Demonstrating Professional Principles and Values in Health and Social Care
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This document discusses the importance of reflection in health and social care practice, including its purpose and the models and tools used for reflection. It also explores the impact of reflection on personal and professional development and the ways in which practice themes can be used to underpin reflection in learning and practices.
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DEMONSTRATING PROFESSIONAL PRINCIPLES AND VALUES IN HEALTH AND SOCIAL CARE
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TABLE OF CONTENTS INTRODUCTION...........................................................................................................................1 LO 1.................................................................................................................................................1 P 1 Purpose of reflection in health and social care practice........................................................1 P 2 Models and tools used for reflection in health and social care practice................................2 M 1 Review the ways that reflective practice is applied in health, care or supportive service environments................................................................................................................................6 D 1 Ways in which own reflections can impact on own personal and professional development and the experience of individuals using health, care or supportive service.................................6 LO 2.................................................................................................................................................6 P 3 Ways in which practice themes can be used to underpin reflection in learning and practises .....................................................................................................................................................6 P 4 Illustrate link between the practice themes and other performance indicators .....................7 M 2 Production of plan for reflection on learning and development using the practise themes and other quality assurance indicators.........................................................................................8 D 2 Assess effectiveness of the plan in supporting the development of own reflective practice skills...........................................................................................................................................10 CONCLUSION..............................................................................................................................10 REFERENCES..............................................................................................................................11
INTRODUCTION Reflection is one of the most important part of a learning process. It helps an individual in identifying areas in which they need to bring improvement and identify ways in which they can learn new required skills and knowledge and in order to enhance their skills, knowledge and provide more appropriate care and service to service users(Gibson and et.al., 2017). Refection further provides an opportunity to individuals to move forward within their professional career. In health and social care environment also reflection and reflective practises are important as it helps healthcare providers to identify ways in which they can provide more appropriate service to their patients. Patients are suffering from dementia and they require more care as they are dependent upon their carers or family members partially or completely depending upon their dementia condition. In health and social care settings as well an individual need to adopt reflective practises so that they can identify area of scope where they need to bring improvement and changes that are required to be brought with health and social care practises. This report will lay emphasis upon therole of reflection in health and social care settings and by writing a reflective report as a care assistant working within a dementia care home. LO 1 P 1 Purpose of reflection in health and social care practice Reflective practise can be defined as a kind of capacity through which once can reflect on their actions in order to engage themselves in process of continuous learning. Reflective practise is important in health and social care practice as it helps in bringing changes and carrying improvement within current practises(Tsingos-Lucas and et.al., 2017). It can further help healthcare workers or other employees working in this sector to deal with sensitive issues they experience while working. It helps in providing employees working in this sector to identify areas where they need to bring improvement or health and social care practises in which changes are required to be brought. There are various purposes because of which reflection in health and social care practises is important. Some of the main purposes of reflection in health and social care practises are as follows: It helps in understanding self- values, attributes, behaviour, approaches of one’s own work which is required to be carried out. As a care assistant in a dementia care home, reflection will help in understanding behaviour and values that one need to maintain in order to provide appropriate care to dementia patients. 1
