The underlying principles and procedure for bed bathing

Runninghead: REFLECTION ON NURSING AND MIDWAY VALUES FOR LEG
REFLECTION ON NURSING AND MIDWAY VALUES FOR LEG
Name of the student
Name of the university
Author Note

REFLECTION ON NURSING AND MIDWAY VALUES FOR LEG
1
Introduction:
“The process of internally examining and exploring an issue of concern,
triggered by an experience, which creates and clarifies meaning in terms of self, and
which results in a changed conceptual perspective” is an ideal definition of reflection
(Boyd and Fales 1983). Reflection is a learning process that helps to achieve
dynamic qualities so that a nurse can analyse, evaluate, review and take effective
decisions (Naicker and van Rensberg 2018). Some other models of reflection are
Atkins and Murphy’s model (1993), Kolb (1984), Johns’ model (2006), Gibbs (1988)
and Rolfe et al. (2001).
Reflective Models in Reflective writing:
Autonomy:
A nurse is the decision-maker of the team. The patient’s survival and well-
being depend on the nurse. It is the right of everyone, to make their own decisions
based on their personal belief and values (Morrell et al. 2019). The scenario
discussed in Appendix 1 have the best match with John’s model (2006). A patient
needs a laparoscopic surgery for bowel perforation, which she refused. She believes
her health is not so much in danger so that she would need a surgery, though her
mother and partner tried to convince and motivate her to undergo surgery.
As a nurse, I was surprised as she got discharged from the hospital on the
third day. By observation and analysis, I understood that further delay would make
the scenario more complex, as the patient was taking morphine-based analgesics.
Ethically, a nurse should always respect the decision, choice, beliefs, values and

REFLECTION ON NURSING AND MIDWAY VALUES FOR LEG
2
priorities of a patient. I respected her decision and monitored her. While designing
further treatment, the decision making capability of a patient, especially in the
situation when they refuse to undergo surgery, should be respected and kept in mind
(NINMI 2014). By studying the situation, I concluded that her autonomy was not
disturbed, while advocating treatment options for her.
Human Rights:
Every patient has a right to get treated equally and fairly. Justice involves at
the particular time of treatment when the concern of a patient competes with others
(Suen 2019). Gibbs(1988) is the chosen reflection model to explain the reflection of
the following scenario. A patient with a snoring disorder disturbed the sleep of a co-
patient, and he became a victim of verbal abuse for snoring. I understood that I was
unable to provide sound sleep and comfort to my patient. To solve the issue, I talked
to the manager and shifted the patient to a single room to provide a better sleeping
environment. The treatment options were designed for the patient with snoring
disorder after a discussion with my team.
I evaluated that I should have been more concerned about the comfort of my
patient, which I failed to do. After analysing the situation, I realised that every patient
is entitled to receive comfortable sleep in every hospital. According to a study by
Wesselius et al. (2018), incorporating measures that can nullify or decrease
disturbance in sleep promotes better healing for patients. The NMBI (2014) and Irish
Human Rights and Equality Commission (2015) recommend treating every patient
with respect and help them maintain their personal dignity. By analysis, it can be
stated that ultimately it is the responsibility of a nurse to secure the rights and dignity
of the patient. The nursing ethics determined by International Council of Nurses

REFLECTION ON NURSING AND MIDWAY VALUES FOR LEG
3
(2012) demands that nurse must always safeguard a patient’s health rights assuring
that proper care is being provided. This helped me understand the importance of
acknowledging human rights of the patients, and accordingly drafted a future plan
incorporating advocation of human rights as a priority area for me, as a nurse.
Informed Consent:
According to Berg et al. (2001) and Health Service Executive (2013), informed
consent is an agreement of consent, which is based on activity including vivid
understanding about the requirement of the task and the shortfall of control by
others. I have decided to apply the three stages of Driscoll reflective cycle (1994) to
resolve the following scenario (Appendix 3). A patient complains of getting surgery
without full consent, though she signed a consent form. The dissatisfaction of the
patients may result from a non-healing fistula. I analysed and found out that the
consent form has been signed without the patient’s full understanding or agreement.
The three components of informed consent are capacity, voluntariness and
disclosure (Cahana and Hurst, 2008).
The health and social care made by Health information and quality authority
(2017) recommend an application of wise conversation style to make the patient
understand the informed consent and obtain the patient consent accordingly.
American medical association (2020) claims that the informed consent of treatment
comes under the ethics and laws of healthcare. A healthy and trustworthy physician-
patient relationship demands a good verbal relationship between them and supports
in a shared decision-making process. During my learning period, I observed my
team’s concern toward the decision of the patient and further treatment options. The
knowledge I gained by clinical practices, make me understand that the patients