Reflection based of Rolfe et al (Example 1) What? (a description of the event) Excessive request to cover ‘on call’ shifts What happened? What did I do? What did others do? What did I feel? What was I trying to achieve? What were the results? What was good or bad about the experience? This reflective essay will adopt Rolfe’s model of reflection, (Rolfe, G et al. ) which was derived from Borton’s developmental model. (Boyd E et al. ) The scenario is presented as Appendix 1 and the patient has been anonymised as ‘Lee’ in accordance with the NMC guidelines (NMC ) Example Reflective Essay Using Rolfe Reflective Model College Essay Example This essay has been submitted by a student This reflective essay will adopt Rolfe's model of reflection, (Rolfe, G et al. ) which was derived from Borton's developmental model
Example Reflective Essay Using Rolfe Reflective Model College Essay Example - MyCloudEssay
This reflective essay will adopt Rolfe's model of reflection, Rolfe, G et al. Boyd E et al. The scenario is presented as Appendix 1 and the patient has been anonymised as 'Lee' in accordance with the NMC guidelines NMC When analysed in overview, one can note that the main issues contained in this scenario are that a schizophrenic patient, who may therefore be psychotic, who is certainly confused due to his metabolic disturbances hyponatraemia and possibly idiopathic confusion, has made an allegation of physical assault against another staff member.
The patient is also forgetful and the event happened three days ago. Clearly the incident cannot be confidently verified at this stage and there is a question as to whether the patient is reliable in making this allegation. Analysis revolves around my reflection on the actions that I took and whether they could be considered appropriate or capable of improvement.
My role in the situation was that I was the recipient of the allegation. Having heard the allegation, I tried to make sense of it. I was obviously aware of Lee's potential for confusion and psychosis, but I was also impressed by the apparent veracity of his recollection and also by the fact that he started to cry when he was recounting it.
Nicol M N et al. On balance, I did believe his account of the situation. I therefore felt that I had a moral and professional duty to escalate the complaint to the Senior Ward Sister. After a period of discussion with the Ward Sister, I filled example of reflective essay using rolfe an Incident Report Form IR1which was then forwarded to the hospital management. After the event, example of reflective essay using rolfe, I experienced a period of prolonged self-examination.
Brooke C et al. The response of the Ward Sister seemed entirely appropriate. I believe that she went and spoke to Lee herself and determined that there was sufficient evidence to make the reporting of the incident IR1 appropriate. This reassured me greatly. The Ward Sister also discussed the ethics and implications of the situation with me, which was both professionally helpful and considerate, as she could see that I was unclear about what I should do in these circumstances, example of reflective essay using rolfe.
In any reflective process, one also has to consider the feelings of the patient. In this case Lee did appear to be pleased that he was being taken seriously, but his fluctuating lucidity meant that further questioning did not clarify the situation any further.
The theoretical elements of the analysis of this situation are straightforward, example of reflective essay using rolfe. Jasper, in his erudite series of analyses Jasper Macknowledges that part of the responsibility of being a professional practitioner is to ensure that you give the best care possible to your patients or clients.
In an analysis of a similar situation, the author is unequivocal in his assessment that the professional duty of the nurse is to example of reflective essay using rolfe such reports of possible patient abuse with their immediate superior.
Carrick P This Principle stated that healthcare professionals must ensure that their patients are not harmed, nor will come to harm. van Uffelen J G Z et al. This concurs with the opinion of Tschudin who analyses a number of similar situations. Tschudin, V This level of analysis gave me a deeper insight into the situation and reinforced my initial conclusions relating to the proper and appropriate course of action.
Given the fact that Lee had reported a possible episode of abuse, it seems entirely appropriate that it would be properly investigated, example of reflective essay using rolfe. McMillan J At the time of the reporting of the incident, I apologised to Lee myself and reassured him that such a situation would not be allowed to occur again.
I feel that this was also a professionally appropriate course of action, as it not only communicated a professional sense of responsibility to Lee, but also it demonstrated the fact that I was taking his complaint seriously and was sorry that it had happened.
Kozier, B et al. When analysed in overview, I effectively had two possible potential outcomes of the situation. Baillie L Cruess et al. Example of reflective essay using rolfe S R et al. Reflection on this situation, together with the guidance received from the Ward Sister, has helped me to fully understand the main elements of this situation. If I were to encounter such a situation again I would feel more confident in dealing with the situation rather than having to reflect at length after the event.
Such analysis has helped me to realise that, to cite Schon, it is one of the ways professionals evolve and move beyond rule-bound behaviour and which enables them to function in a world of uncertainty and see problems in a holistic way and act appropriately. Schön, D A A 78 year old gentleman called Lee was admitted to my Ward with schizophrenia and other medical conditions, one of which includes confusion and hyponatremia, example of reflective essay using rolfe.
It has been explained to the patient example of reflective essay using rolfe his next of kin that due to the dangerously low sodium level Lee is on a fluid restriction of mls per day, however due to the patient's mental statue, he constantly demands fluids and if not given he will start screaming and disturb other patient and can be very aggressive a time. For this reason the Senior Sister requested a special in order to provide a one to one care for Lee.
I supported the patient with personal hygiene care one morning, Lee began to cry, when I asked 'what is the matter Lee? And he said 'I was waiting for her to finish her shift to inform a staff nurse, by then I had forgotten'.
I hope when my son will visit me, I will remember to tell him what has happened. I reassured him that this will not happen again and I also apologised on her behalf and told Lee that particular specialist will not be caring for him any more. I reported the incident to the Ward Senior Sister and together we filled in an Incident Report Form IR1. Journal of Humanistic Psychology, 23 2 : Brooke C; Waugh A Eds Foundations of Nursing Practice, Fundamentals of Holistic Care. Lond Mosby Elsevier.
Jasper M. Blackwell Publishing, Singapore. Kozier, B, et al. Harlow: Pearson Education. Churchill Livingstone, Mosby. Rolfe, G. Critical Reflection in Nursing and the Helping Professions: a User's Example of reflective essay using rolfe. Basingstoke: Palgrave Macmillan. Schön, D A:Educating the Example of reflective essay using rolfe Practitioner: Toward a New Design for Teaching and Learning in the Professions, Jossey-Bass Publishers, San Francisco.
Ethics in Nursing: the caring relationship 3rd ed. Edinburgh: Butterworth-Heinemann. van Uffelen J G Z, Chinapaw M J M, van Mechelen W, Hopman-Rock M Walking or vitamin B for cognition in older adults with mild cognitive impairment? A randomised controlled trial.
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Rolfe et al., (2001) Reflective Model
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Example Reflective Essay using Rolfe Reflective Model. Info: words (7 pages) Reflective Nursing Essay. Published: 14th Dec Reference this. Tagged: nursing reflective learning reflective practice rolfe reflective model. This reflective essay will adopt Rolfe’s model of reflection, (Rolfe, G et al. ) which was derived from Borton’s Reflection based of Rolfe et al (Example 1) What? (a description of the event) Excessive request to cover ‘on call’ shifts What happened? What did I do? What did others do? What did I feel? What was I trying to achieve? What were the results? What was good or bad about the experience? Example Reflective Essay Using Rolfe Reflective Model College Essay Example This essay has been submitted by a student This reflective essay will adopt Rolfe's model of reflection, (Rolfe, G et al. ) which was derived from Borton's developmental model
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