Gibbs Reflective Cycle: Illuminating Learning in the Healthcare Profession

Context

Reflective practices direct the person with guidance, methodical understanding and realization of the complete experiences that the individual had just gone through. The implication of the experiences can be examined when it is applied into the health occupational services (Redmond, 2017). It makes best use of the effort and assists in the development of additional skills within the practising field. With assistance of reflective practices the medical attendants and the specialists are able to investigate the instance of patient and subtleties of the specific condition or encounters that the patient may have gone through. Right now I will utilize another regular reflection model referred to as Gibbs reflective cycle because it provides an evident as well as exact portrayal of a unique situation of investigation to assess the encounters of a professional which gives perception to the information and aides in the investigation within the area of training. This refection model was presented by Graham Gibbs to offer an organized encounter of learning in the year 1988 (Gibbs, 1988; Wilding, 2008).

A case study

Mrs. A, a woman aged 48 years, went to the emergency clinic, was having a past 10 years history of hypertension or high blood pressure that got identified at the time of her second conception. The ancestry of her family was likewise positive as because her grandma passed on due to cardiovascular issues associated with hypertension. She presented the symptoms of headache and furthermore revealed about fatigue or exhaustion. She additionally detailed that in her past she expended numerous drugs for hypertension yet suspended them because of related adverse reactions. She additionally was unable to recollect the specific medications that she had devoured before. Her pulse was seen as raised to 156/115 mm of Hg. Besides she additionally conceded about her propensity for smoking and furthermore revealed about the symptoms of uneasiness during work out. The other clinical and foundation histories of the lady were unexceptional aside from the history of smoking and moderate damage in the retina of her eyes (Calhoun, et al, 1990).

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In this manner by utilizing the Gibbs reflection model I will assess my whole understanding of the case which will include a progression of successive technique for putting forth the defence considerably more obvious and exact (Levett-Jones 2014). This particular model was picked in light of the fact that it permitted me to concentrate from encounters that gave great outcomes and the encounters that additionally turned out with poor outcomes (Gibbs, 1988).

The contextual analysis introduced here is on hypertension as it is a basic physiological parameter for assessing health and wellbeing of a person. Hypertension can bring about extreme lethal sicknesses, for example, strokes, cardiovascular issues and furthermore kidney ailments. In the event of pregnant ladies, BP ought to be followed at ordinary interims as hypertension might be deadly to the mother and child. The initial stage that was utilized in the reflection model was to comprehend what might be the causes of enduring of the woman and how I dealt with the lady patient by fathoming the entire circumstance of her miseries (Koepke, 2009). After documenting the detailed medical, historical and social backdrop of the lady, I became acquainted with her habit of smoking by posing her few enquiries. The next stage of the procedure was to think regarding the sentiments of my patient (Bahtaji, 2015).

Thoughts and Feelings

I at first felt strained and nervous after watching her condition but within a couple of moments I turned out to be increasingly formed and thereafter assumed responsibility for the circumstance. I additionally felt that my preparation had just set me up to deal with comparable circumstances. While watching her I saw that she was looking exceptionally frail and pale that might be because of unhealthy eating regimen devoured by her when contrasted with a typical individual (Lonn, 2016). I likewise saw that she was giving the indications of anxiety. Unmistakably because of the prolonged experience of a constant ailment the woman was showing this indication of emotional aggravation. Moreover, from the scientific evidences it is clear that hypertensive patients experience the ill effects of emotional disturbances, for example, depression and anxiety however the association with depression is less studied (Li, 2015). As an attendant I listened to my patient serenely and clarified her regarding the act of BP measurement. I managed her in an extremely compassionate manner. I approached the patient to unwind for some time before estimating her BP, researched about her health conditions, for example, about dehydration; the day by day diet consumption design, history of any past infection, labor history and other fundamental physiological parameters were verified (Cho,2001). I likewise proposed her with non stimulant beverages which she dismissed because of absence of craving. I also enquired as to whether she needed to visit washroom before the assessment and prompted her to take little rest. The best piece of examination was I could comprehend the significant reason following the medical issue and the basic part was the point at which the patient couldn't give subtleties of high BP in her ancestry which was likewise a noteworthy piece of the evaluation (Zhu, 2018; Williams, 2004). As the lady was feeling unwell much after being admitted to the hopsital, I focussed on the fact that the patient ought to be watched constantly. Besides, she was likewise demonstrating fluctuations in her heart rate and was additionally given help with supplemental oxygen at the evening time because of her breathing issues. As indicated by the allocated task, I checked her health status at regular intervals, i.e., after 30 minutes. In this regard, the expertise of time management was viewed as urgent for this patient as she might collapse due to minor carelessness. The other staff nurses were likewise notified about her condition and a chart was kept up next to the bed of patient. The health condition of the lady was checked routinely at the night time for the current information. I additionally enquired her that whether she gets enough rest, regarding her nourishment propensities like the extent of salt she favoured in her diet and furthermore about her symptoms of tiredness or weakness (Giddens, 2017; Interview 2019).

