As an intern, I am responsible for facilitating group therapy and completing, Throughout the Mental Health Issues course, I have learned a great deal about myself and have stepped outside of my comfort zone. London: Royal College of Nursing, Taylor, B.J (2000) Reflective Practice: A guide for nurses and midwives. During handover Maisey approached the nurses int he office who appeared to look very anxious and upset. All work is written to order. Finally, integrity, and being aware of ones own competence to handle the situation. 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. Taylor (2000) defines how reflection on action occurs perfectly. Ms Finch says the pandemic could also have a fundamental impact on people’s future career choices. Patients suffering from small intestinal obstruction do have not only physical needs but also psychological and nurses should be aware of the fact that patients react differently to the fact that they are acutely ill (Hughes 2005). The quality of nursing care is determined by the completeness of the interchange of knowledge, attitudes, and skills between nurses and their clients. No plagiarism, guaranteed! These would gradually reduce her little depression and give her more hope over her life. 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. This could have been part of the reason as to why Maisey was considered an unpopular patient as she was seen as demanding. This Mental health seminar talked about the benefits of healthy eating. Pain according to the International Association for the Study of Pain is, “An unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage” (IASP 1979). I was able to witness patients in different settings like in their bedrooms, in the general sitting area, in class, and in one on one interaction with the providers. I learnt that Mr Jones was admitted into the surgical ward with severe abdominal pain and he has been diagnosed with small intestinal obstruction and is being managed pre-operative for surgical intervention. practice in nursing is considered an important aspect to nursing. Nurses and nursing staff should treat everyone in their care with dignity and humanity and should understand individual needs, show compassion and sensitivity, and provide care in a The final step is the action plan. I was so petrified with the signs and the way he communicated with me in such a way that really expressed he was in severe pain. ‘People have been incredibly receptive to the programme. Reflection should be an ongoing process, not just a tick-box part of revalidation. Pay attention to the guidelines to avoid making any errors while putting your thoughts together. Be creative and ensure that … “Psychiatric Nursing Reflective Journals Essay Example | Topics and Well Written Essays - 1500 Words”, n.d. https://studentshare.org/nursing/1435665-psychiatric-nursing-reflective-journals. On reflection I saw first-hand how easily communication can break down, if not between nurse and patient, then within the multi-disciplinary team. 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. Hearing people’s stories and narratives, it is clear that life has changed for us all. I approached Mr Jones and introduced myself with the aim of building an initial and good rapport with him and to establish a nurse-patient relationship (Holland et al 2008). Looking at the situation from two perspectives, I am excited and worried at the same time. To my surprise, this seemed to calm him down a little as I explained and listened empathically to him. Description . According to Anderson (2003) vital signs need to be monitored closely for changes by nurses and respond quickly and appropriately. One of our expert writers has created this bespoke sample nursing reflective practice that shows the incredible quality that's guaranteed with every piece of work ordered. Reflective practice writing is a way of expressing and explaining one’s own and others stories crafting and shaping to and understanding and development and it enables practice development because the outcomes of reflection are taken back into practice, improving and developing (Bolton 2005). I have always wanted to get an opportunity to deal with people with a mental health condition as I seek to understand what they normally go through; this course offers me the chance of doing this. As nursing student without previews experience in mental health, I was reflecting the same attitude held by general public that mentally ill patient are dangerous, prone to violence, unpredictable, and to some degree responsible for their illnesses. Study for free with our range of nursing lectures! He quotes “Critical thinking is essential for safe practice”. If you find papers matching your topic, you may use them only as an example of work. Before clinical placement, I used to be scared with the patients and used to be reluctant to deal with them. London: NMC, Santamaria, N. (1993) The Difficult Patient: An Important Educational Need of Registered Nurses. On this occasion, the nursing team did not show care or compassion for Maisey, and certainly did not engage in therapeutic conversation. All strong opioids require careful titration from an expert practitioner it is better to begin with a small dose and increase gradually in conjunction with careful assessment of its effectiveness (Hanks et al 2001). USA: Wadsworth, Gibbs, G. (1988)  Learning by doing: a guide to teaching and learning methods. Disclaimer: This work has been submitted by a student. Though it has several advantages that are well