Create a Reflective Piece Using The Gibbs Reflective Model - Free Essay Example

Sample details Pages: 7 Words: 2143 Downloads: 1 Date added: 2017/06/26 Category Statistics Essay Level High school Did you like this example? Create a reflective piece using the Gibbs Reflective Model which identifies an incident in the workplace where there was a lack of leadership. Use critical analysis of a reflective cycle to explore how this incident has increased your knowledge and understanding of professional practice with respect to the values and behaviour s in the field of nursing, and how future your behaviours will change. Definition of Gibbs Reflective Cycle Gibbs reflective cycle (1988) is a tool used by numerous professionals, including (but not limited to) health professionals, education workers and those in leadership positions: its purpose is to assist practitioners in reflection, which contributes to continuous personal development (CPD) and helps to ensure that a person is continually learning and improving in their role. The idea is to systematically reflect on a particular situation to ensure that all aspects have been considered and evaluated, as this will assist the reflector in understanding what to do next time they are in a similar situation. The process consists of the following steps: Click to Expand Don’t waste time! Our writers will create an original "Create a Reflective Piece Using The Gibbs Reflective Model" essay for you Create order Description: What happened? Feelings: What were you thinking/feeling? Evaluation: What was good about the experience? What was bad about it? Analysis: What sense can be made of the situation? What was really going on, as opposed to what you may have perceived? Conclusion: What was the end result à ¢Ã¢â€š ¬Ã¢â‚¬Å" how well did you think you managed the situation overall? What else could you have done in the situation? Action plan: If the situation occurred again, what would you do? Would you act differently? Is there a skill you can develop or something you can learn to help you to be better equipped next time? Introduction The incident I will be reflecting on occurred whilst I was placed with the vascular team. We had received a request for a duplex carotid scan for a patient on ITU who had been admitted due to a large stroke. Upon arrival we read her notes which highlighted significant aphasia and difficulties with communication. The nurse also informed us that the patient had a long standing memory problem and as a result of this, she did not remember why she had been admitted and would become very distressed when her stroke was discussed. When we approached her to perform the scan we found that she was under minimal sedation and was having assistance from a ventilator. The scan was completed without difficulty and we began to document our findings in the notes. A nurse came onto the ward with two members of the public in order to show them around ITU before the mans surgery. This has been a long-standing protocol which strives to decrease worry before a planned stay in ITU. The members of the p ublic were brought to the bedside where the nurse began to explain what the equipment was and what it was used for. The nurse made no effort to introduce the members of the public or herself to the patient. She also glanced at the patients notes and then informed the members of the public that she had been admitted to ITU because of a stroke. Upon hearing this, the patient became overtly distressed and had to be more heavily sedated after the nurse in charge of her care could not calm her by talking in a soothing manner. This event clearly caused undue anxiety to both the patient and members of the public, in addition to the members of staff who bore witness to the incident. The incident was reported using an in-house critical incident report by both myself and staff from ITU as this was a breach of patient confidentiality and poor practice. Interpretation of the incident Before the incident, I was aware that the nurse was showing the members of the public around the ITU in order to familiarise them with the ward. I was very surprised when the nurse did not check the patients notes beforehand, and the distress caused to both the patient and the members of the public was entirely unnecessary. To critically reflect upon this incident I shall use a well-known reflective cycle from Gibbs (1988). This model is cyclical and is unique because it includes emotions, knowledge, and actions and believes that experiences are repeated, which moves away from the model proposed by Kolb (1984). Some scholars, such as Zeichner and Liston (1996), believe that a wider and more flexible approach is needed by examining values in a critical light and how the practice of this can lead to changes in quality. Description The most important factor in this incident was the lack of intervention from myself or the other healthcare professionals. The nurse should have been made aware that this was not a suitable area to bring the members of the public to. I also assumed that there would not be disclosure of specific patient details as this would be a breach of patient confidentiality policies which are covered in numerous guidelines from the Healthcare Professions Council (HCPC, 2012) and the Nursing and Midwifery Council (NMC 2015). Feelings The main emotion that I felt in this situation was anxiety. I had been to ITU many times before and it is an environment in which I feel comfortable. I had not been to ITU to perform a carotid ultrasound before and I felt nervous as I wanted to perform the test well. I believe that, as a result of this, I moved some accountability to my senior colleague. I found the incident upsetting to witness as the distress was caused by a member of staff and their actions were avoidable. Evaluation My role was to complete the scan and establish the presence or absence of carotid disease, which I did. The results of the scan would have been used to determine the best course of management for this patient. It is important to note that acting in the patients best interests was also part of my role, and I feel that I did not fulfil this completely. The duty to protect patients and patient confidentiality at all times lies with all staff, including myself, my vascular colleague, and the ITU staff. Our failure to act as a team could be explained by Rutkowskis (1983) theory of group cohesiveness. This theory proposes that altruistic behaviour is dependent upon the social norm, and is defined as people helping those in need, and who are dependent upon them for help. Rutkowskis (1983) showed that the group is more likely to act in accordance with the perceived social norm if there is a high level of group cohesiveness. In the situation