Reflection using Gibbs model - Essay Example

?Reflection Using Gibbs Model Table of Contents Table of Contents 2 Introduction 3 Gibbs Model 5 Conclusion 13 References 15 Introduction In healthcare organisations, reflection is identified as a process utilised with the purpose of reviewing, assessing and analysing experiences based on theoretical concepts with the intention of informing future actions. Reflective practice is applied as an important approach in healthcare organisations to be a reflective practitioner amid medicine, pharmacy and nursing. In this context, reflective practitioner with critical thinking along with reflection is able to mitigate the gap, which exists amid healthcare practices and concepts. Moreover, with the assistance of reflection practice, healthcare workers will be facilitated with the opportunity of enhancing care quality and developing professional and the personal traits (DHB, 2013; White & et. al., 2012). The Gibbs model is a recognised as a ‘model of reflection’ used by healthcare professionals. Healthcare professionals with the assistance of Gibbs model are able to have a clear and concise understanding about their experiences and practices. The Gibbs model comprises six stages which include description, feelings, evaluation, analysis, conclusion and action plan. On the basis of Gibbs model, healthcare professionals are able to identify their optimistic and the pessimistic aspects and develop problem-solving capabilities. Additionally, the model will assist in building their confidence and thought process, so that healthcare professionals are able to execute care and treatment activities ethically incorporating the current practices. It is usually a process on the basis of which healthcare professionals are able to ascertain their experiences with the aim of obtaining insights in relation to their practices and current practices (Finlay, 2008). The paper will emphasize on the model of reflection initiated by Graham Gibbs with the intention of assisting healthcare professionals in having better assessment of their activities so that healthcare professionals can enhance their competencies in offering care and treatment in an ethical as well as professional manner. The study will be a reflection of the activities, which have led me to a trouble being a registered nurse. Gibbs Model The reflective cycle of the Gibbs model is an important approach towards reflection. The six stages of the model assist in developing self-refection questions with the objective of identifying the loopholes by assessing personal experiences and practices (Queen Margaret University, 2013). Gibbs Model of Reflection Source: (Queen Margaret University, 2013) Stage 1: Description I was working in a healthcare facility in the community as a registered staff nurse. I work in a competent and effective manner with the objective of providing adequate care and treatment to patients appropriately. Additionally, I used to seek that I am able to offer care on the basis of the needs of the patients. I provide care and treatment in accordance with current practices and standards as recognised by the medical facility and council. I was assigned with the task of visiting a patient for wound dressing. In this context, on visiting the patient, I gave the patient my phone number to contact me personally in future for any problem in relation to her wound. This incident is considered as an unethical practice in my professional boundary. Moreover, there is another incident where I was on a sick leave but I planned to work for another medical agency during my leave period as I was under financial pressure for my family. This incident was determined as a dishonest practice on the ground of my profession. On the basis of these two incidents ‘Nursing and Midwifery Council’ (NMC) has suspended me and I was offered with training services in relation to professional boundary in nursing. The NMC has developed set of practices and standards on the basis of, which education standards, the register, the code and fitness to practice are to be adhered. These standards and the advanced practices frame the core principles of NMC in accordance with which nurses should comply their practices of care and treatment (NMC, 2012). Nurses in healthcare organisations are offered with certain standards and professional boundaries. In relation to professional boundaries, nurses are required to provide treatments to patients in a professional manner and also facilitate to provide independence to patients. Additionally, patients are to be offered on the basis of patient’s interest and dignity. Nurses are also required abstain practices of personal gains at the expense of patients. Nurses should not develop personal relationship with patients (NCSBN, 2011). Nurses are required to abide by the rules along with regulations with dignity with their profession with honesty and integrity in order to mitigate participation in unethical along with fraudulent practices (NAQH, 2011). In this respect, acting against professional boundary, honesty and integrity will result to develop distress in patients and may harmfully affect patients with inadequate care and treatment. In this context, the practices followed by me violated the norms and the specific standards developed and implemented by NMC. Moreover, these incidents signify that I have violated the guidelines and principles of the NMC on ethical ground. I now think that these unethical and dishonest practices have unfavourably affected my personal and professional traits immensely. Stage 2: Feelings On my visit to the patients at her home for dressing the wound, I gave my phone number so that in case of any problem with the dressing she can contact me directly. Respectively, I would take adequate measures with the intention of meeting her treatment and care needs appropriately. The patient might felt that I am developing personal relationship with her with the intention of personal benefits and in this regard the patient may lose faith on nursing services. I thought that in case of any needs the patient will contact me directly which will also