To work and collaborate with others effectively. As a care assistant, one needs to work with other healthcare professionals and many other professionals collaboratively so that proper and effective care to dementia patients can be provided, they need, requirements can be taken care off(Sweet and et.al., 2019). To bring changes within one’s own and others attributes values, approaches and behaviours like challenging hidden assumptions. There are various kinds of challenges that were faced by me as a care assistant. One of the main challenges was to have patience. Many times, it was a bit difficult to deal with dementia patients who used to easily get hyper and aggressive. At that time, it was a bit difficult for keep calm and have patience to deal with them. It helped me to understand that I need to bring changes within my behaviour and approaches though which I can deal with such patients. For revising and evaluating one’s own practise and influence organizational changes. By evaluating my practise and ways in which I and others deal with dementia patients helped me in understanding that there is a need to bring changes within training and development program at dementia care house. So that the required behaviour and values of employees can be enhanced. It is a continuous cycle that helps in enabling and building and checking changes in order to achieve positive outcomes(Ullmann, 2017). Reflection helps in checking whether required changes have been brought within oneself and organizational practises adopted by dementia care house. P 2 Models and tools used for reflection in health and social care practice Reflective tools and techniques help in providing a guidance to individuals reflection so that they can identify their scope of learning and bring improvement within their skills, knowledge and qualities in a much appropriate manner(Shum and et.al., 2017). There are various kinds of tools and techniques that can be used by a care assistant to reflect upon their roles and responsibilities in dementia care home. One to one records and group appraisals: Appraisal is one of the most effective reflective tools that can be used for reflection. This is because, one to one records and appraisal helps an individual in understanding their main key strength areas and weakness areas. Assessment and feedback from colleagues, assessors, professionals, friends, family and service users: Feedback is another effective and appropriate tool that can be used for 2
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reflection as feedback from others can help an individual in understanding areas or scope of improvement(Dinham and et.al., 2020). Like service users (dementia patients and their family members) can help care assistant in understand ways in which they can bring improvement within themselves, Records of assessors/ supervisor’s observations of practice: Supervisors or assessors play a vital role in refection as supervisors and assessors can evaluate other performance in minute and detailed manner. Diaries of practice: Diaries of practise help an individual to reflect upon activities that have taken place within a working environment and helps them to use and apply their knowledge and learning in their own working environment and health care practises. Work placement time sheets: it helps an employee to understand amount of time they have spent at work, at a particular job or while working on a specific project or with a specific client(Bruno and Dell’Aversana, 2017). This time sheet will help to care assistant in understanding time they have taken with patients that has complicated medical history and time taken with patients who has initial level dementia. Evidence based practises or learning on placement: Evidence based practise helps in applying knowledge that one has gained while working within a project. This helps an individual reflect upon applying their learning that they have gained while working and providing care to dementia patients. Reflective accounting reflection models: the reflective models are one of the best ways that can be used for writing a reflection as it helps an individual to identify their experience, their feeling, their observation etc. Certificate training and CPD:CPD(Continuing professional development)and training certificate can also be used for refection as it helps in providing a detailed analysis of thing that have been learnt by the individual while working health and social care settings. Development plan: it is another important tool or technique that can be used for refection as development plan can easily help an individual in identifying the ways in which they can use their current learning and available resources for bringing improvement within themselves and health and social care settings. Some of the main types of models that can be used for reflection in health and social care practises are as follows: 3
Gibbs reflective cycle: it is a reflective cycle model which is used to reflect one’s learning experience in six phases(Redmond, 2017). It helps an individual to describe their experience, describe their feelings associated that experience, evaluate experience, analyse the situation, conclude learning and develop action plan to bring improvement within oneself. Johns model of reflective practise: This model says that when an individual reflects, they need to make sure that they look inward about their thoughts and feeling an look outwards by considering the situation to reflect upon one’s own performance. Kolb’s experimental learning framework: this reflective model has four stages though which an individual can reflect their learning experience. This model is related to an individual’s internal cognitive process so that they can learn new concepts and create their own new learning experience. Schon’s reflection in action and reflection on action: this model helps in describing refection in action as reflecting upon a particular situation whereas chances can be still made in order to bring improvement within outcome, rather than waiting at later stages or time(Roca and et.al., 2020). Rolfe’s framework for reflective practise:this model is based upon three most simple questions that are: what, where a particular situation is described, so what, where things that one has learnt are described and last is now what, in which things that are required to be done in future are described. Kolb’s experimental learning framework will be used as example 4
