Four Fs Model Reflective Diary


I will use the Four Fs model to compose this reflection. In a real-life situation, the essay also includes one ethical principle of Beneficence- benefiting others. Mental Capacity Act and Consent are also included. This reflective account will use a pseudonym name. The patient will be referred to as John to safeguard patient identity as per the Nursing and Midwifery Council principles of 2008 (Pattison & Wainwright, 2010). As a trainee assistant practitioner, I am tasked with recognizing and mitigating patient risks while providing care.


After receiving a handover at the start of my shift, I was notified of a new patient who was brought in from the community after suspected high blood sugar complications. John appeared confused and out of place both in space and time when he arrived. He was extremely upset and yelling at the workers who were attempting to move him. It was revealed that he had been diagnosed with Alzheimer's disease just a few months earlier and that he was showing signs now due to his diabetic medication non-adherence. In order to ascertain my blood sugar level, the community district nursing team recommended that I take a blood sample. High blood sugar levels may have exacerbated his health and other diabetes-related difficulties during this investigation. This test is critical to the patient's well-being. As a result, despite the pain, the patient was experiencing and the difficulty he was having communicating, I hurriedly carried out the procedure. After all, I am a trainee assistant practitioner, and my job is to detect and minimize risk to the patient while giving care. Maintaining my skills and expertise is also my job in order to ensure that all patients receive the same level of care.



When I saw how disoriented John was when he was admitted to the ward, I admit I was a little worried. I was afraid that he would not receive timely or safe treatment because he was visibly agitated upon arrival and would require additional help to meet his particular needs because staffing on the ward that day had been reduced owing to numerous leaves. Besides, I was aware that the patient required immediate medical attention. Unfortunately, because I had only been in the trainee role for ten days, I had no expertise in healthcare practice and was unsure of my place in the facility. However, apart from general practice, I had learned critical knowledge through my training and different mentorship programs, and I was completely qualified to provide care with minimal supervision. Likewise, I did not have the confidence or experience to handle this matter on my own. I believe that my increased concern made it difficult for me to interfere, but it is evident that I was the only one in a position to intervene and guarantee that the patient was adequately dealt with. Therefore, I decided to take blood samples as instructed. I felt certain that I was doing the correct thing throughout the procedure and completed the task at hand. Unfortunately, after obtaining blood samples, I realized that I had not followed the appropriate ethical procedure and had failed to consider the unique requirements of the service user, which may have caused the service user grief. I recall feeling a mixture of bewilderment, surprise, wrath, and impotence during this incident. I informed the community district nursing team about the situation. Similarly, I accepted responsibility for my failures and was committed to offering John person-centered care. I was eager to discover new ways to adjust communication to facilitate care delivery and meet his unique requirements.


According to the nursing midwifery council, before practitioners administer care or therapy to a patient, they must get their consent (Cook, 2016). Obtaining consent is critical because failure to that can be perceived as a physical attack on a patient. Besides, consent should not be ignored and the patient must be informed about the operation before it begins. This make sure that patients are capable of making an educated decision and that they have the legal right to refuse treatment at any point during their treatment. John suffers from a sort of dementia, which causes him to lose his memories and become confused. As a trainee assistant practitioner, I understand the Mental Capacity Act 2005, respect individual’ rights, and provide treatment within the ethical boundaries. A person who lacks mental capacity has had their brain altered by an ailment-dementia. The Mental Capacity Act of 2005 was enacted to protect those unable to make their own decisions (Brown et al., 2015). However, attorney power can be utilized to appoint counsel to make decisions concerning individual welfare. An individual possessing personal welfare or long-term power of attorney for the patient can make treatment or medical decisions for them (Brown et al., 2015). Therefore, I must ensure that individual who lack capacity receive the necessary assistance in order to assert their rights. There are, however, alternative steps that can be followed to reduce the risk of injury. For example, Beneficence states that people must act in ways that benefit others and have a moral and legal obligation to do so (Jill Day et al., 2018). As a result, it is a charitable, merciful, and compassionate deed with a strong connotation of doing well to others, as well as a moral obligation.


As a training Assistant or Practitioner, I shall adhere strictly to all applicable ethical and legal guidelines. According to my personal experience, this is a common occurrence that I am unaware of. For example, I would never do surgery on a patient unless they had given their permission first. There are a variety of ways to convey this. I will fill out an incident report and speak with a manager about my problem. The other members of the staff will be made aware of the patient's antagonism, and family members will be included in decision-making or paid a visit. This time around, I hope for better communication skills and, more importantly, the patient's caregiver or family's engagement when the individual is unable to make decisions. Because of the Mental Capacity Act and my time caring for Jean, I believe that my abilities and knowledge will continue to grow. I will continue to offer my patients the care and support they need. As part of my investigation, I will inquire whether or not there are any current policies in place and how they are being enforced. This would help me to see how the legislation would apply to my field.

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In conclusion, from the situation, I feel that I learnt significant knowledge concerning Mental Capacity Act and other ethical principles.


Brown, R. A., Barber, P., & Martin, D. (2015). The Mental Capacity Act 2005: A Guide for Practice. Learning Matters.

Cook, A.M., 2016. Midwifery perspectives: The consent process in the context of patient safety and medico-legal issues. Clinical Risk, 22(1-2), pp.25-29.

Jill Day, B.G.S., LDA, R. and Sarah Stream, B.A., 2018. Ethics in the Dental Office: Autonomy, beneficence, non-maleficence, and justice should guide your decisions. Dental Assistant, 87(4), pp.8-9.

Pattison, S. and Wainwright, P., 2010. Is the 2008 NMC Code ethical?. Nursing Ethics, 17(1), pp.9-18.

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