Student Nurse Placement Reflection and Personal Development Plan.

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Introduction

The purpose of this essay is to reflect on my experience and skills gained during a two-week clinical placement as a first year Student Nurse and also the learning outcomes stated in my Personal Development Plan (PDP). This experience will relate to the development of ability to form therapeutic relationships with patients stated in my PDP as a Learning Objective. In accordance with the Nursing and Midwifery Council (NMC) Code of Professional Conduct (2008) all personal information and locations have been changed to protect confidentiality. I have chosen Driscolls Model of Reflection (2006) as it consists of three questions (âwhat?, so what?, now what?â) that facilitate critical thinking and in-depth reflection which, in turn, will help me to compile learning objectives for the future. Driscoll (2006) describes reflection as a euphemism like looking in to the mirror at your appearance, you may like what you see and not need to change your appearance but on the other hand there could be something you do not like which needs to change in order to be improved. According to the British Medical Association (2009) a PDP can be used as a framework for individuals to highlight their strengths and weaknesses, this encourages lifelong learning.

Middle

The purpose of returning to this particular incident is that it was a situation I had never encountered before and I wanted to reflect on my behaviour and how I had managed to form a therapeutic relationship with a patient with no verbal interaction. I found it frustrating that I was unable to form a relationship with Patient A and especially that I felt she wouldnât communicate verbally with me. I respected her refusal to communicate but still felt disheartened each time I tried to communicate and she did not engage. When Patient A then approached me with the cup of blood I felt apprehensive of the situation that could occur but also felt happy at the fact she felt she could approach me for support. I felt more reassured about dealing with the situation by asking Staff Nurse D for support but in turn it left me feeling more confused when Patient A resumed her previous behaviour of non-engagement. On reflection I have realised that not all patients may feel comfortable communicating with new people and that it takes time to build a relationship where a patient feels they can trust you. Also it highlighted the fact that some patientsâ mental health condition may impair their ability to communicate (Durham and Molle, 2003).

Conclusion

Belbin, R. (1996) Management Teams: Why they succeed or fail. Oxford: Butterworth-Heineman. Boyd, MA (2008). Psychiatric Nursing: Contemporary Practice. 2nd ed. London: Lippincott Williams & Wilkins. British Medical Association. (2009). Personal Development Plan. Available: http://www.bma.org.uk/careers/medical_education/mededatozp.jsp#personaldevelopmentplan. [Last accessed 15th March 2012] Chambers, M. (1998). Interpersonal Mental Health Nursing: Research Issues and Challenges. Journal of Psychiatric and Mental Health Nursing. 5 (3), pp.203-211. Driscoll, J (2007). Practising Clinical Supervision: A Reflective Approach for Healthcare Professionals. 2nd ed. Edinburgh: Bailliere Tindall Elsevier. Mehrabian, A. (1981). Silent messages: Implicit communication of emotions and attitudes. Belmont, CA: Wadsworth. McCabe, C. (2004). NurseâPatient Communication: An Exploration of Patientsâ Experiences. Journal of Clinical Nursing, 13 (1), pp.41â9. Mitchell A & Cormack M. (1998). The Therapeutic Relationship in Complementary Health Care. London: Churchill Livingstone. Molle, A & Durham, L. (2003). Administrative Medical Assisting. London: Lippincott Williams & Wilkins. Nairne, J. (2008). Psychology. 5th ed. English: Wadsworth Publishing. Nursing & Midwifery Council (2008) The Code: Standards of conduct, performance and ethics for nurses and midwives. London: NMC Peplau, H.E. (1952) Interpersonal Relations in Nursing: A Conceptual Frame of Reference for Psychodynamic Nursing. New York: Springer. Sharif, F & Masoumi, S. (2005). A Qualitative Study of Nursing Student Experiences of Clinical Practic. BMC Nursing. 4 (6). Taylor, J. (2000). Reflective Practice A Guide For Nurses and Midwives. Berkshire: Open University Press. Videbeck, S (2010). Psychiatric-Mental Health Nursing. 5th ed. London: Lippincott Williams & Wilkins. pp.200.

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