Evaluation

All through the procedure of therapeutic investigation, I enquired myself whether I have abided by all the rules or on the off chance that I had missed a few angles which could influence the customized care of the patient. In the wake of assessing the historical backdrop of patient, i.e., about her nourishment propensities, history of medication, family ancestry of hypertension, propensities for smoking, labor and other eminent manifestations of headache, weakness, nervousness and urine dipstick. It was viewed as that inappropriate nutrition routine, family ancestry of high BP and propensities of smoking were the significant triggers of hypertension (Zhu, 2018; Williams, 2004). I talked about my feeling with my guide and she commended me in transit how I smoothly assessed the general contextual analysis. The other staff members were additionally requested to screen the patient's propensity for smoking (not permitted to smoke) and were likewise furnished with adjusted eating routine. It was normal that she would reveal betterment in her indications. The patient indicated improvements with regard to her symptoms within few numbers of days after following the routine. It was likewise emphasized that the hereditary state of disease of the lady was an inescapable circumstance so she was regulated with drugs explicit to her innate illness (Surendran,2016).

Analysis

The expression patient centred care is referred as taking care of a patient inside the healthcare organisation with nobility and regard. The opinion of the patient should be remembered and considered for all choices about their treatment. This methodology of care contemplates with the rights of health of the patient. This guarantees a trust connection between the expert and patient because of which the emotional, social and practical demands of patients can be fulfilled. The demonstration of empathetic care was additionally considered at that moment as the state of patient and her emotions were assessed and acceptable habits were worked on during the procedure by demonstrating personal curiosity (NMC, 2008; Stewart, 2001). It was also examined what other measures that could be made to augment the health state of the woman patient. I considered all the aspects of care and on any further developments that could be achieved or not. The precedence was given on certain areas: legitimate skills of correspondence with clinician, patient along with other individuals of the group, a hygienic and safe condition were accommodated the patient, the part continuity of care along with care of excellence (Jones, 2012). In this regard, the varied explanations behind hypertension were considered and overseen. Mrs. A was enquired pretty much the entirety of her subtleties and was informed regarding the risk factors related with sickness. She was additionally informed about her way of treatment and the lifestyle changes that she ought to keep up to hold her sickness within proper limits, for example, smoking cessation and maintenance of sound eating regimen. This was all as per the standard act of care (NMC, 2008). Her clinical status was additionally explored at definite intervals to remain refreshed. The therapeutic routine of the lady was changed to a preliminary of angiotensin-converting enzyme (ACE) inhibitor, enalapril (5 mg/day) for the time frame of 3 months. The part of anxiety was likewise mulled over while recommending medicine as it was because of her hypertensive state (Giddens, 2017). When she was brought to the ward for admission, I had finished all the investigations related to preadmission and included all the relevant data inside her clinical record document (Calhoun, et al, 1990). Another critical viewpoint was the confidentiality of patient which was likewise given the highest need (NMC, 2008). All the records, for example, records of disease, family ancestry, immunizations, and history of past prescriptions and sensitivities of Mrs. A were recorded by me and other staff members. The aspect of physical evaluation gave an overall appraisal of her status of wellbeing. The data was gathered by percussion, perception, auscultation, palpation and examination. Her clinical report decided the degree of appraisal and the factors that need to be considered for standard evaluation during the procedure of treatment were airway and breathing, disability and circulation.

As a part of job the nurses to keep up a good quality of documentation according to the standard act of care (NMC, 2008). The ability of good correspondence and documentation are viewed as noteworthy piece of continuity of care (Brooker and Nicol, 2013). As I was the first responder, I asked my guide and other staff for help during the time of crisis, for example, for balancing out the imperative indications of patient. I likewise spoke with her spouse regarding her health status and about her responsiveness to restorative regime as it can be considered as fundamental piece of patient centred care to have a reasonable fair correspondence with the family members of patient (Jones, 2012; Brooker and Nicol, 2013). All the data were precisely determined inside the segment of "shift assessment" and the new technique was incredibly compelling with the chart as with the entry of next staff, she could comprehend without much extra effort about the current health status of patient. (Flo,2012).

Reframe

The subsequent stage was to significantly scrutinize if some other cure methods could be applied to deal with the state of patient. For our situation, we reached the resolution that we have just secured all the parts of the ailment, in any case to treat the hereditary condition, drugs explicit to it could have been administered alongside way of life adjustments.