that I have described, neither my colleague nor I were familiar with the healthcare professionals on ITU and there may have been a low level of group cohesiveness as a result of this. Further work (Koocher Keith-Spiegel 2010) has demonstrated that irresponsible professional behaviour can be averted by informal interventions. People were found to be more likely to take action if they were the senior person in a situation, and most felt that a positive outcome was as a result of their intervention (Koocher Keith-Spiegel 2010). It is important to note that the way in which this outcome was measured (taken from data described as feelings after intervention), may have introduced bias as it is likely that participants felt pleased with their courage in acting in an appropriate manner, regardless of the outcome of the intervention. It is possible that their intervention garnered no difference in professional behaviour. It is important to note that cases of major misconduct, such as those which could result in harm to patients or dam age to the reputation of the Trust, should be dealt with by more formal routes. We completed an internal incident report which automatically flags the incident to senior clinicians and managers which would ensure that this incident was not unheeded. If this incident had not been reported, it would be an indicator of declining professionalism and acceptance of inferior standards of care. Tolerance of poor standards was highlighted by the Francis report (2013) as a consequence of poor staffing, policies, recruitment and training, and leadership. Analysis The patient had a jugular line in place, which I had anticipated would make the scan more difficult and therefore probably contributed to my increased level of anxiety. I feel that if I had not been as anxious I would have been more likely to intervene; however it is clear that both my colleagues and I should have intervened more quickly. I believe that an informal intervention as described by Koocher and Keith-Spiegel (2010) would have been appropriate in this situation. Conclusion Having witnessed the distress caused to both the patient and members of the public, I am now aware of the important of being more assertive if similar situations were to arise in future. Although I believe I should have intervened at the time, the experience I have gained from this has made me more aware of the important of always acting in the best interests of the patient even when this may take courage. I believe that having greater confidence in my ability to scan would have reduced my diffusion of responsibility and allowed me to act in a more autonomous fashion. There should also be a greater emphasis to establish strong working relationships between healthcare professionals to in turn increase levels of group cohesiveness (Rutkowski et al 1983). Action plan My future practice will involve becoming more proactive when I believe that there is a risk to patient confidentiality, and I will not assume that other members of staff will act in a professional manner at all times. I will continue to undertake reflective practice by using the model proposed by Gibbs (1988), and will aim to become confident when protecting patient confidentiality, particularly in situations where I am applying clinical skills which are new to me or that I do not feel completely confident with. As a trainee healthcare scientist, I aim to consistently implement the values and principles as set forth by the HCPC (2012) of a clinical scientist, and although this experience was difficult, I now feel that I have a greater understanding of these principles and values. Changes in norms and behaviours Due to the incident, I have formed a new set of behaviours. The first of these is that I will no longer assume that all members of staff will act in accordance with guidelines about patient confidentiality. Tied to this is a conscious effort on my part to refrain from assuming that I can predict the actions of other healthcare workers and I will always prioritise the welfare of patients in my care. Gibbs (1988) model has allowed me to critically reflect on my behaviours and has allowed me to identify aspects of my behaviour which may be detrimental. Critical reflection of this incident has made it clear that there is a deference to those I deem more senior than myself, perhaps due to a subconscious desire to maintain good working relationships. It is possible that the major obstacles which prevented me from speaking out in this incident were my perception of an authority gradient between myself and my colleague and low group cohesiveness. To prevent future events like this occur ring I will express any concerns about my clinical skills before beginning any procedures in order to both reduce any authority gradient and to also reduce the diffusion of responsibility as much as possible. I now feel more confident in protecting patient confidentiality and will aim to always embody the values and principles of a healthcare scientist. References Dewey, J. (1933). How we think: A restatement of the relation of reflective thinking of the educative process. 2nd edition. New York: Heath and Company. Francis Report (2013), Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry, London: The Stationery Office. Gibbs, G. (1988) Learning by doing: a guide to teaching and learning methods. Oxford: Further Education Unit. Hatton, N. and Smith, D. (1995). Reflection in Teacher Education: Towards Definition and Implementation. The University of Sydney: School of Teaching and Curriculum Studies. Healthcare Professionals Council (2012), Confidentiality à ¢Ã¢â€š ¬Ã¢â‚¬Å" guidelines for registrants, London: Park House. Kolb, D. (1984). Experiential learning: experience as the source of learning and development, New Jersey: Prentice Hall. Koocher, G. and Spiegel, K. S. (2010) Peers Nip Misconduct in the Bud, Nature, 466(2), 438-440 National Committee of Inquiry into Higher Education (1997) Dearing Report: Higher Education in the Learning Society. London: The Stationery Office. Nursing and Midwifery Council (2015) The Code for Nurses and Midwives. London: Park House. SchÃÆ' ¶n, D. (1983) The Reflective Practitioner. How professionals think in action, London: Temple Smith. SchÃÆ' ¶n, D. (1987) Educating the Reflective Practitioner, San Francisco: Jossey-Bass. Quality Assurance Agency (2001). Personal development planning: guidance for institutional policy and practice in higher education. Rutkowski, G. K., Gruder, C. L., Romer, D. (1983). Group cohesiveness, social norms, and bystander intervention, Journal of Personality and Social Psychology, 44(3), 545-552. Zeichner, K. and Liston, D. (1996) Reflective Teaching: an introduction. New Jersey: Lawrence Erlbaum Associates.

