Gibbs Reflective Cycle In Nursing

Decent Essays
In this assignment, I will use the Gibbs reflective cycle (1998) to reflect on the situation that taken place during my clinical placement to help me to improve and utilise my skills and knowledge from that experienced.

• Describe what happened
I was assigned in Surgical Ward at Westmead Hospital for two weeks. I was endorsed to one of the Registered Nurses to be my mentor. I was told by my mentor nurse to help her to shower one of her patients. When I took over the care of the patient the nurse already brought the patient in the bathroom and she was already sitting on a shower chair. I introduced myself to the patient and asked her if she needs my assistance. Behind my mind, I was assessing her if she was capable of doing it by herself and
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I quickly pressed the Emergency button. Suddenly, in just few minutes the Emergency Team arrived. After few minutes the patient regained her consciousness and but didn’t remember anything why she fell on the floor.

• Evaluate the positive and negative aspects

The nurses and doctors told me that I did a great job for pressing the Emergency button immediately and because of that, patient was attended in a reasonable time and there was no major complications nor injury that happened to the patient. Unfortunately because of the fall the patient suffered small bruise in the forehead but there was no bone injury.

• Analyse and briefly describe what the experience meant to you
Based on my analysis, the situation can be prevented if the patient was assessed properly and if there was a good communication between the nurse and the patient. Furthermore, the experience I encountered is also a mind opening to me that nurses should not be task oriented but rather patient centred (Peate, Wilkd, & Nair, 2014). I should be more aware of the risk of falls. Safety and welfare of the patients should be my primary concern in taking care of my
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Fall is one of the common problems in the hospital. It can be due to various reasons such as accident, related to medical condition such as vasovagal, dizziness related to postural hypotension or physical condition such as leg amputation, swollen or sore feet or negligence of the patient or carer including nurses. However, whatever is the cause of fall it can be reduced or prevented by appropriate assessment and interventions. In relation with the situation I experienced the incident can be prevented by proper assessment and good communication with the patient (Lovallo, Rolandi, Rossetti, & Lusignani, 2010).

In the future, I will assess my patients properly, check their mobility status before allowing them to walk. I will also provide them instructions or equipment to prevent them from falling. If I think they are not safe to have shower, I will just give them sponge wash and explain to them that their safety is my concern. However, I will reassure my patients also that they can have a shower as soon as they become stable because immobility can also be another risk factor for complications after surgery such as bed pressures, deep vein thrombosis and chest infection. Assessing the situation properly will give me valid and justifiable rationale whether it is time to mobilize the patient after surgery to prevent complication due to immobility and hasten their independence for quick recovery or allowing them to stay in bed

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