NUR2399: Clinical Reflection - Medical Science Assignment Help

Assignment Task

Task detail

Identify a clinical event/situation you have encountered during your placement when you needed to escalate concerns about your patient care to your supervising nurse (facilitator/preceptor/buddy RN) (example- Deteriorating patient observation). Using the Gibbs Reflective Cycle as a guide, reflect on this clinical event/situation. The reflection can be related to a positive or negative clinical experience. Analyze the clinical event/situation, linking with your experience, practice, and theory presented.

In addition, your reflection should address-

• Your level and understanding of knowledge related to the clinical event/situation

• How the clinical event/situation has increased your understanding of the roles, linking to NMBA Standards for Practice, Code of Conduct, Code of Ethics and Scope of Practice of the Registered Nurse in Australia

• Where you believe you need further development and/or learning in professional communication

Guidelines / structure

The clinical reflection is to contain the following sections based on the Gibbs Reflective Cycle:

a) Introduction/Description – This is a description of your chosen clinical reflective topic and an overview of the critical areas of your intended discussion.

b) Feelings – This is a self-reflective discussion covering your thoughts and feelings. This section must provide a comprehensive discussion of the key areas you feel are important to you as a novice clinician based on your chosen topic.

c) Evaluation – What was good and bad about the experience? How is your clinical reflection supported or refuted by the Literature? The evaluation section must be supported using contemporary, credible Literature.

d) Analysis – What sense can you make of the situation? This is a discussion of critical outcomes based on your evaluation and what best practice literature has informed you in relation to your chosen topic. e) Conclusion – This is a summary of the main points and what you have learnt from the clinical reflection. What else could you have done?

f) Strategies for practice/Action Plan - what specific positive strategies, based on your analysis, would assist you to progress as a critical thinking clinician? Credible literature sources that support your strategies are required and must be correctly referenced.

Gibbs' Reflective Cycle was developed by Graham Gibbs in 1988 to give structure to learning from experiences. It offers a framework for examining experiences, and given its cyclic nature lends itself particularly well to repeated experiences, allowing you to learn and plan from thingsthat either went well or didn’t go well. It covers 6 stages:

• Description of the experience

• Feelings and thoughts about the experience

• Evaluation of the experience, both good and bad

• Analysis to make sense of the situation

• Conclusion about what you learned and what you could have done differently

• Action plan for how you would deal with similar situations in the future, or general changes you might find appropriate.

This model is a good way to work through a clinical experience. This can be either a stand-alone experience or a situation you go through frequently, for example meetings with a team you have to collaborate with. Gibbs originally advocated its use in repeated situations, but the stages and principles apply equally well for single experiences too. If done with a stand-alone experience, the action plan may become more general and look at how you can apply your conclusions in the future.

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