Scenario using Gibb’s Reflect cycle

Running head: Nursing Reflection
Nursing Reflection
Name of the student
Name of the university
Author’s name

Nursing Reflection
I was required to undertake the role of Airway nurse within the context of a deteriorating
patient simulation scenario of a patient with an increased shortness of breath. This paper will
reflect on this scenario using Gibb’s Reflect cycle in order to evaluate and improve my future
practice.
Description
I was required to undertake the role of Airway nurse within the context of a deteriorating
patient simulation scenario of a patient with an increased shortness of breath. As the Airway
nurse, I had the responsibility of identifying the patient, confirm his allergy status and carry out
initial assessment of airway and the respiratory system such as monitoring respiratory rate, SpO2
and chest auscultation. Other responsibilities include communicating about the patient’s
condition with supervisor and enable a collaborative approach to develop and implement
intervention strategies addressing the health concern and improve the patients’ health (Heidari,
2017).
Feelings
I was apprehensive and anxious when I was given the responsibility of a serious and a
deteriorating patient. I was allocated in the emergency department along with a senior nurse who
had the responsibility of supervising me and guide me in this regards. She often instructed me
and helped me in exhibiting my skills that show patient centered care. I have taken care of the
patient and conducted all the necessary assessments to diagnose and interpret his current health
concerns that will guide the treatment process (Flinter et al., 2017).

Nursing Reflection
Evaluation
Every nurse must possess key competencies and adequate skill set to ensure the delivery
of high quality care and must practice by reflecting on their experiences, skills and expertise and
thus, I have practiced aligning with the professional conduct and ensure that the patient is
receiving high quality care (Fukada, 2018). I have also assisted his airway RR Oxygen saturation
ans auscultation, administered medication nebulizer therapy Salbutamol 5MG6 hourly and
ibutropin5mg. I have used my skills and knowledge to improve the patient’s condition and
ensured to practice evidence based guidelines and strategies. I have documented medication
administration, assisted with the patients daily activities and also maintained hygiene. I have
repositioned the patient such that there is no moreformation of bed sores and prescribed him
medicines that will help him to heal his pain and facilitate a faster recovery. Although, his
condition was improving after providing him with a continuous nebulizer therapy and he was
finally responding and recovering after he was given appropriate treatment, I noticed that he
looked distressed and anxious. He always looked pale and tensed. To assess the patient’s
condition, I have collected all objective data and monitored his vitals to evaluate whether his
condition was improving or not. However, I failed to communicate with the patient effectively to
know his current health concerns. Effective communication is central to nursing and an essential
component of patient centered care. Every nurse must effectively communicate with the patient
to understand their current health concerns and modify the care plan according to their health
needs. Thus, I believe that in this case, it was required of me to communicate effectively to
ensure timely recuperation of the patient.