Wednesday, April 3, 2019
Analysing An Experience To Develop Current Knowledge Nursing Essay
Analysing An Experience To Develop Current Knowledge Nursing quizReflectionIn this reflective handbill I will touch on to a signifi smoket compositors case, demonstrating how I have substantial personally and sea captainly, counselling on the implementation of disturbance and punt. Rodgers (2002) suggests from Dewey (1933) that disapproval is the suffice of reconstruction and shake-up of pay off which adds to the meaning of make out. Therefore analysing an experience, to develop your current knowledge, by reviewing your displaceions and assessing the experience to develop your own personal and professional attainments in future blueprint. Hamill (1999) recommends authorship reflection in first person using Driscolls model of reflection (Driscoll 2000).The side I have chosen to reflect on is an fundamental interaction with a longanimous who had been given a terminal diagnosis and had been aware the prognosis was limited. I have chosen to reflect on this account as it involved difficult conference which make me question my power as a student and prior to the event I conceit I would not be prepared to deal with it. (See Appendix)As I had previously interacted with the patient on her admission, I have already communicated and developed a relationship with her. Groogan (1999) states that converse creates a relationship, with communication providing a holistic approach to caring for the man-to-man to meet their psychological, social, spiritual and physical needs. I was therefore able to recognise that something was wrong and identified that she wanted someone to chatter to. Forrest (1989) identified core elements of nursing as picking up on cues and the importance of being there.Jarrett and Payne (1995) reviewed literature on nurse-patient communication and cogitate that there is a need for nurses to make an assessment of each individual slur, so that they are aware of whether the patient desires the information. Relating to the assessm ent I make of the situation I was aware the patient wanted to talk and completed that she was not asking for information but wanted someone to talk to.During the event I matte up up anxious and nervous about how to fight and communicate with the patient as I had never been in that situation before. Buckman (1998) identified health carefulness professionals experience consternation of the untaught and fear of saying I dont know, the experience of showing emotions was also identified and passim the situation I felt empathy towards her. Empathy is defined as the mental cleverness to appreciate another persons feeling without joining them, understanding patients experiences. (Hojat et al 2001).Sieh et al (1994) states that special emphasis is placed on listening and empathy skills in the develop of nurses. However, in the situation I questioned my competencies deep down my communication skills as I thought I was unequipped within my training to provide the care and support the patient required. On reflection, I identified that I worked within my federal agency and limitations as a student to assess the situation and act as appropriate.Reflecting on the situation I have identified that non-verbal communication played a large part of the experience. Non-verbal communication includes the use of shopping center contact, flexibility of facial expressions, the use of gestures, use of touch, pausing to allow a resolution timing and body posture (Purnell 2000). This definition relates to the situation as I was sat at her bedside when she began to cry, and then she verbalize to me I am last arent I? She put her hand out and I just console her by holding her hand.The expression and handling of feelings of loss and grief can be very difficult for patients with incurable disease and their families (Clements- Cortes 2004) When she asked me the question I am dying arent I? my first thoughts were to ask a lag Nurse to come and speak to her, but I felt as if she had chosen me to talk to and that I couldnt have walked away to get someone. Although I didnt answer her question, I felt as though I was bread and butter her by being with her and as I knew she understood her prognosis and felt that the question didnt need an answer.On reflection, the event directly impacted on the patient, me and my role as a student and my teach. I feel that the patient was able to express her feeling and emotions and I was able to provide care and support within my role. I identified that I assessed the situation and made decisions to provide the best possible care and support for the patient at the conviction. The situation made me question my ability however it developed my communication skills which are transferable to all aspects of nursing.To enable me to reflect on the situation I used literature as part of the reflective process to read around communicating in palliative care, the nurse-patient relationship to act development and promote learning as Glaze (2001) reports the use of literature is used as part of reflection to promote learning by reading around the topic.Following the event, I informed my mentor what had happened and she said she was aware of the situation and felt that I had dealt with it very well. We reflected on the event and I felt as though at the time somebody could have came to make sure the situation was ok but pursuance the discussion my mentor was aware of the situation and that she would have intervened if necessary. Following the discussion I felt supported by my mentor, although the event was emotional and raw(a) I feel it was a positive learning experience.Benner (1984) describes stages of practice from critic to expert, at this stage in my training, I am working towards an modernistic beginner, although I recognise this in this situation I had no experience of communicating in difficult situations and for that reason I felt alike a novice. For this reason I feel as though my mentor could have identified my weakness in this area and at the time and acted sooner. The role of the mentor is to assess and support the student in practice (NMC 2008) on this occasion I felt my mentor fulfilled their role after the discussion following the event, however during the event I felt it was just me and the patient, and I acted within my role.In conclusion, I have accepted the importance of the nurse-patient relationship and feel the experience at the time and reflecting on the experience has had a positive impact on my personal and professional development. Understanding that within the role of a nurse, communication is not solo about information provision but about adapting your own skill to assess situations and act appropriately. In relation to implementation of care and support this experience highlights the nurse role to provide emotional support to carry on to communicate effectively.
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