Reflective Practice in Health Care
Added on 2020-03-16
13 Pages4401 Words79 Views
Introduction:There are many models, which has been used in healthcare for years. The nursessometimes face many unlikable incidents. Refection is necessary to understand the positiveand negative aspect of the same incident. There are many reflection models available, such asAtkins and Murphy reflective cycle, Gibbs reflective cycle, Rolfe reflective cycle, John’sreflective cycle and many more (Arnold and Boggs 2015). My personal favorite reflectivecycle is Rolfe reflective cycle. I personally feel that Rolfe reflective cycle helps me to ensurethat my team and me is continuously improving and learning. To understand the situation well enough, I started keeping log of all the incidents in ajournal by doing simple entries according to the date. The journal entries comprise all mypersonal thoughts about issues, which catches my focus. I, personally revisit each and everyentry of the journal later to further analyze the incidents and also for adding information tomy researches (Bassot 2016). The original entries of my journal, represents the originaldescription of that incident and my thoughts and feelings about that incident. When I revisitthese entries, I further analyze the situation by making sense of the situation and think whatcould have been done and if I face the same situation in future, what should be my firstresponse after learning from this experience. This can be done using the Rolfe analysis(Giltinane 2013, pp-35-39).21st September 2017As I work in the emergency department of a hospital for 8 years as a registered nurse,I have to train the new and inexperienced nurses as well. When I was an inexperienced nurse,at a hospital, I remember to have a great learning experience as me and the others have learntthe importance of teamwork during that time. I try to teach them to share each other’s
experience to gain a vast knowledge base. Now I am training the new nurses and I think thatthey are more self centered than we ever was. I always try to teach them the importance ofteamwork needed in our department during the training. To train them, I give them theneeded space to learn things on their own. I also make them know that, I am always there ifthey need me. I thought by doing that they would know each other’s strength andweaknesses. Nevertheless, they try to use it for their own personal gain and fights with eachother to increase their own grade. I am now one of the senior most nurses in our departmentas my seniors and batch mates have moved on to another hospital. I had a very good rapportwith them as we work as a team. Now as I work with the new teams all the time, I feel like Iam missing my old teammates. When I started training the inexperienced nurse in thisdepartment, I knew that my job would be very challenging and inconsistent, as every newteam would consist of the team members of different mindset. In every team there are someteam members with dominating mindset and in the recent team I am training, also have a fewof them. They try to dominate the others in the team, which disrupts the teamwork. As everyday progress, I am becoming more frustrated. I feel that I need to improve my leadershipquality. The frustration and anxiety in my mind is clouding my thoughts and I have beenunable to think rationally. I am currently reading “The Seven Habits of Highly Effective People” by StephenCovey to increase my competency as a leader and the educator (Covey 2012, 119-123).Covey’s principle demonstrates that, if a person really wants to improve his or her leadershipskills, he or she has to change or improve his or her principles and change the perspective tosee the world. To be an effective nurse leader and educator I have to change my way ofthinking and principles and live my life according to this principle. I have to employ thesefollowing habits from Covey’s principle.
1.Proactiveness:I should employ this habit in the way of my life, as I think that I am losing the control ofmy life. I thought if I represent myself as an example, the junior nurses would change theirbehavior according to it. Now I can see that my approach towards them is wrong, as they arenot able to perceive that, as they are different from me. 2.Put first things first:The second habit I have to apply in my life is to set out my priorities and think the levelof my priorities to complete any task (Scott, and Lagendyk, 2012). To teach the nurseseffectively I have to first divide the task for myself and would have to train them according tothe priority I have set before. This should help me to be an effective leader and educator. 3.Think of winning:I should follow this approach myself and have to push the team to follow the same. Thisapproach is about cooperation and teamwork, which I am unable to teach my team members.I have to make the team members understand the importance of mutual benefit. In the nursingprofession, only this approach could bring overall benefit for the whole team(Covey 2012,pp-119-123).4.Seek first to understand then to be understood:As the leader of the team, I expect my team members would understand me as a leader.However, I have to change my approach as now I think I have to understand their mindset tobe understood by them (Covey 2012, pp-119-123).
26th September 2017I came to the ward today with an approach of teaching the team members theimportance of teamwork and collaboration. I divided the junior nurses into 4 groups eachcomprising 4 people who would work together for two whole weeks. I assigned each team ateam leader and told them to report me the daily incidents. Some of the teams will also haveto share some cases together. They have to conduct meeting amongst them once or twicedaily to conduct the work smoothly. All of the 16 people have agreed with me about theultimate goal, which is the improvement of the teamwork. All the teams have workedwithout any problems today. May be it is too soon to talk, but I think my approach wouldwork this time. 27th September 2017:I am writing this journal by adopting the Rolfe’s model of reflection. I find thisreflection model as the simplest model I can use to analyze and evaluate the situation. Thismodel for reflection also helped me to understand my next step. What: Today was a busy day for our ward as today morning there was an incident ofa bus accident locally. There were many severely injured patients in the ward today becauseof the accident and all four of the teams are working accordingly. This whole experience canbe a great learning experience for all the junior nurses. I was attending a 75-year-old malepatient who came to the emergency with chest pain. The doctor has given a ECG tounderstand the severity. I called one of the team and told two of them to go with the patient tothe ECG room. I also instructed them to take the patient to the day-care bed after the ECGand then come back to their team at emergency. One of the team was handling one of the busaccident cases, a 16-year-old boy. The boy came to the hospital with fractured femur in both
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