Reflection using the gibb s reflective cycle model
In order to help me with my own reflection I possess chosen Gibbs (1988), since the model to help guideline my refractive process. The[desktop] comprises of a process that helps the individual look at a scenario and think about their feelings and thoughts at the time of the incident. Reflective skills help us to take into account what could had been done, so that if a similar situation arises again the experience gained may be used to deal with the problem in a professional manner (Palmer et approach 1997).
To enable me to use this situation intended for my reflection the patient will probably be referred to as “James. This is in order that his true name is definitely protected which confidentially preserved in line with the An Bord Altranais Code of Specialist Conduct (2000). James, a seventeen year old boy was admitted with a fractured wrist who suffers with schizophrenia. Jame’s state caused him to have delusions and hallucinations which manufactured him action inappropriately towards other people and staff.
He found it tough to relax and paced the ward a lot. James constantly needed reassurance and would ask various other patients and staff in the event that he was okay. His wondering involved wondering if he was in trouble of course, if his loving were fine.
Everyone might reply to his questions by saying: “yes James you are all correct, your eyeballs are excellent and no you are not in any troubleŸ, but this did not include enough, you also had to give the “thumbs up as well to ensure him that he was great. When James became agitated he would act up by hitting people. Because of his little size and lightweight weight, the kick was usually mild and failed to hurt nevertheless sometimes it experienced strength in it. This acting out led myself to issue my preceptor if James’s kicking was behavioural or perhaps part of the condition and how come it hadn’t been managed. My ayo relayed to my opinion that the healthcare professionals had used various approaches including behavioural therapy to quit James’s throwing but nothing acquired worked. Doctors had likewise tried a number of different drugs to assist James with his schizophrenia but nothing had performed for him there both. He had recently been taking Clozaril for a few months but it has not been doing anything at all for his psychotic symptoms.
James was even sent to the Maudsley hospital in the uk (a leader in psychiatry research) to see if they could help him or perhaps if they had any ideas that may help him in his treatment but authorities were mystified with him there likewise. Mealtimes had been a very challenging process with James. In the event that he could get away with it, he’d never eat. He would play around with his food, smell that, ask whether it was poisoned and ask variousquestions to distract the registered nurse from what he or she was trying to perform (which was trying to get David to eat). It was an extremely tedious activity for the nurse in control of him that day to get him to eat. The nurses often handled it professionally and with a lots of patience. Usually by the end of the meal Wayne had eaten almost half of it therefore would also need to drink a fortisip afterwards to make on with his not enough dietary intake. One nighttime after a extended and exhausting day, the nurse responsible for James was busy and i also was placed in charge of him ingesting his supper.
As usual the work was quite difficult and Adam didn’t appear to take me personally very serious. We tried to imitate what I got seen the other nursing staff do although James might hardly contact his food. He even began spitting out his food around the plate and this really disgusted me. I tried never to let him know what I was pondering and behave like a specialist. I also tried to motivate him simply by saying “come on today James, just a little bit more “and he performed the usual by trying to distract me and asking questing like “Am I deceased, I’ve simply no eyes, although I wasn’t having that. This process proceeded for what appeared like an eternity and I was beginning to get frustrated. I finally said to him, “if an individual eat your food, I’m goanna have to give food to you like a bit baby. I then took his fork, acquired up some food and placed it looking at him. Then i said “now open your mouth. It was then that it finally dawned on me personally what I was doing and I immediately ceased. I was stuffed with embarrassment?nternet site realised the implications of my activities. I looked around with the other dining tables to see if the other nurses and people had found or observed me, nonetheless they had not. We felt very glad that no one had witnessed my own actions but also very embarrassed with myself for what I had completed. James don’t seem extremely bothered simply by me and carried on along with his questions. I had been glad this individual didn’t seem to be angry or upset with what I had explained but We also considered if my own actions had an effect on his unconscious thoughts.
When I got first saw James I had been very intimidated and a little scared of him because he was very confrontational and tended to lash out. What was good about this experience is that I had finally gotten more than my fear of him. By simply challenging him to eat, I felt even more assertive and empowering. Kilkus (1993) claims that employing assertive behaviour in medical, empowers the nurse and it is an invaluable element in the profession. The negative side for this incident was that I became too powerful and domineering. By telling him “I’m goanna have to feed you enjoy a little baby was extremely sarcastic of meand unconsciously I was even mocking him. It also could have made David associate meals with unfavorable feelings and that would have arranged the rns back in their particular progress with getting him to eat. Jacobsson et ing (2004) asserts that food psychologically, may be associated with positive feelings of well-being and comfort or it can be connected with negative feelings of sorrow or burden.
