Abdallah. Ayda Critical Reflection Essay Introduction Within the context of nursing there has been a significant change in nursing in the last two decades, where nursing and medical knowledge has led to changes where patients can no longer stay in hospital and reduction in hospital beds. Professionals who are employed in the healthcare industry are dealing with acutely ill patients who are in more need of care (usher et al 2009). As professionals we must discover the nature that is offered to us by responding and using reflective thoughts to enhance the important aspects in society (Lauder et al 2004). And qualified nurses, acknowledge and understanding is essential for their practice to remain current, continuous improvement in reflecting on our thoughts, and what we do becomes Habitual to our practice (usher et al 2008). It is a necessity for nurses to use critical thinking as it helps gather relevant information to assist practitioners in examining assumptions and identify relationships and patterns (Parker & Clare 2000). We begin this chapter by exploring the concept of critical reflection and why it is important for a nurse, as well as provide an over view of the related legislation that requires the use of reflective thinking in practice by registered nurses, the next section addresses the Gibbs Cycle of what, why and overview of definitions of reflection.
Nurses are becoming more aware of the need to utilize and improve their practice, as well as consider the political, social structure issues affecting it. (Taylor 2000). As changes are occurring with the nursing context it is essential for nurses to analyze and respond to different challenges. Initiatively, reflection is the foundation of organizing difficult situations when faced, it also is easily understood, if any problem aroused in the work place (usher et al 2008). John (1998), explains the description of reflection of when being faced with contradictions allows practitioners to assess, think critically and reflect on their practice. In addition reflection is a process which allows existence in acknowledge in the way nursing theory, for example can. Reflection is cognitive in relation to changes of things we do which is not a technique or curriculum element.
Reflective practice enables practitioners to learn from their experiences and what they do, how they do it, what they say in relation to their home and work, in the significant of others and wider society and culture. Nurses who engage in some form of activity are set out by regulatory authorities indicate an adoption with the Australian Nursing and Midwifery Council, (ANMC). Competency standards for registered nurses (2005), in the early 1990’s Australian Nursing and Midwifery Council, (ANMC) had first adopted the national competency standards for registered nurses. Establishment of the organization was in 1992, to develop a national approach to nursing and Midwifery regulation. To ensure and deliver safe competent care, the (ANMC) worked together with the state and territory nursing and midwifery authorities (NMRAS) to produce national standard.
In relation, to the AHPRA’S Scheme, which came into effect of 1st of July, 2010, the operations are governed by the health and practitioner regulation national law Act, 2009 (QLD) and each state and territory. In addition with the national scheme, responsibility was taken over for the regulation of nurses and midwifes in Australia, and taken ownership of the national competency standard for registered nurses. The minimum care standards for a nurse in Australia are the 4 domains provisions and coordination of care, professional practice, critical thinking and analysis, collaborative and therapeutic practice. The domains of reflections which also include self-appraisal reflecting on ones own practices by feeling and beliefs and professional development. The domains have all been set out for the nurse to reflect on practice, reflectively and ethically (Australian Nursing and Midwifery Council 2008a, 2006). Reflections a verb which means to reflect on one thought (Hancock 1999). This might recall what one thinks and memories in a cognitive act such as overviewing identifying error. (Taylor 2000). Reflection is an activity in the guidance of an action before it happens. (Francis 1995). Rolfe et al (2001), argue that knowledge for practice that does not come from text books or lectures. In addition they call it scientific knowledge that practitioners pick up from everyday knowledge, reflection is the process of theorizing about that knowledge. In consideration, of the reflective views of recognizing strengths and weaknesses and my education enables me to make positive changes to my future practice by using Gibbs Cycle model.
Gibbs Reflective Cycle Gibbs model begins with asking what happened. What was your feeling? This allows me to think what accured at the time of event. What was my role in the situation? What was I trying to achieve and what action to take? What was the response of others and what they thought?
We move from the second stage of Gibbs Cycle. What does this tell me about my patients? What is the model is model of care I am using? How is my attitude towards the patient? What should I have done to make this better?
Final stage of Gibbs model. What do I need to do to make things better? Question myself about improving patient care; widen my knowledge to improve patient care. Conclusion: During my research I began to acknowledge the fact that critical reflection is essential in nursing to enable to look back words on errors made in the work place. Gibbs Cycle is the tool in reflecting back on thoughts and actions accomplished by nurses. If we look back on what we do and how we do it, high care of patient care can be monitored easily without causing harm in the work place. (ANMC) embraces all nurses and practitioners
to engage in some type of activity to enhance reflective thinking as it helps in gathering relevant and current information as it is part of the legislation. I feel it has come to my mind that critical reflection it is an important tool on reflecting ones thoughts. Perception of my role: Critical reflection has knowledge me to look backwards and think of things we do. It has changed my perception of nursing as my knowledge expanded enormously towards my role as a nurse since commencing my university degree. I feel I have a responsibility as a nurse to follow the nursing and midwifery council scheme to remain current.