Gibb's Reflection Cycle: Challenges in Clinical Lab Learning

Running head: GIBB’S REFLECTION CYCLE

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GIBB’S REFLECTION CYCLE
Description:
This part of Gibb’s reflection cycle will discuss the challenges faced during clinical Lab
learning. During lab learning, I was asked by my supervisor to assess one of my coworkers for
demonstrating the skills required for assessment. Since he was senior to me, he was quite
intimidating and wanted me to check his blood pressure quickly. Therefore, without initiating the
conversation, I told him to sit patiently in the chair without giving the proper instructions.
Considering the urgency, in order to conduct the assessment rapidly, I quickly collected the
Sphygmomanometer. I took a blood pressure cuff and tried to wrap rapidly around his forearm to
which he reacted because of pain and about to leave the room. I told him to wait for five minutes
and correctly measured the pressure. After measuring the pressure, I documented the values and
about to ask him about the experienced. I saw him leaving the room being agitated and told my
supervisor that I was an incompetent nurse.
Feeling and thoughts:
This part of Gibb’s reflection would discuss the feelings and thoughts during the clinical
experience (Bulman & Schutz, 2013). While I encountered my peer, I felt anxious and nervous to
assess his blood pressure. The prime reason behind it is that I was new to this learning and he
instructed me to assess the blood pressure quickly. Moreover, I was too nervous to assess him
because he wanted me to finish the procedure faster so that he can do other works. Since I was
new to this clinical experience, I have not had much experience of assessing the blood pressure. I
felt disappointed as a nurse that I failed to engage in the proper procedure. I should have been
more attentive during wrapping handcuff which would help me to conduct the accurate
assessment.

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GIBB’S REFLECTION CYCLE
Evaluation:
This part of Gibb’s reflection cycle would discuss what is good and bad about the
experience. The overall blood pressure measurement went well. I followed the instructions of
measuring the blood pressure and performed my skill of assessment confidently and correctly to
gain the accurate measurement. The optimistic experience I gained from the incident is that I got
the opportunity to evaluate my skills with the assistance of supervisor and coworker which was a
unique experience for me. However, I felt that because of nervousness and anxiety, I did not
communicate with the coworkers before assessment which reflected my lack of therapeutic
communication skills. As discussed by O'Toole (2012), in order to provide accurate care to the
patient, it is crucial to engage the patient in the therapeutic communication to gain the necessary
details. Moreover, I was so focused on assessing the blood pressure, I failed to consider that the
rapid wrapping of the blood pressure may induce pain and to which my coworker reacted and
indicated that I am an incompetent nurse. Moreover, since he was in a hurry, I failed to document
the information properly which further reflected lack of the skills proper documentation and
patience.
Analysis:
As per the guideline of NMBA, a registered nurse should conduct comprehensive and
systematic assessments in order to provide response and safe care to the patient ( standard 4)
(Nursingmidwiferyboard.gov.au., 2019). In order to conduct a comprehensive assessment for
safe and responsive care, every nurse is required to questions effectively to gain appropriate
information, politely controls the assessment to obtain relevant information, demonstrates
sensitive and appropriate physical techniques during the assessment process ( ANSAT TOOL
criteria Four) (Nursingmidwiferyboard.gov.au., 2019). Taking an insight into the situation, it