This assignment is a reflective, analytical evaluation of role modelling in relation to my clinical learning environment. The relationship of this issue to my clinical learning environment will be clearly justified;
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This assignment is a reflective, analytical evaluation of role modelling in relation to my clinical learning environment. The relationship of this issue to my clinical learning environment will be clearly justified; focusing on current status, my role and future developments within this chosen area. Giving constructive feedback in relation to my performance as an assessor will also be critically analysed and reflected upon, thus demonstrating how its aspects have contributed to my personal growth and development. Issues of context, consent and confidentiality will be made explicit within the text of the essay and the key points of this assignment will be summed up in the conclusion. This assignment is written in the first person as stated by Hamill (1999) that such a stance to avoid using 'I', 'we' or 'our' often results in the tortuous and repetitive use of the author, the writer or the present author, when students are actually referring to themselves. Webb (1992) rhetorically asks "Who, if not 'I' is writing these words?" I am a staff nurse currently working in a surgical ear, nose, throat and maxillo facial ward based in a London NHS Trust, whose thirty five patient capacity consists of a fair number being major operations and long stay patients. Whilst undertaking this course I was required to keep a logbook or record of my involvement in assessment in order to facilitate reflection. Reflective practice is a mode that integrates or links thought and action with reflection.
According to Kinney and Erickson (1990), the role-modelling concept as used here is the essence of nurturance in that one accepts patients as they are while encouraging and facilitating their growth. Using this framework in developing patient sensitive care, the expert clinician would assess the patient's needs, determine the necessary interactions between the student and the patient, recognise the student's abilities and knowledge, and then work with the student and the patient to institute patient centred care. Despite its obvious strengths, role modelling has been criticised as a passive activity that in itself is inadequate for the learning of multi faceted or situationally complex nursing activities (Ricer 1995). In contrast, however Davies (1993) claims that it goes beyond imitation as it involves many behavioural and affective linkages. Nevertheless there is a growing support for the need to add other elements to role modelling to make it most effective. Goldstein (1973) suggested there were several deficits in role modelling alone if one were interested in changing attitudes and recommended a method of applied learning which was essentially role modelling and social reinforcement. In an experimental study of skill development, Hollandsworth (1997) also advocated directed feedback and found role-modelling, role-playing and discussion was superior to any one method used independently. Others have found that debriefing sessions in which students were encouraged to reflect on their practice increased retention of information (Davies 1996). Moreover, according to Clarke (1996)
It allowed for reflection in practice and offered me the opportunity to meet the NMC's guidelines of reflective practice. I have developed skills in giving and receiving feedback and am able to determine whether the feedback is evaluative, judgemental or helpful. I am now constantly soliciting feedback as it enables me to gain other people's perceptions and feelings about my behaviour. I accept it positively for consideration rather than dismissively for self-protection, which in turn helps me to be more responsible for my behaviour and consequences. In conclusion, mentorship is about a partnership approach to learning by the student and mentor. The mentor and the student need to be aware of the competency level and learning outcomes, and each other's responsibility in achieving these. The mentor is there to facilitate and assist the student in achieving learning outcomes in a variety of ways appropriate to the learning environment. The partnership between the mentor and the student is also based on effective communication and effective feedback on progress, development and performance - both positive and constructive on achievements and progress made. It is also through this partnership approach that students and mentors acknowledge each other's role: the mentor is not only that student's mentor, he or she is also an accountable and responsible nurse, patient advocate, member of the multidisciplinary team and he or she might be mentoring other students as well. In my role as qualified staff nurse I am able to appreciate the hard work and dedication of mentors in preparing students to become registered practitioners.
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