suited for small intestinal obstruction management like its effect on slowing down the motility of the gut (Rodney 2010) which in the case of small intestinal obstruction is good, it causes nausea and vomiting as some of its side effect due to its direct action and stimulation of the chemoreceptor trigger zone of the brain (Daniels 2008). This section of the act was broken when the staff failed to treat Maisey as they would the other patients. According to the Nursing and Midwifery Council (NMC), reflection is how health and care professionals can assess professional experiences, both positive and when improvements may be needed, and find insight to aid their learning and identify opportunities to improve. Despite the fact that Mr Jones has had a surgery to repair his hernia a year earlier and is about to undergo another one shortly, he was in very good spirit. And to my utmost surprise, instead of getting a cocktail of pain killers for Mr Jones, she was asking several questions. People become stressed and often look to food for comfort, so it's important that they are filling their body with a healthy alternative. Reflection “is a way of learning from your direct experiences, rather than from the second-hand experiences of others” (Cottrel 2003, p6). The World Health Organisation (WHO 1996) modified analgesic ladder to control pain in that the simple principle is that the beginning of pharmacological intervention begins on the first step of the ladder and proceeds upward. Assuming this leadership does not mean that nurses take over and do for, or to, clients. Gibbs (1988) reflective cycle has been chosen as a framework for this paper. 13th Feb 2020 Action plan. I learnt according to Mr Jones past medical history that he was first admitted in to the hospital in September 2009 for hernia repair and discharged home. Dr Esterhuizen is keen to stress that it needn’t be time-consuming. I asked the qualified nurse series of question and she informed me that caring for patients with intestinal obstruction require great deal of nursing skills. Reflective practice can help build resilience during stressful experiences. Ananlysis 5. In an ideal gas exchange, blood flow and ventilation must perfectly match each other. Writing reflective essays may be complex for some students. Our website is a unique platform where students can share their papers in a matter of giving an example of the work to be done. The presenters were Dr. Michael Selders and Dr. Natalie Portman. Pain could be divided simply into acute and chronic pain based on its duration (Shipton 1999). As the COVID-19 pandemic – and the pressures facing the NHS – continue, many nurses may feel they have less time than ever to reflect on their work. Disclaimer: This work has been submitted by a student. Upon reflection, I felt that my anxiety was largely due to my negative preconceptions about mental illness especially my belief that mentally ill people are violent, unpredictable, and dangerous. Reflection is a way of analysing a past incident in order to promote learning and development. This Website is owned and operated by Studentshare Ltd (HE364715) , having its registered office at Aglantzias , 21, COMPLEX 21B, Floor 2, Flat/Office 1, Aglantzia , Cyprus. It is quite easy to become alienated from yourself when there is so much risk to yourself, your patients and your family. One of the underpinning principles of the Roper-Logan-Tierney model of nursing is the individualisation of nursing care and nursing practice (Roper et al 2000). According to Eccleston (2001), pain can be influenced among other things by culture, previous pain experience, mood, ability to cope or even belief. She also said she could not sleep as other patients were disturbing her. Becker, E.L. (1991) Churchill’s Illustrated Medical Dictionary. These include intramuscular analgesics and opiates such as morphine (Hughes 2005). Additionally time and commitment to our patients is priceless as it can never be taken away from them. Walking up to him, I noticed the agony and pain he was in. It is... As a practitioner, the nurse attends to all the medical needs of the patient and as a leader, she takes decisions that relate to, influence and facilitate the actions of others with an aim to achieve a particular goal. During handover I was informed ‘Maisey’ has dementia, deafness, aggression and short term memory loss. On getting to him, I introduced myself with the aim of continuing our initial good rapport and also to obtain consent. You can view samples of our professional work here. contemplate your day on the way homePicture: iStock. How do you know that he is in such severe pain as you have just described to me? Concerns about personal protective equipment, risk to themselves, their families and patients, as well as much higher patient death rates than normal, all contribute to the pressures that nurses are working under. This is not an example of the work produced by our Essay Writing Service. For me, the most important learning results from theoretical knowledge, more practice in dealing with the individual with mental illness, attending mental health workshops and practising mental status examination of the individual. I was in complete shock that as nurses they could be so quick to dismiss Maisey the way the did. From the integration of practitioners’ personal knowledge, valid disciplinary knowledge and theories are developed. As a researcher, the nurse aims to implement studies to determine the actual effects of nursing care and to work towards further improvement in nursing care (Nettina, 2006). This will be a goal I will be aiming at in my next placement though discussion with my mentor and further research. Haemodynamic stability is crucial as hypovolaemia can occur quickly because of the obstruction, fluid levels can rise quickly due to decreased gut movement causing the bowel to distend and losing its functionality of absorbing water and minerals thereby leading to fluid and electrolyte imbalance (Torrance and Serginson 2004). The usual ways that nurses reflect with colleagues have been disrupted. Sample Undergraduate 2:1 Nursing Reflective Practice Essay. 