Amazines Free Article Archive
www.amazines.com - Sunday, November 18, 2018
Read about the most recent changes and happenings at Amazines.com
Log into your account or register as a new author. Start submitting your articles right now!
Search our database for articles.
Subscribe to receive articles emailed straight to your email account. You may choose multiple categories.
View our newest articles submitted by our authors.
View our most top rated articles rated by our visitors.
* Please note that this is NOT the ARTICLE manager
Add a new EZINE, or manage your EZINE submission.
Add fresh, free web content to your site such as newest articles, web tools, and quotes with a single piece of code!
Home What's New? Submit/Manage Articles Latest Posts Top Rated Article Search
Google
Subscriptions Manage Ezines
CATEGORIES
 Article Archive
 Advertising (133268)
 Advice (160760)
 Affiliate Programs (34733)
 Art and Culture (73638)
 Automotive (145514)
 Blogs (75003)
 Boating (9841)
 Books (17129)
 Buddhism (4122)
 Business (1328009)
 Business News (426289)
 Business Opportunities (366242)
 Camping (10948)
 Career (72746)
 Christianity (15834)
 Collecting (11636)
 Communication (115047)
 Computers (241935)
 Construction (38968)
 Consumer (49637)
 Cooking (17056)
 Copywriting (6567)
 Crafts (18210)
 Cuisine (7533)
 Current Affairs (20371)
 Dating (45768)
 EBooks (19684)
 E-Commerce (48190)
 Education (185103)
 Electronics (83429)
 Email (6389)
 Entertainment (159780)
 Environment (28928)
 Ezine (3038)
 Ezine Publishing (5443)
 Ezine Sites (1552)
 Family & Parenting (110876)
 Fashion & Cosmetics (196377)
 Female Entrepreneurs (11840)
 Feng Shui (130)
 Finance & Investment (310214)
 Fitness (105794)
 Food & Beverages (62814)
 Free Web Resources (7936)
 Gambling (30211)
 Gardening (25061)
 Government (10515)
 Health (629004)
 Hinduism (2156)
 Hobbies (44026)
 Home Business (91542)
 Home Improvement (251220)
 Home Repair (46094)
 Humor (4802)
 Import - Export (5443)
 Insurance (45082)
 Interior Design (29541)
 International Property (3485)
 Internet (190953)
 Internet Marketing (146278)
 Investment (22822)
 Islam (1168)
 Judaism (1357)
 Law (80449)
 Link Popularity (4592)
 Manufacturing (20798)
 Marketing (98724)
 MLM (14136)
 Motivation (18208)
 Music (26996)
 New to the Internet (9475)
 Non-Profit Organizations (4048)
 Online Shopping (129604)
 Organizing (7796)
 Party Ideas (11854)
 Pets (38084)
 Poetry (2234)
 Press Release (12667)
 Public Speaking (5620)
 Publishing (7522)
 Quotes (2407)
 Real Estate (126601)
 Recreation & Leisure (95236)
 Relationships (87425)
 Research (16151)
 Sales (80293)
 Science & Technology (110123)
 Search Engines (23445)
 Self Improvement (153065)
 Seniors (6220)
 Sexuality (35933)
 Small Business (49274)
 Software (82914)
 Spiritual (23447)
 Sports (116456)
 Tax (7657)
 Telecommuting (34073)
 Travel & Tourism (306828)
 UK Property Investment (3117)
 Video Games (13420)
 Web Traffic (11723)
 Website Design (56775)
 Website Promotion (36554)
 World News (1000+)
 Writing (35754)
Author Spotlight
SUNNY NASH

Sunny Nash is the award-winning American author of Bigmama Didn’t Shop At Woolworth’s, recognized by...more
ALFRED MEARS

Former English Teacher; Musician (20+ years); Freelance Writer ...more
ARSLAN EJAZ

Arslan Ejaz Rao has been researching and writing about news stories, information and trends for the ...more
ALEN OWEN

I am an essay writer with vast experience in data analysis, PowerPoint writing and research paper ed...more
SAAD KHAN

my name is Saad Khan and i write to give some detailed information on things which matter to the mas...more