provide me an opportunity to earn additional income. Moreover, it will assist me in developing a better relationship with her so that in future the patients with any medical needs will contact me for care and medical assistance. Presently, with this incident in order to accomplish my personal needs and satisfaction have led my career to a critical standpoint. I feel that this incident has not only adversely affected my personal life but also my professional life as I was suspended from nursing practices (University of Cumbria, 2013). The other incident is another most absurd act on my part as during my sick leave from my medical agency, I planned to work on behalf of another medical agency due to financial problems in my family. Moreover, this act of mine is violating the standards and the principles of NMC. This incident has affected both my personal and the professional life immensely. From this incident, I now realised that with the intention of meeting my personal goals and financial requirements, my professional life has come to judgemental standpoint (Hampshire County Council, 2013). The two incidents are the most heinous events in my life as these incidents have affected my proficient and private life in an enormous manner. These incidents have left my career in a critical position due to the violation of the norms and principles of the NMC. Moreover, these incidents have adversely affected my family also. I thought that with extra works, I will be able to earn more money with the objective of assisting the financial requirements of my family. In this regard, the commitment of these two incidents has led to my suspension of nursing practices and bringing my career to a standpoint. I now feel that these two are the most absurd incidents in my life where I neither able to work nor support my family with their needs. I really repent on these two incidents and I too ensure that such mistakes and incidents will not be acted on my behalf. Stage 3: Evaluation In the first incident on my visit to the house of the patient for dressing her I gave hear my number. I thought that giving the patient my number will assist in developing a better relationship and additionally will assist me in accomplishing my personal needs as well the treatment and care requirements of the patient in future. However, this incident was identified to be unethical as in nursing practices, it is necessary for them to execute their practices on the basis of norms and principles of NMC, which signifies that every individual should be treated with individuality without discrimination. In this regard, giving my phone number to the patient was an absurd practice, which left my professional life to a critical standpoint. This incident was the worst experience in my life as in order to build a relationship with the patient with an intention of developing an extra source of income, I violated the standards and principles of NMC. In this regard, with this unethical act I was suspended from my nursing practices (Smith & Roberts, 2011; Jasper, 2003). On the other hand, there is another incident in which during my tenure of sick leave, I worked for another medical agency with the objective of meeting the financial needs of my family. This act of mine in serving another medical agency symbolises my dishonesty in accordance with the standards and principles of NMC as I am working as a registered nurse in one medical agency. The other factor is that on my sick leave day I choose to work under another medical agency which develops a bad impression on my personal and professional qualities amidst the medical agency I am engaged with. It was a really bad experience on my personal and professional ground and integrity. These two incidents were the worst experience in my life as I was suspended from my nursing practices which affected my personal life too as I was unable to meet the financial need of my family (Brotherton & Parker, 2008). Stage 4: Analysis As a registered nurse in a medical agency, I used to work with competent and in accordance with current practices with the intention of offering adequate care and treatment services to patients. Moreover, I work with the aim of providing care and treatment on the basis of needs of patients for quick recovery and satisfaction. These practices of mine are related to ‘Evidence Based Practices’ (EBP). I provide treatment and care services to patients in their homes. In this context, on my visit to a patient home in order to dress her wound. I gave her my phone number with the intention of developing personal relationship with the patients so that in case of any medical care requirement she may contact me directly. This practice of mine can be related with unprofessional behaviour as I am developing an interrelationship with patients, which will lead to discrimination in my practice in offering care and treatment to patients (Paete, 2012). I was on sick leave from my medical agency. However, due to the financial problems I planned to work for another medical agency during my days of leave. This incident is identified as unethical practice in nursing in accordance with the standards and the mentioned principles of NMC. This incident also symbolises that without registering in NSUK, a registered nurse cannot work with another agency. The registration of registered nurses with Nursing Services of UK (NSUK) provides the nurses an opportunity to work with different agencies for an additional income. Furthermore, this incident also raised the issue in relation to my personal qualities as I secretly worked under another medical agency during the days of my sick leaves (NSUK, n.d.). The aforementioned two incidents have been committed by me with the aim of meeting my personal needs. These two incidents depict my unethical practices and unprofessional behaviours in accordance with the standards and principles in nursing as developed and implemented by NMC. I was suspended for my unethical and dishonest practices by the NMC. In this regard, I can comprehend that my practices were unprofessional and unethical and that my suspension from nursing practices was relevant