GENERAL INFORMATION ABOUT
NRSG 138 ASSESSMENT TASK 3: Written Reflection
Task 3 is a reflective piece of writing about your learning experience through this semester and how it has contributed to your professional philosophy and your intention to practice Person Centred Care.
Consider how your understanding of Roper, Logan and Tierney’s domains of Biological, Psychological, Socio-cultural, Politico-economic and Environmental factors will assist you in your future practice when you will be practicing person-centred care. How does the experience of learning about these domains influence your personal philosophy of nursing and person-centred care?
Structuring your assignment
Firstly, it is important that your submission is structured using Gibbs reflective cycle.
Please review the exemplars that have been written by the lecturers and provided for you on the WIKI page on the NRSG 138 LEO site. Reflective writing is a way of being proactive in your everyday learning and practice.
A reflective piece is all about YOU. It is expected that it be written in the first person. So, this way of writing is unlike other forms of academic writing and “I” and “me” and “I found” etc. are all not only acceptable butexpected.
The structure of the assignment should include:
| An introduction including a coherent description of what you learned about the RLT domains (biological, psychological, socio- cultural, politico- economic and environmental factors) |
| Recognition of how you felt and your reactions to this new information -consider your own development in the unit |
| An evaluation of the learning experience |
| A critical analysis of what made sense to you – link this with academic literature |
| A description of your personal philosophy of nursing as an outcome of your reflective learning - link this with current nursing literature |
| Link your stated personal philosophy with person-centred care, and how you will implement this in future practice |
Writing your assignment
The writing will demonstrate a reflection on your learning experience. You can use your writing from the unit content as a basis for this reflection. Refer to these pieces of writing and review, refine, reference and extend them to develop a cohesive reflection that represents your understanding of the Roper Logan and Tierney model of care and how this has informed your (beginning) personal philosophy of nursing
Please remember that the submission for the reflective piece needs to be a cohesive piece of writing.
References
You have been asked to provide references in your reflection and this will also be good practice for future academic writing and reflection. Please include intext references and a Reference List.
To support your writing, you can use:
References are useful to support your stance on
It is expected that for 1200 words you will have around a minimum of 10 different references. FAQ
How old can the references be?
The convention for writing about dynamic clinical information is 5 years or less (as knowledge changes so rapidly). In some areas however, older knowledge is considered fundamental and contemporary for longer. You should use the most recent available. So, if you find two articles from 1991 and then 2006, you should use the most recent. You should be able to source all your material from 2008 onwards.
Not knowing how to use APA will cost you valuable marks. The library and LEO (OSS) have excellent resources on APA. Not using referencing at all is considered academic misconduct and is not allowable.
Gibbs’ headings are a great idea as you write your draft, because they help you organise your ideas. However, academic writing requires a coherent, well-flowing piece of writing so before submission, you need to remove any draft headings and make sure you link your paragraphs so ideas flow throughout the paper.
You will need to cite your source for the domains you discuss, and any material from RLT that is not your own original thought. However, you need to include a broad range of references to support your writing.
No – while we are flattered that you have found our information valuable, you need to always use authoritative, published sources in academic writing. Using our material means you are simply repeating our words instead of researching for yourself.
Please see the Assessments tabs for an explanation of authoritative sources. Google and similar search engines are public - they provide information at public level and you are completing a complex tertiary degree. We are aware of the existing material available on Google for these topics and there is a significant loss of marks associated with using material designed for the ‘person on the street’ rather than the beginning clinician such as yourselves.
A ‘How To’ guide for Gibbs’ Reflective Cycle
Gibbs’ reflective cycle is a theoretical model used by students as a framework for reflective writing it is also a tool for you to take forward into your practice as a healthcare professional.
Gibbs Reflective Cycle has several aims some of the important ones are to enable you to:
The model was created by Graham Gibbs in 1988, it has 6 stages.
Retrieved from: https://blogs.glowscotland.org.uk/glowblogs/uodsseportfolio/2015/10/25/gibbs-reflective-cycle/ Accessed: 6th of May 2018
Follow through the steps outlined below You will not needto use all the questions
Description
This part of the cycle is not analytical or reflective it is descriptive. You are required to provide an outline of the event or what happened. For this assessment task you will be describing the learning you participated in during week 5, 6 and 7.
Feelings
This part of the cycle involves connecting with why you responded the way you did, and the following are a few cues to help you identify this. Answer those that you think are relevant to you.
Evaluation
Answer any of the following cues that you think are relevant to your learning experience in weeks 5, 6 & 7.
Analysis
In the analysis part you are seeking to make sense of the events see how they integrate together - what were the advantages of learning these concepts?
