Wednesday, July 17, 2019

Reflective Assignment Essay

This render is a wistful account on my familiarity within the introductory blockage of my practice when caring for a enduring. The establish result give the definition of reflection. This reflective raise allow service me constitute how my find out in practice has helped me contact star of the erudition outcomes in my learning formulate, (appendix 1). Driscoll (2000) will be purposed as a reflective precedent. The essay will explore what (description of events) so what (analysis) and now what ( implement plan). This essay is going to reflect on the magnificence of good communion with unhurried role roles.Names in this essay redeem been transmuted, to respect the self-assurediality of the forbearing and other puff upnessc ar professionals (NMC 2008). Reflection is reviewing experience from practice so that it may be described, analysed, evaluated and consequently used to inform and change future practice (Bulman and Schutz, 2008 page 6). I was placed in an ac ute entrees screen at a Mental infirmary. The hold is an admission ward for assessment and it obtains all(prenominal) patient ofs amongst 16-65 years for psychiatric treatment.What happened was one morning in this ward a male patient, Joe was brought in by the police, detained infra Section 2 of the Mental wellspringness Act 1983. I was assigned to lease the patient NMC 2010a states that it is a requirement of nurses to ready up-to-date and accurate records of patients. When my wise man Sarah, asked me to admit the patient, I agreed to do the admission treat even though I felt I was non surefooted to do it, I had scarcely discover Sarah admit a patient once.I felt I would be deemed unskilled if I turned master the chance to admit this patient even though I was non really confident in doing so I did non want to allow everything to work once once morest me on this status. I went to Joe and attempted to inform him that I was to take him through the admission proc ess as well as to none his baseline observations. He looked at me and as if taking no nonice of what I had further express started conferenceing meet round how his wife betrayed him, he went on and on talking about his wife. I perennial myself but he kept on talking about his wife.In my gaffer I thought he was vertical organism difficult and it was time for me to flake the observations of other patients. I repeated myself again telling him what I intended to do and this time Joe jumped from his sit and came rattling fast to my face. Whilst standing very close to my ad hominem space he shouted loud say I am non going to talk to you monkeys until I babble out with my GP and my Lawyer, he past pushed me to the side and he walked come to. In a state of shock I went dorsum to Sarah and explained everything that had happened.This incident left me feeling disconnected and incompetent I blamed myself for flunk to perform what appeared like a simple-minded task that my mentor had asked of me. Sarah sat down with me and explained to me that the patient was well known having been admitted on the ward several times in advance and is familiar to most of the staff. She thought Joe was behaving in such a dash because I was new to him and similarly the fear of salutary being in a hospital a sort from his family contributed to his presentation.According to Chapman and Kimberly B. (2009) most patients experience the stress of being hospitalized and good intercourse has been identified as one of the tactical maneuver which will relieve them. Sarah took me with her to Joe, she wanted me to solemnize how closely she falld with him and made him to relax. When we approached him he pointed at me and asked, who is she? Sarah introduced me to Joe then she asked him to come to a fragmentize room with us.Surprisingly to me Joe did not refuse, Sarah spoke with him in an assertive but quieten manner, she stated to him the importance of having his stron g-arm observations checked, this was to fasten that Joe understood the procedure for him to be sufficient-bodied to give us his consent (NMC 2008). Joe was very co-operative and the admission process went on smoothly. I made sure I document the procedures clearly. The second stage of Driscoll (2002) is the analysis of the events. expression back at the way I had communicated with Joe and realized that might take over contributed to the way he reacted.According to Sheldon (2004) communion in nursing is a sharing of health-related education between a patient and a nurse, with both phonationicipants as sources and receivers. Sully and Dallas (2010) also points out that communication is not just one way, it is a two way process. I realised that my communication with Joe was just one way. He was axiom something to me, sort of of listening I was telling him something and depravity versa. No one was receiving information we were both encoding words that were not being decoded by any one.Sully and Dallas (2010) highlight how communication has expect for a sender, a messenger, a receiver and a channel. When Joe asked Sarah, who I was, I realised that I had not introduced myself to him this could be one of the reasons why he did not want to cooperate. Delvaux et al. 2004 states that to promote patient satisfaction ensure that the patient understands who you are and your specific role. Also Joe might drive not understood me because when l said I wanted to check his sensible observations he looked puzzled, he might not have known what an admission is nor what physical are.It was important for me to establish mutual apprehensiveness this would have improved the outcome and help reduce his stress, (Fellowes et al 2004) From this experience l learnt that listening is an important skill to have in communication. Joe perhaps became angry about not being listened to, he did not feel valued. I realised that I should have listened to him and shown him some empat hy. According to Rogers (1967) empathy is the cleverness to feel a continuing propensity to understand the clients feelings and communication theory as they seem to him at the issue.Roger (1967) also highlights that communication occurs when we listen with understanding. honest listening and trying to understand what Joe was saying could have helped me establish a remediation understanding with him. When Sarah was communicating with Joe she showed she was not scarce listening but also empathizing with him. When he mentioned about his wife betraying him Sarah was nodding her target to show she understood what he was saying. language and language that we use sometimes only play a small part in passing on any message compared to body language, facial expressions and gestures.These will have an impact on the match sum of communication. (Hargie and Dickson 2004). Thirds stage of Driscoll is the Now what, which is my action plan, Since effective communication is extensively rega rded as a key determinant of patient satisfaction, compliance and recovery it is important for me to have the suitable communication skills and to be adequately confident to use them in my clinical practice. From now when I am a student to the time I convert my responsibility lies in improving my acquaintance and skills on good communication and to be a good role model to others.Communication is a skill that I have to learn and it requires me to continually improve. In score for me to improve on my communication skills when I get back to my placement I need to have the consignment to listen more to what the patients are saying and to understand them fully. I also need to show them that I am listening and understanding them I must communicate this understanding to the patient. (Sully and Dallas, 2010). In my learning plan I stated that in order to improve my communication skills I must learn from my mentor and other health care professional as well as to research by course sess ion more on communication.This incident has taught me that I can never say because I have been reading and learning from my mentor my communication skills are perfect. I am still learning on communication, its an ongoing process so I will still need to use my learning plan as well as all the information I have learnt from this incident as my primary winding plan. If my communication skills are well essential I will be able to manage situations now as a student as well as in the future when I qualify. world able to manage situations can give up greater job satisfaction and it also reduces stress. (Dougherty, L. and Lister, S. 2011) In conclusion my experience taught me that communication is not just about talking, it involves, listening, look and understanding whats being said. devout communication builds confidence and understanding between nurse and patients and works well in improving their family. Communication is the basis of the relationship between the nurse and other me mbers of the multi corrective team.If ever I get some other opportunity to admit a patient I will start off by introducing myself and make sure that the patient understands what I am saying by giving him the opportunity to ask questions. I also learnt that if I am not confident in doing something I should talk to my mentor or any elder member of staff present and be sure on how to proceed with the allocated task. What I liked is on the same sidereal day another patient came and I was asked to do admit another patient again and I managed to do it confidently and the patient was very co operative.

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