Healthcare Placement Reflection: Using Gibbs Model in Nursing Practice

This report utilizes the Gibbs reflective model to analyze experiences within a mental health acute ward, focusing on interactions with Alzheimer's patients and individuals with bipolar disorder. It delves into the emotional challenges faced while providing care, including addressing patient aggressio...Read More

FOUNDATION OF
NURSING

Table of Contents
USING GIBBS MODEL: REFLECTION IN THE HEALTHCARE PLACEMENT....................3
Description.............................................................................................................................3
Feeling....................................................................................................................................3
Evaluation...............................................................................................................................4
Analysis..................................................................................................................................4
Conclusion..............................................................................................................................5
Action plan.............................................................................................................................6
REFERENCES................................................................................................................................7

USING GIBBS MODEL: REFLECTION IN THE HEALTHCARE
PLACEMENT
The Gibbs reflective model is usually helpful in order to provide the aspect which is
beneficial to reflect some knowledge experience towards the learning. In addition, the Gibbs
reflective cycle was developed by Graham Gibbs in 1988 that usually provides a structure to
share their experience of learning regards with some descriptive point (Barkataki and Ross,
2019). In this report, the use of Gibbs reflection models the experience in working within the
mental health acute ward and experience shared while dealing with the patient with Alzheimer's
patient (Botha and Frost, 2020).
Description
In the description section of the Gibbs model, I want to share some of the descriptions regards
with my work. I used to work within the mental health acute ward where several patients usually
face different types of mental issues. In addition, they have challenging behavior that creates
difficulty to provide the proper support and care. Therefore, I used to work with mental health
patients such as patients who are from older age are dealing with Alzheimer's. However, I used
to provide various treatments and management to Alzheimer's patient and it is very difficult to
manage their day-to-day activity because sometimes the aggressive behavior can lead to creating
the condition of harm. The mentally ill patients fight with their thoughts and overthinking aspect
that generates the behavior which is aggressive for some time. I also care for various a patient
who is facing issues of bipolar disorder. In this, it is difficult to manage Alzheimer's patient due
to sudden changes in the personality and it is difficult to analyze one personality at one time
(Higgins and et. al., 2018).
Feeling
My feeling when I working within the ward where several patients who are dealing with
mental disorders are used to be treated is very complex and thoughtful. In addition, I usually
think about the people's lives that they have to deal with in their day-to-day activities. Moreover,
they require all-time assistance towards their working or any task that they used to perform. I
also analyze that the people in such conditions are usually facing various issues such as faces
health inequalities, discrimination due to their disability, and many more. Sometimes, I get
disturbed due to the overthinking which arises for the patient who is dealing with the complex

situation of mental issues. Whereas, the family intention towards the patient with the mental
issues is very sad. Moreover, I also assist the patient and their families that worked in a
supportive role to understand their feeling. Overall, from the number of years or months, I used
to work within the medical field that is challenging to control the emotions and behavior through
the action that make me strong and provide strength to support people with the proper care
(Kong and et. al., 2020).
Evaluation
While taking the context with the term of evaluation theory or with the simple evaluation,
it is well-identified that as a healthcare professional who is putting their potential and working
with the patient who is dealing with the mental illness. They also feel stressed situation for
sometimes when the patient becomes aggressive and create a critical situation where they refuse
to take medication and other things. Therefore, the experience and knowledge are used to
convince the person to make proper agreement towards the treatment and diagnosis that refer by
playing with their emotions that is useful to deal with such complex situation. Patients who are
dealing with Alzheimer's are showing various symptoms that are related to forgetfulness, do not
remember their day-to-day activity. In such a situation the proper support and care are essential
that is helpful to drive their activities that are based on assistance. Moreover, it is very simplified
as per the evaluation that the life of a healthcare professional who is working within the mental
disorder acute ward is referring as challenging. I also suffer various issues due to the work-life
balance. In addition, I used to spend more time with the mental patient that creates stress,
frustration, and various type of complex personalities that render my health (Lunnay and et. al.,
2021).
Analysis
In the analysis section, it is helpful to provide an aspect that is related to the sense of the
situation regarding the experience. In addition, I work majorly in the mental disorder wards
where the number of patients is admitted with different mental illnesses. I was supposed to
provide various management, treatment, and diagnosis to the patient where I used to suffer from
such a patient who is providing a challenge for me while refusing the treatment and management.
In such a situation, I used to make proper coordination and communication with the healthcare
professionals and try to convince the patient with a mental disorder to understand the value of
treatment in their life and make a proper positive approach that shows acceptance of treatment