ï‚·Concrete Experience: While working in Dementia care homes, I have observed that there is a need and requirement to provide training to all the employees so that legal legislation, regulations and acts are adhered in an appropriate manner. ï‚·Reflective Observation: While providing care to service users I have identified that most of the employees were not aware of their roles and responsibilities towards service users because of which most of them did not adhere basic legislation and regulations like non-adherence of care act 2014. ï‚·Absolute conceptualization: Due to this many times some needs and requirements of patients were not fulfilled as a result some of them used to get hyper and aggressive. I have learnt that adherence of legal regulations and acts helps in provide high quality service to patients that can further help in fulfilling their needs and requirements. ï‚·Activeexperimentation:properandadequatetrainingshouldbeprovidedto employees so that they can understand their roles and responsibilities, legislation they need to adhere. As a care assistant working Dementia care homes it is important to identify laws, regulations and legislations that are applicable to us and required to be focused upon in order to provide excellent service to dementia patients in dementia care home. 5
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M 1 Review the ways that reflective practice is applied in health, care or supportive service environments Reflection helps in bringing positive changes within health and social care environment and also helps in provision of opportunities though which required and proper actions can be taken in order to bring improvement within oneself and health and social care settings so that appropriate or adequate level of care can be provided to patients(Allen and et.al., 2018).This will help employees to enhance their overall performance and provide high quality of service to patients. D 1 Ways in which own reflections can impact on own personal and professional development and the experience of individuals using health, care or supportive service Reflection can help in various ways in personal and professional development and enhancing the experiences of individuals using health, care or supportive service.Reflections can impact on my own personal and professional development in many different ways. It will help me in learning from my mistakes. I will be able to identify areas of improvement and skills and knowledge that are required to be developed by me. LO 2 P 3 Ways in which practice themes can be used to underpin reflection in learning and practises Reflective practice is a simplest form of thinking about or reflecting on what you do. It is closely linked to the concept of learning from experience, in that you think about what you did, and what happened, and decide from that what you would do differently next time There are many different ways in which practise themes can be used to underpin reflection in learning and practise. There are six main practice themes that can be applied to all the qualifications and can be used for analysing one’s own performance in workplace. six main practice themes are: .Law, Regulation and ethical practice: This practice theme can be used to underpin reflection in learning and practice by understanding ways of working, providing support and caring to individuals by understanding roles and responsibilities of a care assistant, by identifying dementia patient’s needs, developing communication strategies to communicate with them, by focusing more upon person centred care(Adeani and et.al., 2020). Professional values, attitude and behaviour: This theme can be used to explore one’s own values, attitude and behaviour and the ways in which they influence their work and care 6
provided by them to patients and other employees. It can help an individual to understand the ways in which positive working environment can be developed and caring relationship with patients can be developed. Health and safety of the employees and patients: It can help an individual to understand ways in which they can enhance health, safety and wellbeing of their patients, one’s own and of others(Sudria and et.al., 2018). It can also help an individual to adhere principles of safeguarding and protection so that they can fulfil their own roles and responsibilities in a proper and appropriate manner. Valuing and promoting diversity, difference and inclusion: it can help an individual to understand the ways in which they can provide fair and equal treatment and service to all the serviceusersinbothwithinandoutsideworksettingsregardlessoftheirpersonal characteristics. By identifying the ways in which an individual can bring changes within their own behaviour, practice and approaches so that they can meet needs and requirement of all of their dementia patients. Promoting physical and mental health and wellbeing:Healthis a state of complete physical, mental and socialwell-beingand not merely the absence of disease or infirmity. The Care Act 2014 is intended to help improve people’s independence and wellbeing.It can help an individual in demonstrating skills and knowledge though which they can support needs and requirements of service users(DeCoux, 2016). Numeracy in practice: It can help in interpreting and measuring physiological measurement of patients and service users of dementia. It can further help in understanding and analysing day to day statistics so that level of service and quality which are being provided to patients can be measured in an appropriate manner. P 4 Illustrate link between the practice themes and other performance indicators . Performance Indicators KPIsare specific and measurable elements ofhealth and social carethat can be used to assess quality ofcare.KPIsare measurement ofperformance, based on standards determined through evidence-based academic literature or through the consensus of experts when evidence is unavailable.It evaluates the success rate after the target is reached and 7
