Reflective Practice in Health and Social Care

Added on - 10 May 2020

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Running head: BAIN’S REFLECTIVE FRAMEWORKBAIN’S REFLECTIVE FRAMEWORKName of the student:Name of the university:Author note:
1BAIN’S REFLECTIVE FRAMEWORKReflective practice is essential in health and social care as it gives scopes to theHealthcare professionals to identify different positive and negative aspects from anexperience. It thereby helps to apply strategies so that the negative aspects do not take placein future (Shrader et al., 2013). It can be defined as the procedure of making sense ofdifferent events, situations and actions and then learning from those situations so thatmistakes made once are not repeated in next time when similar situations arise (van Veen-Berkx et al., 2015). It gives scope to nurses to develop their knowledge as well as skills andalso help them to become more responsible in the future. In the present assignment, Bain’s 5R Framework would be used as it acts as a systematic approach to the description of eventsand the different reflections and knowledge learn from it.The first step of the reflection Framework is called reporting. In this step a brief descriptionof the situation of the issue is provided. While I was placed as a graduate registered nurse inXYZ Healthcare Centre, I experienced issues in multidisciplinary team work where I wasassigned .in the very first month an old lady was admitted to the ward when she faced astroke following which she had fell down on the floor.This had caused her several bruisesand skin tear. She was obese with a basal metabolic rate above 30. She also faced seriousissues with Arthritis which has affected her few years ago. After her treatments in theemergency ward she was shifted to the general ward as the doctor has prescribed of properrehabilitation for a week before being discharged to rehabilitation centre. She was facingissues with her speech and was not able to swallow properly and the right side of the bodywas also not functioning well although paralyses had not taken place. While working in theward, a large number of issues were noticed by me. The first issue which I noticed was thatthere was no proper care coordinator who would be maintaining the leadership of the teamand performing the evaluation of the work done by different experts in the team. As there was
2BAIN’S REFLECTIVE FRAMEWORKno proper coordinator in the team all the experts were working individually which affectedthe main goal of the team work (Reeves et al., 2013). Moreover I saw that also thecommunication between the different experts of the team was not cordial. They usuallyavoided each other and did not have proper communication skills which are very importantfor maintaining a strong bond among the team members. While some members are rude,some are escapist. There were many team members who did not follow their own workresponsibly and always played a blame game whenever confronted. Inter disciplinarycommunication was completely absent. All the members conducted their own diagnosis andtreatment and jotted down the information in the documentation sheet. There were no propermeeting that were held between the team members and therefore the perceptions of theexperts about the development of the health of the old patient could not be analysed.Moreover I also noticed intense tension and stress among the different experts as they wereinvolved into power struggles with each other. As a result of this they were not ready toprovide effective feedback and always blamed each other when any negative sequencesarose.The second step is the responding stage where the feeling of the individual is discussed. Thecontinuous blame game that I noticed in the working environment of the team made me quitestressed. I became quite apprehensive because I knew that even if I did my job perfectly I canbe blamed by anyone in the team which affected me. I gradually started feeling low on theward and my enthusiasm with which I started the first day, gradually began to decline. Thework which I used to enjoy previously made me felt burdened and therefore I easily becomeburnt out. No one provided me with effective feedback. I was gradually losing my motivationand this affected the care it was provided to the patient from my end point. I starteddeveloping a feeling of apathy towards my work and did not feel like going to the team. Not
3BAIN’S REFLECTIVE FRAMEWORKonly that many of the team members acted rudely with me there by showing the power of theposition and were not ready to accept any kind of suggestions from me. All this affectedmyself respect and self image. Moreover no one was accountable for their work and thereforethese created a stressful environment in the department. I was also not getting properguidance from any of the senior members and often made mistakes. However I was seriouslycriticized whenever I made mistakes and this affected my zeal to continue work in the tensedwork environment. However I realised from the entire situation that if all these activitiescontinued in the ward, the health of the patient would ultimately be compromised andtherefore I took a decision to report it to the senior authorities so that our ultimate goal ofsaving the life of the patient and giving her quality life can be achieved.The next step of the reflective Framework is called the relating step. In this case the personalor theoretical understanding of an individual to a particular situation needs to be discussed.From the various theories that we have studied in the university years, I came to understandthat the main issue of the ineffective teamwork in the general ward are mainly lack of propercommunication skill among the different experts. They were not properly communicatingamong themselves and were only jotting down information in the documentation sheet. Thisabsence of face to face communication has not allowed them to engage in different formaland informal discussions and therefore they were not able to develop strong relationships andBond among themselves (Muller-Juge et al., 2014). Absence of a friendly approach towardsEach Other has been the main reason of tensions as well as blame game among the differentmembers. Researchers are also of the opinion that power struggles often hamper the mainmotto of health care of providing effective care to patients and prevents proper collaborativeapproach. Most of the team members were affected by the power struggles and they felt thattheir expertise and dedication are not respected by the experts of the higher rank. Mainly a
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