Nursing Reflective practice using Driscoll’s Model

Nursing Reflective practice using Driscoll’s Model 1
NURSING REFLECTION USING DRISCOLL’S MODEL
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Nursing Reflective practice using Driscoll’s Model 2
Nursing Reflection on Knowledge gap on Urinary system using Driscoll’s Model
What (Safe Urine Culture Acquisition in Nursing practice)
My knowledge gap pertains deficit on the management of urinary catheters risks of
infection. Limited knowledge of the prescribed guidelines for the diagnosis and treatment of
catheter-associated infections on the urinary system has altered my core nursing skills. My
key gap is on the appropriate methodology of obtaining urine culture from patients. Lack of
adequate skills on urine collection can lead to overdiagnosis processes and overtreatment for
catheter-associated urinary tract infections and the use of unnecessary usage of antibiotic
usage and significant antibiotic resistance infection. Studies have shown that similar
knowledge gap does exist and misconception often arises on the need of obtaining urine
culture from patients through safer methods among users of urinary catheters (Trautner et al.,
2009). Nursing knowledge of appropriate culture indication is crucial in reducing
inappropriate urine cultures.
My limited knowledge on this application is crucial in the manner that it could signify a
potential of causing misdiagnoses and offering over treatment to urinary infections patients.
Thus my limited knowledge on this aspect lies in poor practices of on my practices. Thus
urinary catheters for patients often carry tremendous risks of associated infection; hence my
knowledge gap is likely to have detrimental effects on caring for these patients which might
lead to various complications.
So What? The significance of the identified gap
On reflecting my limited knowledge of urinary tract urine culture extraction at the
health facility made me feel ashamed of being incompetent. Despite various opportunities
undertaken both in training and my studies, I have realized that my limited skills on correct
indications of obtaining urine culture specimen are likely to have an effect on the care I
provide to patients. Various training and education are often facilitated in the hospital to
teach on the correct methods and avenues to obtaining urine specimen, however, it seems a
challenge to me. Research has demonstrated that majority of nurses about three fourths often
receive education on catheter-associated urinary tract infections, about 54% offered a rating
of above average knowledge on identifying catheter-related urinary tract infections, while
over 90% of nurses believe that continuous nursing education is key towards refreshing this
knowledge (Drekonja et al., 2013).