Although James did not react to what I had said, this did not indicate he would not comprehend it. Pretty for schizophrenia sufferers appearing as though they have a lack of feelings. This is therefore , due to broken pathways connecting the brain to facial movement. Although it is possible that these emotions cannot be indicated, emotions happen to be felt inside (Kring et al. 1993). James might not exactly have comprehended the fundamental meaning of what I was saying to him but all of us as human beings can present and relate to others through expressions, gestures and body language. Whether 1 comprehends whatever you are saying or perhaps not, one can possibly understand what you are really saying by how you will hold yourself, showing how you feel and sometimes everything you are thinking (Kozier et ing. 2004). Adam often had trouble conversing what he wanted to declare, which is a common aspect of the illness (Kring et al. 1993), and would often dispose off words that made zero sense to us.
Sometimes he would discuss something that designed something else totally different, for example he might say; “Am My spouse and i dead, We have no eyes but would mean “I was worried about something. Only the other nurses would know what he meant as they had experience with James with time. That nighttime while looking to get James to eat, he explained “Am We dead, I’ve no eyes and I had taken it among his common ramblings that meant nothing at all. I should not need taken it at encounter value and tried to figure out where it absolutely was coming from. Easily am for being an effective registered nurse in the future I have to have great communication skills with my personal patients. Simply through very good communication expertise will I manage to establish the patient’s common forms of conversation and interpersonal interactions and identify any difficulties the patient may be experiencing. I must likewise learn how to handle the patient as an individual with the own individual needs and worries (Taylor et al. 2008). By saying to James “I’m goanna have to feed you enjoy a little baby was extremely belittling of me. Maybe a unconscious part of me personally was annoyed by his disease and I just did not want to deal with it.
Ultimately, when I get a staff health professional I will need to deal with psychiatric individuals, and so I need to learn to likely be operational to thepatient (whether they may have schizophrenia, Bipolar or any different psychiatric illness) by devoid of any nefasta thoughts or perceptions. I need to learn to display acceptance and respect (Browne, 1993). I was feeling extremely tired that evening therefore because I had been tired, I used to be probably slightly irritable too. Due to the way I felt and having the tedious process of getting James to eat, I might have served in a way that I would not have, if I had not been tired. How rns feel when they are tired may possibly negatively effects their judgment and boost patient errors (Townsend &Anderson, 2009). When I am a qualified staff nurse I am sure there will be times where I am feeling extremely tired but that does not imply using the method I feel as a means to justify my actions. I must be considered a professional all the time, tired or not. Nursing is a professional practice that is frequently evolving (Fasoli, 2010), and i also as a registered nurse must behave as a professional easily am to attain the profession.
As a student nurse We would like try to understand why James would not want to have. One of the distinguishing signs of people who have schizophrenia disorders is a deterioration in self-care skills. People with the illness might not be interested in ingesting, may mistrust the food and maybe as well busy to eat or care for themselves (Brooking et approach. 1996). I had been not acquiring this into consideration when I was trying to get him to eat his dinner. As being a novice inside the nursing profession, I could place this event down to inexperience (Benner, 1984). I could as well put this kind of experience into bad thinking and negative communication expertise on my account. Communication is not only the foundation of humanity but it really is also the most crucial aspect of nurse-patient interactions (Taylor et ing. 2008). I should not have attempted to force James to eat. I should have retained trying to persuade him to have in a great and understanding way (just like can certainly make money saw his nurse perform before). By simply forcing Wayne to eat We acted just like a bully and could have subconsciously made him associate ingesting with adverse feelings (Jacobsson et ‘s. 2004).
I actually also would have shown even more patience and empathy to James. As a student health professional I must remain calm and empathy for people and also be sensitive for the patient’s mental needs (Scully & Dallas, 2005). In the event this situation would have been to happen again, I would first examine my self-awareness. In accordance to Bulman & Sicherheit, (2004, g. 29) “Self-awareness may be identified as the foundation skill upon which reflective practice is built. That enables the nurse to see themselves within a specific scenario and screen what effect heor she gets on the condition and what effect the problem is having about him or her. Rns with a healthful self-awareness will likely have an optimistic effect on patient care. Having a good sense of self-awareness is usually necessary for creating therapeutic relationships with their patients. As being a student registered nurse I must as well learn to communicate to the individual with know-how and awareness in order to strive for the best for them. Through self-awareness I would have got realised i was exhausted and considered not to let it have a poor effect on the patient.
This is also work out describe “reflection in action. It is where the specialist recognises a situation or trouble and considers it when still performing an action (Schon, 1987). As well if this example were to happen again I would personally remember the things i had learned by my personal previous knowledge. My experience with James provides taught me a lot about self-awareness, conversing effectively, empathy, patience, possessing a comprehension from the patient’s condition, respect, personal strength, not placing my emotions before the people and staying confident. When this incident took place I wanted to bury my head under the crushed stone and would like that it never happened, nevertheless I i am grateful it did happen because it offered me an opportunity to appear deeper in to the situation and deeper in myself. Making use of the Gibb’s Reflective Cycle style (Gibbs, 1988), has helped me to evaluate what took place and analyze my own understanding and accept what happened. This experience was a learning competition for me like a novice but it will surely be beneficial to my learning experience?nternet site have many learning needs as being a student registered nurse. I know realise that only through experience and reflection am i going to be able to study from them(Benner, 1984).