Future Actions

The last stage was to design a future activity if the health problem repeats and in the present case, the problem may reappear if she again smokes or devours detrimental nutrition. During the ramification the patient should experience a similar approach of care of treatment yet around then the patient will be given increasingly number of prescriptions as the condition would have entered in to the peril zone.

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Conclusion

On consideration of my own involvement with the progress period of understudy student to staff nurse, I believe that my insight have upgraded a great deal about the complete part of supervision of patient along with the centrality of excellent skills of communication. The experience had likewise given me the boldness to address my absence of information zones and where to seek for assist at the time of crisis which will guarantee wellbeing of patient and give congruity of care. Subsequent to finishing my graduation I should take up the job of assignment, initiative and administration as an enrolled practitioner. As clear from scientific evidences that a recently graduated nurse remains overloaded and ill-equipped with the heap of obligations which makes the time of progress very distressing and in the long run the staff quit their place of employment (Wicks, 2005). Be that as it may, I desire to proceed with my administration and stay satisfied with information so I can maintain all the arrangements and rules to guarantee the best nature of care.

References

Bahtaji, M.A.A., 2015. Improving Transfer of Learning through Designed Context-Based Instructional Materials. European Journal of Science and Mathematics Education, 3(3), pp.265-274.

Calhoun, D.A. and Oparil, S., 1990. Treatment of hypertensive crisis. New England Journal of Medicine, 323(17), pp.1177-1183.

Cho, M.J. and Hong, M.S., 2001. A study on the effect of supportive nursing care to anxiety reduction of the patient immediately before surgery in the operating room. J Korean Acad Adult Nurs, 13(4), p.632.

Flo, E., Pallesen, S., Magerøy, N., Moen, B.E., Grønli, J., Nordhus, I.H. and Bjorvatn, B., 2012. Shift work disorder in nurses–assessment, prevalence and related health problems. PloS one, 7(4).

Gibbs, G, 1988. Learning by Doing: A guide to teaching and learning methods. Further Education Unit. Oxford Polytechnic: Oxford.

Giddens, J., 2017. Concepts for nursing practice. St. Louis, MO: Elsevier.

Jones, A., 2012. The foundation of good nursing practice: effective communication. journal of renal nursing, 4(1), pp.37-41.

Koepke, Y., 2009. Some lessons on reflective practice in medical education. Patient education and counseling, 77(1), p.4.

Levett-Jones, T. and Lapkin, S., 2014. A systematic review of the effectiveness of simulation debriefing in health professional education. Nurse Education Today, 34(6), pp.e58-e63.

Li, Z., Li, Y., Chen, L., Chen, P. and Hu, Y., 2015. Prevalence of depression in patients with hypertension: a systematic review and meta-analysis. Medicine, 94(31).

Lonn, E.M., Bosch, J., López-Jaramillo, P., Zhu, J., Liu, L., Pais, P., Diaz, R., Xavier, D., Sliwa, K., Dans, A. and Avezum, A., 2016. Blood-pressure lowering in intermediate-risk persons without cardiovascular disease. New England Journal of Medicine, 374(21), pp.2009-2020.

Nicol, M. and Brooker, C., 2013. Nursing practice–the essence of caring. Alexander's Nursing Practice, p.1.

Nursing Midwifery Council, 2008. Confirmed Principles to Support a New Framework for Pre‐Registration Nursing Education.

Redmond, B., 2017. Reflection in action: Developing reflective practice in health and social services. Routledge.

Stewart, M., 2001. Towards a global definition of patient centred care: the patient should be the judge of patient centred care.

Surendran, P., Drenos, F., Young, R., Warren, H., Cook, J.P., Manning, A.K., Grarup, N., Sim, X., Barnes, D.R., Witkowska, K. and Staley, J.R., 2016. Trans-ancestry meta-analyses identify rare and common variants associated with blood pressure and hypertension. Nature genetics, 48(10), pp.1151-1161.

Wicks, R.J., 2005. Overcoming secondary stress in medical and nursing practice: A guide to professional resilience and personal well-being. Oxford University Press.

Wilding, P.M., 2008. Reflective practice: a learning tool for student nurses. British Journal of Nursing, 17(11), pp.720-724.

Williams, B., Poulter, N.R., Brown, M.J., Davis, M., McInnes, G.T., Potter, J.F., Sever, P.S. and Thom, S.M., 2004. British Hypertension Society guidelines for hypertension management 2004 (BHS-IV): summary. Bmj, 328(7440), pp.634-640.

Zhu, X., Wong, F.K.Y. and Wu, C.L.H., 2018. Development and evaluation of a nurse-led hypertension management model: A randomized controlled trial. International journal of nursing studies, 77, pp.171-178.


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