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Nursing Assignment Reflection

   

Added on  2019-10-31

6 Pages1499 Words158 ViewsType: 158
Healthcare and Research
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Running head: NURSING ASSIGNMENTNursing assignmentName of the StudentName of the UniversityAuthor note
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1NURSING ASSIGNMENTWhile reflecting on the process and new learning from the clinical reasoning cycle byLevett-Jones et al. (2010), there were many emotional and intellectual responses throughout. Thecase scenario made me realize that I need to consider my learning needs on the needle phobiaand develop my communication skills so that patients overcome their phobia. The incident tookplace when I was placed in the mental health ward and was asked to take blood from a patientnamed John who is anxious in nature. As I approached for the bedside consent and preparedmyself for the procedure, he declared that he was needle phobic. I said him that I am experiencedat taking blood and might explain the whole procedure, however, he was not convinced and atthe last minute, he ripped his arm away as the needle touched his skin. The positive approach during the whole incident was that I stayed calm and composed.John apologized, insisted me to try again. I was in peace and tried a new technique by makinghim listened to music. However, the technique did not work and as there was urgency for thetest, I contacted the doctor and assured John that if he needs anything, the doctor would bearound. Finally, keeping the urgency in mind, I informed in-charge nurse that I was unable to getthe sample by trying reasonable techniques. After the incident, I realized that I failed to makeconnection with John as I lacked communication skills and unable to obtain the blood sample. Itdid not work well as I lacked techniques that helped to overcome needle phobia and so need tolook for best practices and techniques. I was feeling distressed and disappointed. I also need toenhance my professional communication skills so that I act in a better way and do differentlywhen I encounter such situation in the future. In mental health, effective communication is an essential skill as identified by Nursingand Midwifery Board of Australia (NMBA) required by mental health nurses. It is important thatthe nurses should build rapport and develop therapeutic relationships, as it is not instinct for
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2NURSING ASSIGNMENTeveryone. It is important to exercise and encourage reflection that help to developcommunication skills while practicing reflection-in action (Ellis 2016). If I were able to establishrapport with John through interpersonal communication skills, he would have agreed for theblood test. While gaining insight from the incident, I realized that I should have communicatedwith my colleagues regarding the techniques and that might have helped me in obtaining theblood sample. Interpersonal communication is required that help to improve patient satisfactionlevels and their adherence to the diagnosis and treatment. After the incident, I communicatedwith my peers as it can help me promote learning. When I consulted with my peers regarding theincident, I realized that I have to acquire new skills as well as construct understanding on how totalk and collaborate in learning bets practices on needle phobia. If I would have consulted my peers, I would have been able to solve and handle thesituation in a better way by building on their knowledge, asking questions and get suggestingideas that would have helped me in convincing John for obtaining the blood sample. The socialinteractions with the colleagues have a positive motivation effect where I gained an insight that Ihave to enhance my communication skills with the patients so that they overcome their fear andanxiety. After this, I looked for the best practice techniques in the literature and thecommunication skills that can help patients to overcome needle phobia in the future. The most effective technique for overcoming needle phobia is systematic desensitizationand behavioural exposure. According to Iglesias and Iglesias (2013) for the treatment of phobiasand anxiety, systemic desensitization is used where the phobic individuals are exposed tosituations and through repetition and practice, the anxiety provoking power is gradually lost. Forthe behavioural exposure method, Cognitive Behavioural Therapy (CBT) can be used forinjection phobia treatment. The management of negative thoughts that lead to anxious situations
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