To help you decide what you want to write about, consider the following and select those that are relevant to your learning experience
Conclusion
Look back on your learning experience and consider the following questions
Action Plan
Ask yourself the following questions to help build a plan
Remember: This part of the reflection is focused upon a plan of action it is not descriptive or analytical but states the actions required to achieve your desired outcome
SIGNIFICANCE OF 6 C'S OF CARING IN NURSING
STEP 1: DESCRIPTION
During my nursing studies, I got a chance to learn about 6 C’s of caring, RLT theory and many more things which will be needed for the rest of my life as RN. I have studied many cases in NRSG138 unit related to RLT theory and C’s of care. The module helped me learn about person-entered care while respecting for every individual and protecting his/her dignity. I learned about the proper way of establishing person-centered care through an environment of self-worth, recognizing the uniqueness of individuals, establishing mutual engagement and promoting self care and independence among patients. I was also exploring the issues faced while delivering nursing care across a diverse population and learned that Roper-Logan-Tiemey model of Nursing can act as guide to identify biological factors influencing the daily living of people. This is a route to understand the reasons of health issues and care requirements for people based on their genetic inheritance, gender, diseases, age and ethnicity. Furthermore, an important learning is associated with the use of RLT model to identify the possible risk factors and associated protection elements that can bring in changed to psychological health (Gimmesson et al., 2018). I could clearly understand the inter-relationship between the biological, psychological and sociocultural development of an individual. Such an understanding is necessary to ensure delivery of efficient care while working on any stressful event. It helps in exploring the reason of any mental health issues and designing the care plan for the patient in accordance with the biological vulnerability and level of resilience.
STEP 2: FEELINGS
While undergoing the learning of a series of concepts and theories, I started feeling much more responsible as a nurse and widened my scope of understanding and exploring the individual needs and expectations as related to any health care plan. I realized the need of moving beyond simple care plans and look for biological, psychological, socio-cultural, politico-economic as well as environmental factors to deliver person-centered care in an effective manner (Santana et al., 2018). My personal philosophy of nursing was limited to following the instructions of the doctor and taking care of the patient. However, after the initial learning of theories, factors and elements influencing an individual’s daily living, my learning changed towards an exploratory approach of nursing. I became more careful about the need and effectiveness of person-centered care and delivering care based on situation and not merely on rules (Husebø, et.al., 2015).
STEP 3: EVALUATION
The learning gained during the course was really challenging. I remained tense in order to ensure that nothing should go wrong on my part in initial understanding of individual’s background and reason of the injury or disease (Smith & Roberts, 2015). I was able to critically analyze my personal understanding about psychological health of an individual that includes several risk factors, protective factors and precipitating factors leading to a behavior in stressful situation. I gain a sensitivity and necessity towards considering any individual as a complex patient where it is not sufficient to focus on his or her physical state but link the state with some psychosocial variables impacting the overall well being of the patient (Williams, 2017). The scope of holistic care plan was never my concern and I realized the limitation of my knowledge for not considering he complexity of individual’s responses before, during and after the stressful situations that in turn affect their behavior and overall health in future.
STEP 4: ANALYSIS
It learnt from the situation that all the learning can be granted and imparted during course of study. During course of study, theoretical things are imparted to the students and they can make good move in real life situations. I also learned the way a holistic approach and person-centered approach can help in delivering effective nursing care and makes it possible to help the patient from any ethnicity, background and culture. I learned the extended duties and responsibilities of the registered nurse while taking the responsibility of a designing a multidisciplinary health care team and focusing on promotion of health care practice that is safe along with qualifying across a range of settings for a wide range of groups and individuals (Delaney, 2018). There can be no single treatment plan followed by a single caregiver to help patients recover and lead a normal life. However, the need is to take support from a multidisciplinary team members including physicians, nurses, dieticians, nutritionists, yoga instructors, psychological care givers, family members and several other possible psychosocial elements delivering care through a holistic plan of action.
STEP 5: CONCLUSION
I learnt from the situation that from the knowledge gained from books or course of studies are great source of nursing care. I further learnt that a person should not hesitate in taking assistance in time of the need and must have faith on others. Some key theories like Levett-Jones Clinical Reasoning, Roper-Logan-Tiemey Model of Nursing, and others can be used for accurate identification of health care priorities an initiate health management through a person-centered manner while defining plans applicable for diverse populations across a range of settings (Willaims, 2017 and Jones et al., 2010).
STEP 6: ACTION PLAN
I am happy to submit here that the situation taught me a lot in terms of caring and great learning for life. I am confident of handling complex situations now and exploring the patient’s situation much before actually planning the care plan. I have firm opinion that a nurse must learn to care, but it is equally important to learn the approach of holistic care and role of a multidisciplinary team to deliver efficient care and treatment. I have developed much compassion and now I can express adequate level of empathy with my patients. I try to understand the pain and pleasure of the patients and try to understand their actual need. I allow the patients to talks as much they wish because it creates emotional bond with the patient and their problems can be understood in easier ways that ultimately lead to solution. It is learnt by me that even complex situations can be solved by less experienced person if they have enough confidence and a zeal to deal with that situation. Confidence is self attracts the trust and faith from the patients and their treatment become easier because the patient comes to know that as per the conscience, the best possible care is being rendered to him (Richardson, et.al.,2015). An understanding developed in patient that the nurse or doctor is committed for his well-being matters a lot and I feel that I would be able to generate that among patients. I am sure that with these commitments towards myself and towards the patients or their families, I am able to exhibit the desired level of comportment. In my future placement, I will focus on integration of person-centered care into traditional health-care quality improvement plans. A personalized care approach will help in delivery of high-quality care while making the complete system efficient, effective as well as safe for patients. However, I still need to learn the actual way of designing and re-structuring the service models in order to develop and maintain an environment of person centered care while considering the practical guidance of such an implementation providing the foundation needs to achieve the goals of personalized and holistic approach to care.
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