Reflection Using The Gibb’s Reflective Cycle model Essay
In order to help me with my reflection I have picked Gibbs (1988), as the model to aid guide my personal reflective method.
This model comprises of a process that helps the individual look at a situation and think about their thoughts and feelings during the incident. Reflective expertise help all of us to think about might have been done, so that if the similar situation occurs again the experience gained can be used to manage the situation designed to promote your event (Palmer ainsi que al 1997). To enable me personally to use this case for my own reflection the person will be known as “James”. This is certainly in order that his real identity is shielded and that in complete confidence maintained in line with the A great Bord Altranais Code of Professional Execute (2000). James, a 17 year old youngster was admitted with a broken wrist who have suffers with schizophrenia.
Jame’s condition induced him to acquire delusions and hallucinations which made him act inappropriately towards additional patients and staff. This individual found it hard to relax and paced the ward a whole lot. James continuously needed peace of mind and will ask different patients and staff if perhaps he was all right. His questioning involved wondering if he was in trouble of course, if his loving were ok. Everyone could reply to his questions simply by saying: “yes James you are all proper, your readers are excellent and no anyone with in any problems?, but this was not enough, in addition, you had to supply the “thumbs up” as well to assure him that he was great.
When Adam became distressed he would act up by hitting people. As a result of his tiny size and light weight, the kick was usually mild and didn’t hurt yet sometimes it got strength in it. This kind of acting out led myself to problem my ayo if James’s kicking was behavioural or perhaps part of the disease and so why it hadn’t been managed. My guia relayed to me that the nursing staff had utilized various methods including behavioural therapy to halt James’s throwing but nothing acquired worked.
Doctors had likewise tried a number of different drugs to assist James together with his schizophrenia but nothing to had performed for him there either. He had been taking Clozaril for a few months but it had not been doing whatever for his psychotic symptoms. James was even brought to the Maudsley hospital in the uk (a world leader in psychiatry research) to verify that they may help him or perhaps if they had virtually any ideas that can help him in his treatment but specialists were mystified with him there also.
Mealtimes had been a very difficult process with James. If perhaps he could easily get away with it, he would never consume. He would play around with his meals, smell it, ask if it was poisoned and ask various questions to distract the registered nurse from what he or she was trying to carry out (which was trying to get Wayne to eat).
It was an extremely tedious task for the nurse in charge of him that day to get him to eat. The nurses always handled it professionally and with a wide range of patience. Generally by the end from the meal James had eaten almost 50 % of it and so would also need to drink a fortisip after to make on with his insufficient dietary consumption. One night after a very long and exhausting day, the nurse in control of James was busy and i also was devote charge of him ingesting his meal.
As usual the work was quite difficult and David didn’t apparently take me personally very serious. My spouse and i tried to copy what I got seen the other rns do but James will hardly contact his meals. He even began spitting out his food within the plate and this really disgusted me. I actually tried never to let him know the things i was pondering and act like a specialist.
I also tried to encourage him by simply saying “come on now James, a little bit more “and he do the usual simply by trying to distract me and asking questing like “Am I useless, I’ve zero eyes”, nevertheless I wasn’t having it. This process proceeded for what appeared like an eternity and I was beginning get very frustrated. I finally said to him, “if you don’t take in your food, I’m goanna have to feed you want a little baby”.
I then took his fork, scooped up some food and held this in front of him. I then explained “now open your mouth”. It was then that it finally dawned upon me the things i was undertaking and I instantly stopped.
I used to be filled with embarrassment as I realised the ramifications of my actions. I glanced around at the additional tables to see if the other nurses and patients acquired seen or perhaps heard myself, but they hadn’t. I felt very glad that no one had seen my actions but also very ashamed of myself for what I had developed done.
Adam didn’t seem to be very irritated by myself and continued with his concerns. I was delighted he didn’t seem upset or annoyed by what I had developed said yet I likewise wondered if my actions had an influence on his unconscious feelings. When I had first saw James I was incredibly intimidated and a little frightened of him as they was extremely confrontational and tended to lash out. What was very good about this knowledge was that I had fashioned finally become over my personal fear of him. By demanding him to enjoy, I experienced more assertive and leaving you.
Kilkus (1993) claims that using assertive behaviour in nursing, allows the health professional and is an important component out there. The gloomy to this episode was that I became as well forceful and domineering. By saying to him “I’m goanna have to supply you like just a little baby” was very cynical of me and subconsciously I was even mocking him. It also could have made James associate food with negative feelings and that may have set the nurses back in their progress with getting him to consume. Jacobsson ou al (2004) asserts that food psychologically, can be linked to positive feelings of health and comfort and ease or it is usually associated with adverse feelings of sorrow or burden.
Though James did not react to the things i had explained, this would not mean this individual did not comprehend it. It is common intended for schizophrenia sufferers to appear as if they have a insufficient feelings. This can be so , due to damaged pathways connecting the mind to cosmetic expressions. Even though it is possible that these feelings may not be expressed, thoughts are sensed inside (Kring et approach. 1993).