that enhances their living of standard. This experience is usually playing a vital role in my life to
explore a various situation that is full of challenges and difficulties are used to manage with the
proper teamwork and coordination (Ma and et. al., 2018). In addition, there is various patient
with Alzheimer's are usually do not remember their day-to-day activity so providing support and
care for their day-to-day activity develop a sense of wellbeing that provide wellness due to
supporting and caring for such patient for a longer period. Therefore, I used to suffer a lot during
the initial days in such a complex situation but after a time while I analyze and evaluate the
situation appropriately by understanding the perspective of the patient and fulfilling the
requirement that they want. The number of healthcare staff thinking that the situation within the
acute ward is difficult but from my experience, it is usually a convincing scenario that must be
focused on the patient, while providing treatment, management, and many more. Therefore, there
is a wide range of situations or conditions that make me blank for some time but taking support
from my teammates and colleagues is helpful to provide me with a better solution to deal with
such complex conditions. So, the analysis is helpful that providing a sense of the situation
(Miller and et. al., 2019).
Conclusion
As per the above discussion, it is well analyzed that mental health is defined as cognitive,
behavioral, and emotional wellbeing of the individual or any person. It is usually focused on the
feeling and behavior of people regarding their ability. Moreover, people are sometimes using the
mental health word to show the absence of mental disorders. In addition, mental health can
usually affect the daily living, relationships, and physical health of an individual of person. I
used to work with mental health patients for the length of period that provide me the experience
to deal with them. Mental health disorders are usually characterized in various forms where the
Alzheimer's patient show their presence with their challenging behavior (Newbigging and
Ridley, 2018). Moreover, as a health care professional my work within the mental disorder acute
ward is to provide medication and treatment to several patients. In addition, sometimes the
patient becomes aggressive and refused to take the treatment or management with the proper
support and care from the healthcare professionals and the teammate are usually develops a
convincing scenario. Moreover, in the mental illness acute ward, the major of the patient is older
and is facing the situation of Alzheimer's where they do not remember their daily task and
activities. In this, I used to assist with their daily activities that include bathing, walking,

toileting, and many more. Therefore, Alzheimer's patient used to focus on the medication that is
antidepressant or antipsychotic to generate aspect of healthy behavior which reduce the
complication and raise the quality of life (Ward and Druss, 2019).
Action plan
The action plan which is properly used within the context to the Alzheimer disease as the
specific episode of care is reduce and minimize the distraction. Therefore, I well analyzed that
the episode of care is help to support the patient and provide appropriate aspect which may
contribute towards the good health. In addition, Alzheimer disease is associated with the short
term loss of memory where people usually forget about the events. In such cases, the patient is
must taking care with the proper care that is minimize the risk of distraction that may distract the
person to focus on the single work and forget about the work. I used to work within the mental
ward for several years or months and dealing with patients with different situations provide me a
sense to deal with a similar situation in my future. Moreover, I also adopt the general changes
that make me find appropriate for my future benefits. In the mental patient acute ward, I usually
convenience the patient to take the medication and proper management for their health condition
that is beneficial for my future. I used to serve my family or deal with such kinds of situations
that arise in the future then I use that experience which is gained from working within mental
wards to deal with the current situation (Wenny, Yani and Putri, 2018). In addition, I mainly
focus on the set of goals that primarily include part of support and care were patients with
different mental illnesses. Moreover, it provides the ability and strength to deal with challenges
and difficulties and through this, I always support my patient with proper caring. Some kinds of
challenges have arisen in my life with my family or relatives then I put a place towards their life
by providing proper support and care that adopt through working in a mental patient acute ward
(Yalçin and et. al., 2021).

REFERENCES
Books and Journals
Barkataki, I. and Ross, L., 2019. Psychological treatment on the acute ward. Oxford Textbook of
Inpatient Psychiatry, p.245.
Botha, M. and Frost, D.M., 2020. Extending the minority stress model to understand mental
health problems experienced by the autistic population. Society and mental health, 10(1),
pp.20-34.
Higgins and et. al., 2018. Implementation of the Safewards model in public mental health
facilities: a qualitative evaluation of staff perceptions. International journal of nursing
studies, 88, pp.114-120.
Kong and et. al., 2020. Extending Voice and Autonomy through Participatory Action Research:
Ethical and Practical Issues: Reflections on a Workshop held at Durham University,
November 2018. Ethics and Social Welfare, 14(2), pp.220-229.
Lunnay and et. al., 2021. Alcohol consumption and perceptions of health risks during COVID-
19: a qualitative study of middle-aged women in South Australia. Frontiers in Public
Health, 9, p.401.
Ma and et. al., 2018. Alzheimers’ disease and caregiving: a meta-analytic review comparing the
mental health of primary carers to controls. Aging & mental health, 22(11), pp.1395-1405.
Miller and et. al., 2019. Teacher mental health literacy is associated with student literacy in the
adolescent depression awareness program. School mental health, 11(2), pp.357-363.
Newbigging, K. and Ridley, J., 2018. Epistemic struggles: The role of advocacy in promoting
epistemic justice and rights in mental health. Social Science & Medicine, 219, pp.36-44.
Ward, M.C. and Druss, B.G., 2019. Treatment considerations in severe mental illness: caring for
the whole patient. JAMA psychiatry, 76(7), pp.759-760.
Wenny, B.P., Yani, R.A. and Putri, D.E., 2018. Analysis of Factors Associated with The Quality
of Life of Clients with Schizophrenia in Outpatient Ward in Nasional Mental Health
Hospital. Elevate: The International Journal of Nursing Education, Practice and
Research, 1(1), pp.27-34.
Yalçin and et. al., 2021. Characteristics and Outcomes of Psychiatric Inpatients With Severe
Mental Illness and COVID-19: Experience From a COVID-19-Specific Acute Psychiatric
Ward in Istanbul. The Journal of Nervous and Mental Disease, 209(12), p.884.