*You can also browse our support articles here >, https://www.mencap.org.uk/sites/default/files/2016-12/Communicating%20with%20people_updated%20(1).pdf, http://www.nhs.uk/NHSEngland/thenhs/about/Pages/nhscoreprinciples.aspx, https://www.brookes.ac.uk/students/upgrade/study-skills/reflective-writing-gibbs/. The Nursing and Midwifery Council (NMC) (2015) further this in 'The Code', which states that all registered nurses and midwives must abide by the professional standards which are to: prioritise people, practise effectively, preserve safety and promote professionalism and trust. In hindsight, the experience had both good and bad elements which have led to an increased understanding of the service user experience and my role as a nurse practitioner within the oncology team. I patiently repeated what I had said, she looked brighter after I mentioned her daughters name. This episode of care will be analysed using up to date references, health care policies and relevant models. Reflective Account of Increasing a Persons Observations on an Acute Mental Health Ward This essay will discus a decision that was made on a local male acute ward. Professor of Nursing Development and Head of Nursing, Institute of Health and Community Studies, University of Bournemouth, Bournemouth, Dorset, UK. With the mandatory requirement from the Nursing and Midwifery Council (NMC) to revalidate every three years, the need to provide five reflective accounts has become compulsory.3 This is formal reflection, as evidence must be produced to demonstrate that you have … Vol 22, no. CPD log Independent sector - Senior nurse manager 5 3. The case of Janet, an epileptic patient, is the focus of the assessment in this essay. Therefore, professionals should make eye contact, look and listen, allocate more time for the patient, be interactive and communicative, remain patient and in some cases, enable any professionals who may have had experience with people with a learning difficulty to care for the patient (Nursing Times Clinical, 2004). Do you have a 2:1 degree or higher? Loss of personal space is a factor mentioned, as is loss of independence and privacy. Reference this Share this: Facebook. I feel that I did not fulfil the latter responsibility completely. Practice hours log Independent sector - Senior nurse manager 3 2. I pulled up a chair next to her and in a calm, reassuring, comforting manner explained the reason why she was in hospital. If you need assistance with writing your essay, our professional essay writing service is here to help! She also said she could not sleep as other patients were disturbing her. The essay is to reflect on my role as Member of Multi Disciplinary Team (MDT) during a role play case conference. Maisey felt more relaxed, valued and safe, after we identified and resolved her concerns. Registered Data Controller No: Z1821391. We had an elderly service user on the ward, who had been admitted due to stomach cancer. 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. Gibbs (1988) reflective cycle has been chosen as a framework for this paper. About; Short term mba goals essay; Shipping; Essays on history and new media Introduction This is a reflective essay based on an episode of care that I was directly involved in managing during a community placement. New York: Churchill Livingstone, Myerscough, P.R. CPD log Independent sector - Senior nurse manager 5 . Reflection is a way of analysing a past incident in order to promote learning and development. Related. The deputy manager of the home had asked if there was anything I wanted to do specifically since… 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. MENCAP. 4th Edition. London: Elsevier. It is viewed as an important approach for professionals who embrace lifelong learning (Jasper, 2013). Approach To Solve the Above Nursing Reflective Task. Experiential learning: experience as the source of learning and development. The reason for Maisey being upset, and the nursing team’s reluctance to help her, all stem from the same thing. We've received widespread press coverage since 2003, Your UKEssays purchase is secure and we're rated 4.4/5 on reviews.co.uk. Being a reflective practitioner is something that you are, … To export a reference to this article please select a referencing stye below: If you are the original writer of this essay and no longer wish to have your work published on UKEssays.com then please: Our academic writing and marking services can help you! Study for free with our range of university lectures! 4.4/5 on reviews.co.uk. 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. Dating back to 1988, the Gibbs’ Reflective Cycle encompasses six stages of reflection which enable the reflector to think through all the phases of an activity or experience (Gibbs, 1998). 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. 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. Gibbs G (1988) Learning by Doing: A guide to teaching and learning methods. Nursing Times Clinical. Essays; Nursing; Reflection On Communication In Experiencing Mental Illness Nursing Essay. 