GCNCP3 - Reflective Journal on Clinical Events - Significant Reduction of Health Care - Nursing Assignment Help

Assignment Task :

Reflective practice can be defined as the process of continuous learning and creating a sense of situations, events, actions and experiences in the workplace (Oelofsen, 2012). Reflection can help a better understanding of the strength and weaknesses of the person, and it can lead to greater self-awareness of positive thinking (Bramhall, 2014). Reflection can lead to personal growth, professional growth, and meaningful change. Jean Watson from the USA says the example that he declared “the practice of caring is central of nursing (Watson,1979) The purpose and goal of these learning tasks to analyze the past clinical incidence and on that past time had some difficulties to understand in the particular reflective the practice would help them to change the practice in the future. The reflective writing helps us to learn from particular practical experience and it will assist us to make the relation between what we are learning in the theory and what we need to do in practice. Gibbs's reflective cycle (1988) contains six essential steps that are used to guide the discussion, (1) description of the incident  (2) feelings(3)  evaluation (4) analysis (5) conclusion  (6)  action plan. The outline of the essay aims to examine the self-reflection of the health care professionals in their carrier pathway from their student life to professional growth and the level of honesty in clinical reflection applied to the modified Gibbs cycle (1988). The three clinical issues that experienced related to the specific area of practice is reflected in infection control, communication problem, and needle stick injury and these 3 clinical issues, and doing the analysis by Gibbs reflective cycle (1988) will be used to help these experiences.
 

Incident 1  ( GCNCP3 )
Description;-This incident has happened during my induction posting, I was allocated in the medical and surgical ward working under the supervision of my supervisor, and I was caring for 70 years old lady. Mrs. Julia (pseudonym) who had undergone Appendectomy and it was open surgery. I had been asking to remove her wound dressing from her surgical site so that the doctor could evaluate it on the ward round. I remove the dressing under my supervisor using a sterile procedure, and I clean the wound as per doctors’ request. My supervisor was called by another staff at this time, so at her advice, I stayed with Mrs. Julia while we waited for the doctor to come and see her. The doctor had been with another patient, examining their wound and I notified that he came straight to Mrs. Julia to examine her wound, without either using alcohol gel or washing his hands first. I also noticed that he was wearing a long-sleeved shirt and that could be contaminated while examining the patient. I thought for a moment what do or say, but by the time I had gained enough courage to say something. I thought it was too late as he was already examining Mrs. Julia.
 

Feelings
I was shocked about this as I had expected the doctor to wash his hands or use alcohol gel before examining Mrs. Julia. However, I felt intimidated because I felt that the doctor was more experienced than me as a just-graduated nurse. I didn’t want to make Mrs. Julia concerned by encounter the doctor in front of her. Later I spoke to my supervisor about the incident and she suggested that we speak to the doctor together about it. 
 

Evaluation

This incident was completely challenging for me. I repent that I didn’t act to challenge the doctor's practice before he examined Mrs. Julia. However, I am so pleased that the doctor responded so positively to the feedback of my supervisor, and I have noticed that he has now changed his practice as a result of this incident and I too have learned from the incident.

Analysis

According to the Australian Commission on safety and quality in health care 2019 the studies declared that the introduction of an alcohol-based hand rub was a key factor of improve hand hygiene and a significant reduction of healthcare-associated infections. Years ago handwashing with soap and water used to promote our personal hygiene.

Incident 2  ( GCNCP3 )

Description

This incident reflecting upon my first handover during my Grad nurse period was working in a preoperative ward under my supervisor. In this period I had to manage everything on my own with full responsibility and accountability for whatever I do. I was assigned to have 6 patients for a shift was a busy day for me with that one patient got a lot of health issues and he was undergoing surgery soon. I have to finish all the post-operative procedures and send him to the surgery. My colleagues help me even though I realized that I was deprived of time with only 10 minutes to left off my shift. These make me rush and finishing my task the day including, going on through the bed chart, noting down, basically everything about the patients. My urgency caused me some mistakes, not writing down the medication and interventions, which led me frustrated with myself. My supervisor and colleagues help me to make handover and cross-checking. The handover was gone thorough well. My head nurse notified that certain point to be added some current symptoms are concerned. I felt bad about my inability to handle certain situations.

Feelings

The above incident I realized that the practical incidence is common but the chances of miss-communication and errors are high, so I started to search for some articles and journals which suggest going for effective handover. Slowly I try to make some handover protocols and what are the skills needed for handover in pressurised situation. I understand that medication and interventions are the most valuable parts of the recovery of the patient. 

Evaluation

After the incident, my self-consciousness was a bit low.  The experience helped me to improve my self-confidence, communication skills and writing note about patients helped me to get important information. A lot of standardized systems and techniques arise as a result of effective handover.

Analysis

Nursing handover is described as oral communication with the person who is taking care of the patient, their health condition and interventions. By 2010 the joint commission calculated that 80% of serious medical errors include miscommunication during on handovers. The important idea of handover is patient safety and their health and the research article spotted that observation can help to develop handover skills.

Incident 3

Description

When the incident happened I was working in India as a practice nurse. During my clinical practice I was administering an intramuscular injection to the patient called Mr. John (pseudonym) 65 years old man who had admitted to the hospital with an accident. After administration I was disposing of my syringe with needle. I realized that I did not have a sharps container with me, and I only carried a kidney tray with syringe. I try to close the lid of the needle after administration the needle slightly sticks in my index figure. Suddenly I got panic in and I informed the in-charge nurse and head nurse, kept my figure under running water and I squeeze the blood out from the figure. Soon I had to report to the ED and have to take some protection against blood born diseases. The ward in charge and the head nurse advice to check patient blood test all about blood born diseases, by adhering standard precautions. Later days I was lucky, the pathology staff informed that all the blood test from patient confirmed is negative. But I have to take the immunization, against these blood-borne diseases.

Feelings

After the incident, I felt upset with myself for not checking I had all my equipment with me. I was ashamed at my forgetfulness, and I felt clumsy and unprofessional.

Evaluation

When evaluating this situation, the positive aspects involve my IM administration was performed correctly. I was confident that I can do this task in a professional manner.

Analysis

A person working in the health care sector more prone to get needle stick injuries most importantly nurses. This can happen during disassembly or disposal of needle. At that period in India there was a very limited study about the needle stick injuries. I could have carried sharps bin instead of a kidney dish.

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