Reflecting on Needs in Nursing and Healthcare Essay

Reflecting on Needs in Nursing and Healthcare Essay

The aim of this essay is to critically reflect on one academic and one practical learning need. This essay will reflect in relation with my professional development as a health care practitioner based on the identified needs. John’s (1995) model of reflection will be used as an aid to reflect on this assignment. The Nursing and Midwifery Council (NMC) PREP continuing professional development guidelines format will be implemented during this writing. Confidentiality of the ward and patient’s information will be maintained throughout this essay in line with the United Kingdom, Data Protection Act (1998) and NMC (2008) codes of conduct on confidentiality, therefore the patient will be referred to as Mark a pseudonyms during description of the scenario.Reflecting on Needs in Nursing and Healthcare Essay

My identified clinical need based on information gathered from the first placement of my third year has improved my communication structure during patient’s handover to all members of staff. Improving this need is significant to me because, communication during patient’s handover can be considered as a paramount aspect of nursing care. Dossey and Keegan (2013) supported this by expressing that effective communication must be enhanced in order for holistic intervention to take effect in nursing practice. I researched about my clinical need for about twenty hours on different databases including government policies prior to writing this essay.Reflecting on Needs in Nursing and Healthcare Essay

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On arrival to the ward I was asked by my mentor to hand over Mark a surgical patient to the nurse, health care assistant and another student nurse. During handover, I wanted to be outstanding and impress the health professionals as well as passing the vital information. However, this left me more nervous which made me realised how much I was struggling to articulate my sentence due to lack of structure. Odom-Forren (2007) study analysed handover to be a real time process of passing essential patient’s information between care givers in order to ensure continuity and safety of the patient. The purpose of this article was outlined as the importance of using structure for standardizing patient’s hand over, this made me understand that I have not being able to deliver this during the handover of Mark due to lack of structure. Street et al (2011) research identified how application of structured standardised handover has displayed significant improvement during nurse’s handover. Structured handover makes the process more concise, objective and relevant (Griffen, 2010). Popovich (2011) research, Novak (2012) and Fenton (2006) study discussed how Implementations of a handover tool assists in recognising changes in patient’s status more quickly. Structured handover allows the receiving nurse to ask question related to the patient status and promotes accountability between shifts (Laws, 2010) therefore there is correlation in the research regarding structured handover.Reflecting on Needs in Nursing and Healthcare Essay

This motivated me into questioning myself in regards to why I had felt the way I did, and thought perhaps this could be due to insufficient amount of handing over and gathering essential information prior to handover which has not enabled me in developing confidence when handing over. Forren (2007) study sample size only focuses on perianasthesia setting handover which made this study relevant to me as my placement was in the theatre. The study could have been more applicable in future if the sample size was extensive to other clinical area as recommended by Russell and Gregory (2003) that articulated that studies with small samples may help to identify theoretically provocative ideas that merit further research. Lilleyman (2004) described handover as the most perilous procedures in patient’s care, a communication hotspot it was articulated that errors such as misinformation can jeopardise patient’s safety and workflow. I realised how limited my nursing intervention was when it comes to handing over and how I have not being able to adopt a systematic approach during my communication with the nurses when handing over which can influence the quality of care I deliver while also limiting my personal nursing development. This does not comply with the PREP has outlined in the NMC.Reflecting on Needs in Nursing and Healthcare Essay

Manser and Foster (2011) research recognized the significance of effective handover communication as it is critical to patient’s safety and quality of care. This has empowered me in recognising that developing my limited structured communication and organising clear thought during handover has numerous amount of effect on patient’s safety during care. Meeting this essential need also acquainted me with compliance to government policies such as NHS outcome 2013/14 that sets out the vision of the white paper which encourages improvement in the care quality provided to patient such as reduced delayed care. The Quality and Outcomes Framework (QOF 2013) which is also a legal requirement by the care quality commission that focuses on increasing patient’s standardised safety, experience and outcome.Reflecting on Needs in Nursing and Healthcare Essay

