'Reflection Using The Gibb’s Reflective Cycle model Essay\r'

'In ordinate to up work me with my reproach I bugger off chosen Gibbs (1988), as the model to servicing guide my meditative cognitive operation. This model comprises of a process that helps the several(prenominal) look at a particular and judge ab off their thoughts and smellingings at the age of the disaster. Reflective skills help us to think about what could waste been done, so that if a similar bureau occurs again the insure gained so-and-so be officed to fight with the perspective in a nonrecr eational manner (Palmer et al 1997). To en satisfactory me to use this role for my reflectivity the enduring exit be referred to as â€Å"throng”. This is in order that his real name is protect and that confidentially maintained in source with the An Bord Altranais Code of Professional Conduct (2000). crowd, a seventeen year old son was admitted with a fractured wrist who suffers with schizophrenia. Jame’s qualify caused him to guide delusions and hallucinations which make him act inappropriately towards new(prenominal) unhurrieds and staff. He found it aphonic to relax and paced the ward a lot. pack constantly driveed reassurance and would ask different patients and staff if he was all right. His challenge involved wanting to k presently if he was in inconvenience and if his eye balls were ok.\r\nE realone would state to his questions by verbalize: â€Å"yes jam you ar all right, your eyeballs be fine and no you argon non in e precise trouble‟, hardly this was non enough, you as salubrious as had to give the â€Å"thumbs up” as well to assure him that he was fine. When throng became provoke he would act out by impel people. Due to his small sur verbal expression and lightsomeness weight, the kick was accustomedly light and didn’t hurt exactly sometimes it had strength in it. This acting out led me to question my preceptor if jam’s kicking was behavioral or part of th e illness and why it hadn’t been dealt with. My preceptor relayed to me that the guards had used assorted techniques including behavioural therapy to stop James’s kicking that zip fastener had worked. Doctors had likewise move a number of different drugs to help James with his schizophrenia but nonhing had worked for him in that location either. He had been taking clozapine for a few months but it was non doing whatever(prenominal)thing for his psychotic symptoms.\r\nJames was even move to the Maudsley hospital in England (a world attraction in psychiatry research) to see if they could help him or if they had any ideas that could help him in his slightnessment but experts were mystified with him there overly. Mealtimes were a very difficult process with James. If he could need away with it, he would never eat. He would play virtually with his aliment, smell it, ask if it was poisoned and ask various questions to distract the nurse from what he or she was act to do (which was essay to get James to eat). It was a very irksome task for the nurse in defeat of him that day to get him to eat. The nurses always handled it professed(prenominal)ly and with a lot of persistence. Usually by the end of the meal James had eaten closely half of it and so would also pick out to drink a fortisip later to devise up for his lack of dietary in concord. peerless evening after a grand and tiring day, the nurse in burster of James was busy and I was puzzle in charge of him eating his dinner.\r\nAs usual the task was very unmanagecapable and James didn’t seem to take me very serious. I time-tested to emulate what I had seen the an some other(prenominal) nurses do but James would hardly touch his food. He even began spitting out his food on the plate and this really disgust me. I tried not to let him know what I was thinking and digest like a professional. I also tried to encourage him by truism â€Å"come on now James, unsp oilt a diminished bit much â€Å"and he did the usual by trying to distract me and asking questing like â€Å"Am I dead, I’ve no eyeball”, but I wasn’t having it. This process went on for what seemed like an eternity and I was beginning to get very frustrated. I at long last verbalize to him, â€Å"if you don’t eat your food, I’m goanna take to hightail it you like a infinitesimal babe”. I then took his fork, scooped up some food and held it in earlier of him. I then said â€Å"now open your mouth”. It was then that it finally dawned on me what I was doing and I in a f pip stopped. I was filled with embarrassment as I gain groundd the implications of my actions. I glanced virtually at the other tables to see if the other nurses and patients had seen or heard me, but they had not. I felt very glad that no one had witnessed my actions but also very ashamed of myself for what I had done. James didn’t seem very bother ed by me and carried on with his questions. I was glad he didn’t seem angry or up grade by what I had said but I also wondered if my actions had an printing on his unconscious feelings.\r\nWhen I had early saw James I was very intimidated and a little panicked of him because he was very confrontational and tended to lash out. What was nigh about this follow out was that I had finally gotten over my fear of him. By challenging him to eat, I felt more assertive and empowering. Kilkus (1993) claims that employ assertive behaviour in nursing, empowers the nurse and is an invaluable lot in the profession. The damaging side to this incident was that I became too forceful and domineering. By saying to him â€Å"I’m goanna look at to feed you like a little baby” was very sarcastic of me and subconsciously I was even mocking him. It also could go make James consort food with negative feelings and that would have set the nurses back in their progress with get him to eat. Jacobsson et al (2004) asserts that food psychologically, can be associated with positive feelings of well-being and comfort or it can be associated with negative feelings of grief or burden.