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Reflective Practice in Nursing Education

   

Added on  2020-03-16

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SURGICAL TRAUMA UNIT IN BEGA VALLEY PRIVATE HOSPITAL1Surgical Trauma Unit, Bega Valley Private HospitalNameAffiliationInstructorDate1
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SURGICAL TRAUMA UNIT IN BEGA VALLEY PRIVATE HOSPITAL2IntroductionHealthcare providers have many models of reflection to choose from (Maas,Stocchetti and Bullock, 2008, pp. 728). My most preferable model of reflection is Gibbsreflective model. It promotes proactive thinking and development which in turn promotesautonomous clinical practice (Ekebergh, 2007, pp. 332). I have always been an autonomousthinker and anything that makes my work easier. Classroom instruction and lectures alonemay not foster autonomous, and professionalism in healthcare practice (Finlay, 2008, pp. 15-57;Maas, Stocchetti and Bullock, 2008, pp. 728); however, with some experience (throughinternships), feedbacks and utilization of the Gibbs reflective model, students can gainsuperior reflective abilities vital in dispensing impeccable healthcare services. To completeone of my elective units, I was designated a one-month placement in the Trauma Unit at BegaValley Private Hospital. This facility is among the busiest and largest medical providers inAustralia. It is also famous for using up-to-date technologies (McCarthy and Murphy (2008,pp. 307-309 &Maas, Stocchetti and Bullock, 2008, pp. 728). It is well equipped to offeremergency healthcare services for traumatic injury patients. The facility provided anincredible opportunity for me to put into test Gibbs reflective model teachings onautonomous thinking in healthcare practice.Before I embarked in piecing together this management journal, I started making small but meaningful entries with dates and corresponding observations. These observations were accompanied by my thoughts regarding the issues at hand and how they related to various other incidences taking place at Bega Valley Private Hospital. I then revisited each observation twice at later dates during which I made addition notes after reading materials with similar information. To make sense of the situation, I read my notes alongside Gibbs reflective model as described by Wilding (2008, pp. 34-7) and Maas, Stocchetti and Bullock (2008, pp. 728). March 2017During the second half of placement period, I began to reflect on the goals. In the course of contemplating on this essential know-how within my medical education, I purpose to pinpoint the themes that made it possible for me to gain the right skill sets, both in the professionally and individual fronts and offer further descriptions how this understanding willguide my future practice as a healthcare practitioner. I am intent to illustrate the experience that gained during my day to day endeavors as a healthcare provider in the Trauma department as encouraged by Bulman and Schutz, eds. (2013, pp. 27-30). Further descriptions will be provided to offer insight into the nurses in the Trauma team in Bega Valley Private Hospital and other facilities with similar capacities with regards to collaboration with other departments as guided by Torsvik and Hedlund (2008, pp. 389).I make considerations with regards influence that culture and political environments pose on the delivery of healthcare services in Australia, predominantly in regions where this is explicitly distinct from what I have witnessed in the USA. In addition, I will investigate how my personal interpretations on moral issues concerning the management of patients wereput to the test in the course of the entire placement period and my ability to obtain a more profound comprehension of these issues by interacting with my peers and seniors.2
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SURGICAL TRAUMA UNIT IN BEGA VALLEY PRIVATE HOSPITAL3The reflective approach has opted to use anchored on Gibbs reflective model. The reflective cycle constitutes four steps and entails recounting an experience, ruminating on happening observed, hypothesizing the experience while using both current knowledge and more inquiry, and ultimately deliberating how the knowledge I have obtained can be put into use in future practice (Staun, Bergström and Wadensten, 2010, pp. 635 & Maas, Stocchetti and Bullock, 2008, pp. 728). There is a rationale as to why I have used Gibbs reflective model as the suitable approach for pondering on and learning from gained skills during placement. Candid insights can be gained from an article authored by Sawatzky et al. in 2009 titled ‘Teaching excellence in nursing education: a caring framework.' The book was authored by Sawatzky in collaboration with team of professionals and published in the Journal of Professional Nursing. The authors elucidate that the Gibbs reflective model on which his model is anchored, experience blossoms from the blend of gripping and transforming knowledge”. In applying this to my placement experience, the statement accentuates both on the significance of acquiring knowledge by observing and partaking as well as through analyzing such experiences into progress skills to be harnessed during my future medical practice (Sawatzky et al., 2009, pp. 260 & Maas, Stocchetti and Bullock, 2008, pp. 728).ReviewsJust like in many areas of nursing practice, constant assessment of trauma care is vitalto characterize areas in need of improvement and develop stratagems for effecting mandatoryamendments (Moon, 2013, pp. 120;Chong, 2009, pp. 111). Following the institution of a country-wide trauma system in Australia, a lot of modifications have been made to advance healthcare services and minimalize death in trauma patients(Gimenez, 2008, pp. 520). Great efforts have gone to lessening of trauma deaths in Australia in the last ten years (Dawley, Loch and Bindrich, 2007, pp. 61-65 & Timmins and Dunne, 2009, pp. 331 & McPeake, 2012,pp. 855). The 2013 National surveys conducted by the Australian National Center for Trauma and Emergency Medicine Research recaps the answers of the ITR in the last decade (Ixer, 2009, pp. 513). It reveals that more in the course of this timeframe; nearly halfof all trauma victims in Australia was because of fall related injuries, one-quarteras a result of road traffic injuries, about 6% through violent crimes, while the remaining 4% had injuries related to burns (Dubé and Ducharme, 2015, pp. 91). The report focuses on theextent of provision of trauma healthcare in Australia, affirming that one every three individuals will be hospitalized as a result of injury while one in thirty will be receivetreatment for severe injury at least once in a life time (Maas, Stocchetti and Bullock, 2008, pp. 728). It notes further that over the last decade, statistics indicate considerable decline of 20% in deaths relatedto severely and gravely injure (Torsvikand Hedlund, 2008, pp.390). This assignment also ascribes this degeneration principally to the effectiveness of the Australian trauma procedure and those developments made early this decade (Maas, Stocchetti and Bullock, 2008, pp. 728).Case StudyOn my second week working as a member of the Trauma team, a male patient aged twenty-three was admitted. He had a tear in his axillary artery and a fracture on his humerus due to a collision involving motor vehicles. He was one of a Palestinian group of men originating from Bankwest working illegally in Australia. For this reason, they were being 3
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