Mr. Khan Case Study - Gibbs Reflective Cycle - Critical Reflection - Nursing Assignment Help

Assignment Task:

Description: Each student will submit a written 750 word critical reflection on performing the allocated skill. It is  most important that students begin to appreciate that a reflection is much more than simply a narration of what was  done or not done. In the context of clinical reasoning, a critical reflection is your thoughts on what was done and  what improvement is required for being a more effective and safe practitioner in your future practice. 

In order to facilitate this process, students should follow the Gibb’s Reflective Cycle. The written critical reflection  needs to be an individual piece of work by each student. Even though the same or similar elements may be  discussed in the reflection it must be submitted in each student’s own words. If the same work is submitted  plagiarism penalties will apply. It is advisable that students do the writing up of this reflective part of this  assessment as soon as you complete the recording of video clips - while the event is fresh in your mind. 

Details of reflection: 

Using a recognised model of reflection (Gibb’s Cycle, please see below), reflect on the clinical event/situation  you experienced during your clinical skill assessment for this course. 

Each student should undertake the critical reflection in order to analyse one aspect of their clinical skill within  the context of the simulation scenario they undertook and the nursing role they performed. 

In addition, your critical reflection should address - your understanding of knowledge related to the clinical  event/situation, how the clinical event/situation has increased your understanding of the role and scope of practice  of the registered nurse in Australia, and where you believe you need further development and/or learning. 

You may also utilise the information that you have received from assessor feedback and video (if recording was  performed) to help with this process.

Structure your assignment with these headings: 

1. Description: Provide the context for reflective writing. Include background information, such as what it is  you’re reflecting on and tell the reader who was involved. It’s important to remember to keep the information  provided relevant and to-the-point. For example: “I was required to undertake the role of the Airway Nurse within  the context of a deteriorating patient simulation scenario of a patient with increased shortness of breath”. Introduce  the reader to the aspect of your skill you are reflecting on. (Allow approximately 125 words). 

2. Feelings: Discuss your feelings and thoughts about the experience of undertaking that particular skill.  Consider questions such as: How did you feel at the time? What did you think at the time? What did you think about  the incident afterwards? Why is it important for nurses to consider their feelings after an incident or challenging  situation? What are the potential implications of these thoughts and feelings when faced with a similar situation?

You can discuss your emotions honestly, but make sure to remember at all times that this is an academic piece of  writing, so avoid ‘chatty’ text. (Allow approximately 125 words). 

3. Evaluation: What helped or hindered you in undertaking the skill? If you are writing about a difficulty, did you  feel that the situation was resolved afterwards? Why/why not? (Allow approximately 125 words). 

4. Analysis: Examine and explore the experience by identify an overarching issue (use the issue identified in the  evaluation section), or key aspect of the experience that affected it profoundly for example, “communication”,  “safety issues”. Use evidence-based practice resources (references) to support this discussion. (Allow  approximately 125 words). 

5. Conclusion: It is important to acknowledge: whether you could have done anything else; what you have  learned from the experience; consider whether you could you have responded in a different way. If you are talking  about a positive experience…discuss whether you would do the same again to ensure a positive outcome. Also  consider if there is anything you could change to improve things even further. If the incident was negative…tell your  reader how you could have avoided it happening and also how you could make sure it doesn’t happen again.  (Allow approximately 100 words). 

6. Action plan: An Action Plan sums up anything you need to know and do to improve for next time. These  need to be real and tangible plans you can make for yourself. Perhaps you feel that you need to learn about  something or attend some training – what article will you read? What training would be relevant? What clinical  

practice guideline will you review? Could you ask your tutor or placement supervisor for some advice? What goals  will you include for your clinical placement? What can you do which means you will be better equipped to cope with  a similar event? (Allow approximately 125 words). 

7. Reference List: List any resources you have cited as per APA 6th ed. Guidelines. Please refer to the marking  guide for the expected number of references. Sourced information can include journal articles, text, contemporary  and current clinical practice guidelines or nursing standards.

An example of reflective writing in a healthcare assignment using Gibbs Reflective Cycle. Ensure you follow the assignment submission guidelines located on Moodle. 

Description 

In a placement during my second year when I was working on a surgical ward, I was working under the  supervision of my mentor, caring for a seventy?two year old gentleman, Mr. Khan (pseudonym), who had  undergone abdominal surgery. I had been asked to remove his wound dressing so that the doctor could assess  it on the ward round. 

I removed the dressing under my mentor's supervision, using a non?touch procedure, and cleaned the wound,  as requested by the doctor. My mentor was called to another patient at this point, so at her request I stayed  with Mr Khan while we waited for the doctor to come to see him. 

The doctor had been with another patient, examining their wound, and I noticed that she came straight to Mr  Khan to examine his wound, without either washing her hands or using alcohol gel first. I also noticed that she  was wearing a long?sleeved shirt, and I was concerned that the cuffs could be contaminated. I thought for a  moment about what to do or say, but by the time I had summoned enough courage to say something, I  thought it was too late as she was already examining Mr Khan. 

Feelings 

I was alarmed by this, as I had expected the doctor to wash her hands or use alcohol gel before examining Mr  Khan. However, I felt intimidated because I felt that the doctor was more experienced than me as a second  year nursing student; and I didn't want to embarrass her. Also, I didn't want to make Mr Khan concerned by  confronting the doctor in front of him. 

Later, I spoke to my mentor about the incident. She suggested that we speak to the doctor together about it.  My mentor took the doctor aside, and asked her whether she had washed her hands before examining Mr  Khan. She looked quite shocked. She said that she had been very busy and hadn't thought about it. My mentor  discussed the importance of hand hygiene with her, and the doctor assured her that she would wash her  hands before examining every patient in the future. 

Evaluation 

The incident was extremely challenging for me. I regret that I did not act to challenge the doctor's practice  before she examined Mr Khan. However, I am pleased that the doctor responded so positively to the feedback  of my mentor, and I have observed that she has now changed her practice as a result of this incident. I too  have learned from the incident, as it has taught me the importance of acting assertively with colleagues, in a  sensitive manner, in order to safeguard patients' well?being. 

Analysis 

The Royal College of Nursing (2005) states that hand hygiene is the single most important activity for reducing  cross?infection, and points out that many health care professionals do not decontaminate their hands as often  as they should. Recent guidance published by the Department of Health (2007) highlights the possibility of  staff transmitting infections via uniforms, and the need to review policies on staff dress. The Nursing and  Midwifery Council Code of Professional Conduct (2004, section 8) explains that as a nurse you must act to  identify and minimise the risk to patients and clients. As the student nurse caring for Mr Khan under my  mentor's supervision, this also applies to my own practice as a student nurse. 

Conclusion

Looking back on thisincident, I can see that I should have acted sooner, and that Ishould have ensured that the doctor washed her hands before examining Mr Khan. I can now see that my inaction in this incident put Mr  Khan's well?being at risk. After discussion with my mentor, I recognise that I need to develop the confidence to  challenge the practice of colleagues, putting the well?being of clients at the forefront of my mind. I realise that  I need to be supportive to colleagues, understanding the pressures that they may be under, but ensuring that  their practice does not put clients at risk. 

Action Plan 

In future, I will aim to develop my assertive skills when working with colleagues, in order to ensure that the  well?being of clients is maintained. In my next placement, I will make this a goal for my learning, and will  discuss this with my mentor to work out strategies for how I can achieve this. 

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