Essay on The Main Detonators of Stress - 1408 Words

There are many reasons that can cause stress to happen. Although some people thinks that stress can only happen to working employee with a busy lifestyle and schedule that they have to cope with this is not true. Stress can happen to anyone no matter what status they are, whether they are single, married, students, employee or non-employee. Some people thrive on a busy lifestyle and are able to cope well with daily stresses. Other people feel tensed or stressed by the slightest change from their set daily routine, but most people fall somewhere in between, but may have periods when levels of stress increase. There are two issues that can cause stress which are personal issues and social issues. In personal problems, the first problems is†¦show more content†¦The next problems are the environment issues such as unsafe neighborhoods, crime-ridden cities, and worry over personal safety may lead also to chronic stress. Lastly are traumatic events, people who have suffered a trau matic event or life-threatening situation such as robbery or rape, or a natural disaster often live with long-term stress. In many cases, they are actually suffering from post-traumatic stress disorder. Based on the online survey of 2,020 U.S. adults 18 and older, conducted in August by Harris Interactive for the American Psychological Association, although stress levels for most Americans are falling – but not among the Millennial generation, ages 18-33. Young adults also report more depression and anxiety. Where for the Millennial, top stress sources are work (cited by 76%), money (73%) and relationships (59%). The economy came in fifth, at 55%, just behind family responsibilities, cited by 56% (USA TODAY 2013). This is shows on the figure 1 below (For more information on the survey and results visit: www.usatoday.com ). Figure 1: The causes of millennial stress. The effects of stress are many and varied where some of the effects are positive, such as self-motivation and stimulation to satisfy individual goals and objectives. Some stress can lead to bad results such as disruptive,Show MoreRelatedSuicide Bombings Are on the Rise1139 Words   |  5 Pagesother innocent people with the intention to cause great damage while taking their own life in the process. These type of attacks are mostly related with religious beliefs and involvement from terrorist groups all over the world. A suicide bomber’s main purpose is to publicly kill themselves to prove a point or send a devastating message. Suicide terrorism is such a broad term to define but it is commonly known as the intent to cause death or serious bodily harm to innocent civilians with theRead MoreThe Oil Pipeline Organizations And The Main Tin Smelter1787 Words   |  8 PagesAmid the war Texas City turned into a major modern focus. It had seven petrochemical refineries, two oil pipeline organizations and the main tin smelter in the US. The city was developing and growing. Schools worked in two shifts, much the same as the synthetic plants. The interest for industry was high, yet wellbeing measures were still low and unpracticed. The year of 1947 turned into a urgent occasion in the recollections of the city. On April 16 and 17 a noteworthy calamity happened to overallRead MoreAdvantages Of Media Systems And Disaggregated Indices1762 Words   |  8 Pagesprocess of each country, as well as a key element for the quality of democracies (Caramani 2014: 330) Furthermore, we will look, briefly, at the drastic evo lution of political communication through time as we will focus our attention in analyzing the two main approaches used to compare political communication across countries, and the possible advantages and disadvantages that they could have. In many democracies, political communication seems to have passed through three stages that comprise betweenRead MoreEssay on Fall of Asclepius95354 Words   |  382 Pagesalike. The rest of the students were inside socializing till the morning bell rang. Thomas sat straight up and stretched out his arms and then cracked his neck and back. A few quiet snaps were made. The bus slowed to a stop in front of the schools main entrance. He gathered his school supplies and stepped out of the bus. Thomas felt drowsy from staying up too late studying for the final Biology unit test that he was going to take in the afternoon. He went inside and just stood in the entranceRead MoreSecurity Forces51988 Words   |  208 Pagesand confusion. When other factors are equal, the simplest plan is preferable. Simplicity in plans allows better understanding and execution planning at all echelons. Simplicity and clarity of expression greatly facilitate mission execution in the stress, fatigue, and other complexities of modern combat and are especially critical to success in multinational operations. Restraint The purpose of restraint is to limit collateral damage and prevent the unnecessary use of force. A single act could causeRead MoreArmy Regulation 190–5137102 Words   |  149 Pagesdate and time applied, identification of items to which applied (and location on item if other than main door(s)), and the name of the person applying the seal. For outbound loaded trailers, railcars, and container shipments, the appropriate trailer, railcar, or container number and load destination will be noted. d. Application of seals. (1) Seal all doors and openings, not merely the main one. (2) Run seal straps through hasp only once. Seals wrapped around several times become illegible