Gibbs Reflective Cycle by Proficient writers





Gibbs Reflective Cycle by
Article Posted: 02/18/2017
Article Views: 490
Articles Written: 7
Word Count: 2122
Article Votes: 0
AddThis Social Bookmark Button

Gibbs Reflective Cycle


 
Blogs,Education,Health
Definition of Gibbs Reflective Cycle Gibbs' reflective cycle (1988) is a tool used by numerous professionals, including (but not limited to) health professionals, education workers and those in leadership positions: its purpose is to assist practitioners in reflection, which contributes to continuous personal development (CPD) and helps to ensure that a person is continually learning and improving in their role. The idea is to systematically reflect on a particular situation to ensure that all aspects have been considered and evaluated, as this will assist the reflector in understanding what to do next time they are in a similar situation. The process consists of the following steps: Click to Expand 1. Description: What happened? 2. Feelings: What were you thinking/feeling? 3. Evaluation: What was good about the experience? What was bad about it? 4. Analysis: What sense can be made of the situation? What was really going on, as opposed to what you may have perceived? 5. Conclusion: What was the end result – how well did you think you managed the situation overall? What else could you have done in the situation? 6. Action plan: If the situation occurred again, what would you do? Would you act differently? Is there a skill you can develop or something you can learn to help you to be better equipped next time? Introduction The incident I will be reflecting on occurred whilst I was placed with the vascular team. We had received a request for a duplex carotid scan for a patient on ITU who had been admitted due to a large stroke. Upon arrival we read her notes which highlighted significant aphasia and difficulties with communication. The nurse also informed us that the patient had a long standing memory problem and as a result of this, she did not remember why she had been admitted and would become very distressed when her stroke was discussed. When we approached her to perform the scan we found that she was under minimal sedation and was having assistance from a ventilator. The scan was completed without difficulty and we began to document our findings in the notes. A nurse came onto the ward with two members of the public in order to show them around ITU before the man's surgery. This has been a long-standing protocol which strives to decrease worry before a planned stay in ITU. The members of the public were brought to the bedside where the nurse began to explain what the equipment was and what it was used for. The nurse made no effort to introduce the members of the public or herself to the patient. She also glanced at the patient's notes and then informed the members of the public that she had been admitted to ITU because of a stroke. Upon hearing this, the patient became overtly distressed) and had to be more heavily sedated after the nurse in charge of her care could not calm her by talking in a soothing manner. This event clearly caused undue anxiety to both the patient and members of the public, in addition to the members of staff who bore witness to the incident. The incident was reported using an in-house critical incident report by both myself and staff from ITU as this was a breach of patient confidentiality and poor practice. Interpretation of the incident Before the incident, I was aware that the nurse was showing the members of the public around the ITU in order to familiarise them with the ward. I was very surprised when the nurse did not check the patient's notes beforehand, and the distress caused to both the patient and the members of the public was entirely unnecessary. To critically reflect upon this incident I shall use a well-known reflective cycle from Gibbs (1988). This model is cyclical and is unique because it includes emotions, knowledge, and actions and believes that experiences are repeated, which moves away from the model proposed by Kolb (1984). Some scholars, such as Zeichner and Liston (1996), believe that a wider and more flexible approach is needed by examining values in a critical light and how the practice of this can lead to changes in quality. Description The most important factor in this incident was the lack of intervention from myself or the other healthcare professionals. The nurse should have been made aware that this was not a suitable area to bring the members of the public to. I also assumed that there would not be disclosure of specific patient details as this would be a breach of patient confidentiality policies which are covered in numerous guidelines from the Healthcare Professions Council (HCPC, 2012) and the Nursing and Midwifery Council (NMC 2015). Feelings The main emotion that I felt in this situation was anxiety. I had been to ITU many times before and it is an environment in which I feel comfortable. I had not been to ITU to perform a carotid ultrasound before and I felt nervous as I wanted to perform the test well. I believe that, as a result of this, I moved some accountability to my senior colleague. I found the incident upsetting to witness as the distress was caused by a member of staff and their actions were avoidable. Evaluation My role was to complete the scan and establish the presence or absence of carotid disease, which I did. The results of the scan would have been used to determine the best course of management for this patient. It is important to note that acting in the patient's best interests was also part of my role, and I feel that I did not fulfil this completely. The duty to protect patients and patient confidentiality at all times lies with all staff, including myself, my vascular colleague, and the ITU staff. Our failure to act as a team could be explained by Rutkowski's (1983) theory of group cohesiveness. This theory proposes that altruistic behaviour is dependent upon the social norm, and is defined as people helping those in need, and who are dependent upon them for help. Rutkowski's (1983) showed that the group is more likely to act in accordance with the perceived social norm if there is a high level of group cohesiveness. In the situation that I have described, neither my colleague nor I were familiar with the healthcare professionals on ITU and there may have been a low level of group cohesiveness as a result of this. Further work (Koocher & Keith-Spiegel 2010) has demonstrated