A qualitative research conducted by Benham-Hutchins and Effken (2010) identifies insufficient amount of communication during handover can endanger patient’s care by causing communication breakdown which can also lead to mistakes such as drug error. This research was conducted in an acute setting, the researchers conducted the research by asking staff to describe the method used for handing over however one major drawback of this approach is the methodology of the research which appears to be ambiguous. The researchers failed to take into consideration whether the staff nurses will be totally honest in the method used during handover. As I have seen while out in practice that not all nurses follow the tools available for handover, a more appropriate method will be to observe the nurses during patient’s handover. An example of communication breakdown can also be identified as reported in the Francis inquiry (2009) where patient’s care was endangered. Understanding of this has enabled me in accepting how I was unknowingly limiting my patient’s care and the impact it has on my ability to perform to my full potential as a final year student nurse which can lead to delay patient’s care, poor quality, risk and mistakes.Reflecting on Needs in Nursing and Healthcare Essay

In also developing this practical need I will be able to provide an individualised handover based on patient’s need to all member of staffs rather than a broad overview of patients. NMC code of conduct (2008) expects nurses to treat patient as an individual and respect their dignity. Pertinent information will also be assimilated in order to provide continuity of care to my patient as acknowledged in Manias and Street, (2010) research. Development of this need will enable to me to provide adequate handover which shows my competency while also enabling me to be accountable for my actions in order to make informed decisions and provide seamless care as obligatory by the NMC code of conduct (2008). My communication skill during handover will also be improved as it shows my professional development which is a requirement for PREP. This is also authorised by the Joint Commission (2012) that emphasises that well organised communication is extremely central to patient’s safety as communication can be considered as one of the leading issues contributing to patient’s harm. Therefore they recommended in the national patient safety goals that effectiveness of communication should be improved among care givers. Organising my thoughts before handover will support me to work in accordance to the embracement of the 6Cs values of care, compassion, competence, communication, courage and commitment of the nursing practice.Reflecting on Needs in Nursing and Healthcare Essay

Reflecting on areas that I went wrong and the positive feedback received from my mentor has equipped me in feeling more confident while also promoting self-regulation of clinical reasoning and questioning prior to, after handover and also during any form of nursing intervention. Scott and Ely (2007) emphasised that, positive performance should also be considered in reflection. In eagerness to improve this need I started incorporating evidence based into my practice during handover through reading, making notes of the structure used by observing my mentor when she handed over. Situation, background, assessment, recommendation known as the (SBAR) was one of the tool I observed my mentor and other nurses using in practice. The application of this tool aided my handover process as the questions within the tool allowed me to focus on vital information and be concise. Using this tool also enabled me in spending less time on handover as the information needed for communication during handover was gathered before handover. This action facilitated clarity, effective and assertiveness in my communication which made the task of handing over a lot more easily.Reflecting on Needs in Nursing and Healthcare Essay

Another tool that I used as a structure in providing effective handover is the modified early warning scores (MEWS) pathway. This pathway allowed me to identifying when a patient starts to deteriorate. in order for a patient’s deterioration to be passed on during handover as it was recommended on the chart that a patient with a MEWS score of four or more can be transferred within department as long this is communicated with the receiving department. The Mews chart enabled me to stand as an advocate in ensuring the patient’s care handed over to the other staff will not be compromised as I was able to document the exact figure of observation on the chart for monitoring while also maintaining patient’s continuity of care and safety. NMC code of conduct (2008) expressed, nurses to act as an advocate for those in their care, helping them to access relevant health and social care, information and support. Currie (2002) CUBAN was used to enhanced patient’s care during handover by adopting Confidentiality during handover, uninterrupted communication, brief and concise information, accurate and relevant need, and Name nurse would be me and my mentor as we were looking after the patient Reflecting on Needs in Nursing and Healthcare Essay

Based on the knowledge I have gained through research and in-depth reading of this need, I now have more detailed understanding of the effect the gap in my knowledge had on how I was limiting my patient’s care as I was missing pieces of important information. Now I can confidently apply the handover tools to practice which shows evidence based. This has changed my practice to improve the care I give on daily basis as indorsed by PREP.