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. To export a reference to this article please select a referencing stye below: We've received widespread press coverage Reflection: turning experience into learning. A system of planning in nursing process is to deliver the nursing care such as implementation, evaluation, planning and assessment (Barnard and LIoyd, 2012). Mental health nursing placements. the media has impacted on my beliefs and attitudes towards mental health and illness. Reddit. Published: 1st Jan 2015 in bespoke sample nursing reflective practice that shows The model is unique because it includes knowledge, actions, emotions and suggests that experiences are repeated, which is different from Kolb’s reflective model (Kolb, 1984) and thus, the model is wider and a more flexible approach in examining a situation in a critical light to enable future changes (Zeichner and Liston, 1996). New Jersey: Lawrence Erlbaum Associates. As shown in the below diagram, this model for reflection consists of six stages. The purpose of this reflective essay is to reflect on learning disabilities, focusing on mental health and psychological well-being.It provides a critical investigation of the assessment process; formal and informal assessments; application of legal, ethical, and socio-political factors to the process; and the role and function of the nursing profession to the theory and practice of assessment. After speaking to my mentor and being more knowledgeable on Maiseys situation, I returned to her with my mentor close by. Chapter 1 IN Richardson, R. (Editor) (2008) Clinical Skills for Student Nurses. London: NMC, Nursing and Midwifery Council (NMC) (2008) Essential Skills Clusters for pre-registration nursing programmes. When the nurse entered the patients bay, she informed the members of the public that the service users in that bay were currently receiving radiotherapy treatment. The reflective nursing essays below were written by students to help you with your own studies. (Taylor, 2000) This should be an ongoing and extensive process for all nurses in practice. Furthermore, the importance of self-reflection and self-awareness of oneself in order to provide professional nursing care was highlighted. No plagiarism, guaranteed! The main areas of reflection are how both myself and the other nurses used communication to calm the patient and show compassion, as well as how we adapted our care to address their individual needs. Reflection on mental health nursing placement using Gibbs (1988) model of reflection ... By using Gibbs (1998) model the practitioner and also take emotions into account. 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. 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. We need to work collaboratively to provide maximum care delivery. Stockwell (1972) wrote the infamous book “The Unpopular Patient” where she explains that studies of communication in nursing demonstrate inadequacies in nursing practice. One of the reasons I started blogging was to write about my experiences on placement but that didn’t end up happening, so I decided to write (albeit briefly) about my placements so student nurses going in to the same area have a vague idea of what to expect. Reflective account examples . Description 2. While in prison, his mental health had deteriorated and he was diagnosed with paranoid schizophrenia. Whilst out in placement I witnessed both positive and negative communication. Oxford Brookes University. 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. Moreover, the day to day communication towards patients with learning difficulties should involve patient-centred/holistic care in addressing patient needs, which incorporates both verbal and non-verbal forms of communication. Reflective Nursing Essays. In the future, I aim to be more proactive in dealing with a situation face on regardless of my role within the team or level of experience; this includes dealing with a stressed service user, ensuring that information is passed on to the relevant staff and intervening when I believe that is a risk to a service user’s health or mental wellbeing. 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). Furthermore, the importance of self-reflection and self-awareness of oneself in order to provide professional nursing care was highlighted. I have recently reviewed my Nurses Reflection Diary(Workbook) to include a model of reflection. Additionally time and commitment to our patients is priceless as it can never be taken away from them. 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. Many people over look mental health issues and it’s kind of crazy when this has such a big role for problems in the world. Counseling has way more benefits to getting at an individual’s deepest core. Available at: https://www.mencap.org.uk/sites/default/files/2016-12/Communicating%20with%20people_updated%20(1).pdf, National Health Service (NHS). 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. USA: Churchill Livingstone, Davis, C. (2008) Tea and Empathy: discussing a project focusing on patient centred care. According to the Nursing Times Clinical (2004), people with learning difficulties often have a struggle with adapting to new situations, which means that there is a potential for problematic behaviour when dealing with something outside of their comfort zone. Reflective Account of Increasing a Persons Observations on an Acute Mental Health Ward This essay will discus a decision that was made on a local male acute ward. Group cohesiveness, social norms, and bystander intervention, Journal of Personality and Social Psychology, 44(3), pp.545-552. Please refer to an authoritative source if you require up-to-date information on any health or medical issue. London: Further Education Unit, Heyward, T. & Ramsdale, S. (2008) Interpersonal Skills. In the last 2 weeks of my nursing home placement, I had the opportunity to spend a day at a mental health inpatient unit for elderly patients with dementia, and sit in on a Consultant Psychiatry clinic afternoon. Kolb, D. (1984). Case study 'Simon', evidence 4: Reflective account 1 on work with service users Background and overview of learning This piece concerns my work with Mick (not his real name), a 59 year old white British gentleman who had previously spent 8 years in prison for arson. the quality that is guaranteed with every nursing paper ordered. Sylvia Lee. London: Nursing and Midwifery Council. (2017) Core Values. 