Analysis of Nursing Scenario through Gibbs Reflective Cycle

Running head: Nursing 139
Nursing 139
Name of the Student
Name of the University
Author Note

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Introduction:
In this assignment, a nursing scenario depicted on a video (“NRSG139 Ax3
TPRVignette”) is analyzed through the structured approach of a Gibbs Reflective Cycle
(YouTube, 2018). The analysis is broken down into the components of the reflective cycle,
that is: 1. Description, 2. Feelings, 3. Evaluation, 4. Analysis, 5. Conclusion and 6. Action
Plan (Husebø et al., 2018). The analysis will be based upon Standard 4 of the NMBA
(Nursing and Midwifery Board of Australia) and NCAS (Nursing Competency Assessment
Schedule) which focuses on the practice of comprehensive assessment of the patient and
patient’s condition. This standard is a part of 7 inter related standards of
professional/registered nursing practice recommended by the NMBA and NCAS to ensure
the best practice standards in nursing (nursingmidwiferyboard.gov.au, 2018).
The Standard 4 (Comprehensively conducts assessments) includes 4 aspects: 1.
conducting holistic and culturally appropriate assessments, 2. Using a range of assessment
techniques in order to collect data in a systematic way and inform professional practice, 3.
Working in partnership in order to identify aspects which can affect the health and wellbeing
of the clients and identifying priority action areas and/or referrals, 4. Assessment of the
available resources and including them in the care plan (nursingmidwiferyboard.gov.au,
2018). Adherence to these aspects in the given video will be discussed in a Gibbs reflective
cycle as below:
Description:
The event took place in a hospital inpatient ward, involving a patient (middle aged
male) and a nurse, as a part of a regular nursing visit. The nurse came in to check the vital
signs of the patient, performing assessment of the patient’s condition and state of mind. At
the end of the video, the patient seemed to be comfortable with the nurse, as the nurse

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completed his assessment and assured the patient that the readings were positive, which he
will share with the doctor (Youtube.com, 2018).
Reflection:
Upon viewing the video, I found several aspects in which the nurse failed to conduct a
comprehensive assessment of the patient to properly understand the health status of the
patient. The assessment done by the nurse was very brief, as he checked the temperature
using a thermometer and the pulse of the patient. However, it was seen that the patient got
startled when the nurse tried to use the thermometer on the patient’s ear. The nurse could
have informed how the thermometer works, and sought permission from the patient before
inserting it into the ear. This showed that the nurse did not give importance to the experiences
of the patient. Moreover, the tests were not holistic as the nurse did not perform any other
tests apart from checking the vital signs and pulse, which lacked a significant range in the
assessment. However, the nurse did ask how the patient was feeling, which was a good step
towards the assessment of the perceived health status of the patient. The patient did mention
that he was feeling a lot better, but still not at a 100%. At this point, it could have been useful
for the nurse to further check with the patient, what difficulties he facing that was made him
feel less than a 100%. The nurse also conducted the test alone, and there did not seem to be
any evidence of an effective healthcare partnership from the video, and neither was the nurse
involved in the planning of patient’s care. I believe that the nurse was not able to properly
exhibit adherence to the standard 4 of NMBA and NCAS (Wilson et al., 2016; Giger, 2016).
Evaluation:
In the video, the nurse only briefly checked the vital signs and pulse of the patient,
after asking how he felt.