Nursing Reflection: Gibbs Cycle

This nursing reflection discusses the importance of person-centered care and its relation to the clinical reasoning cycle (CRC) and Roper-Logan-Tierney model of nursing. It also highlights the significance of effective communication and intrapersonal skills in nursing practice.

Running head: NURSING REFLECTION
Nursing Reflection: Gibbs Cycle
Name of the Student
Name of the University
Author Note

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Reflection: Week 5
Step one: Description
The first four element of the clinical reasoning cycle (CRC) helped me to understand
that in order to procure person centred care, a healthcare professional is required to review
the current information of the patient and addition to it gather fresh information on the basis
of his mental and physical state. This information will be then use to relate with the
pathophyiology and thereby developing person specific care.
Step two: Feelings
My feeling while reading the importance of person centred care and its relation to
CRC, I felt extremely overwhelmed. As it helped me to understand how small steps in the
CRC is useful in design PCC. It also felt that how I foolish I was because I used to neglect
the importance of the previous history of the patient and its mental state.
Step three: Evaluation
My understanding is as a professional nurse, I am required to relate the past and
present medical history of the patient with the pathophyiology and then frame the necessary
intervention. The gap in my understanding is I fail to relate the mental state of the
psychological though process of the patient with the present physical condition (fourth step of
CRC).
Step four: Analysis
Roper-Logan-Tierney model of nursing framework stressed over the effective
evaluation of the all the factors the influences the activities of living in order to effective
decision approach for person centred care (Williams, 2015).

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Figure: Framework for Roper-Logan-Tierney model of nursing
(Source: Williams, 2015)
Moreover, Olsson et al. (2013) is of the opinion that the basic of person centered care
is it asserts patients as persons with different biological, physiological and psychological
needs. It is the duty of the nursing professionals to include patient in the partners of care and
should not be reduced to the disease alone.
Step five: Conclusion
Looking back to this experience, I sense that initially I lacked comprehensive
knowledge about the person centred care. A detailed insight of CRC and its relation to PCC
helped to understand the ways and importance of PCC. However, I also felt that I lack the
basic judgement of understanding the mental state of the patient.

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Reflection: Week 6
Step one: Description
CRC states review of current information (age, sex, physical condition, medication),
gathering of new information (mental state or psychological complications) and interpretation
of the actual patient need is the main way of approach to quality care to the patient (Dalton,
Gee & Levett-Jones, 2015). Biological factors of RTL also promotes proper analysis of the
age, disease type, drug use pain and injury pattern of the patient towards assessing the
activities of living (ADL).
Step two: Feelings
When our professor taught us the concept of RTL theory in nursing and represented in
a detailed tabular format, it open to me a new horizon understanding that how a patient’s age,
injury type, pain and drug use effects their daily activities. After knowing this I felt informed
and I thought that this will help me in my future.
Step three: Evaluation
Initially I used to think that review of pathological report and vital parameters are
enough to frame a care plan for patient. The study of CRC and RTL theory made me
understand that the analysis age, injury, pain, mental state is also important to get a detailed
insight about the ways in which a particular daily living activity is executed. However I
realised that a nurse is also required to communicate with the patient in a friendly approach
and this is the best way for procurement of person centred care and understand the pain score
and other personal details. I think I lack in proper communication skills.

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Step four: Analysis
According Alligood (2017), the main activities of living as stated by Roper-Logan-
Tierney (RLT) Model of Nursing are communication, maintaining safe environment,
breathing, eating, washing and dressing, elimination, controlling temperature, working and
playing, mobilization and sleeping. RLT Model states that there are five factors that influence
the activity of living including biological, psychological, socio-cultural, and environmental
and politicoeconomic. So it is the duty of the nursing professions to take into consideration of
the all the factors as ascertain the level of dependence-independence continuum (Barrett,
Wilson & Woodlands, 2014). Since I was not aware about of the actual concept and the
importance of RLT theory there occurred gap in understanding.
Step five: Conclusion
Looking back on this experience of mine, I feel that I communicated with my patient
in a friendly approach. Now I know that communication is an important aspect of knowing
the exact biological factors affecting the physical health.