Wayne may not possess understood the underlying meaning of what I was saying to him but we because human beings can easily convey and relate to others through expression, gestures and body language. Whether one comprehends what you assert or not, one can determine what you are actually saying simply by how you keep yourself, demonstrating how you feel and frequently what you are planning (Kozier ainsi que al. 2004). James frequently had trouble communicating what he wished to say, which is a common part of the illness (Kring et ‘s.
1993), and would frequently throw out terms that produced no perception to us. Sometimes he’d talk about a thing that meant something different entirely different, for instance he might say; “Am I lifeless, I’ve simply no eyes” yet would mean “I am concerned with something”. Only the other nurses would know what he designed as they acquired experience with Wayne over time.
That evening when trying to get Adam to eat, he said “Am I useless, I’ve not any eyes” and I took this as one of his usual ramblings that meant nothing. I will not have used it in face worth and attempted to understand exactly where it was received from. If I am to become a powerful nurse in the foreseeable future I must include good connection skills with my people. Only through good communication skills can i be able to build the patient’s usual forms of communication and social connections and recognize any difficulties the patient can be experiencing.
I must also discover ways to treat the patient as a person with their own individual needs and concerns (Taylor et al. 2008). By simply saying to Adam “I’m goanna have to feed you like a little baby” was very belittling of myself. Perhaps a subconscious component to me was annoyed by his disease and I merely did not wish to deal with this. Eventually, once i become a staff nurse I will have to deal with psychiatric patients, and so I must discover how to be open to the patient (whether they have schizophrenia, Bipolar or any type of other psychiatric illness) by simply not having any kind of prejudicial thoughts or awareness.
I must discover how to show popularity and value (Browne, 1993). I was sense very fatigued that night and so since I was fatigued, I was most likely a little irascible as well. As a result of way My spouse and i felt and having the boring task of having James to have, I may include acted in a way that I would not need, if I was not tired. Just how nurses feel when they are tired may in a negative way impact their particular judgment and increase patient errors (Townsend &Anderson, 2009). Once I am a qualified staff registered nurse I am sure there will be days in which I will be feeling very worn out but it does not mean making use of the way I believe as a means to justify my own actions.
I need to be a professional at all times, exhausted or not. Nursing is skilled practice that is constantly innovating (Fasoli, 2010), and I like a nurse need to act as a professional if I i am to succeed in the profession. As a student health professional I need make an effort to understand why Adam did not desire to eat. One of the telltale signs of people with schizophrenia disorders is a deterioration in self-care expertise.
Individuals with the sickness may not be enthusiastic about eating, might distrust the food and/or probably too occupied to eat or take care of themselves (Brooking et al. 1996). I was not really taking this kind of into consideration once i was looking to get him to consume his supper.
As a newbie in the medical profession, I possibly could put this kind of incident down to inexperience (Benner, 1984). I can also place this encounter down to negative judgement and bad conversation skills in the behalf. Interaction is not only the inspiration of humanity but it is likewise the most crucial element of nurse-patient relationships (Taylor ain al.
2008). I should not have tried to power James to eat. I should include kept planning to convince him to eat within a positive and understanding approach (just just like how I saw his nurse do before).
By pushing James to enjoy I acted like a bully and could have got subconsciously produced him connect eating with negative thoughts (Jacobsson ain al. 2004). I likewise could have displayed more persistence and accord towards Adam. As a scholar nurse I need to have patience and empathy for patients and also be hypersensitive to the patient’s psychological requirements (Scully & Dallas, 2005). If this example were to happen again, I might first take a look at my self-awareness.
According to Bulman & Schutz, (2004, p. 29) “Self-awareness could possibly be described as the building blocks skill upon which reflective practice is built”. It allows the registered nurse to view themselves in a specific situation and monitor what effect he or she has for the situation and what effect the situation has on him or her. Nurses with a healthy self-awareness are likely to have got a positive impact on patient care. Having a sense of self-awareness is also necessary for creating restorative relationships with one’s people. As a student nurse I need to also learn to communicate to the patient with knowledge and awareness to be able to strive for the very best for them.
Through self-awareness I would have realised that I was tired and kept in mind to not let it possess a negative effect on the patient. This is also another way to explain “reflection in action”. It can be whereby the practitioner recognises a situation or perhaps problem and thinks about it while even now carrying out an action (Schon, 1987). Also if perhaps this situation were to happen once again I would remember what I experienced learned by simply my previous experience. My own experience with David has taught me a great deal about self-awareness, communicating successfully, empathy, tolerance, having a comprehension of the patient’s illness, admiration, empowerment, not really putting my own feelings before the patients remaining positive.
When ever this incident occurred I needed to bury my head within the sand and wish which it never happened, but now I actually am grateful that it do happen as it gave me an opportunity to look deeper into the situation and more deeply into myself. Using the Gibb’s Reflective Routine model (Gibbs, 1988), provides helped me to analyse what took place and examine my own insight and take on so what happened. This knowledge was a learning curve to me as a novice and it will be beneficial to my personal learning knowledge as I have sufficient learning requires as a scholar nurse.
I realize realise that just through encounter and representation will I have the ability to learn from them(Benner, 1984).