1GIBB’S REFLECTION CYCLE Introduction: This essay aimsto critically reflecton an incident experienced during clinical placement. In order to reflect on the clinical incident, Gibb’s reflection cycle will be used since it is the most suitable tool for reflecting the clinical experience and evaluate the skills required to involve in effective clinical practice.This model is considered as the most effective strategy to promote personal as well as professional development of independent professionals (Tanaka, Okamoto & Koide, 2018).This model uses six stages such as description, feeling, analysis, evaluation, conclusion and action plan to facilitate the reflective process. Each stage will be discussed in details in the following paragraphs. Description: The incident I will be reflecting on occurred during the placement as a registered nurse in the surgical ward. While in the clinical setting, I encountered a patient who was in for a patient who was in an acute surgical ward following knee surgery. I was instructed by the physician to provide Intramuscular injection of Metoclopramide since the patient was experiencing nauseous due to the pain she was experiencing. I was required to administer intramuscularly as prescribed on the patient’s medication chart. However, while I explained the patient regarding maintaining the privacy, I did it in a rushing manner due to the nervousness I experienced during the assessment. Consequently, the patient received compromised quality of care. I received feedback from the supervisor that I would require to keep the privacy of the patient, provide a detailed explanation of the process prior to administrating the intramuscular injection. In case the patient may experience exposed and refuses the medication. Therefore, it is crucial to keep the privacy of the patient during the administration of medication.
2GIBB’S REFLECTION CYCLE Feeling: This section of the reflective model will explore thought and feeling and explore the underlying reason behind the thought process. Prior to the clinical experience, I was mindful to involve in the effective nursing practise such as safe administration of medication, explain the process to the patient and dispose of equipment appropriately.However, during the assessment process and safe administration of the medication, I was anxious and apprehensive which impacted my clinical practice.However, since I was new to the experience of intramuscular administration and I was being assessed by the supervisor, Iwas nervous which impacted my interaction with the patient. I apprehensive because I was new to this experience and I would require to ensure that patient receives the best possible care provision.Therefore, I was not confident enough to the deal with such a situation independently. Proper explanation of the process to the patient regarding intramuscular injection would improve the clinical practice and reduce my apprehension and nervousness.When I was received feedback from my supervisor, I was happy thatI can use this feedback in my clinical practice for addressing the need of the individuals in the clinical setting. Evaluation: This section of the reflective practice will illustrate the positive and negative experience during the clinical incident in the clinical setting.The positive and negative experience in the clinical practice will lead to an increased understanding of the experience of serviceusers and my role as a registered nurse practitioner. Considering the positive experience from the clinical incident, I have identified that I got an opportunity to involve patient in effective communication, administer an intramuscular injection of Metoclopramide according to the medication chart of the patient. Moreover, I got an opportunity to gather and facilitate skills such as aspects
3GIBB’S REFLECTION CYCLE techniques of preparing medications, proper positioning the person for providing privacy to the patient,locatingtheappropriatesite,safeadministrationofmedicationforreducingthe discomfort of the patient and safe disposal of the equipment and sharp objects. I will use these skills to improve my clinical practice and I will use these skills actively when I will encounter a similarsituation.ThenegativeexperienceisthatIfailedtoengagepatientinproper communication and provide a detailed explanation of the process. It further impacted my quality of care as I was nervous and explained patient regarding privacy in a rushed manner. Analysis: Administering medication and combination, compassion and communication form the bases of a holistic approach to care and it improves the relationship between patient and professionals. The standard6 of NMBA standards suggested that nursing professionals must provide safe, appropriate and responsive quality of care for maximizing patient satisfaction. In this context, as a registered nurse, I failed to comply with the standard (Nursingmidwiferyboard.gov.au, 2019). Ross and Carney (2017), in the clinical setting, a range of nursing professionals’ experiences anxiety and nervousness when they are being assessed since they are new to the experience and out of their comfort situation. This can be explained by the Hawthorne effect which defines the alteration of behaviour of the individuals of a study because of their awareness of being observed (Nguyen et al., 2018).Consequently, it not impacted the quality of the care but also impacted effective communication as observed in this case scenario.Moreover, while administrating medication, it is crucial to explain the process prior to injection since patient feel experience exposed and refused to take medication. In this context, not explaining the process properly through effective communication is an ethical issue that breaches the beneficence and justice (Tobiano et al., 2016).Taking a deep insight into the situation, I failed to comply with the
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4GIBB’S REFLECTION CYCLE proper patient safety due to the fact that I was under supervision which can be a social factor. The consequence of this incident is the lack of engagement with the patient regarding providing adequate information regarding the clinical process. The overarching issue in this case is communication issue and nervousness.These factors hindered me to comply with the standard of nursing practice of maintaining privacy of the patient. Conclusion: From the clinical experience, it can be said that I am more mindful of importance of patient privacy during the administration of medication and exert professionalism in the clinical practice. From the experience, I have gathered skills such as aspects techniques of preparing medications, proper positioning of the person for providing privacy to the patient, locating the appropriate site, safe administration of medication for reducing the discomfort of the patient and safe disposal of the equipment and sharp objects.However, the key issues I have identified which require action include effective communication, proper self-regulation for reduction of nervousness and proper patient privacy. Action plan: In future, I aim to be more professional while dealing with a similar situation. I will involve myself in the training and workshops with peer groups regarding effective communication and patience while dealing with patients.Training and workshops with peer group will provide me withanopportunitytoobservetheirclinicalpracticeandimprovemyclinicalpractice (McCulloch & Loeser 2016). I will seek clinical supervision and feedback from supervisor regarding my practice when I will deal with patient privacy. It will improve my clinical practice and assist me to identify the issues. For reducing nervousness, I will involve myself in relaxation
5GIBB’S REFLECTION CYCLE techniques such as deep breathing and yoga so that I can improve my self-regulation. Moreover, while I will encounter a similar situation, I will introduce myself to the patient for building a therapeutic relationship. After the introduction, I will explain the detailed process and seek informed consent so that the patient does not feel exposed and refuse to take medications. It will improve patient satisfaction, empower patient and provide patient with a sense of safety.
6GIBB’S REFLECTION CYCLE References: McCulloch, A., & Loeser, C. (2016). Does research degree supervisor training work? The impactofaprofessionaldevelopmentinductionworkshoponsupervision practice.Higher Education Research & Development,35(5), 968-982. Nguyen, V. N., Miller, C., Sunderland, J., & McGuiness, W. (2018). Understanding the Hawthorneeffectinwoundresearch—Ascopingreview.Internationalwound journal,15(6), 1010-1024. Nursingmidwiferyboard.gov.au (2019). Nursing and Midwifery Board of Australia - Professional standards. [online]. Availableat:https://www.nursingmidwiferyboard.gov.au/Codes- Guidelines-Statements/Professional-standards.aspx [Accessed 28 Jul. 2019]. Ross, J. G., & Carney, H. (2017). The effect of formative capstone simulation scenarios on novicenursingstudents'anxietyandself-confidencerelatedtoinitialclinical practicum.Clinical Simulation in Nursing,13(3), 116-120. Tanaka, M., Okamoto, R., & Koide, K. (2018). Relationship between Reflective Practice Skills and Volume of Writing in a Reflective Journal.Health,10(3), 283-288. Tobiano, G., Bucknall,T., Marshall,A., Guinane, J., & Chaboyer, W. (2016). Patients’ perceptions of participation in nursing care on medical wards.Scandinavian Journal of Caring Sciences,30(2), 260-270.