Assignment on Nursing Reflection 2022

Running head: NURSING REFLECTION ASSIGNMENT
NURSING REFLECTION ASSIGNMENT
Name of the student
Name of the university
Author note

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Introduction
The 21st century has observed multiple changes in every aspect of human life,
specifically in the healthcare sector that has not only improved the care process but also
developed care professionals by increasing their skills (Zamanzadeh et al., 2015). Nursing
professionals, in the modern age are aware of the challenges they would be facing in the
process and hence, they are equipping themselves with skills and strategies so that they could
develop and maintain quality holistic care (Chen et al., 2018). One such strategy is to
maintain nursing journal which is a documentation process that includes the ideas, healthcare
experience and personal thought of nursing professionals maintaining such records (Chinn &
Kramer, 2017).
As per Melin‐Johansson, Palmqvist and Rönnberg (2017) reflection in nursing
profession helps the nursing professionals by increasing their abilities and enhancing their
ability to learn from retrospection of incidences in their education, as well as professional
experience. Ramos et al. (2015) also mentioned in their research paper that nursing journals
are the most comfortable and effective way using which nursing professionals can develop
abilities to understand, implement and avoid practices that are not beneficial for patients and
the care process. Further, it was also observed in the discussion of Lestander, Lehto and
Engström (2016) that developing nursing journals make the professional more focused about
their job and they tend to implement changes in their practice.
In this discussion, I would also be discussing my course of reflective journal writing
and though this process, I would be discussing about one such incident in my nursing
profession till date that helped me to transition from student to a professional nurse. I would
provide a detailed information regarding the incidence associated with lack of cultural
competency that I witnessed while working in the care facility. I would be using Gibb’s

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Reflective Cycle to discuss about the breaching process and the change that I perceived in my
personality due to this incident.
Gibbs Reflective Cycle
Gibb’s reflective cycle is the reflective model that helps people to collect their
thoughts systematically and analyse their past experience within specific framework so that
they can structure their thoughts in phases (Waltz, 2019). This process helps them to open up
for adjustment and making changes to their processes so that they could evolve as a
personally and professionally (Husebø, O'Regan & Nestel, 2015). There are six steps of
Gibb’s reflective cycle, such as description of incidence, feelings related to the incidence,
evaluation, analysis related to it, conclusion and action plan that describes the strategies to
overcome the complication (Ramos et al., 2015). In the following section, I will be discussing
my complications associated with cultural competency that I observed in the care facility.
Description
In this section, I would discuss about my first clinical placement in the healthcare
facility, when I was assigned to take care of patients in the emergency ward. I was working
under the supervision of the registered nursing professional who was caring for primarily two
patients in that ward. One of the patients that we were working with was an Australian
aboriginal women, Mrs. X (38), who was unable to speak or read English and was admitted I
the healthcare facility after a critical accident. This accident was so traumatic that the patient
was unable to move her one hand and I was assigned to take care of her wounds, maintain her
dressing and taking care of medication dosage by maintaining medication documentation. As
I was assigned for the care of the patient from the Day 1, I was very much concerned about
their health and determined to provide both of the patients, under my mentor with effective
and quality care. This is because, I read in the theoretical classes that it is the duty of nursing

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professionals to provide equal and effective care to patients so that they could improve their
wellbeing due to the effectiveness of the care process.
However, I witnessed a complete different situation from the day 1 of the clinical
placement. Mrs. X was unable to read and write English language and hence, an interpreter
was assigned for this patient. Despite this, the patient seemed confused and was curious about
her health improvement and multiple times I saw that the interpreter is arguing with the
patient to calm her down and making her take the medications. I saw this situation for four
consecutive days then I realised that the patient is not being provided with culturally
competent care and the interpreter is unable to fulfil his duty to provide each information
associated with her care intervention to the patient effectively. On day 5, when I was
checking her medication dose, the patient whispered something in her own language and
upon asking the interpreter, he asked me to ignore the patient’s thoughts and focus upon the
care process. Therefore, this incident verified my thoughts associated with breaching of
cultural competency due to which the patient lost her faith and trust upon care system.
Feelings
As per Taylor et al. (2017) clinical placement is an important and crucial step for
nursing students that would become professional nurses in future as through the help of this
phase, they become aware of the system and the way they should perform to contribute in its
development. Therefore, I also felt very responsible and excited upon receiving this
opportunity to undergo my clinical placement situation. The first day of the clinical
placement went very fast as I was meeting new people and was understanding my duties. The
registered nurse, who mentored me during this phase, made me understand everything that I
would be performing in the emergency department and then introduced me to her patients.
This is the time, I observed a lack of trust and fear in the patient Mrs. X, as while greeting her
for the day, she did not reply. I came to know that she is an aboriginal patient who has been