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Reflection: Week 7
Step one: Description
Analysis of CRC and RTL model for psychosocial factors helped me to understand
the link between the two. It helped to understand that a person on sedative with low pain
score might have difficulty in getting sound sleep. Proper analysis of the psychosocial factors
via CRC will help to get a detailed insight of the reason behind insomnia
Step two: Feelings
I realised the importance of psychosocial factor on patients’ health. This act at me as a
new set of realisation and helped me to get a detailed sight about patient care.
Step three: Evaluation
As a result of this experience, I always made a habit to communicate with my patients
regarding that stigma is affecting his mental state. This helped me to understand main
psychological factors influencing health.
Step four: Analysis
According to Hegg-Deloye et al. (2014), post traumatic stress affects the mental
health of the patients which creates difficulty in physical state of the patients. (Dithole,
Thupayagale-Tshweneagae & Mgutshini, 2013) is of the opinion that stable mental state is an
important part of life and it is the duty of the nursing professional to collected the related
information. This information includes recent changes in patient’s lifestyle, emotional
responses affecting sleeping patterns and the nutritional and medication habit of the patient
what might create disequilibrium in sleeping patterns (Kent & Morrow, 2014). I as a nursing
student was not aware about the concept and this created gap in understanding.

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Step five: Conclusion
The above real life experience made of to understand the importance of the stable
psychological condition and is association with overall health.

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Understanding from three weeks
Week 5
In my future plan I should properly access the physiological and psychological factors
of a patient before providing final verdict about his or her health condition. I will also read
the Levett-Jones clinical reasoning cycle to get a detailed insight about CRC.
Week 6
Apart from working on my theoretical knowledge of human physiology and mental
health, I will also work on my communication skills so that I can indulge in effective
communication with patients which will help me to establish a friendly relationship with
them and thereby helping me to ascertain the exact biological factors affecting the physical
health (from patient’s perspective).
Week 7
My plan of action will be to work on my communication skills in order to have a clear
insight about the patient’s mental state. I will also study Roper-Logan-Tierney Model for
Nursing: Activities of Living in order to get a detailed insight about psychological factors
influencing health.
From the three weeks, I have learnt that effective communication is key to nursing
practice. It is the effective communication with the client which helps in understanding the
underlying psychology and physiology behind patient’s particular gestures. Moreover,
effective communication helps to build a friendly relationship with the client which in turn
helps to explore further physiological and psychosocial complications from patient’s
perspectives.
Action Plans: SMART Goals

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S Specific Improvement on skills of effective communication and
intrapersonal skills in order to communicate successfully
with the patient
M Measurable The feedbacks from my senior nurse will help to
understand my success rate and improvement on effective
communications and intra-personal skills
A Achievable Woking on effective communication skills and
intrapersonal skills helps in the improvement of the
overall communication style and approach of a nursing
professional and thus the goal is achievable
R Realistic The goal is realistic because working on communication
skills as a nursing students help to gain accuracy as a
professional registered nurse
T Time 3 months of communication and intrapersonal skills
training

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References
Alligood, M. R. (2017). Nursing Theorists and Their Work-E-Book. Elsevier Health Sciences.
Barrett, D., Wilson, B. & Woodlands, A., (2014). Care Planning: A guide for nurses.
Routledge.
Dalton, L., Gee, T., & Levett-Jones, T. (2015). Using clinical reasoning and simulation-based
education to'flip'the Enrolled Nurse curriculum. Australian Journal of Advanced
Nursing, The, 33(2), 29.
Dithole, K., Thupayagale-Tshweneagae, G., & Mgutshini, T. (2013). Posttraumatic stress
disorder among spouses of patients discharged from the intensive care unit after six
months. Issues in mental health nursing, 34(1), 30-35.
Hegg-Deloye, S., Brassard, P., Jauvin, N., Prairie, J., Larouche, D., Poirier, P., ... & Corbeil,
P. (2014). Current state of knowledge of post-traumatic stress, sleeping problems,
obesity and cardiovascular disease in paramedics. Emerg Med J, 31(3), 242-247.
Kent, P., & Morrow, K. (2014). Better documentation improves patient care. Nursing
Standard (2014+), 29(14), 44.
Olsson, L. E., Jakobsson Ung, E., Swedberg, K., & Ekman, I. (2013). Efficacy of person‐
centred care as an intervention in controlled trials–a systematic review. Journal of
clinical nursing, 22(3-4), 456-465.
Williams, B. C. (2015). The Roper-Logan-Tierney model of nursing: A framework to
complement the nursing process. Nursing2017, 45(3), 24-26.