A Comparison of Democratization Process in China and India Free Essays

The term â€Å"democracy† first emerged in the societies of ancient Greece where it is meant to be a form of decision-making where the community is allowed to participate, which later on served as the system used for governance (Woolf Rawcliffe, 2005). Bryce (2009) noted that the term is used to describe the power that is legally bestowed by the people to the government. Likewise, the term â€Å"people† moved farther away from the privileged few and focused more on the entire community. We will write a custom essay sample on A Comparison of Democratization Process in China and India or any similar topic only for you Order Now As a result, the consideration for the rights and the voice of the citizens became a central theme in democratic governments. Aside from the political aspects of democracy, the free market structure is also an element that has become inseparable from that of democracy (as cited in Snauwaert, 1993). In the free market system, the government has less control over the affairs of the market and individuals are given the chance to choose among several options (Snauwaert, 1993). In the present day, democracy has become a very popular system of government as the West and other advocates continue to hail it as a suitable form of governing the society. Based on the arguments of Francis Fukuyama, a resolution is reached regarding the best way to organize the political and economic aspects of the society and suggested democracy as the answer. In addition, Fukuyama contends that â€Å"democracy, in the political realm, and markets, in the economic realm, had triumphed over all challengers and were in the process of becoming the universal forms of political and economic organization† (Bova, 2003, p. 243). In history, nations did not immediately employ democracy. Some have taken other paths, such as India and China that experienced the colonial rule and Communist rule, respectively. Both countries have experienced undergoing a process of democratization, which is said to â€Å"[begin] when the principle of citizenship is acknowledged by a regime in certain ways by allowing the opposition to become involved in politics† (Des Forges, Luo, Wu, 1993, p. 231). In addition, the democratization process proceeds from the distribution of power and responsibilities throughout the community (Des Forges, Luo, Wu, 1993). From the previous systems of government, India proved that it can undergo the process of democratization and sustain it until 50 years after. On the other hand, China remains a communist state amidst its futile attempts to apply several democratic principles from the West (Central Intelligence Agency [CIA], 2010; He Feng, 2008). The two countries, China and India, are both Asian countries that are striving hard to apply and implement the concepts of democracy as it is observed from the Western ideals. The interesting experiences of the two nations with regard to the process of democratization serve as the focus of the present paper, which would also highlight the differences and similarities between the experiences of the two nations. In so doing, emphasis is placed on the Democratization Process in India National Profile India is a member of the Southern Asian region and has a total area of 3,165,596 sq km (Oldenburg, 2008). The 7 union territories and 28 states are ruled by a President, who is the head of state, and a Prime Minster, who serves as the head of government (Oldenburg, 2008). The present form of government is Federal Republic and is governed by the Constitution that was amended last 2002 (Oldenburg, 2008). India also has an existing legislature, which is composed of the Lok Sabha (House of the People) and the Rajya Sabha (Council of States) (Oldenburg, 2008). The Judicial branch of the Indian government is headed by the Supreme Court (Oldenburg, 2008). For a lengthy period of time until 1947, India was subjected to British colonial rule (Mishar, 2000). The country gained independence through the Indian Independence Act, which received the Royal Assent on 1947 (Mishra, 2000). The Indian Independence Act served as an important factor in the process of democratization in the country because it gave way for a Provisional government that would later on take the form of a democracy. At the day when the said Act took into effect, Jawaharlal Nehru said that it is a time when â€Å"India discovers herself again,† (as cited in Hukam, 2005, pp. 309-10). In relation to this, it is important to identify the events surrounding before and after the promulgation of the Indian Independence Act in 1947 and the progress towards democracy that was made up to the present time. More specifically, emphasis is placed on the economic and political changes in the country and the actors and elements that allowed for successful democratization. How to cite A Comparison of Democratization Process in China and India, Essays