Healthcare Management Reflection Journal: Gibbs Cycle and Action Plan

This reflective journal explores a student nurse's journey through healthcare management, employing the Gibbs reflective cycle to analyze experiences and challenges. The journal details the student's growth, skill development, and the impact of various situations encountered during their studies and practical experiences. The student reflects on teamwork, leadership, personal challenges, and the importance of independent learning and ethical practice. Key themes include the development of essential nursing skills, the significance of inter-professional collaboration, and the application of reflective practice to improve service delivery. The journal includes an action plan designed to guide the student's future career, emphasizing continuous improvement and the integration of theoretical knowledge with practical experience. The student discusses the challenges faced while balancing studies, family and work, and the importance of patient care. The document uses case studies to highlight the importance of teamwork, communication, and professional development. The student emphasizes on the importance of effective communication, teamwork, and the importance of continuous learning in the field of healthcare management.

HEALTHCARE MANAGEMENT REFLECTION 1
HEALTHCARE MANAGEMENT REFLECTION
by Student’s Name
Code + Course Name
Professor’s Name
University Name
City, State
Date

HEALTHCARE MANAGEMENT REFLECTION 2
Introduction
This paper examines the Gibbs reflection cycle journey on the effective healthcare management
and its essential role in health department. Therefore, this journal will equipped me with
knowledge and understanding on effective mechanisms of handling healthcare management in an
efficient manner. The practice of student nursing is reflective greatly in this essay provides a lot
of skill and knowledge to the learner. The learning of a student in the profession of nursing can
be analyzed and evaluated basing on the Gibbs model to understand clearly the needs of the
student. To strongly defend the theme of this essay, an action plan has been well developed and
incorporated at the end of this reflective essay. These are necessary to equip the author in the
activities and responsibilities he will encounter in his future career as a certified nurse.
Reflection is a key skill which should be incorporated into the student nurses to develop service
delivery in future to a higher level. The learning is usually developed from ones experience in
the field. The main objective of this quality journal is to initiate reflective account as a student
nurse in my service provision. In fact, the model is a key device in my experiences reflection as a
student nurse. According to Szutenbach (2013 p.16), Gibbs Reflective Cycle, gives a detailed
reflection of models used in various health department, and it’s through this example that my
personal journal is a novice in formal reactive format of reflective practice, I discover a meeker
trigger inquiries enhance my thoughts in several ways. The thoughts alongside the feeling creates
an emphasis on my self-awareness of internal factors in me that may inhibit my situational
perceptions, this is not complete without an inclusion of a good generated action plan which
prompts encouraging practice changes and facilitating both professional and personal growth
(Chartier, 2014).

HEALTHCARE MANAGEMENT REFLECTION 3
5th September 2017
I had a very conducive environment as a health care assistant for a duration of six years
which stimulated my self-drive and passion to work as a nurse to serve patients in a
multicultural team. Moreover, seeing patients recovering after being attendant to by
professionals further motivated me to contribute as a nurse in health services provision
(Dipnarine et al., 2013). However, I have been facing some challenges on my way to realize my
dream as a nurse since I had to develop a balance between studies, family and work. During my
student days, I worked so hard to develop key life and career skills such as being very sensitive
to time, rules, taking responsibilities and becoming a self-driven independent learner. It was also
very vital for me to develop skills meeting psychological, emotional, spiritual and physical needs
of the patient which will assist greatly in their recovery. This journal assisted me to improve my
competence in the field through adequate skills in the market to serve patients as it has always
been my dream (Hanson et al., 2017 p.42). The management journal under my program was set
upon making a simple diary for my daily accounts. The steps followed in this were styles made
by simple entries into the diary with which had a proper date formats, the matter of teamwork
with direct observations, personal thoughts and in togetherness from my place of work.
Every point visited made a part of my entry during the course of the semester and
therefore proved viable for the analytical work to emphasize on the additional information on
research and primary entries edited indicated events description of personal thoughts and
feelings. The primary goal of every revisit attempted to make logic of the entire situation, seek to
find what had been done and even be done in a better way in upcoming practice (Husebø et al.,
2013 p.135). The representation by Management case study in the previous report indicated
progress in this area. And to build on it, this journal is a true reflection of the whole event with