it is a popular mechanism for measuring the quality of healthcare to facilitate both quality improvement and systems management All the practice themes are inter linked to each other and has direct link with other performance indicators (KPI).Law, regulations and ethical practices are directly linked to professional or governing standards that are applicable to one’s own role, like care assistants working in Dementia care home(DeCoux, 2016). It will directly help individuals working in health and social care settings to check whether needs and requirements of the patients and service users are being fulfilled or not. Not only this, it further helps in maintaining equality and diversity within health care practises and by checking whether any kind of inequality or injustice exist within any health and social care practices or not Professional values, attitude and behaviour are linked to governing standards. Applicability of governing standards within an organization is one of the main performance indicators that helps in identifying whether high quality of service care is being provided to patients or not.In here, mostly all kinds of standard that are issued by governmental agencies are confirmed that the professional values, attitude and behaviour of professionals are checked properly(DeCoux, 2016). It also helps thepromoting physical and mental health and wellbeing whenthe target satisfaction of employee and service users are met. And the KPI and health and safety of the employees and patients are a relation when a standard service are maintained and improved the service quality by viewing in a satisfactory level. M 2 Production of plan for reflection on learning and development using the practise themes and other quality assurance indicators Law, Regulation and ethical practice Improvement: Toimprove the efficiency of the services Activities:Following the laws, rules and regulations of health and social care services by studying and training. Frequency: monthly Professional values, attitude and behaviour: 8
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Improvement: Toimprove the health and experience of the patients and the family. Activities: by training, group discussion, growing good interpersonal skill. Frequency: fortnightly Health and safety of the employees and patients: Improvement: service quality of the work and professional knowledge. Activities: training is the most important part to get the required standards. Frequency: monthly Valuing and promoting diversity, difference and inclusion Improvement:Tomake the patients feel more welcome and safe and make it more person cantered and respect their values Activities: by understanding the culture and training. Frequency: every 2months Promoting physical and mental health and wellbeing: Improvement:Toimprove overall satisfaction of employee and service users Activities: by doing physical exercise and training Frequency: in monthly Numeracy in practice Improvement: To useof IT technologies and make the care more effective and efficient Activities: more training ,studying and read books and getting knowledge mathematics Frequency: in monthly 9
. D 2 Assess effectiveness of the plan in supporting the development of own reflective practice skills By day to day Training and supervision circumstances plan are quite effective because it can help in enhancing overall knowledge and awareness of employees. It can also help them in understanding different ways in which needs and requirements of service users can be fulfilled. For example: training and supervision will help in understand ways in which I can prioritize my work, needs and requirement in an appropriate manner. This is because many times I fail to complete a task on time as I face difficulty in prioritizing my work accordingly. CONCLUSION From the above report it has been identified that reflective practice plays a vital role in health and social care settings. It helps in effective development of professionals working within health and social care settings. The reflective practice helps care in identifying their strength and weaknesses so that they can bring improvement within their skills, qualities and knowledge so that they can provide high quality support and care to patients and service users. It has also can be concluded that there are various kinds of models that can be used for refection in health and social care settings that can further help in personal and professional development and enhance experience of service users in an appropriate manner. 10
REFERENCES Books and Journals Adeani, I.S and et.al., 2020. Using GIBBS reflective cycle in making reflections of literary analysis.Indonesian EFL Journal (IEFLJ).6(2). pp.139-148. Allen, K.L., and et.al., 2018. Developing reflective practice in teacher candidates through program coherence.Teaching & Learning Inquiry.6(2). pp.81-96. Bruno, A. and Dell’Aversana, G., 2017. Reflective practice for psychology students: the use of reflectivejournalfeedbackinhighereducation.PsychologyLearning& Teaching.16(2). pp.248-260. DeCoux, V.M., 2016. Kolb's learning style inventory: A review of its applications in nursing research.Journal of Nursing Education.29(5). pp.202-207. Dinham, J., and et.al., 2020. Effective teaching and the role of reflective practices in the Malaysian and Australian education systems: a scoping review.Asia-Pacific Journal of Teacher Education, pp.1-15. Gibson, A., and et.al., 2017, March. Reflective writing analytics for actionable feedback. InProceedingsoftheseventhinternationallearninganalytics&knowledge conference(pp. 153-162). Redmond, B., 2017.Reflection in action: Developing reflective practice in health and social services. Routledge. Roca, J., and et.al., 2020. Developing reflective competence between simulation and clinical practice through a learning transference model: A qualitative study.Nurse Education Today.92. p.104520. Shum, S.B., and et.al., 2017. Towards reflective writing analytics: Rationale, methodology and preliminary results.Journal of Learning Analytics.4(1). pp.58-84. Sudria, I.B.N., and et.al., 2018. Effect of Kolb's Learning Styles under Inductive Guided-Inquiry Learning on Learning Outcomes.International Journal of Instruction.11(1). pp.89-102. Sweet, L., and et.al., 2019. Developing reflective capacities in midwifery students: Enhancing learning through reflective writing.Women and Birth.32(2). pp.119-126. Tsingos-Lucas, C., and et.al., 2017. Using reflective writing as a predictor of academic success in different assessment formats.American journal of pharmaceutical education.81(1). Ullmann, T.D., 2017, March. Reflective writing analytics: empirically determined keywords of written reflection. InProceedings of the Seventh International Learning Analytics & Knowledge Conference(pp. 163-167). 11