Self reflection on a case scenario situation Introduction Being

Instructions for reflection: Students to read the scenario and reflect as though they are the nurse in the scenario. The student may write in the first person as this is a reflection. Answers are to be presented academically with appropriate referencing in text and at the end (Harvard style). CASE SCENARIO FOR REFLECTION On your palliative care ward, a 35-year-old woman (Nina) has been hospitalised in the final stages of a struggle with brain cancer. She is a mother, with two young children at home and her partner is not coping well. Despite treatment, the tumour continues to grow and the medical team has agreed that further treatment would be futile. You have cared for this client during past admissions, and during one especially open discussion, she expressed wishes to explore ‘do not resuscitate' (DNR) directives. As a newly graduated nurse this is the first time you have had to face this situation. You support her but are unable to offer further information at this stage as you

Self reflection on a case scenario situation
Introduction
Being a nurse I face many difficult situations in my working practice. Here, I am
going to reflect such an experience using Gibb’s reflective cycle.
Description
I was working in a palliative care ward as a newly graduated nurse and a 35 year old
patient, Nina was admitted with final stage brain cancer. After an open discussion, the patient
expressed her wish to explore the “do not resuscitate” (DNR) directives. However, I was
unable to provide her proper information regarding this.
Feeling
I really felt that my knowledge was not sufficient to share information with the patient
regarding DNR. Initially, I felt ashamed of not providing information due to my lack of
knowledge but later on, I realized that being a newly graduated nurse I may not know every
rules and regulations about DNR and it is better to confess the truth in place of sharing wrong
information.
Evaluation
This experience inspired me to learn new aspects of nursing and provided opportunity
to enrich my knowledge about DNR. However, I realized that dealing with such situations is
quite challenging.
Analysis
According to the standard 3 of registered nurse standard practice, it is important to
maintain the capability of practice and also, nurses are meant to provide health information

and education to the patients (Nursing and Midwifery Board of Australia 2016). I realized, I
should document her queries and show her doctor to seek assistance before sharing any
information.
Conclusion
Finally, I can conclude that the experience was helpful as it opened up opportunities
for further learning.
Action plan
In future, I will be more prepared about all the rules and regulations of care while
handing patients. In case of any issues, I will also seek advice from seniors.

Reference
Nursing and Midwifery Board of Australia (2016) Professional standards [online]. Available
from: https://www.nursingmidwiferyboard.gov.au/codes-guidelines-statements/professional-
standards.aspx [Accessed 31 May 2019].