Gibbs Model Reflection: A Nursing Experience Analysis

This report provides a detailed reflection on a nursing student's clinical placement experience, focusing on the application of two key National Safety and Quality Health Service (NSQHS) Standards: Communication for Safety and Comprehensive Care. The student utilizes the Gibbs reflective model to analyze a situation where a preceptor nurse's actions deviated from these standards, specifically in the areas of documentation and patient communication. The report outlines the experience, including the context of a patient with a leg wound, and the student's observations of the preceptor's shortcomings in sharing patient information and providing post-treatment guidance. The reflection progresses through the Gibbs model's stages: description, feelings, evaluation, analysis, conclusion, and action plan. The student identifies areas for improvement in communication protocols and patient-centered care, emphasizing the importance of adhering to NSQHS standards to ensure patient safety and high-quality healthcare. The report concludes with recommendations for enhancing communication and providing continuous patient guidance in future scenarios.

Running head: REFLECTION
Reflection
Name
ID
Course
Unit
Lecturer
Date

REFLECTION 2
Introduction
Nursing is one of the sectors that is controlled by standards and codes of ethics. The goal of
having these standards is to guide the nurse on how they carry out their duties daily. In every
service delivery process, nurses must reflect on their actions to ensure they are within the
standards. The National and Quality Health Services Standards (NSQHS) provide an approach
to high quality and safe care. NSQHS standards comprise of eight primary directives according
to Flanigan, (2016). These eight standards include comprehensive care, blood management,
medication safety, clinical governance, responding and recognizing of acute deterioration,
partnership with consumers, and communication for safety, prevention and control of associated
infection. The goal of this assignment is to reflect on a personal experience using two primary
NSQHS standards using the Gibbs model.
Two NSQHS standards
The two main standards that this assignment will reflect on include:
Communication for safety standard
The communication and safety standard emphasis on the system that leaders in health
organization use for communication. It illustrate that the systems should be functional to ensure
effective communication within the nursing sector. The effective communication in an
organization covers stakeholders such as patients, family and caregivers. The reason why there is
effective communication is that it promises safety of patients. Hamilton, (2019) stated that
effective communication ensures that the patient is diagnosed on time after the assessment. From
there, the treatment process starts immediately. For an adequate communication standard to be
achieved in an organization, there must be proper documentation and communication protocol

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according to Sweet et al, (2019). In all the eight standards in NSQHS, Jensen, (2020) said that
communication binds all of them in a bid to achieve safety and patient care. In cases where
nurses operate in a shift, there must be proper documentation before one ends his or her turn. The
nurse that begins the duty after the previous person will have a clear illustration of what he or she
needs to do. These actions are the requirements for communication safety.
Comprehensive care standard
Every health organization need to develop a system that enables nurses and clinicians to provide
comprehensive care to the patients. In the provision of comprehensive health, nurses may also
face multiple risks. The standard of comprehensive care illustrates that the organizations should
put in place measures to counter the threats. However, one of the ways to ensure comprehensive
care is working as a team and ensuring that the services are of high quality. Apart from that,
nurses should collaborate with other parties. Some of the parties include health caregivers,
family members and other doctors. From there, the nurses can recommend the best care based on
evaluated risks.
Example of experience
My experience is when I was on a clinical placement. I had to face a situation where my
preceptor nurse had not followed NSQHS standards. I was in a clinical placement with preceptor
nurses working in surgery ward, and sometimes the medical department. In one of those days, a
specific patient was brought to the facility. The patient had cut wound on the leg. They were
cleaning their compound in a group, and one of his colleagues cut him by mistake. The man was
bleeding profusely. The patient needed first aid to control the bleeding. After the first aid, I had
to take him to the surgical ward for further treatment. However, I had to inform the preceptor

