The intent of this essay is to reflect and critically analyze an incident from a clinical scene whilst utilizing a theoretical account of contemplation. This will let me to analyze and do sense of the incident and draw decisions associating to personal acquisition results. The significance of critical analysis and critical incidents will briefly be discussed followed by the procedure of contemplation utilizing the chosen theoretical account. The incident will so be described and analysed and the people involved introduced and so I will analyze issues raised in visible radiation of the recent literature associating to the incident. My essay will include a treatment of communicating, interpersonal accomplishments used in the incident, and eventually grounds based pattern. I will reason with explicating what I have learned from the experience and how it will alter my future actions. The Gibbs theoretical account ( 1988 ) of contemplation rhythm will be attached as appendix 1 and description of incident will be attached as appendix 2.
In conformity with the 2004 Nursing and Midwifery Council, the clients ‘ inside informations and arrangement scene has non been disclosed in order to keep confidentiality.
Critical incidents are snapshots of something that happens to a patient, their household or nurse. It may be something positive, or it could be a state of affairs where person has suffered in some manner ( Rich & A ; Parker 2001 ) . Harmonizing to Hogston and Simpson ( 2002 ) contemplation is “ a procedure of reexamining an experience of pattern in order to better describe, analyse and
evaluate, and so inform acquisition about pattern ” . Wolverson ( 2000 ) includes this is an of import procedure for all nurses wishing to better their pattern. This will be investigated utilizing a brooding nursing theoretical account.
I am traveling to utilize Gibbs ( 1988 ) Brooding Cycle. This because Gibbs is clear and precise leting for description, analysis and rating of the experience assisting me to do sense of experiences and examines my pattern. However Ghaye and Lillyman ( 2006 ) province that it is miscontructed as ideal for merely negative experiences. On the other manus they emphasise that it its strengths prevarications with the incorporation of cognition, feelings and action in one acquisition rhythm. Taking action is the key ; Gibbs prompts to explicate an action program. This enables to look at my pattern and see what I would alter in the hereafter, how I would develop and better my ain pattern.
Gibbs ( 1988 ) consists of six phases to finish one rhythm which is able to better my nursing pattern continuously and larning from the experience for better pattern in the hereafter. The rhythm starts with a description of the state of affairs, following is to analysis of the feelings, third is an rating of the experience, 4th phase is an analysis to do sense of the experience, 5th phase is a decision of what else could I have done and concluding phase is an action program to fix if the state of affairs arose once more ( NHS, 2006 ) . Baird and winter ( 2005 ) give some grounds why contemplation is require in the brooding pattern. They province that a reflect is to bring forth the pattern cognition, help an ability to accommodate new state of affairss, develop self-esteem and satisfaction every bit good as to value, develop and professionalising pattern. However, Siviter ( 2004 ) explain that contemplation is about deriving assurance, place when to better, larning from ain errors and behavior, looking at other people positions, being self-conscious and bettering the hereafter by larning the yesteryear. In my context with the patient, it is of import for me to better the curative relationship which is the nurse-patient relationship. In the curative relationship, there is the curative resonance set up from a sense of trust and a common apprehension exists between a nurse and a patient that build in a particular nexus of the relationship ( Harkreader and Hogan, 2004 ) . Asserive
Description
This is attached as appendix one.
Feelingss
In this paragraph, I would discourse on my feelings or believing that took topographic point in the event happened. I was shocked that the physician did non rinse her custodies or usage intoxicant prior analyzing Ms Adams particularly with all the infection control guidelines and protocols in topographic point. In malice of this I did non hold assurance and felt intimidated due to the fact the physician was more knowing and experienced than I was as a first twelvemonth pupil, besides I did non desire to do him experience uncomfortable. Furthermore I did non desire the patient to experience alarmed and worried by disputing the physician whilst Ms Adams was at that place.
However shortly after I had a word with my wise man and told her what I observed and she so recommended that together we confront the physician, therefore the following twenty-four hours my wise man spoke to her in private and she asked her, if before analyzing Ms Adams whether she washed her custodies. The physician seemed stunned by this conversation but admitted she did non rinse her custodies. She responded by warranting his actions and stating he was busy and was in a haste to retrieve. My wise man discussed the significance of infection control and manus hygiene and so the physician promised her that she would do certain she follows the protocols and cleanses her custodies anterior analyzing any patient in the hereafter.