\r\nAlthough James did not defend to what I had said, this did not mean he did not comprehend it. It is common for schizophrenia sufferers to appear as though they have a lack of feelings. This is so, due to shamed pathways connecting the brain to facial expressions. Although it is possible that these feelings cannot be expressed, emotions are felt inside (Kring et al. 1993). James may not have belowstood the underlying meaning of what I was saying to him but we as human beings can convey and relate to others through expressions, gestures and form language. Whether one comprehends what you are saying or not, one can understand what you are really saying by how you hold yourself, showing how you feel and sometimes what you are thinking (Kozier et al. 2004). James a great dea l had trouble communicating what he wanted to say, which is a common persuasion of the illness (Kring et al. 1993), and would often throw out words that made no sense to us.\r\nSometimes he would talk about something that meant something else entirely different, for pillow slip he might say; â€Å"Am I dead, I’ve no eyeball” but would mean â€Å"I am worried about something”. Only the other nurses would know what he meant as they had capture with James over time. That evening turn trying to get James to eat, he said â€Å"Am I dead, I’ve no eyes” and I took it as one of his usual ramblings that meant nothing. I should not have taken it at face value and tried to understand where it was approach from. If I am to change state an rough-and-ready nurse in the future I mustiness(prenominal) have good chat skills with my patients. Only through good dialogue skills go forth I be able to establish the patient’s usual forms of communicat ion and social interactions and identify any difficulties the patient may be experiencing. I must also evolve how to treat the patient as an individual with their cause individual needs and concerns (Taylor et al. 2008).By saying to James â€Å"I’m goanna have to feed you like a little baby” was very belittling of me. Perhaps a subconscious part of me was annoyed by his disease and I just did not want to deal with it.\r\nEventually, when I become a staff nurse I ordain have to deal with psychiatric patients, and so I must learn to be open to the patient (whether they have schizophrenia, Bipolar or any other psychiatric illness) by not having any prejudicial thoughts or perceptions. I must learn to show acceptance and applaud (Browne, 1993). I was feeling very devolve that evening and so because I was threadbare, I was probably a little rough as well. Due to the way I felt and having the tedious task of acquiring James to eat, I may have acted in a way that I wou ld not have, if I had not been banal. How nurses feel when they are tired may negatively impact their judgment and increase patient errors (Townsend & deoxyadenosine monophosphate;Anderson, 2009).Once I am a qualified staff nurse I am sure there go forth be days where I will be feeling very tired but that does not mean using the way I feel as a means to justify my actions. I must be a professional at all times, tired or not. Nursing is a professional invest that is constantly evolving (Fasoli, 2010), and I as a nurse must act as a professional if I am to succeed in the profession.\r\nAs a student nurse I need try to understand why James did not want to eat. One of the taleteller signs of people with schizophrenia disorders is a adulteration in self-care skills. Individuals with the illness may not be interested in eating, may distrust the food and/or perhaps too busy to eat or take care of themselves (Brooking et al. 1996). I was not taking this into consideration when I was t rying to get him to eat his dinner. As a novice in the nursing profession, I could put this incident down to in drive (Benner,1984). I could also put this experience down to perverting judgement and bad communication skills on my behalf. Communication is not only the fanny of humanity but it is also the most crucial aspect of nurse-patient interactions (Taylor et al. 2008). I should not have tried to force James to eat. I should have kept trying to convince him to eat in a positive and brain way (just like how I saw his nurse do before). By forcing James to eat I acted like a bully and could have subconsciously made him associate eating with negative feelings (Jacobsson et al. 2004).\r\nI also could have shown more solitaire and empathy towards James. As a student nurse I must have patience and empathy for patients and also be sensitive to the patient’s psychological needs (Scully & Dallas, 2005). If this situation were to happen again, I would jump psychoanalyse m y self-awareness. According to Bulman & Schutz, (2004, p.29) â€Å"Self-awareness may be described as the foundation skill upon which reflective practice is built”. It enables the nurse to view themselves in a specific situation and monitor what subject he or she has on the situation and what set up the situation is having on him or her. Nurses with a healthy self-awareness are plausibly to have a positive effect on patient care. Having a good sense of self-awareness is also necessary for creating remedial relationships with one’s patients. As a student nurse I must also learn to communicate to the patient with knowledge and awareness in order to strive for the best for them. Through self-awareness I would have realised that I was tired and kept in mind not to let it have a negative effect on the patient.\r\nThis is also other way to describe â€Å"reflection in action”. It is whereby the practitioner recognises a situation or problem and thinks about it go still carrying out an action (Schon, 1987). as well if this situation were to happen again I would remember what I had learned by my previous experience. My experience with James has taught me a lot about self-awareness, communicating effectively, empathy, patience, having a comprehension of the patient’s illness, respect, empowerment, not putting my feelings before the patients and staying positive. When this incident occurred I wanted to bury my head under the sand and wish that it never happened, but now I am appreciative that it did happen because it gave me an opportunity to look deeper into the situation and deeper into myself. Using the Gibb’s Reflective make pass model (Gibbs, 1988), has helped me to analyse what took place and examine my own insight and take on what happened. This experience was a learning trim back for me as a novice and it will be beneficial to my learning experience as I have many learning needs as a student nurse. I know realise that only through experience and reflection will I be able to learn from them(Benner, 1984).\r\n'