Gibbs Reflection Cycle for Pain Assessment in Paediatrics
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Added on  2023/06/11
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This Gibbs Reflection Cycle describes the experience of a nursing student in pain assessment of a young girl post-appendicitis surgery using Wong Baker tool. The reflection includes feelings, evaluation, analysis, conclusion and action plan.
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Running head: GIBBS REFLECTION CYCLE Gibbs reflection cycle Name of the Student Name of the University Author note
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1GIBBS REFLECTION CYCLE Description The incident took place during my clinical placement when I was in paediatric ward at the hospital. I was assigned to undertake a physical assessment of a young baby girl who underwent acute appendicitis surgery. The atmosphere was such that she was suffering from acute pain and crying. The baby was six year old and it was important to assess her pain level. MymentorsupervisedandinstructedmesothatIundertakethephysicalassessment successfully. As I had prior knowledge about pain assessment in paediatrics, I chose Wong baker tools as an appropriate pain assessment tool for the young girl. Feelings Firstly, I was feeling nervous. There was screaming and crying that made me really anxious and induced fear in me. On witnessing the young girl in pain, I was fidgeting in order to relief her form pain. As the patient is a young girl with acute pain after appendicitis surgery, I was panicking. However, I tried to comfort her by explaining her that each face represented a person denoting face 0 to 10 from no pain to worst pain. I noticed she was able to demonstrate her pain level by gradually pointing out to the face that best depicted the pain that she was experiencing. Evaluation This incident made me realize that my prior knowledge in pain assessment helped me to evaluate the pain of the young girl’s post-appendicitis surgery. I put my basic pain assessment knowledge into clinical practice and that helped me to provide a safe and nurturing environment in the paediatric ward. I did not rush into the assessment and used non-verbal communication skills to engage the young girl into pain assessment procedure using Wong Baker tool.
2GIBBS REFLECTION CYCLE Analysis I analysed that having sufficient knowledge help a nurse to perform ethically without undermining one’s own authority. I communicated efficiently with the young girl and that helped me in completing my physical assessment. I was successful in identifying the best pain assessment tool and came out with measurable outcomes that was exclusive for my client, the young girl and was adaptable. This pain scale is useful for all children as they may not be able to rate their pain on 0-10 pain scale (Garra et al. 2013). Conclusion I concluded that I was successful in carrying out the pain assessment for the young girl post surgery. I demonstrated successful physical assessment; however, need further practice in addressing children and their concerns. I need to develop my self-esteem and widen knowledge in order to overcome my incompetency like fear and anxiousness to provide holistic nursing care (Iacobucci et al. 2013). Action Plan To overcome my fear and anxiousness in nursing practice, I will indulge in independent and extensive research and heavy reading so that I gain confidence in my clinical practice. I enrol in courses and discuss with experts online so that I sharpen my skills and implement them in my professional practice (Löfmark et al. 2012). I will indulge in personal development plan (PDP)trainingwithregularfeedbackfrommymentorsandcolleaguestoevaluatemy performance and overcome my fear if I encounter such situation in the future (Lammintakanen and Kivinen 2012).
3GIBBS REFLECTION CYCLE References Garra, G., Singer, A.J., Domingo, A. and Thode, H.C., 2013. The Wong-Baker pain FACES scale measures pain, not fear.Pediatric emergency care,29(1), pp.17-20. Iacobucci, T.A., Daly, B.J., Lindell, D. and Griffin, M.Q., 2013. Professional values, self-esteem, and ethical confidence of baccalaureate nursing students.Nursing ethics,20(4), pp.479-490. Lammintakanen, J. and Kivinen, T., 2012. Continuing professional development in nursing: does age matter?.Journal of workplace learning,24(1), pp.34-47. Löfmark, A., Thorkildsen,K., Råholm, M.B. and Natvig, G.K., 2012. Nursing students’ satisfactionwithsupervisionfrompreceptorsandteachersduringclinicalpractice.Nurse Education in Practice,12(3), pp.164-169.