32, p.18, Elliss, R.., Gates, B., & Kenworthy, N. (2003) Interpersonal communication in Nursing. Free resources to assist you with your university studies! In 2007 the NMC introduced Essential Skills Clusters. The Human Right’s Act (1998) Article 14 explains that every person should be treated equally without any discrimination on any ground. VAT Registration The Gibbs’ Reflective Cycle will be used as this is a popular model of reflection. 1. 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. The paper will show emphasise based on communication. 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. Copyright © 2003 - 2021 - UKEssays is a trading name of All Answers Ltd, a company registered in England and Wales. The Gibbs’ cycle can be represented as is shown in figure 1. On this occasion, the nursing team did not show care or compassion for Maisey, and certainly did not engage in therapeutic conversation. Reflective Essay Of A Mental Health Nursing. Conclusion 6. The methods are as illustrated below: Approach 1: Follow the structure of Gibb’s reflective cycle to compose the above reflection. Reflection On Mental Health 1076 Words | 5 Pages. Through actively listening to the patient and encouraging conversation we managed to focus on the problem that was causing unease. Available at: http://www.nln.org/about/core-values. Maisey was uncertain of what was going on. variety of reflective accounts designed to reflect multiple practice settings. 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. 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. Upon his arrival, we read his notes which highlighted that he had significant learning difficulties, meaning that he also had problems with verbal communication. Available at: https://www.brookes.ac.uk/students/upgrade/study-skills/reflective-writing-gibbs/. Andover: Cengage. Becker, E.L. (1991) Churchill’s Illustrated Medical Dictionary. Action plan. Reflection is a way of analysing a past incident in order to promote learning and development. These barriers are worth investigating, as the acquisition of a little understanding and basic skills is a simple and rewarding exercise. In general terms, reflective practice is the process of learning through and from an experience or activity to gain new understandings of self and/or practice (Bout et al., 1985; Jasper, 2… This essay aims to critically reflect on an encounter with a service user in a health care setting. All work is written to order. Info: 2667 words (11 pages) Essay 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.’. From this experience, I am now more mindful of the importance of being assertive and exert professionalism in practice (and not feel as though I cannot do something because of my position within the team or length of experience) if similar situations were to arise in the future. I felt a bit disheartened how no one took the time to explain what was going on to Maisey. Introduction: In this reflective account essay, I will be describing nursing skills that I undertook during my practice placement, using Driscoll’s (2000) reflective cycle, a recognised framework for reflection to demonstrate my ability to reflect on different nursing skill.According to Driscoll’s (2000), there are three processes when reflecting on one’s practice. Taylor (2000) defines how reflection on action occurs perfectly. (n.d) Communicating with people with a learning disability. 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. Nurses and Midwives in the UK are formally required to record 5 pieces of reflection on either continuing professional development (CPD) or practice related feedback to improve their nursing practice. The NMC introducing these clusters show the importance of interpersonal skills in nursing care, and significance of communication in the nursing profession. London: NMC, Santamaria, N. (1993) The Difficult Patient: An Important Educational Need of Registered Nurses. Ultimately, I did not feel confident or experienced enough to deal with this situation independently. On reflection I saw first-hand how easily communication can break down, if not between nurse and patient, then within the multi-disciplinary team. Oxford: Oxford University Press, Nursing and Midwifery Council (NMC) (2007) The Code: Standards of Conduct, Performance and Ethics for Nurses and Midwives. Inpatient rehabilitation This was my first placement and looking back it was also the best. This duty to protect service user’s full confidentiality and ensuring that the nurse who was showing the members of the public around the ward was aware of the service user’s communication difficulties and resulting anxiety was not fulfilled. Buckingham: Open University Press p.64, Timby, B.K (2009) Fundamental Nursing Skills and Concepts. (National League for Nursing, 2017, n.d). Reflective accounts form (M) - Independent sector – senior nurse manager x2 10 - Secondary care – NHS hospital nurse 14 - Occupational health nurse 16 4. Some nurses appeared skilled in assessment and were able to undertake thorough mental status examinations and elicit insightful social histories. As a student nurse I felt I had