that irresponsible professional behaviour can be averted by informal interventions. People were found to be more likely to take action if they were the senior person in a situation, and most felt that a positive outcome was as a result of their intervention (Koocher & Keith-Spiegel 2010). It is important to note that the way in which this outcome was measured (taken from data described as 'feelings after intervention'), may have introduced bias as it is likely that participants felt pleased with their courage in acting in an appropriate manner, regardless of the outcome of the intervention. It is possible that their intervention garnered no difference in professional behaviour. It is important to note that cases of major misconduct, such as those which could result in harm to patients or damage to the reputation of the Trust, should be dealt with by more formal routes. We completed an internal incident report which automatically flags the incident to senior clinicians and managers which would ensure that this incident was not unheeded. If this incident had not been reported, it would be an indicator of declining professionalism and acceptance of inferior standards of care. Tolerance of poor standards was highlighted by the Francis report (2013) as a consequence of poor staffing, policies, recruitment and training, and leadership. Analysis The patient had a jugular line in place, which I had anticipated would make the scan more difficult and therefore probably contributed to my increased level of anxiety. I feel that if I had not been as anxious I would have been more likely to intervene; however it is clear that both my colleagues and I should have intervened more quickly. I believe that an informal intervention as described by Koocher and Keith-Spiegel (2010) would have been appropriate in this situation. Conclusion Having witnessed the distress caused to both the patient and members of the public, I am now aware of the important of being more assertive if similar situations were to arise in future. Although I believe I should have intervened at the time, the experience I have gained from this has made me more aware of the important of always acting in the best interests of the patient even when this may take courage. I believe that having greater confidence in my ability to scan would have reduced my diffusion of responsibility and allowed me to act in a more autonomous fashion. There should also be a greater emphasis to establish strong working relationships between healthcare professionals to in turn increase levels of group cohesiveness (Rutkowski et al 1983). Action plan My future practice will involve becoming more proactive when I believe that there is a risk to patient confidentiality, and I will not assume that other members of staff will act in a professional manner at all times. I will continue to undertake reflective practice by using the model proposed by Gibbs (1988), and will aim to become confident when protecting patient confidentiality, particularly in situations where I am applying clinical skills which are new to me or that I do not feel completely confident with. As a trainee healthcare scientist, I aim to consistently implement the values and principles as set forth by the HCPC (2012) of a clinical scientist, and although this experience was difficult, I now feel that I have a greater understanding of these principles and values. Changes in norms and behaviours Due to the incident, I have formed a new set of behaviours. The first of these is that I will no longer assume that all members of staff will act in accordance with guidelines about patient confidentiality. Tied to this is a conscious effort on my part to refrain from assuming that I can predict the actions of other healthcare workers and I will always prioritise the welfare of patients in my care. Gibb's (1988) model has allowed me to critically reflect on my behaviours and has allowed me to identify aspects of my behaviour which may be detrimental. Critical reflection of this incident has made it clear that there is a deference to those I deem more senior than myself, perhaps due to a subconscious desire to maintain good working relationships. It is possible that the major obstacles which prevented me from speaking out in this incident were my perception of an authority gradient between myself and my colleague and low group cohesiveness. To prevent future events like this occurring I will express any concerns about my clinical skills before beginning any procedures in order to both reduce any authority gradient and to also reduce the diffusion of responsibility as much as possible. I now feel more confident in protecting patient confidentiality and will aim to always embody the values and principles of a healthcare scientist. References Dewey, J. (1933). How we think: A restatement of the relation of reflective thinking of the educative process. 2nd edition. New York: Heath and Company. Francis Report (2013), Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry, London: The Stationery Office. Gibbs, G. (1988) Learning by doing: a guide to teaching and learning methods. Oxford: Further Education Unit. Hatton, N. and Smith, D. (1995). Reflection in Teacher Education: Towards Definition and Implementation. The University of Sydney: School of Teaching and Curriculum Studies. Healthcare Professionals Council (2012), Confidentiality – guidelines for registrants, London: Park House. Kolb, D. (1984). Experiential learning: experience as the source of learning and development, New Jersey: Prentice Hall. Koocher, G. and Spiegel, K. S. (2010) 'Peers Nip Misconduct in the Bud', Nature, 466(2), 438-440 National Committee of Inquiry into Higher Education (1997) Dearing Report: Higher Education in the Learning Society. London: The Stationery Office. Nursing and Midwifery Council (2015) The Code for Nurses and Midwives. London: Park House. Schön, D. (1983) The Reflective Practitioner. How professionals think in action, London: Temple Smith. Schön, D. (1987) Educating the Reflective Practitioner, San Francisco: Jossey-Bass. Quality Assurance Agency (2001). Personal development planning: guidance for institutional policy and practice in higher education. Rutkowski, G. K., Gruder, C. L., & Romer, D. (1983). 'Group cohesiveness, social norms, and bystander intervention', Journal of Personality and Social Psychology, 44(3), 545-552. Zeichner, K. and Liston, D. (1996) Reflective Teaching: an introduction. New Jersey: Lawrence Erlbaum Associates. Read More