My identified academic need is critical thinking. The learning activity of this need took place over the first semester of my final year. The learning activity took me a week to gather all my feedbacks together from my entire previously submitted essay. After reading through my feedbacks in depth I realised how all my tutors have stated I need to apply critical thinking to my essays. Research on this academic need took me fifteen hours of gathering literatures to enhance my knowledge of this need in order to be able to critically analyse the need in accordance to my development.Reflecting on Needs in Nursing and Healthcare Essay

I have decided to elaborate on my academic need of critical thinking because Girot (2000) identified that in order for nurses to be safe, compassionate, competent and skilled practitioners must develop an aptitude of critical thinking. This made me realised how crucial it is for me to develop critical thinking as a nurse as it will assist me in identifying and challenging assumptions in practice and when writing my essays. McGloin (2007) research made me understand how I have not being reading widely to empower my ability of being able to think critically through development of arguments which has influenced my written work and care given to patient therefore limiting my personal development (PREP). Greetham (2008) also discussed how most student underused critical thinking whereas it is the most pertinent skill needed to improve academic writing.Reflecting on Needs in Nursing and Healthcare Essay

In meeting my academic need I am expecting to get better understanding of my work prior to writing my essay. Cotrell (2008) suggested that having a clear thought through reading widely about that specific area before writing the essay enables student to gain adequate result. This shows that low marks in my essays are impacted by my lack of reading and lack of appropriate preparation before writing my essays. The ability of not being able to source evidence based practice will also have an effect on my nursing care. Critical thinking will allow me as a student to prioritise my work load when writing essays and while also out in practice (Hutchfield and Standing, 2012). Prioritising work load also provides space to be able to review and edit work on different occasions (Davis et al, 2011). Having a critical thinking skill will influence my patient care as I would be able to apply the skill of reasoning and questioning into complex situation encountered in practice. The Department of health (2010) also encourages critical thinking as it is a feature that is needed to be an advanced professional practice which is also required.

Whiffin and Hasselder (2013) Research paper discussed how critical thinking is one of the characteristics that should be possessed by registered practitioners who owes the duty of providing critical solutions to problems that are complex. Gopee (2002) discussed that health care practitioners and student nurses applies critical thinking skill in their day to day practice whether they undertake the degree level or diploma programme but finds it difficult to transfer it into writing. Chan (2013) discussed how all nursing students can be considered as critical thinkers due to relating theory of what is learnt in class into practice. Hicks (2001) suggested that critical thinking can be developed through experience that involves undertaken complexity activity. Lauder and James (2001) study analysed that there are no significant differences for graduate and non-graduate student when it comes to critical thinking which nicely correlate with Gopee (2002). Understanding of this and having read through different research on what critical thinking is has enabled me to understand what the term critical thinking is.Reflecting on Needs in Nursing and Healthcare Essay This made me recognise this is a skill I have been applying into my practice unknowingly which I have developed through series of placement but I have not being able to apply it thorough into my academic essay. For example in practice I was told by my mentor that we needed to trial without catheter (TWOC) a patient, this made me question why we were taken this action earlier than usual, whether it was documented by the Doctors, if the patient has been informed and what the after plans were. Reflecting back made me understand this action can be considered as being critical to maintain efficient care. However Girot (2000) research causes lack of consensus by articulating that graduate nursing students possessed greater care planning and decision making skills than non-graduate nursing students. Development of my need connect more with Gopee(2002), Lauder and James (2001) because not all nurses seen in practice undertook the degree program but they are still able to apply critical thinking into the daily nursing activities.Reflecting on Needs in Nursing and Healthcare Essay

