Critical incidents are snapshots of something that happens to a patient, their family or midwife. It may be something positive, or it could be a situation where someone has suffered in some way (Carelock, 2001). Reflection and analysis of critical incidents is widely regarded as a valuable learning tool for midwives. The practice requires us to explore our actions and feelings and examine evidence-based literature, thus bridging the gap between theory and practice (Bailey 1995). It also affords us the opportunity of changing our way of thinking or practicing, for when we reflect on an incident we can learn valuable lessons from what did and did not work.
Reflect on your status as a professional in the Lifelong Learning Sector and how you manage your professional roles and responsibilities. Show how you have used theories of Reflective Practice to identify a specific area for development in your subject specialist teaching. Based on your own research into the subject specialism, design a new activity/ session that will engage and challenge your learners. Implement this activity/session with one group of learners and then evaluate its success and limitations. In this essay I will provide a definition for what Reflection is and an understanding of the concept of both professionalism and dual professionalism.
This evaluation will engage with reflections on practise in my own experience, and vignettes are offered as a means to facilitate the discussion about the complex nature of supportive and palliative (S&PC) care and the disparities found between theory and practice. First person pronouns shall be used so as not to disguise my personal evaluation (Webb, 1992). This essay shall particularly focus on the role of the individual in SP&C in comparison to the priorities of organisations, nurses and patients- specifically asking if courage is a vital but under acknowledged part of optimum supportive and palliative care. This discussion on courage in SP&C will lead to recommendations for the development of supportive and palliative care. Supportive and Palliative Care is an evolving discipline (Craft et al, 2010; Clarke, 2007) that originated with nurses and nursing (Clarke, 2007)and has now become a medical speciality in its own right (Capewell, et al., 2006).
As each approach differs, so do the views pertaining to the relationship between the counsellor and client. This differentiation is of essential importance as this relationship proves to be of fundamental consequence in therapy and in serving the client’s needs suitably. With reference to the different views of the aforesaid relationship, this essay will explore three approaches to counselling known as the psychodynamic, person-centred and cognitive-behavioural approaches to counselling. This exploration will attempt to compare and contrast each approach whilst exploring the possibility of which one may prove to be most beneficial and effective. Additionally, these will be critically compared and contrasted with reference to how each approach views and differs with respect to the nature of the counselling relationship, what the ideal nature of the relationship is, how the relationship can benefit or hinder therapy, and if and how it is used to assist therapy.
Word Count: 1942 “A personalised induction will always be more effective”. Discuss. Course Code: CARDI1S14 Penny Edwards Leah St Clair This essay will be looking at the different methods and techniques used to personalise patient’s inductions to suit their needs, addressing the individual situation to discover the best form of treatment within hypnosis that will have the desired effect. We will be looking at the permissive technique through the work of Milton Erickson as well as the authoritarian method through the work of Clark Hull and briefly looking at Sigmund Freud at the other end of the spectrum. The use of identifying a patient’s modality will also be discussed as another technique to personalise an induction.
Assessment Tool Analysis Paper Assessment tools are used to evaluate and help with the intervention of a patient’s physical, mental, and emotional well-being. They enable medical practitioners to help the vulnerable make informed and appropriate choices for a normal life. Assessment tools can be useful in improving family dynamics, building more cohesive relationships, and promoting healthier lifestyles. There are many different types of assessment tools, some are more effective than others and it is the responsibility of the practitioner to determine the tool that best fits the dynamics of their patient's particular situation. Jean Watson is recognized for her theories on human caring and the way nurses give care.
For me to become critically reflective in my practice with ex-offenders and beyond, taking my learned experiences into the housing sector field, I will use the Driscoll model of reflection; What, So What, Now What. This may be a simplistic tool but it is one, which encourages and enables critical examination throughout ones career at all levels and stages. ‘to develop, through a process of thinking and looking at your own practice in a metaphorical mirror will heighten your levels of critical evaluation and self-awareness’ Barbara Bosot 2013, The Reflective journal, pub Palgrave Macmillan My aim in using a reflective model for communication is to put myself at the core of learning, developing to my full potential, by not just responding reflectively to a situation but also to how I ‘feel’ in the situation. I will hopefully gain insight to similar situations for future reference and change
The chosen principles are: Understanding your patients Motivations, Listening to your patient, and Empowering your patient. Finally, this essay will highlight and discuss the contribution of Motivational Interviewing to nursing practice. ‘Health Promotion is the process of enabling people to increase control over, and to improve, their health. To reach a state of complete physical, mental and social well-being, an individual or group must be able to identify and to realise aspirations, to satisfy needs and to change or cope with the environment’ (http://www.who.int/healthpromotion/Milestones_Health_Promotion_05022010, 2009). Health Promotion works through several actions involving setting priorities, making decisions, planning strategies and enforcing them to achieve better health.
I should learn to perceive the world from a client’s perspective to ensure that I gain the trust of the patient an aspect that places me in a better position to educate the patient. I believe individualized nursing is the best and I should be guided by certain core values. A comparison of my personal philosophy and that of my employing institution and the Aurora School of Nursing’ mission and themes provides evidence that philosophy permeates faculty thinking. Personal Philosophy of Nursing The act of caring in the nursing field is based on the human nature. Human beings have feelings and are vulnerable beings, thus require the best of care especially when they are in need of healthcare services.
Through reflection, discussion with my mentor and reading literature I realised that building relationships are perhaps more about understanding personal drives,(Walker et al 2005), of which coping strategies are a part, but ultimately understanding patients, comes from the ability to communicate effectively; most importantly listening and observing to pick up cues (Castledine 2004) Bulman and Schutz (2004) stated that Gibbs (1988) encourages the reflector to make sense of the situation analysis critical thought, linking theory to practice. I will do this by exploring communication, in particular non verbal cues and looking at the evidence underpinning it. McCabe and Timmins (2006) stated that facial expressions are an intrinsic way to express emotions and eye contact is one way to show interest. Additionally McMahon and Pearson (2002) stated that anxious patients can be unsuccessful in making themselves understood by the nature of their emotional state. This according to Lyth (2000) makes observations by nurses difficult to achieve.