This essay critically reflects on the Gibb’s Cycle of Reflection framework and its application in nursing practice. It discusses the process of patient health assessment and the skills required for comprehensive assessment. The importance of holistic care and professional standards in nursing is also highlighted.
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Running head: GIBB’S CYLCE OF REFLECTION FRAMEWORK1 Gibb’s Cycle of Reflection framework Student’s Name University Affiliation
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GIBB’S CYLCE OF REFLECTION FRAMEWORK2 Gibb’s Cycle of Reflection framework Introduction Reflection in nursing is linked to learning from experience or the past event. It is seen as a significant approach for individuals who embrace long life learning. Reflective practice is an approach commonly used in nursing practice in order to promote nurses in becoming qualified and independent professionals (Smith & Roberts, 2015). This essay critically reflects on what we have learnt this semester. It includes the aspects of health assessments such as measurement of TPR, measurement of BP and health interviewing. This relates to my developing ability geared towards meeting the comprehensive conducts assessment of patient’s health. The model of reflection used in this paper is the Gibbs cycle of reflection which is utilized to encourage people with a certain experience. The model consists of six processes of reflection which enables one to think and reflect on all the phases of experience (Perry, Faan, Potter & Ostendorf, 2019). Description This semester has been very promising for me in becoming a qualified independent nurse. The topic that has been interested during the semester is patient health assessment. Having knowledge of health assessment as a nurse is important as it helps one to identify the medical requirements of patients. The health of patients is surveyed by directing the physical examination of the patient. Physical examination helps the nurse to obtain the complete health assessment of patient. We were also taught about observation techniques such as auscultation, palpation and percussion.
GIBB’S CYLCE OF REFLECTION FRAMEWORK3 There are different types of health assessment that we learned. These health assessments include pain assessment, assessment of blood pressure among others. While assessing the pain, we are first supposed to perform hand hygiene, consult patient documentation then introduce ourselves to the patient to gain consent. Another important thing that we were taught by our educator is to understand how to prepare patient and provide privacy as appropriate (Morton, Fontaine, Hudak, & Gallo, 2010). Also, we should initiate communication and clarification of the client’s immediate concern. Another important subtopic that we covered in this semester is the process of patient health assessment that involves temperature, pulse and respiration. We were able to go through and understand step by step assessment of patient’s temperature, pulse and respiration. Furthermore, we were able to learn new things like interviewing the client on matters of health. All these parts of patient health assessments require skills and confidence while performing them. According to (Yanhua & Watson, 2011), assessment includes the collection of data about someone’s state of health. The definition seems so simple but in the real sense it is a difficult thing to practice without knowledge and skills. In other words, what I learned during the course of the semester was that patient health assessment is not just checking the physical being but also checking on other factors such as the values of the client, the patient’s family and support networks and the patient’s ability to care for self. In order to follow a holistic model of patient care, all these components must be fully assessed (Al-Shaer, Hill & Anderson, 2011). Feelings Although this topic initially seemed to be simple, I realized later that it is not that simple as it needs a lot of concentration as most part of a nurse involves assessing the patient. I also
GIBB’S CYLCE OF REFLECTION FRAMEWORK4 realized that the way I used to assess the patient was not enough as I lacked some techniques that are very important. Also, I realized that the knowledge that I got from the class could provide me with a more holistic approach by applying all the techniques that I got from the class. While assessing the patient I normally have some conversations with the patient, but I found that it can go deep by talking about their lives, their family’s history and culture I could learn much more about their feeling. With such knowledge and skills, I could feel very confident to handle any patient in terms of health assessment (Yanhua & Watson, 2011). Evaluation It is very important to have assessment skills and knowledge to the highest level as a nurse since in a hospital setting it is only the nurse who is continually available at the bedside. I find this part of learning as the ideal and true part of my practice as a nurse. What I can do is to appreciate my lecture for taking time and teaching me about patient health assessment. The experience that I got from the class was fundamental as I believe it will prepare me in becoming a qualified nurse. From the experience, I feel I can now conduct assessments that are culturally appropriate and holistic and utilize different assessment techniques for the accurate collection of data from the patient. Such assessment skills include the assessment of patient’s temperature, pulse and respiration (Barkauskas, Baumann & Fisher, 2011). Besides, the experience was good as it installed skills of working in partnership with patients in order to understand the possible factors that have affected the health of the patient.
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GIBB’S CYLCE OF REFLECTION FRAMEWORK5 Analysis Through the class of patient’s health assessment, we were able to comprehensively cover the conducts of what we should do while assessing the patient. A complete comprehensive and systematic assessment should involve effective questions to gain appropriate information, polite controls, and appropriate response to patients and demonstrate sensitive and appropriate physical techniques. A comprehensive assessment should also involve the encouragement of patients in order to provide the required information without hesitation (Bromley, 2018). Over the semester we were also able to learn professional standards and behavior that are required by the NMBA. Such standards included code of ethics, standards for practice and codes of conduct. Conclusion Taking everything into account, I feel this class of patient health evaluation has helped me to fortify and reinforce the attitudes that I had recently adopted. In addition, the class extended my insight into areas that are less frequently used when assessing the patient. I believe the skills and knowledge will help me to accurately conduct comprehensive and systematic assessments in the future. Besides, the skills will also help me to be able to analyze the information and communicate the outcomes as the basis for nursing practice (Bromley, 2018). Action plan I will continue to use the Gibbs reflective model of nursing practice to gain more experience for the comprehensive assessment of patients in the future. I will also do more research on what health assessment entails as this will develop my ability towards meeting the behavioral cues of the nursing profession (Urden, Stacy & Lough, 2019). Also, I will visit you tube videos to learn more about the assessment of patient health. Furthermore, I am planning to apply for an
GIBB’S CYLCE OF REFLECTION FRAMEWORK6 industrial attachment in our nearby hospital in order to put knowledge and the assessment skills that I gained throughout the semester into practice. I also indent to meet all the professional standards of NMBA which will give me a change to practice my profession in Australia. With the accomplishment of such actions, I believe I will have made a big step in becoming an effective and independent qualified nurse.
GIBB’S CYLCE OF REFLECTION FRAMEWORK7 References Al-Shaer, D., Hill, P. D., & Anderson, M. A. (2011). Nurses' knowledge and attitudes regarding pain assessment and intervention.Medsurg Nursing,20(1), 7. Barkauskas, V., Baumann, L. C., & Darling-Fisher, C. S. (2011).Health and physical assessment. Mosby. Bromley, P. (2018). Capability in nursing.Australian Nursing and Midwifery Journal,26(1), 42. Morton, P. G., Fontaine, D., Hudak, C. M., & Gallo, B. M. (2010).Critical care nursing: A holistic approach(Vol. 1). Philadelphia: Lippincott Williams & Wilkins. Perry, A. G., Faan, R. E., Potter, P. A., Faan, R. M. P., & Ostendorf, W. (2019).Nursing interventions & clinical skills. Mosby. Smith, J., & Roberts, R. (2015). Reflective practice.Vital Signs for Nurses: An Introduction to Clinical Observations, 222-230. Urden, L. D., Stacy, K. M., & Lough, M. E. (2019).Priorities in critical care nursing. Elsevier Health Sciences. Yanhua, C., & Watson, R. (2011). A review of clinical competence assessment in nursing.Nurse education today,31(8), 832-836.