John’s Reflective Model Case Study - Medical Science Assignment Help

Assignment Task:

Task:

When caring for patients, nurses often complete an 8-hour shift plan for all patients in their care for that shift.
Please (construct) and submit your plan of care for your patient in the appendix (this is not counted towards the word count) and use this to base your critical reflection on. Please consider one of the patients we cared for in class, Mr. Casey, Mr. Khoury, Mrs. Graham, Mrs. Carlino or Mr. Kumar. Please make it clear which patient you are reflecting on. You may also consider Mrs. Thomas or Mr. Harvey but your reflection would only be based on your planned actions, not your practical actions so you would be better served to reflect on tasks you actually physically involved yourself in during a practice lab or practical class.

Please do not consider the same patient you studied in Assessment One, you will receive 0 marks. Your task for Assessment Three (3) is to use John’s Reflective Model to reflect on your plan of care for each patient, identify strengths in your clinical reasoning, limitations in your critical thinking, and an action plan for how you will address your future learning to improve the areas where you did not perform as well as you wish.  John’s reflective model requires you to address the following:

Description

 Describe what you did, how you feel that you performed, what information you used to develop your plan of care (this may be formal research or it may be personal experience such as working on a ward, or it may be that there was very little thought applied at all – note all of this here).

 
Reflection

 Did you have clear goals for each patient? What were you trying to achieve for each patient? Would your plan of care achieve these goals? Would you have caused any harm to your patient by doing things that should not have been done? Would you have caused harm by omitting care that should have been done? Did you consider the legal and ethical implications of your actions?

 Did you consider the specific individual needs of this patient, or were you developing your plan of care based on routine things that should be done for everyone regardless of what the patient needs or wants?

 Was your plan of care evidence-based – did it align with current clinical policies and guidelines? If there are no policies and guidelines around what you did, then consider what the evidence says in terms of what you did and the associated outcomes of patients here.

 Would your plan of care for this patient affect anyone else (other staff, other patients, family members, public health resources), and is this impact reasonable to provide care for this patient?

 In developing your plan of care did you use high-quality evidence to inform your clinical decision making (i.e. clinical guidelines, policies, systematic reviews of high-quality evidence), or did you use lower quality evidence such as individual studies in journals or textbooks? Or was your evidence from dangerously low- quality sources such as nursebuff.com and nurselabs.com or other resources written for average consumers, not health professionals? Would you be happy to have your nursing plan of care developed from these sources?

 
Influencing factors

 Thinking about areas in your care plan which you did well, or which you did not do well, what were the factors that influenced these decisions? Consider internal factors (personal thoughts, limitations, confidence, and knowledge) and external factors (time, peers, and resources available).

 Did you use past experiences to help you, did you use EBP? Was time an influencing factor for you in developing the plan of care? What else influenced your decision-making processes.

 Would these influencing factors play a role in the enhancement or hindrance of patient care in a real-life clinical setting?

 
Improvement

 What could you have done better for these patients in developing this plan of care? How will you improve the patient’s outcomes?

 What would the consequences be of your suggested improvements and do the benefits outweigh any potential risks (eg. Is it too expensive with very little evidence-based improved outcome?).

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