Critical thinking will enable me to have the characteristics of a critical thinker while making me accountable for my actions and provide quality nursing care as recommended by Scheffer and Rubenfield (2000) that analysed critical thinkers in nursing exhibit habits of confidence, contextual perspective, flexibility, inquisitiveness, open mindedness and reflection. In realising this it made me understand development of this need has huge impact on my nursing profession as it essential for me to examine every underlying assumption. Critical thinking will result in me providing higher quality of care as I will be able to meet the need and concerns of my patient which is required by the care quality commission. In meeting this need I will be able to consider alternatives, preferences and question any uncertainty. Booth (2008) discussed practitioners must sought after the best available tool to reach the best available decision when providing nursing intervention. In order to impact my patient with positive experience, maintain safety and deliver positive outcome I will need to apply my critical thinking skill by assessing the best practice for my patient through autonomously holistic care. Profetto-McGrath (2005) and Scheffer and Rubenfield (2000) discussed how critical thinking improves patients outcome through evidence based practice. Gadamer (2000) research discussed how critical thinking enable nurses to develop as an expert through knowledge and proficiency stage as this allows the nurse to move from being task orientated towards patient specific care and need. This academic need has been limiting my development because awareness of this has made me gathered how much I could have been task orientated in my essays and nursing intervention in order to get the task done rather than reading and seeking for ways to provide an expertise care and work. Chan (2013) study made me realise reading widely is encouraged as it assist student to develop more sophisticated form of reasoning which make complex problems a lot more easier to deal with.Reflecting on Needs in Nursing and Healthcare Essay

This need has a huge impact on my nursing development because appliance of critical thinking enables me to provide quality essay through informed research and also provide safe evidence based care through clinical judgement by finding and applying guidelines in practice (Young, 2004). Critical thinking will enhance my professional development by enabling me to seek out the truth by actively exploring a problem or situation. It will also facilitate me to provide adequate patient centred nursing assessment and intervention while also acting as an advocate for my patient. Development of critical thinking reflects my competency as this is one of the expectations of the NMC code of conduct (2008) and National Institute of health and care excellence (2010) laid emphasised are laid on the importance of critical thinking in nursing practice to perform higher care (Chang et al 2011). Development of this truth seeking need can also leave an impression on my colleagues to strive for the best practice available hence influencing the work environment positively which has a great impact on patient’s experience as covered in Chan (2013).Reflecting on Needs in Nursing and Healthcare Essay

Applying critical thinking into my essays has enabled me to be more analytical when using research as evidence to back up points in my writing. Critical thinking has assisted me in planning efficiently before conducting my academic work for example I had to utilise this skill when it came to selecting the best literature to critique and analyse my work prior to writing. Price and Harrington (2010) discussed one of the components of successful academic writing is thorough preparation and through planning. As critical thinking is an on-going skill I will continue applying it to my learning and practice by reading more. Critical thinking can be considered as a key ingredient to lifelong learning that characterizes personal growth and development through experience and practice (Banning, 2006).Reflecting on Needs in Nursing and Healthcare Essay

In conclusion development of these needs has influenced my knowledge and ability of being able to provide evidence based practice into my patient’s care. It has also impacted my academic work by enabling me to question the validity of research before applying it to my essay.