HEALTHCARE MANAGEMENT REFLECTION 4
full description of my experience. The whole situation comes about through a journey of good
experienced observation and reflections, years back I felt so much ok with the degree of
teamwork the department displayed, but this was not to be with the current situation, recently I
had so much reflection on sequence of instances of problems highlighted at the workplace this
was triggered with changes made on the personnel , it beats my logic of how fast the situations
exchanged hands and this coming immediately after the workshop held in the last two days.
8th September 2017
The challenge caused has tremendously been affected by the action taken to change the
personnel, just like a new management comes with new programs and methods, so did it
happened, in the last eighteen months, the new personnel has come with new models, people
have therefore moved on with new improvements, the process of integrating another group of
new professionals comes with so much challenge of cope up and fondness, the people needs time
to learn new tricks and develop bit by bit, in so doing time and production becomes low. All this
have given me great challenges but by allowing freedom between them have increased the
relationship level, encouraging each and every one to believe in his/herself, take up their
individual roles with little follow up (Shorten and Ruppel, 2017 p.185). Working together closely
would make them discover their potentials and realize their weakness to improve for the better.
Being a senior member of the profession, I feel much responsibility given and managed by me so
there is much need to display high level of leadership qualities.
12th September 2017
I am very happy to have realized my dream as a student nurse which was my passion.
The new achievement of becoming nurse is very enjoyable for me and I clearly understand what

HEALTHCARE MANAGEMENT REFLECTION 5
it costs and calls for in the training and study process. Independence and self-drive are key roles
at the back of my mind for me to realize success in the field as a student nurse. I also need to
greatly demonstrate the key skill I have already gained throughout the study period to grand me
the opportunity to be registered as a professional nurse. The acquisition of the key nurse skills
sometimes worries me since my objective to provide high level of ethics and professionalism as
a nurse in the field (Schneider et al., 2014).
I feel so much demotivated since frustration has taken the better part of me on reflection
bringing my mind to apply the seven habits of highly effective people by Richard Convey. Back
then I used to believe that in everything one does, you need to lead by example and that allowing
those entrusted to be gifted and responsible in various areas take the most part of it to realize
organization’s set objectives, but this was not to be after my realization that proactive aspect in
management has been missing, and leading by example is not just enough (Paterson and
Chapman, 2013 p.133).
15th September 2017
For a very long time many people have been doing things just because they have to do
them, not taking into account the context behind it, while some do it because it’s an obligation,
others find it a daily routine, I thought I had this element in me but I was wrong when I found out
that I need to find out the characteristics of the team that I desire and the results I need to
produce before embarking on the means. With a priority list I have, I need to define each in their
own prospective, to list each according to their agency, solve those that need immediate attention
and leave those that are still to come. By solving first things first I improve on the quality of
output in the interdisciplinary teamwork in the healthcare (Saunders et al., 2016 p.393). The

HEALTHCARE MANAGEMENT REFLECTION 6
adage given that I need to have the attitude and behavior of win can be better improved to win
when the interdisciplinary relationship is richly established and motivated.
19th September 2017
Surprisingly, therapists at the start of this week came to my path for aid on advice.
Instead of giving an answer directly to their query, I decided to redirect them back to a
professional therapist on their issue of their team on their recent discussions on employing the
new structure. The second therapist made an effort to assess the patient and subsequently
informed the initial therapist that the discussion was exactly based patients care without any
feedback on its importance (Lee et al., 2014). The manner of the occurrence of the above brought
a lot of shame to the initial therapist and since I had not monitored the prevailing conditions very
keenly, the responsibility on the officers operating as a team befell me emotionally. I exchanged
ideas with the second therapist on the matter during an opportunity afterwards (Kelly et al.,
2017). I directed the blame on them for wasting a valuable chance where the therapist would
have learnt a lot as possible. It resulted from their reaction without questioning on the clinical
judgments made. Fortunately, it unrevealed itself after all.
22rd September 2017
The second therapist however, expressed how I was unhappy for being disrespected by
his colleagues in the team in matters entailing functioning of their committee, poor unclear
communication and poor functioning of the body. It dawned on me that the second therapist had
decided to share his view but I had interrupted to reveal the impending crisis of the relationship
as a result of confusion. This case study was eventually completed and handed over to determine
the current level of teamwork such as; proper decision making and inter-professional education