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. The value of reflection is recognised at her trust in a number of ways, including facilitated debriefs at the end of a shift and group supervision with hospital psychologists. This is because, through their career, nurses encounter many situations that are tangled in ethical complexities. In alternative medicine, a holistic approach to healing recognizes that the emotional, mental, spiritual and physical elements of each person comprise a system, and attempts to treat the whole person in its context, concentrating on the cause of the illness as well as symptoms. I was highly annoyed that they all felt it was alrite to mimic and laugh at a patient. Critical thinking and reflection on various nursing practices help to generate new theories. Maisey stood up defensively and appeared to be very agitated and irate. But even in a normal pair of the lung, some alveoli are under-ventilated and adequately perfused while others are over ventilated but inadequately perfused. I pulled up a chair next to her and in a calm, reassuring, comforting manner explained the reason why she was in hospital. Nursing Essay However, if done properly, it can greatly improve your skills as a health care provider. Here is an article that offers pointers for developing “A” grade reflection papers. 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. I informed him that he will need a reassessment by the doctor in order to change his pain killer or if there is need to increase the dose and that the doctor has been notified of this. One that closely relates to the scenario is uncertainty of diagnosis and management. I was very surprise when my mentor said to me “okay, where is Mr Jones drug chart”? 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 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. However Maisey appeared to look confused and asked me to speak to her in her left ear as she was deaf. But that’s not what I learned, I took so much more away from it than I thought possible. 32,  p.18, Elliss, R.., Gates, B., & Kenworthy, N. (2003)  Interpersonal communication in Nursing. The theories are again used in nursing practice for solving problems and for determining procedures in future cases. Get Your Custom Essay on Reflection on mental health nursing Just from $13,9/Page Get custom paper Multidiscipline involvement is important within mental health nursing as people with mental health problems have multiple needs, so a variety of expertise is required to meet the needs of these people (Darby et al 1999). Any opinions, findings, conclusions or recommendations expressed in this material are those of the authors and do not necessarily reflect the views of NursingAnswers.net. The careers service has also been supporting staff to reflect on their practice in a way that helps identify, or nudge them to connect with, their personal strengths. ‘It is interesting to see how valuable people find any sort of reflective practice,’ she says. ‘But to capture the learning and the positives, while recognising the challenges of these changes, staff need time to reflect in real time, rather than waiting until next year when this is all done.’. 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. It is not going to be a finite period of time and then everything goes back as it was. An average stay at the hospital is 7-14 days. Team Time has been designed, piloted and implemented rapidly as a way for teams to come together and discuss the emotional burden and impact of the care they are providing. A new programme to support reflective practice in a team has been developed in response to the COVID-19 pandemic. Another aspect of nursing care that helped was effective communication which is an essential prerequisite for effective nurse-patient relationship (Robinson 2002). Stockwell (1972) wrote the infamous book “The Unpopular Patient” where she explains that studies of communication in nursing demonstrate inadequacies in nursing practice. In addition to this, we recently learned about the multicultural/feminist perspective. I chose to follow this track because as a mother I am always looking for ways to be more in tune to my children’s physical, emotional, and intellectual needs. 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 following year in 2002 the U.S. Department of Health and Human Services that the number of states in the United States of America experiencing registered nurse shortages had gone up to thirty. Example & Features of Reflective Writing . Nursing managers can play a key role in helping nurses build reflection into their daily work. Philip Esterhuizen: Reflection is useful My experience in mental health clinical was very different from any other clinical I had before. And respect for Maisey being upset, and the nursing team ’ s Illustrated medical Dictionary that a... 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