hypothetico deductive reasoning proposed by Elstein et al., (1978) served as the main frame work for the analysis. The major out come of the study was that although hypothetico deductive method of clinical reasoning appeared to be predominant in diagnostic procedure the collaboration between the therapist and patient occurred at various stages. Also it describes how therapist used collaborative information in patient’s management. This paper explores these findings and relating them to the research in the field of reasoning. This paper also includes discussion of findings, and employment of above mentioned models in physical therapy practise and how it is use full while teaching students in health profession.
ntroduction This assignment is a reflection that I undertook during my first clinical practice, using Driscollâs (2000) reflective model, a recognised framework to demonstrate my ability to reflect critical thought in theory to practical skills. Reflection is defined as process of explaining and expressing from oneâs own experiences and helps to enables us to develop and improve our skills and knowledge towards becoming professional practitioners (Jasper, 2003). Temperature, blood pressure, pulse rate and respiration are the vital signs that indicate the condition of someoneâs ability to maintain blood flow, regulate body temperature, rate of breathing and heart-beat (National Institute for Health and Care Excellence (NICE, 2007). A small change in one vital sign can lead to detention in another vital sign. This assessment was analysed and interpreted in order to record and measure the vital signs accurately which
The student nurse will reflect on health promotion issues as this stood out to me in several areas, The student nurse discovered that although we can nurse a patient back to health it is so important to make the patient aware of how necessary it is for them to participate in their care by adhering to what is recommended to them by various members of the Multidisciplinary Team and the devastating consequences that the patient can encounter if advice is ignored. The student nurse will use the Gibbs (1988) reflective cycle, this encouraged thinking systematically about all phases of an activity. Gibbs (1988) is descriptive with regards to feelings, evaluation, analysis, conclusions and action plans, therefore ideal for this assignment. Although I experienced many different aspects of care regarding health promotions this assignment will concentrate mainly on a single event that will stay with me throughout my nursing career. According to Scottish Government (2010) Healthcare Quality Strategy for NHS Scotland, nurse’s carers and people at the heart of the healthcare and care delivery services should improve conditions in NHS Scotland and the care provided, on reading this strategy I understand a nurses responsibility, but the importance of patient participation in their own care is invaluable and the cooperation and communication with the Multidisciplinary Team is essential to complete patient care package to the highest standard.
Sometimes patient’s neurological deficits get resolved after a few hours or days and that calls for change of treatment plan. How do I know the nursing intervention to perform on stroke patients? It’s through empirical knowing. Empirical knowing is the ‘science’ of nursing, it can be systematically organized into general laws and theories that are used to describe, explain, and predict (Carper, 1978).Empirical knowing is knowledge obtained from school lectures, text books and journals. Empirical knowing focuses on evidenced based practice which leads to effective nursing practice.
This assignment will give an account of my involvement in the application of the cleanliness Champions Programme in my first year in clinical practice. I will chose a recognised reflective model and outline this chosen reflective model in detail and demonstrate wider reading in accordance to the Cleanliness Champions Programme. I have chosen to use Driscoll’s “What” , “So What” , “Now What”? reflective model to apply my account of my own personal involvement and experiences in the application of the Cleanliness Champions Programme in First Year Clinical Practice. A model offers a mental map for ordering complex data and experience (Proctor 2000) .
UNDERGRADUATE EDUCATION IN CLINICAL NURSING To what extent does the oral shift report stimulate learning among nursing students? A qualitative study* Mari W Skaalvik, Hans K Normann and Nils Henriksen Aim and objective. The aim of this study was to describe oral shift reporting and to discuss whether it stimulates learning for nursing students in clinical rotations in nursing homes. The goal was to investigate aspects that are important for oral shift report to be instructive for nursing students. Background.
Benner (1984) describes how the student initially learns skills as a series of steps and states that a student acquires some experience of the clinical area and that they should be able to see the ‘whole’ picture before they can effectively achieve the competence. The clinical skill I have chosen to reflect on within this essay is blood pressure. Before starting my midwifery training I worked as a healthcare assistant within a medical practice for eighteen years, taking blood pressure was a vast part of my role. Although I always felt competent in taking a blood pressure and had some knowledge and understanding of the theory related, I would suggest my knowledge of the cardiovascular system was very basic. According to Coni and Coni (2003) in order to understand blood pressure, it is important to have knowledge and understanding of the circulatory system.
As the number of patients on dialysis increases, so does the demand for hemodialysis nurses (Dunbar et al., 2012). This program is to provide a well-rounded orientation that will assist the new registered nurse that is integrating into this specialty both professionally and socially (Hall, 2006). Developing this program is a proactive way to address the critical nursing shortage in the outpatient dialysis setting and help students decide whether or
The following essay aims to identify how reflection in action and on action may impact on the provision of services by District Nurses. The author felt it important to define the two concepts, in order to understand their relevance to practice. It was found by Schon (1983) that reflection- in-action, was a nurses’ ability to understand how an individual was responding to a nursing intervention at the present time; in contrast to reflection-on-action which was thinking through a situation after it had occurred. From this understanding the author established through in depth reading that reflection has been a topic of discussion within nursing, health and social care professions for years (Kinsella, 2009). The theory of reflection has made the author identify the epistemology of reflection in and on action and the effect this can have on her professional growth.