HEALTHCARE MANAGEMENT REFLECTION 7
(Schneider et al., 2014). According to Gibbs analysis question, “what sense can you make of the
situation?”, it accepted that healthy systems could be greatly improved upon the acceptance of
professional ‘silos’ as hindrances to highly effective and developed service efficiency in NSW
(Taplin et al., 2013). In order to improve patients’ services, Bainbridge in 2010 suggested that
having inter-professional collaborations is a key to realizing quality patient outcomes and costs
efficiency. Basing my argument on my research on management case study, inter-professional
education is a key pillar to attain high levels of inter-professional collaboration which enhances
members to work together at high level of teamwork (Wallace et al., 2013). I was recommending
the case study I managed to come up with to promote professional knowledge to the individuals
at their respective work places although I am reviewing it since it has not been put into practice
yet (Wallace et al., 2013 p.236).
26th September 2017
While I was undertaking the undergraduate level, acquiring independent and self-driven
learning technique is very essential in nursing. I realized that learning styles are usually different
for the learners who are at their advanced level in their profession. Physical and cognitive factors
are very key emphasis in ones learning techniques. Preference for one to conquer a certain
profession is greatly affected by, motivation, personality and the stage of development the
learner is undergoing. If I have to realize success in my chosen career path, I have to consider my
own cognitive and motivational skills (Husebø et al., 2013).
Visual, aural, read, write and kinesthetic learners are the well-known main types of
learners. Student through independent learning should realize their most suitable learning style
to optimize the learning process and understand as much as possible. Practicing, observing,

HEALTHCARE MANAGEMENT REFLECTION 8
writing and reading are my key learning styles in which I understood most in my learning
process (Saunders et al., 2016). During the time of my learning, I could have a reflection on my
notes to determine the level to which my learning styles were successful after I was done with
visualization of the content. My final step was presenting a report to my supervisor in the form of
clinical skills which was like my tool of evaluation during my study to determine my skills level
(Free et al., 2013).
The nursing code of conduct emphasizes on the importance of providing quality services
to the patients. Quality services is the key role played by nurses to initiate recovery for
patients.in order to be at par with the required competence, my current nursing practice should be
able to conform to the printed evidence in the code of conduct literature (Okamoto et al., 2017).
Care supported by information derived from the printed literature, personal experiences and
expert opinion is referred to as evidence based care. When I will successfully achieve to be a
student learner, I will have made a great step in execution of my roles in future as well as
searching evidence on best intervention format in at health care conditions. (Fitzner et al., 2013).
27th September 2017
In the decision making, I learnt that different elements are suggested and for health
organizations to make a step forward in meeting their objectives, the suggestions must be
incorporated immediately. In my opinion, support should also be provided to the group to
increase the chances of having deliberate actin which is a strong tool to strengthen the teamwork.
The officers involved should share responsibility and focus together in problem solving
processes to uphold high quality services at the healthcare organizations. Petri (2010) argues that
incorporating education between different professionals should create a free atmosphere founded

HEALTHCARE MANAGEMENT REFLECTION 9
at the basis of trust and respect to give a gate for open communication which will eventually
contribute a lot in participation of all the involved professionals. These factors which miss in an
organization make up may be personal attributes such as interpersonal relationship skills or
factors emanating from the organization such as awareness of roles. The personal development
must first be well established to reach high levels in the improved collaboration as per the
roadmap developed by Covey (Taplin et al., 2013 p.281).
28th September 2017
Communication skills are of paramount importance in becoming an independent student
learner. Empathy is of great importance in providing patients with quality care which can be
realized mainly through communication. Patients should also be involved in decision making to
develop their trust towards their health care practitioners( Frieden 2014).Communication does
not only involve the verbal aspect but it also involves non-verbal messages which the patients
can use to communicate their healthcare requirements. The presence of language barriers due to
ethnic background can greatly deteriorate communication between the patients and nurses.
Unfortunately this can cause misunderstanding if nurses fail to pay close attention to patients’
preferences and cultural background (Bender et al., 2013). In the path of my profession as a
nurse, I am aware of the essentiality of communication and this brings the reason I should perfect
my skills which accommodates patients cultural background. Upon the provision of a conducive
environment to an extent that patients express their ideas on their condition, nurses will be able
to realize the intensity of the disease and the level of the patients‘recovery condition. It’s of
paramount importance for a student nurse to develop good listening skills to accord patients the
chance to express themselves clearly and effectively. Nurses should be thoroughly trained on
cultural sensitivity to develop relevant skills to handle cultural language barriers (Coyne et al.,