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nurse of the situation since he was my senior. As the wound was drying up, the patient needed
constant advice, and that is continuous care which I was able to provide.
The rest of the treatment was meant for the preceptor nurse. Consequently, he made two
mistakes that I still remember up to date. He had documented the medical history of the patient
but did not deliver to other nurses. The action resulted to delays thus making the patient miss
essential services on time. Apart from that, he failed to inform this patient on how to manage the
wound while he was away at the hospital. These actions were against the two NSQSH standards
of communication and comprehensive care.
There are cases where other nurses could end up making a mistake during the treatment period. I
learnt the lesson that there is a need for proper communication within the health workers.
Communication involves not only the documents but also the methods used to facilitate the
process of passing information from one person to another. Besides that, I learnt that
comprehensive care involves guiding the patient from time to time during the recovery period.
Reflection using Gibbs model
Gibbs reflection model illustrates that the procedure of reflection is always systematic. It follows
a specific number of processes to ensure that it achieves the goal it was meant to achieve. It is
viewed as the most standard way of reflection since many researchers have made use of it and
have been successful. Gibbs framework follows six steps. I will reflect on my experience using
the six procedures. The first procedure is a description. Description stage involves illustrating
what happened and the actors in what was happening. In my cases, I encountered a profusely
bleeding patient, and I had to assist the preceptor nurse attend to him. However, there were also

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my colleagues that I must involve in the situation. For instance, the preceptor nurses who were
responsible for medical ward and surgical ward.
The second step is the feelings. In this stage, one has to express what he or she feels about the
situation according to Ritchie et al, (2018). For example, in my case, I had a feeling that the man
brought in the hospital was in a lot of pain, and he needed quick respond to restore the situation.
Every action was based on my feelings. Apart from that, the man needed continuous guidance to
ensure that he heals properly. The third procedure is on evaluation. In this stage, the nurse has to
decide on the things that went right and those that were wrong. For example, in the experience I
have outlined above, I felt that communication was a challenge on the side of the preceptor
nurse. However, the rate of response on my side was very okay. The fourth stage is the analysis.
The preceptor nurse and I were to analyze every action that we took. Analyzing the situation
would assist us in breaking the event into manageable tasks that we could respond to at the
moment. Conclusion and action plan takes the last stages, respectively according to Zhang et al,
(2018). The conclusion involves recommending the alternative actions that we would have taken
according to Wain, (2017). For example, the issue of documentation the preceptor nurse could
have done differently. Action plan entails the things we would do differently when the situation
arise again in future. For example, the preceptor nurse would enhance effective communication
through proper documentation. These documents have to be available to other nurses so that they
are also able to coordinate the activities according to Wareing, (2017).
In conclusion, it is important to ensure standards as the action promises safety and quality
healthcare to patients as described in the above reflection.

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References
Flanigan, K. (2016). NSQHS standard-patient identification. ACORN: The Journal of
Perioperative Nursing in Australia, 29(1), 23.
Hamilton, S. (2019). The new NSQHS standards: One day surgery unit's accreditation
experience. Day Surgery Australia, 18(2), 16.
Jensen, F. (2020). Partnering with consumers through NSQHS standards. Journal of Health
Information and Libraries Australasia, 1(1), 18-19.
Ritchie, A., Gaca, M., Siemensma, G., Taylor, J., & Gilbert, C. (2018). Australian health
libraries’ contributions to hospital accreditation and the National Safety and Quality
Health Services (NSQHS) Standards: results of the Health Libraries for National
Standards (HeLiNS) research project.
Sweet, L., Bass, J., Sidebotham, M., Fenwick, J., & Graham, K. (2019). Developing reflective
capacities in midwifery students: Enhancing learning through reflective writing. Women
and Birth, 32(2), 119-126.
Wain, A. (2017). Learning through reflection. British Journal of Midwifery, 25(10), 662-666.

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Wareing, M. (2017). Me, my, more, must: a values-based model of reflection. Reflective
Practice, 18(2), 268-279.
Zhang, J., Chen, X., Luo, X., & Li, J. (2018, December). Seismic wavelet estimation in depth
domain using Gibbs sampling-based Bayesian method. In International Geophysical
Conference, Beijing, China, 24-27 April 2018 (pp. 1180-1184). Society of Exploration
Geophysicists and Chinese Petroleum Society.