Related Articles - health, diseases, exercise, essays, homework, do my essay,

Email this Article to a Friend!

Receive Articles like this one direct to your email box!
Subscribe for free today!

 Rate This Article  
Completely useless, should be removed from directory.
Minimal useful information.
Decent and informative.
Great article, very informative and helpful.
A 'Must Read'.

 

Do you Agree or Disagree? Have a Comment? POST IT!

 Reader Opinions 
Submit your comments and they will be posted here.
Make this comment or to the Author only:
Name:
Email:
*Your email will NOT be posted. This is for administrative purposes only.
Comments: *Your Comments WILL be posted to the AUTHOR ONLY if you select PRIVATE and to this PUBLIC PAGE if you select PUBLIC, so write accordingly.
 
Please enter the code in the image:



 Author Login 
LOGIN
Register for Author Account

 

Advertiser Login

 

ADVERTISE HERE NOW!
   Limited Time $60 Offer!
   90  Days-1.5 Million Views  

 

Great Paranormal Romance

World News


STEPHEN BYE

Steve Bye is currently a fiction writer, who published his first novel, ‘Looking Forward Through The...more
GENE MYERS

Author of four books and two screenplays; frequent magazine contributor. I have four other books "in...more
SUSAN FRIESEN

Susan Friesen, founder of the award-winning web development and digital marketing firm eVision Media...more
LAURA JEEVES

At LeadGenerators, we specialise in content-led Online Marketing Strategies for our clients in the t...more
JAVIER VBOIX

For the time being just a newbie in the Insurance Industry but a quick learner, soon-to-be expert Ja...more
SANDY FISCHEL

Sandy Fischel is the marketing director at And Above All YOGA, a wholly owned division of The Fische...more
MICHAEL BRESCIANI

Rev Bresciani is the author of two Christian books. One book is an important and concisely written b...more
CHRISTOPHER EVANS

Christopher is based in the U.K. and is the author and founder of Critical Eye. ...more
STEVERT MCKENZIE

Stevert Mckenzie, Travel Enthusiast. ...more
MICHAEL MIFSUD

Michael Mifsud was a House of Commons Commonwealth correspondent at the age of 16. He published Brit...more

HomeLinksAbout UsContact UsTerms of UsePrivacy PolicyFAQResources
Copyright © 2018, All rights reserved.
Some pages may contain portions of text relating to certain topics obtained from wikipedia.org under the GNU FDL license