HEALTHCARE MANAGEMENT REFLECTION 10
2016). Upon reflection, it came to my logic that nurses should develop skills to facilitate
psychological and physical care to patients. I am developing these skills when am a student
since it will take some time to familiarize with them. It is also very important to work with other
professionals for the skills will be learnt best. Furthermore, it is very crucial to collaborate and
cooperate together as professionals in the execution of nursing responsibilities. (Cragg 2013).
29th September 2017
My step to improve inter-professional collaboration which I formally took during the
staff meeting held by clinical staff, I began by small teams which I set up just within the
department; every team was a mixture of at least a member from all the disciplines represented
equally (Schulz et al., 2013). They were required to set amongst themselves a work program
which included having a regular meeting of at least twice a week, come up with a well-drawn
calendar where they would work together with the health care in various groups created and after
which they report to them (Szutenbach et al., 2013). Spending time with patients and working
together proved to be a good strategy in service delivery and improving interpersonal behavior.
The need for involvement of staff in education provision service was also addressed with a lot of
concern (Volponi, 2014 p.051201).
30th September 2017
Patients in current need for rehabilitation as fountained on admitting diagnosis as well as relative
case load as per therapist are allowed to see the therapist. It’s usually very challenging to determine
the correct balance based on patients’ load and variety. Furthermore, the greatest unusual challenge
is a chance given for each operation on therapy and learning and incorporating experience under a
wide range of conditions ensuring the outcome is perfect optimum treatment to the gain of the client.

HEALTHCARE MANAGEMENT REFLECTION 11
(Heckler et al., 2013). In this vital area, the new team make-up I suggested recently must balance the
two professionals to create an opportunity to ensure a close follow up on the progression of the client
and ensure they are involved in offering care at different levels (Paterson et al., 2013). When two
professionals in the same discipline such as health care come in unison, they can share a lot
pertaining their experiences leading to realization and rectification of their mistakes. The above is a
perfect example of value addition in our skills which is taking place at the work place (Schulz et al.,
2013).
In summary, I am on my way to continue developing my skills further in the preparation to attain
certification in the future as a registered nurse. Currently, I have to develop self-drive and become an
independent learner. Issues such as effective communication, sensitivity to culture and developing
teamwork skills through collaboration is very key in my nursing career. Actually, the skills will
enable me adhere to NMC’s code of conduct and be competent nurse among the registered in United
Kingdom. To finalize my personal and professional development, provided each day I learn a
single mistake I usually make during my professional duties, I will make a great development within
a months’ time making my future in the career of health care management very bright. I do call upon
all my colleagues we work together in unity through having exemplary interpersonal skills until all
the health organizations provide perfect services to their clients.
References
Bender, J.L., Yue, R.Y.K., To, M.J., Deacken, L. and Jadad, A.R., 2013. A lot of action, but not in
the right direction: systematic review and content analysis of smartphone applications for the
prevention, detection, and management of cancer. Journal of medical Internet research, 15(12).

HEALTHCARE MANAGEMENT REFLECTION 12
Chartier, Y. ed., 2014. Safe management of wastes from health-care activities. World Health
Organization.
Coyne, E., Grafton, E. and Reid, A., 2016. Strategies to successfully recruit and engage clinical
nurses as participants in qualitative clinical research. Contemporary nurse, 52(6), pp.669-676.
Cragg, L. ed., 2013. Health promotion theory. McGraw-Hill Education (UK).
Fitzner, K. and Moss, G., 2013. Telehealth—an effective delivery method for diabetes self-
management education. Population health management, 16(3), pp.169-177.
Free, C., Phillips, G., Galli, L., Watson, L., Felix, L., Edwards, P., Patel, V. and Haines, A., 2013.
The effectiveness of mobile-health technology-based health behavior change or disease management
interventions for health care consumers: a systematic review. PLoS medicine, 10(1), p.e1001362.
Frieden, T.R., 2014. Six components necessary for effective public health program
implementation. American journal of public health, 104(1), pp.17-22.
Hanson, J. and McAllister, M., 2017. 'Hearing students into speech': A critical exploration of nursing
students' experiences of adversity. Focus on Health Professional Education: A Multi-disciplinary
Journal, 18(1), p.42.
Hekler, E.B., Klasnja, P., Traver, V. and Hendriks, M., 2013. Realizing effective behavioral
management of health: the metamorphosis of behavioral science methods. IEEE pulse, 4(5), pp.29-
34.
Husebø, S.E., Dieckmann, P., Rystedt, H., Søreide, E. and Friberg, F., 2013. The relationship
between facilitators’ questions and the level of reflection in post simulation debriefing. Simulation in
Healthcare, 8(3), pp.135-142.