the knowledge and skills to approach the patient to appropriately calm and reassure her. This can be aided by offering the service user an advocate to communicate on their behalf and by providing information in a variety of ways including visual. This method is viewed as a way of promoting the personal and professional development of qualified and independent professionals, eventually stimulating both personal and professional growth (Jasper, 2013). Upon hearing the nurse’s words, the service user became overtly distressed and began crying, shrieking and hitting his head backwards against his pillow –it took time; however, another nurse managed to calm him down by talking in a soothing manner. Reflection On Mental Health 1076 Words | 5 Pages. The ‘Reflective … During handover I was informed ‘Maisey’ has dementia, deafness, aggression and short term memory loss. This could have been part of the reason as to why Maisey was considered an unpopular patient as she was seen as demanding. The reflective process helped me to realise how my practice needed to change after I experienced a personal and practice-related issue during and after my clinical placement. Reflective Journal Week 5 For the past five weeks at Queens, my experience in the Psychiatric Mental Health department of Kekela Mauka/Makai, and Family Treatment Center has been very rewarding. Registered Data Controller No: Z1821391. I have chosen Gibbs model as a simple way of taking you through the steps of reflecti… Older people generally have more barriers to communicating effectively. MENCAP states that one of the most common problems when accessing healthcare for people with learning disabilities is poor communication (n.d). Reflection is a way of analysing a past incident in order to promote learning and development. Moreover, I will address the needs and alter how I approach a patient with learning difficulties in the future by ensuring that I use the different methods of communication and undertake some independent research on their specific needs; the information of which I can use in my nursing practice. This section of the act was broken when the staff failed to treat Maisey as they would the other patients. Nursing Standard. One of our expert writers has created this A nurse came onto the ward with three members of the public, who were viewing the ward as part of a job advertising process. 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. Mental health nursing is varied and complex, for example treatment may include conventional nursing interventions such as administering drugs and injections or it may be to encourage patients to take part in art, drama or occupational therapy. Figure : Gibbs reflective cycle. Secure your academic success Our failure to act as a team, by sharing information and stepping in before a situation escalated, shows that there was a low level of group cohesiveness (Rutkowski, Gruder and Romer, 1983). 2nd Edition. Practice hours log Independent sector - Senior nurse manager 3 2. We're here to answer any questions you have about our services. Show More . *You can also browse our support articles here >. The six stages are: 1. Sylvia Lee. Registered office: Venture House, Cross Street, Arnold, Nottingham, Nottinghamshire, NG5 7PJ. The nursing process was vigorously pursued and numerous inventories of nursing diagnosis could be found in the staff room and nursing station. This report mentions three individuals: a student mental health nurse, a mentor, and – very briefly – a patient. No plagiarism, guaranteed! These Essential Skills are to be delivered by all registered nurses’, one of these clusters containing Care, Compassion and Communication. I knocked on her bedroom door to which I then entered. Compassion is one of the '6cs' introduced in 2012 - which are the values and behaviours that are viewed as the quality markers of a health and care service - these being: care, compassion, competence, communication, courage and commitment (Department of Health, 2012). Mental health nursing placements One of the reasons I started blogging was to write about my experiences on placement but that didn’t end up happening, so I decided to write (albeit briefly) about my placements so student nurses going in to the same area have a vague idea of what to expect. Not what you're looking for? Become a Vender; Sell To Us; Shop; My Account; Home. I was highly annoyed that they all felt it was alrite to mimic and laugh at a patient. Online. It is viewed as an important approach for professionals who embrace lifelong learning (Jasper, 2013). All Answers Ltd, a company registered in England and Wales. SOS please 0. reply. 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. Your reflective account could relate to all four or just the one, but it’s important to explain how. 28-29. One that closely relates to the scenario is uncertainty of diagnosis and management. Online. No: 842417633. All work is written to order. TSR's Weekly Nursing and Midwifery Reflection Not asking questions after an Oxford interview? 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. 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. Most patients do suffer a degree of anxiety and apprehension and admission to hospital is in particular a disturbing experience for anyone. London: Department of Health. Reflective Journal Week 5 For the past five weeks at Queens, my experience in the Psychiatric Mental Health department of Kekela Mauka/Makai, and Family Treatment Center has been very rewarding. 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.