Evaluation
This event was hard and disputing for me as I felt letdown for my deficiency of assurance in non facing and disputing the physician prior him analyzing Ms Adams, on the other manus I felt content in the manner the physician responded so positive and optimistic. Consequently I observed that physician has now changed his pattern as a consequence of this incident. I have learnt from this incident the importance of moving assertively with staff members in a sensitive attack in order to safeguard patientaa‚¬a„?s wellness.
Analysis
Nurses have a duty to safeguard and advance the involvements of single patients and
Clients ( NMC 2004 ) . This duty include guaranting that his or her cognition and competences commensurate with the undertaking being undertaken.
Infection is responsible for increased morbidity and mortality, therefore a comprehensive cognition of infection control safeguards and basic microbiology should be a cardinal demand of all health care professionals.
Handss must be decontaminated before every episode of attention that involves direct contact with patientsaa‚¬a„? tegument or nutrient, invasive devices or dressings. Current adept sentiment recommends that custodies need to be decontaminated after finishing an episode of patient attention and following the remotion of baseball mitts to understate transverse taint of the environment ( Boyce and Pittet, 2002 ; Pratt et Al, 2001 ) .
Hand hygiene is a important factor in the control of hospital-acquired infection ( HAI ) because custodies can easy reassign microorganisms from one country or patient to another. Harmonizing to Shuttlewood ( cited in Beckford-Ball, Hainsworth ) states that despite schemes advancing manus hygiene there still seems to be trouble carrying staff to follow good pattern. Doctors are the worst wrongdoers. Harmonizing to NHS figures, 25 % of them fail to follow basic hand-washing processs, compared with 10 % of nurses and 15 % of accessory staff. From The Sunday Times December 21, 2008
Royal College of Nursing ( RCN, 2009 ) Studies show that uniforms may go contaminated by potentially disease-causing bacteriums, including Staphylococcus aureus, Clostridium difficile, Although it has been suggested that uniforms act as are servoir or vector for transmittal of infection in infirmaries, no grounds is presently available associating the transmittal of bacteriums to patients ( Wilson et al. , 2007 ) .However, it is of import to observe that all vesture worn by all staff ( for illustration, physicians, healers and cleaners ) has the possible to go contaminated via environmental microorganisms, or those arising from patients or the wearer, and that nurses uniforms are non alone in that regard. This reinforces the demand to guarantee all vesture worn by staff in all clinical countries is fit for intent and able to defy laundering.
Advocacy ranges from activities on behalf of patients, such as manus lavation and proper designation before interventions, to reasoning that an early discharge will harm her patient ‘s recovery. Harmonizing to Arnold and Boggs ( 2003 ) self-asserting nurse is able to stand up for the rights of others every bit good as for his or her ain rightsaa‚¬A? . If the ailment is justified so every bit the nurse has responsibility to inform the physician of what has transpired because he or she has a responsibility to advance high criterions of patient attention and this includes facing colleagues when the nurse believes their criterions to be less than adequate ( Rumbad, G 1999 ) .As the pupil nurse caring for Ms Adams under my wise man ‘s supervising, this besides applies to my ain pattern as a pupil nurse.
Decision
In hindsight I feel I should hold confronted the physician at that minute and acted Oklahoman. I besides should hold made certain the physician washed her custodies prior analyzing the patient. I realise how I put Ms Adams heath at hazard. Following conversation with my wise man acknowledged that I need to develop the assurance to dispute the pattern of co-workers, understanding force per unit areas that may be under but guaranting that their pattern does non set patients at hazard.
If a nurse observes a pattern or process she believes to be incorrect, recommending for her patient demands she speak out even if that pattern was carried out by her superior. This is non ever easy and may hold a cost for the nurse.
I realise that I need to be supportive to co-workers, understanding the force per unit areas that they may be under, but guaranting that their pattern does non set clients at hazard.
Action Plan
My action program is ever to work as portion of a squad, larn more about how best to pass on in order to lend to good nursing attention. I will take better and develop my self-asserting accomplishments when working with staff members to guarantee wellness and safety of patients is maintained. Therefore I will do this a end for larning in my following arrangement and discuss with my wise man to work out schemes for how I can accomplish this.