The purpose of this assignment is to critically reflect upon on aspect of my professional practice and development that arose whilst out in clinical practice. The paper will show emphasise based on communication. This reflection has been chosen to highlight the need for nurses to have therapeutic communication skills in order to provide holistic care and encourage a good nurse-patient relationship. Gibbs (1988) reflective cycle has been chosen as a framework for this paper. To satisfy the requirements of the Data protection Act (1998) as well as the NMC (2007) code of professional conduct, all names have been changed to protect identity in concordance with confidentiality purposes.Reflecting on Needs in Nursing and Healthcare Essay

Reflection is a way of analysing a past incident in order to promote learning and development. Gibbs (1988) reflective cycle can be seen as cyclical in nature which incorporates six stages to enable me to continuously improve my learning from the event for better practice in the future. The six stages are: 1. Description 2. Feelings 3. Evaluation 4. Ananlysis 5. Conclusion 6. Action plan.Reflecting on Needs in Nursing and Healthcare Essay

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Description

Whilst out in placement I witnessed both positive and negative communication. During handover I was informed ‘Maisey’ has dementia, deafness, aggression and short term memory loss. During handover Maisey approached the nurses int he office who appeared to look very anxious and upset. The staff nurse raised her voice and in a fixed tone told Maisey to return to her bedroom, shouting ‘we are to busy now, go back to your room.’ The nurses and health care assistants present in handover giggled amongst themselves, exchanged knowing glances and mimicked Maiseys voice saying she can be such a nuisance. Having not previously met Maisey I offered to assist her with her personal hygiene needs and to make her bed. I knocked on her bedroom door to which I then entered. Maisey stood up defensively and appeared to be very agitated and irate. She shouted that she wanted answers. I explained that I came to help her and would do my best to help her. Maisey then explained that no one had explained to her why she was in hospital nor did she know the where abouts of her daughter (main care giver). Reviewing Maiseys care plan I found out she had a fall at her daughters (Barbara) house and her son informed me that Barbara was away on holiday for a week. After the discussion with Maisey I documented it in her notes so that other members of the Multi-disciplinary team would acknowledge that Maisey was uncertain about the situation she was in.Reflecting on Needs in Nursing and Healthcare Essay

After speaking to my mentor and being more knowledgeable on Maiseys situation, I returned to her with my mentor close by. I pulled up a chair next to her and in a calm, reassuring, comforting manner explained the reason why she was in hospital. However Maisey appeared to look confused and asked me to speak to her in her left ear as she was deaf. I patiently repeated what I had said, she looked brighter after I mentioned her daughters name. Maisey asked a few more questions and I tried to answer them accurately and confidently. Maisey smiled and confided she is aware that she can be forgetful but feels that she is being ignored and that no one cared to what she had to say. She also said she could not sleep as other patients were disturbing her. After the discussion I gave Maisey assistance with her personal hygiene needs to which she thanked me for taking the time and ‘just talking.’ Maisey had said she felt a lot better that someone took the time to listen to her concers and explain what was going on instead of being ignored and ‘left in the dark.’Reflecting on Needs in Nursing and Healthcare Essay

Feelings

I felt very angry and disappointed that the staff easily agreed as a team that Maisey was just confused and describing her a as nuisance, without investigating as to why she seemed upset. I was in complete shock that as nurses they could be so quick to dismiss Maisey the way the did. I was highly annoyed that they all felt it was alrite to mimic and laugh at a patient. I felt a bit disheartened how no one took the time to explain what was going on to Maisey. Once I helped Maisey I felt happy that I took the time to get to know her and in turn see a different side to things. I felt proud I was able to reassure and relax Maisey so she could rest properly.Reflecting on Needs in Nursing and Healthcare Essay

Evaluation

I feel I have learnt a lot from this experience with Maisey and how the nurses responded to her when she was at a very vulnerable time. It was not a nice encounter as I feel things like this should not happen in practice, however in terms of a learning prospective it was good as it taught me that it is paramount to be sensitive towards a patient who is feeling distressed. It went well as I have learnt how important it is to be patient, to take the time to listen to a patient as this can have cumulative effects on that persons well being and the outcome as to how they are feeling. The way the staff nurses reacted was not in the best interests of the patient. I did not like their approach, as they did not make an effort to show support or any understanding as she was known as a ‘difficult’ patient. Stockwell (1972) wrote the infamous book “The Unpopular Patient” where she explains that studies of communication in nursing demonstrate inadequacies in nursing practice. Stockwell (1972) describes the nurse-patient interaction, insisting that such interaction is not always satisfactory, especially when dealing with a ‘difficult’ or ‘unpopular’ patient. I feel the nursing team were ignorant to the fact that Maisey had difficulty in hearing which must have made it irritating for staff to keep repeating themselves. This could have been part of the reason as to why Maisey was considered an unpopular patient as she was seen as demanding.Reflecting on Needs in Nursing and Healthcare Essay

