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Using Gibb's model of reflection, reflect on a challenging experience from practice

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Using Gibb's model of reflection, reflect on a challenging experience from practice
Using Gibbs’ (1998) model of reflection, updated by Bulman (2012), reflect on a challenging experience from your practice and analyse the strategies used to manage it.
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The purpose of this essay is to reflect on a challenging situation I experienced during clinical practice as a student nurse. The essay will discuss my thoughts and feelings surrounding the situation and analyse the coping strategies I used in managing the situation, linking to relevant theory throughout in order to provide evidence for practice. The essay will also consider person-centred care and whether this was delivered to the patient. To conclude, the essay will discuss what I have learnt from the experience and how this experience will improve my future practice. The essay will first discuss a model for reflective cycle, before going on to describe the situation and my feelings about it. The essay will then go on to evaluate and analyse the situation before discussing an action plan for future practice and concluding with what I have learned from my reflection.
This essay will use Gibbs’ reflective cycle (Gibbs, 1988) updated by Bulman and Schutz (2013) (Appendix 1) as a framework for reflecting on a challenging situation I experienced whilst on placement, involving a patient with dementia. Gibbs’ reflective cycle consists of six stages; description, feelings, evaluation, analysis, conclusion and an action plan. These stages allow an individual to methodically reflect upon, analyse and consequently learn from any situation. The model can be adapted to any situation and is simple and easy to follow, giving cue questions at each stage and allowing for in-depth reflection of an event. Reflection is a key skill for all healthcare professionals, allowing them to learn from experiences and adapt their practice accordingly. By incorporating both a description of the event as well as considering the feelings of the individuals involved it maximises the potential to learn from the event and



References: Arnold E (1999). Interpersonal Relationships: Professional Communication Skills for Nursing. 3rd Edition. Philadelphia: WB Saunders Company. Bulman C and Schutz S (2013). Reflective Practice in Nursing. Oxford: Wiley Blackwell. Department of Health (DH) (2001). National Service Framework for Older People. London: Department of Health. Department of Health (DH) (2013). Improving care for people with dementia. Dewing J (2001) Folkman S and Lazarus R (1988). Manual for the Ways of Coping. Palo Alto: Consulting Psychologists Press. Ford P and McCormack B (2000). Keeping the person in the centre of nursing. Nursing Standard. Vol 14 (46), 40 - 44. Hoe J and Thompson R (2010). Promoting positive approaches to dementia care in nursing. Nursing Standard. Vol 25 (4), 47 – 56. Jasper M (2003). Beginning Reflective Practice: Foundations in Nursing and Health Care. Cheltenham: Nelson Thornes Ltd. McCabe C and Timmins F (2006). Communication Skills for Nursing Practice. Basingstoke: Palgrave Macmillan. Miller C (2009). Nursing for Wellness in Older Adults. 5th Edition. Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins. Miller L (2002). Effective communication with older people. Nursing Standard. Vol 17 (9), 45 – 50. Nursing and Midwifery Council (NMC) (2008). The Code. London: Nursing and Midwifery Council. Redfern S and Ross F (2006). Nursing Older People. 4th Edition. London: Churchill Livingstone. Rungapadiachy DM (2008). Self awareness in healthcare. Hampshire: Palgrave Macmillan. Schön DA (1987). Educating the Reflective Practitioner Towards a New Design for Teaching and Learning in the Professions. San Francisco: Jossey-Bass. Taylor SE (2012). Health Psychology. 8th Edition. New York: McGraw Hill. Webster J (2004). Person-centred assessment with older people. Nursing Older People. Vol 16 (3), 22 – 27.

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