for the offences, which are committed by me. The NMC has offered me with training facilities on professional ground and on the basis of which I acknowledge my mistakes and adopt measures with the objective of not committing any further such incidents in future which will bring my professional life to a stand point. Furthermore, with the commitment of these incidents I have breached my professional boundaries by developing personal relationship with the patient and working on a sick day leave for another organisation, which violated the standard of honesty and integrity of my profession. Stage 5: Conclusion It can be comprehended from the analysis that nursing practice is a discipline and nurses are required to develop their competencies with the objective of offering adequate and effective care and treatment to patients. Moreover, on the basis of current practices registered nurses are required to provide care and treatment on the basis of requirements of patients. The nurses should also seek that the care and treatment offered are appropriate for better recovery of patients from their illness and not to meet their own personal gains. Furthermore, on the basis of reflections of different incidents have been assisting nurses in developing their skills and experiences, which will further assist their career development and growth. The reflection will assist nurses in identifying positive as well as negative experiences from the practices executed in care and treatment services offered to patients (Tassoni, 2007). It can be ascertained from the two incidents that nursing practices, which are violating the standards as well as principles of NMC are considered to be unethical and unprofessional practices. In this context, I am determined that these two incidents were the worst experiences in my career and personal life. These two incidents have brought my professional life as a registered nurse to a critical point and have also affected my personal life as I am suspended, which is hampering the financial requirements of my family. As a registered nurse I should be aware of the standards and practices developed and implemented by the NMC for nursing practices. These practices are implemented with the objective of seeking that registered nurses execute their care and treatment services ethically and with integrity. From the training in relation to professional ground, I have understood that patients should be provided with care and treatment individually and without discrimination. Moreover, I have learnt that in future if such incidents arise then the personal traits developed from the training services should be implemented with the intention of mitigating such issues. Furthermore, in order to earn extra income I will register with NSUK to legally work for other medical agencies. All these will assist me in providing treatment and care to patients as an individual and developing an extensive relationship. Stage 6: Action Plan In future if I come across with such incidents I will take different measures with the objective of solving such issues in an ethical and professional manner. Next time if I am assigned with the tasks of visiting the home of a patient for wound dressing or other medical care and treatment needs. I will seek that on visiting the home of patient, I meet the care and treatment needs of patient. Moreover, I will take effective steps in ensuring that care and treatment are offered to the satisfactory level of patients (Davies & et. al., 2000). If the second incident i.e. during days of sick leaves from my medical agency, I will not opt to serve on behalf of second agency in future in order to meet the financial needs of my family as it will be an unethical and unprofessional practice. In this regard, with the objective of meeting the financial needs of my family, I will make a proper financial plan on the basis of which my expenses as well as incomes will be maintained. Moreover, I should acquire a saving scheme plan so that savings can be maintained appropriate with the aim of meeting future financial requirements. In this respect, adequate financial plan will assist in meeting the financial requirements of my family suitably (NMC, 2012). Conclusion Reflective practice is a procedure on the basis of which healthcare professionals are able to develop their competencies as well as experiences. Healthcare professionals with developed skills are able to offer care and treatment in accordance with the need and satisfaction of patients. Moreover, reflective practice is also identified as an effective process with the assistance of which registered nurses are capable of enhancing care and treatment offered to patients. The reflective practice also aid healthcare professionals in developing their practical as well as theoretical knowledge. In this regard, the Gibbs model is recognised to be offering an efficient framework in accordance with, which healthcare professionals are able to analysis, assess and develop their strategies and plans. On the basis of these assessments, healthcare professionals are able to understand the positive as well as negative aspects of their practices executed by them for the care and treatment of patients. In this context, the Gibbs model has assisted me in identifying the various positive and the negative aspects of my practices in accordance with the standards and principles of NMC. Moreover, on effective analysis of the two incidents, I have identified that my current practices are unethical and unprofessional. I have also learnt that as a registered nurse there are certain standards and principles on the basis of which care and treatment should be offered to patients. All these will facilitate in understanding the needs of patients and offering care and treatment accordingly. References Brotherton, G., & Parker, S., 2008. Your Foundation in Health & Social Care: A Guide for Foundation Degree Students. SAGE. Davies & et. al., 2000. Changing Practice in Health and Social Care. SAGE. DHB, 2013. Professional Development & Recognition Programme (PDRP). Education. 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