Analysis

There was no interaction between nurse and patient as Maisey approached the nurses’ station, and to be mocked then dismissed must have been a terrible experience for her. Davis (2008) explains how hectic times of the day such as handover, mealtimes and ward rounds leave insufficient time to help patients who need it. However, if the nursing team had engaged in a little conversation with Maisey, she might have felt valued and understood, instead of upset and belittled. The NMC Code (2008) clearly states many standards of conduct which a registered nurse should be trusted to do, these including “You must treat people kindly and considerately” and “You must listen t o the people in your care and respond to their concerns and preferences”. Reflecting on Needs in Nursing and Healthcare EssayIf as nurses we should comply with The Code (2008), a lot of work is required to raise the awareness of the importance of communication in the delivery of care. In 2007 the NMC introduced Essential Skills Clusters. These Essential Skills are to be delivered by all registered nurses’, one of these clusters containing Care, Compassion and Communication. The NMC introducing these clusters show the importance of interpersonal skills in nursing care, and significance of communication in the nursing profession. On this occasion, the nursing team did not show care or compassion for Maisey, and certainly did not engage in therapeutic conversation.

As a student nurse I felt I had the knowledge and skills to approach the patient to appropriately calm and reassure her. Heyward and Ramsdale (2008) explain that a patient who thinks his nurse is not listening to them will lose faith in the service a nurse provides, and in the nurses’ willingness and ability to do as they have promised. They explain that sympathising with a patient shows willingness to understand their anxieties and make the patient feel more comfortable. As I entered the room the patient stood up with a defensive posture, which I assumed was using non-verbal communication to inform me that she was suspicious and distrustful of me. This was caused by the nursing team’s disability to make the patient their first priority and to listen and respond to her concerns. Santamaria (1993) tells us that nurses must deal with the full range of human behaviour, and at the same time deliver the highest quality of care. I acknowledged that Maisey was upset and gave her the opportunity to ask questions and voice her concerns, and in turn made her feel special by giving her my time. As Maisey asked me to speak loudly into her right ear I wondered if her history of deafness had been accurately assessed, as she was definitely not deaf but having communication difficulties. Eradicating this problem with help of a speech and language therapist or a hearing aid would have helped Maisey and the impatient staff enormously in this situation.Reflecting on Needs in Nursing and Healthcare Essay

Although I had been informed that the patient could be aggressive, I managed the situation by relating to her position and understanding her point of view. Leadbetter and Patterson (1995) explain the prevention and management of aggression should be dealt with by showing empathy and respect for the patient’s individuality and being genuine, utilising an open and honest manner. Finally, integrity, and being aware of ones own competence to handle the situation. Egan (1990) considers non-verbal communication to prevent violent situations such as considering body posture, nodding to show interest and making eye contact, but not as though to threaten the patient in any way. Fortunately, empathy and respect for Maisey helped her to trust and confide in me.Reflecting on Needs in Nursing and Healthcare Essay

The reason for analyzing this particular section of the scenario was to answer the question, “Why did the nurse not feel efficiently equipped to approach the patient herself, instead leaving the potentially aggressive situation with an unsupervised student?” In the NMC Code (2008), advice for a registered nurse is to recognise and work within the limits of your competence, but also to have the skills and knowledge for safe and effective practice. I believe communication skills within the nursing team must be rigorously developed and maintained as one professional alone cannot meet a patients requirements. We need to work collaboratively to provide maximum care delivery.Reflecting on Needs in Nursing and Healthcare Essay

