Gibb’s Reflection

This essay reflects on the author's learning experiences during week 5, 6, and 7 using Gibb’s reflection cycle. They discuss their understanding of the Roper-Logan-Tierney model and person-centered care, as well as their feelings, evaluation, analysis, and action plan.

Running head: GIBB’S REFLECTION
GIBB’S REFLECTION
Name of the Student
Name of the university
Author’s note

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Description
In this essay I will use Gibb’s reflection cycle to reflect on my learning the experiences during
week 5, 6 and 7.
In our first and the second semester we have learnt about Person centered care, Roper-
Logan-Tierney model of nursing. I had often read in books that effective nursing requires caring,
skill and art to care for the patients in an effective way. I have also learnt that a theoretical
application of the nursing theories. I was quite well acquainted with the fact, that nurse educators
use these nursing theories to set up the proper curricula. In spite of knowing the usefulness of the
different nursing theories, I had almost no knowledge about the Roper-Logan Tierney model and
person centered care. I only had an idea that the theory was based upon the activities of daily
living, which are often termed as the activities of daily living (ADLs). I have researched on a
priority basis. I tried to align the theories based with my own daily activities of living. Several
things were going in the mind of the nurses. Rigorous brainstorming has helped me a lot to
concentrate on the online tutorials and the classes that has been done. RLT model had long been
used in the nursing context like caring for the patient with the hepatitis C and endocartitis
(Williams, 2015). Management of pain in such a patient comes under the ADLs – maintaining a
safe environment for the patient.
Feelings
While learning about the Roper Logan Tierney model and person centered care, I have
learnt that the role of the nurses in the care of the patient is not only confined to cleaning and
dressing, giving medicines, but is something much larger than that. The different learning

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modules has made me realize how the nurses have to work in frontline with the other health care
professionals to get the best possible person centered care (Santana et al., 2013). I have learnt
about the center point of the R-L-T model of nursing that prompts the use of the model for
assessing the patient. From this theory, I have come to know about the lifespan, the dependent
and the independent continuum (Li & Porock, 2014). I have also learnt about the five factor that
influences the activities of living such as the biological, the psychological, the socio-cultural,
environmental and the politico-economic factor (Williams, 2015). One of the main thing that I
have learnt in my course modules is the important assumptions of the RLT model. I have learnt
how the activities of living are reflection of the health of a patients. I has to be remembered that
each person performs each activities of living with an increased independence.
Evaluation
Learning of the RLT in this semester has provided me with the concepts of several
theoretical framework. I have understood why the RLT model is a holistic model in nursing and
is used all medical settings. One of the most the important thing is that the activities mentioned
by the RLT model is quite simple and even matches with our activities of living, like maintain a
safe environment, communication, bathing, elimination, eating and drinking, washing and
dressing and controlling the body temperature , mobilization , working, playing and sleeping
(Huitzi-Egilegor et al., 2015). While studying about patient centered care, I have studied that it is
the duty of the nurses to care for the nurses. Prejudices and stigmatization often deters the nurses
from catering to the grievances of the patient. A recovery base approach is required for the
patients (Patton, 2013). For example, it is the duty of the nurses to respect the autonomy of the
elders, such as elderly people taking the shower. It is necessary to say that the nurses does not
only the focus on the treatment but also address the other primary care needs (Patton, 2013).

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Apart from the RLT model, I have also come to know about the PCC (person centered care
model). Previously I had a concept that person centered care only meant giving medicine or
taking care of an individual needs, but have learnt that PCC is not only restricted to the patient ,
but also to the families and the caregivers who were involved or those who were not suffering
from any diseases (Holland & Jenkins, 2019). I was surprised to find that PCC has not been
integrated traditionally in the quality improvement of the health care services. I have learnt that
the PCC model des not only thrive to improve the experience of the patient, but also decreases
the cost of admission (Li & Porock, 2014). Despite a huge efforts to introduce PCC in the health
care system, nothing has really improved so far (Patton, 2013).
Analysis
Analyzing my learning experience I have found leaning about these two models has
helped to bestow the quality of critical thinking process. In order to validate my understanding
about these two models, I have also consulted with the senior nurses and have obtained feedback
from the peers. As per the feedbacks, I have come to know that I need to learn more about both
the PCC model as well as the RLT model, which requires evidence based research. As per my
personal opinion, I admit that I did not do much internet research regarding these models, which
was actually necessary to understand as of how these nursing theories aligns itself to the nursing
practice, because many a times, it becomes challenging to introduce nursing theories in real life
situation.
Conclusion
Thus, it can be said that this course module had actually broken my predetermined notion
regarding the Roper Logan Tierney and the person centered care model. One thing that I have

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learnt is that shifting to the PCC would require the roles and he services to be reconstructed
move making the situation more conducive to the PCC model (Brummel‐Smith et al., 2016). All
numerous concepts of PCC has been introduced , proper practical guidelines on the application
of the PCC has not been well defined. Coming to the RLT model, I can only say, that theory
guides practice and without the application of a nursing theories that goal of reaching the optimal
health of the patient is met.
Action plan
I have believe that I need to be remain more updated regarding the nursing theories. All
the 12 interdependent activities of the patient might not occur daily in the health care settings. In
order to know more about these two nursing frameworks, I intend to do a lifelong learning.
Lifelong learning is an expectation in the professional role of the nurses, which is associated to
the success of the nursing students. Furthermore, as per the nursing professional standards, it has
been stated clearly, that nurses should engage themselves in evidence based research, in order to
provide a patient centered care, to think critically for understanding the underlying
pathophysiology of an clinical condition (Qalehsari, Khaghanizadeh & Ebadi, 2017). I believe,
that continuous research, feedback and self-reflection would again help me to identify the gaps
left in my knowledge

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References
American Geriatrics Society Expert Panel on Person‐Centered Care, Brummel‐Smith, K., Butler,
D., Frieder, M., Gibbs, N., Henry, M., ... & Saliba, D. (2016). Person‐centered care: A
definition and essential elements. Journal of the American Geriatrics Society, 64(1), 15-
18.
Constand, M. K., MacDermid, J. C., Dal Bello-Haas, V., & Law, M. (2014). Scoping review of
patient-centered care approaches in healthcare. BMC health services research, 14(1), 271.
Holland, K., & Jenkins, J. (Eds.). (2019). Applying the Roper-Logan-Tierney Model in Practice-
E-Book. Elsevier.
Huitzi-Egilegor, J. X., Elorza-Puyadena, M. I., Urkia-Etxabe, J. M., & Asurabarrena-Iraola, C.
(2014). Implementation of the nursing process in a health area: models and assessment
structures used. Revista latino-americana de enfermagem, 22(5), 772-777.
Li, J., & Porock, D. (2014). Resident outcomes of person-centered care in long-term care: a
narrative review of interventional research. International Journal of Nursing
Studies, 51(10), 1395-1415.
Patton, D. (2013). Strategic direction or operational confusion: level of service user involvement
in Irish acute admission unit care. Journal of psychiatric and mental health
nursing, 20(5), 387-395.

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Qalehsari, M. Q., Khaghanizadeh, M., & Ebadi, A. (2017). Lifelong learning strategies in
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doi:10.19082/5541
Santana, M. J., Manalili, K., Jolley, R. J., Zelinsky, S., Quan, H., & Lu, M. (2018). How to
practice person-centred care: A conceptual framework. Health expectations : an
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Williams, B. C. (2015). The Roper-Logan-Tierney model of nursing: A framework to
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