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Nursing : An Example of a Clinical Incident

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Nursing : An Example of a Clinical Incident In this assignment the author shall first of all choose a clinical incident when they were involved in a health program during a clinical placement. The author shall give a clear rational for choosing this particular intervention and will write a brief summary of the background of they client or clients that were involved in the health program including the care setting. The author will then choose a Model of health and give a rationale for choosing this model and discuss its application in relation to the chosen intervention and health need. The author must then use a reflective framework to evaluate the health nursing intervention also giving a rationale for choosing this particular framework for the chosen intervention. To complete this assignment the author has chosen to use an intervention that was carried out during their community placement. The reason that this intervention was chosen was because it is one which they enjoyed doing and one that sticks in their mind. The author also feels that this was a very valuable experience for them during their training and therefore feels it is an appropriate intervention to reflect on. The author also feels that this is one time that an intervention they carried out truly had an effect on more than one individual's health. I have chosen to complete this assignment in the terms of the first person, as it is a reflective piece of work. The health visitor and I chose to complete a teaching session on weaning because we asked the parents at a previous mother and baby club what they felt they did not have enough knowledge about. After discussion it was agreed that they did not have enough knowledge about the weaning process in all aspects and so this is how we decided on the topic. We agreed amongst ourselves that the session would best be done in a group instead of individually as the mothers could share their own experiences with each other and offer each other some valuable advice. ...read more.


Johns model is also the model with which I am most familiar and comfortable Johns (1995) states that reflection makes caring visible, enabling it to be acknowledged, affirmed and valued. Johns model (1995) consists of six structured points which are 1) Phenomenon- Describing the experience 2) Aesthetics - What was I trying to achieve, why did I respond as I did, the Consequences of my actions and how the client felt and how I know this 3) Personal- how did I feel during the situation and what factors influenced me 4) Ethics-how my actions matched my beliefs and what made me act in incongruent ways 5) Emperics-What knowledge did or should have informed me. 6) Reflexivity- how dos this experience connect with previous ones, could I handle the experience better in different situations, what consequences would be for alternative actions, how do I now feel about the experience, can I now support others and has this experience changed my way of knowing. PHENONEMON First of all the health visitor put her acetate sheets onto the overhead and defined what weaning actually is and then explained to the mothers why weaning is very important for babies. We decided acetate sheets were best as this meant that the parents could read the writing as they listen and it would give what the health visitor was saying more clarity. Once it had been explain what weaning is and why it is important I then talked about when a child would be ready for weaning and what the recommendations for weaning actually are. I supplied this information on an over head projector so that I would have some guidelines to do my section by. I got this information from my own research and what the health visitor had taught me. It was also explained to the parents why it was important that babies were not weaned to late or too early in regards to the development of their digestive system. ...read more.


However the experiences I had had were all people who were in my own peer group and were also people who I knew well and had worked alongside many times. This however was a completely new and different experience. However I feel that for this intervention I was more prepared than in my previous experiences and although it was different I had an insight into what was expected of me. I feel that my previous experiences did help to prepare me for this intervention and had I not had my previous experiences I may not have does as well as I did. I feel I could have dealt better with the situation but this would have taken more preparation time and this was not ideal and I do know I used all of my preparation time effectively. I also feel that things would have been better had I not got so annoyed and frustrated at the surrounding commotion, however the health visitor informed me later after the session that this would have had the same effect on her. There are alternative actions that we could have taken when completing this session such as for me only to observe the session and not take part. This however would mean I would have to face the consequences of not improving my communication skills or gaining an extra in sight into the importance and methods of weaning. This also would have meant that the health visitor would not have seen how the knowledge she supplied me with was put into practice and so would not have knowing if her teaching methods were effective. I feel this whole experience was extremely important and valuable to me because not only did I improve my communication and interpersonal skills but I also improved teaching skills and gained an insight into weaning and this will be very useful to me as a qualified staff nurse. I have learned from the completion of the assignment the importance of reflective practice in nursing and the benefits of carrying out reflective practice. ...read more.

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