Maisey felt more relaxed, valued and safe, after we identified and resolved her concerns. Older people generally have more barriers to communicating effectively. These barriers are worth investigating, as the acquisition of a little understanding and basic skills is a simple and rewarding exercise. (Myerscough, 1992) The barriers Maisey faced, was the time the nurses had to spend with her, and the fact that she was deaf. Myerscough (1992) explains that this is overcome by speaking loudly and clearly, using clear lip movements to assist lip reading. Through actively listening to the patient and encouraging conversation we managed to focus on the problem that was causing unease. I do believe that Maisey was discriminated against because of her conditions and illness, as she was not given the time and energy that was given to other patients. The Human Right’s Act (1998) Article 14 explains that every person should be treated equally without any discrimination on any ground. This section of the act was broken when the staff failed to treat Maisey as they would the other patients. Maisey was confused and upset that she had not been given time to adapt to her surroundings, and was in fear due to the separation from her main caregiver. Most patients do suffer a degree of anxiety and apprehension and admission to hospital is in particular a disturbing experience for anyone. (Lloyd and Bor, 1996) They offer explanations for these anxieties, such as being in an unfamiliar environment and separation from family and friends. Loss of personal space is a factor mentioned, as is loss of independence and privacy. One that closely relates to the scenario is uncertainty of diagnosis and management. Maisey was uncertain of what was going on. By providing her with the information she required, she could understand a purpose for her admission and the decisions being made.Reflecting on Needs in Nursing and Healthcare Essay

Conclusion

The reason for Maisey being upset, and the nursing team’s reluctance to help her, all stem from the same thing. As we have discovered communication and ones ability to reflect on practice have enormous effect on the capability to provide the highest possible quality of care. Additionally time and commitment to our patients is priceless as it can never be taken away from them. We also need to realise that ones own values have effects on interaction with our patients, so appreciating that our client has different values and beliefs to ourselves help us gain insight into the reasons they think and behave as they do. Some consider interacting with others as hard work, but we as nurses need to understand that communication is the gateway to successfully helping our patients and improving our skills.Reflecting on Needs in Nursing and Healthcare Essay

Action Plan

On reflection I saw first-hand how easily communication can break down, if not between nurse and patient, then within the multi-disciplinary team. I will take the experience with me throughout my nursing education, remembering the importance of effective communication, and also the ability to look back at an experience and break it down to discover what really happened. Taylor (2000) defines how reflection on action occurs perfectly. He explains that only when details of events are recalled and analysed, unpicked and reconstructed considering all aspects of a situation, can one gain fresh insights and amend actions. He quotes “Critical thinking is essential for safe practice”. (Taylor, 2000) This should be an ongoing and extensive process for all nurses in practice. I will be more aware of my interaction with others and will constantly reflect on my experiences to see the whole package of care delivery.Reflecting on Needs in Nursing and Healthcare Essay

Asking someone to depict a nurse, what will they tell you? The stance that the nursing profession is icomposed of angelic people in starched white uniforms, primarily women, whose main focus was patient care and following doctor’s orders. This image, though iconic and attractive to some, is not accurate when applied to modern nurses. These people need and have far more capabilities, knowledge and education, as well as, the caring personality and character traits befitting one charged with the care of others. Is there some kind of checklist that will tell me if I will be a good nurse? Absolutely not! Self-reflection and awareness of the expectations and qualities that are required to be successful as a nurse will go a long way in helping one determine if nursing is in their destiny.
Motivation. Every individual nurse has their own reasons for making their career choice. Some consider it a calling. They are compelled to care for and nurture other human beings. There are individuals that want the rewarding feelings from positive outcomes. Others are motivated because of flexible scheduling, monetary reasons and/or job security. Reflecting on Needs in Nursing and Healthcare Essay

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