In this assignment, the Gibbs Cycle of Reflection (1998) was the structed framework that will assist me to reflect on my learning experience throughout the semester. In particular the Roper, Logan and Tierney’s model for nursing domains and activities of daily living were utilised to provide further insight into my reflection which will form the basis of my learning in regard to implementing person-centred care into future practice.
During the tutorial classes, we discussed the importance of actively providing PCC to every patient that we may come across in our future clinical practice. Prior to each tutorial class we were assigned reading material which allowed me to gain the basic idea of what to expect, as well as help me to advance my learning so that I could have an in-depth understanding of the tutorial’s content. As a class we followed a case study about a patient called Jim, where we followed him along his journey. Each week we were given additional information that would assist us to explore his situation, breaking down certain aspects that align with the relevant RLT domains in particular discussing biological factors and how this factor could impact the relevant ADL. Hence, we discussed how we would personally display PCC appropriate to his situation.
These past few weeks attending the tutorial classes, I felt quite overwhelmed as everything taught was new to me. I anticipated that this unit would be content heavy hence my feelings of anxiety were high. Piled on top of that, trying to adapt to university standards as well as juggling three other units made me feel more stressed. Initially, I thought that nurses had less responsibility when it came to taking care of patients and were under the instructions of physicians. But after learning about the domains, I realised that nurses’ have a duty of care when it comes to providing PCC along with guidelines and codes of conduct to oblige by. These set rules and regulation are in place for nurses to follow and to protect the patient. I believe that it is difficult to define my personal philosophy of nursing as I am only starting to build one.
Throughout the semester I found that at first, it was difficult to process all the content taught as it was mainly theory that I had previously read very little about and I did not pay attention during the lectures which may have contributed to my poor understanding of the domains. In particular I found it difficult to make sense of how the RLT domains influence the ADL. I believe that being in a smaller tutorial class I was able to learn better which made it easier for me to actively participate in the discussion, ask questions when required and listen to other student’s point of view instead of listening to one lecturer or reading chapters of a textbook (Post, Deal and Hermanns, 2015).
Every class we followed a PowerPoint, which included different visuals which I believe were beneficial, as I am a visual learner. Through the aid of a PowerPoint which included visuals such as diagrams, videos and online activities these have assisted me to grasp the main concepts much more easily as the PowerPoints were well-structured, helpful, engaging and interactive (Rotellar and Cain, 2016).These activities have definitely influenced my lifelong learning in the nursing profession as it is self-directed and improves the quality of nursing education so that I am able to appropriately practice PCC in the future (Qalehsari, Khaghanizadeh and Ebadi, 2017).
In the tutorial class, following Jim’s case study as an example allowed me to connect the different RLT domains to the relevant ADL. It is important that nurses keep in mind that the patient is vulnerable, and that promoting the health of individuals is complex so we must give our attention to all aspects of their health (Bircher and Kuruvilla, 2014). For example, biological factors influence the overall health of current injury and disease as well as the scope of the patient’s anatomy and physiology (Williams, 2015). Using the case study, Jim’s diseases include; osteoarthritis, skin cancer, high cholesterol and gall stones. While his current injuries include; pain in the right knee and wrist and minor laceration in his right hand. These factors will ultimately impact the ADL’s such as mobilizing as his injuries are preventing him from working on his farm. Therefore, being able to deepen our understand of Jim’s situation and comprehend how the RLT domains affect his lifestyle, we are then able to effectively implement the appropriate treatment and care available tailored to his needs (Kristensen, Nymann and Konradsen, 2016). An aspect that has effectively helped build my learning includes reading additional articles and online chapters of the recommended reading list prior to the classes. The tutorial classes were then utilised for higher levels of learning such as analysing, evaluating and applying the content. This process engages students to take control of their learning and increases exposure to the new material taught, so that class time is utilised to assimilate that knowledge through class discussion (Singh, Mahajan, Gupta and Singh, 2018). Through these additional reading, I realised that registered nurses can be referred to as a ‘key person’ when caring for a patient. Nurses carry one of the highest levels of responsibility when it comes to providing the best possible care for the patient (Castro, Van Regenmortel, Vanhaecht, Sermeus, and Van Hecke, 2016). Nurses must always treat patients humanely instead of an illness or bed number, this ensures that the patient feels valued and that they are the priority, giving them personal meaning during their recovery (Roze des Ordons, De Groot, Rosenal, Viceer and Nixon, 2018).
Throughout the semester I felt that I had a positive learning experience. Initially my thoughts were that nurses did not have much responsibility when it came to providing care for patients instead, they were the middle man between the doctor and the patient. But now, my views have certainly changed. Through the tutorial class and the extra readings this has opened my eyes to the reality of nurses. I am now able to see the growing emphasis of the importance of nurses in the healthcare system as they not only use critical thinking and thoroughly learnt techniques but a holistic approach to ensure all patients receive the best possible care. From this experience I was able to identify personal strengths such as continuing to further research and read journal articles before class so that during class I am able to actively participate in the discussion and integrate the information learnt to improve my performance in the future. In retrospect, I would like to ensure that all my patients are given the appropriate care and that I keep in mind that there may be a variety of factors influencing their health.
My personal philosophy of nursing aligns with PCC, as I will treat each patient as a unique individual, respect their views and values from a non-judgemental stance and ensure that I am informative and supportive of their decisions so they can receive the best care possible (Koutoukidis, Stainton, Hughson, Millar, Tabbner and Tabbner, 2016). In the future, in order to implement PCC into practice I will need to continue researching and reading current journal articles and relevant textbooks so that I can keep up to date with new information as well as go back and review the content. I will need to utilise resources such as the Roaches six C’s of Caring and the clinical reasoning cycle which will assist me to critically reflect on my actions so that next time I am able to correct any mistakes and improve on providing safe PCC (Ross, Tod and Clarke, 2015). Therefore, if I follow this action plan in my future clinical placement, I will be able to confidently display high-quality PCC that not only align with the guidelines and codes of conduct but my own personal philosophy of nursing.
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