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This assignment will discuss proficiency from within the pre-registration clinical profile. The proficiency to be discussed shall be clause 4.1 Personal and Professional Development. The rationale as to why this proficiency was chosen was to reflect

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Introduction

Personal and Professional Development This assignment will discuss proficiency from within the pre-registration clinical profile. The proficiency to be discussed shall be clause 4.1 'Personal and Professional Development'. The rationale as to why this proficiency was chosen was to reflect on a challenging situation in regards a client with personality disorder, which the author experienced during a clinical placement. The client who shall be referred to as 'Trevor,' as to protect his identity in regulation to the Nursing and Midwifery Councils (NMC) 2004 Code of Professional Conduct regarding confidentiality (clause 3.2, pp 5). To help facilitate this assignment, a reflective model (Gibbs model 1988) will be incorporated to discuss how the author has achieved the necessary level of competence during nurse training. The rationale to why this proficiency was chosen was mainly due to reflective practice being one of the pinnacle aspects to nursing, and especially so when faced with challenging situations. By reflection the student nurse can learn from past experiences by looking intensely at what the actual situation involved and to remember how emotions, thoughts and feelings played a part in the outcome. By evaluating and analysing on these points the nurse can develop an action plan to support future clinical practice. From reflecting on clinical aspects a student nurse can make the transition to professional nurse. Gibbs (1988) model of reflection incorporates the following: description, feelings, evaluation, analysis, conclusion and an action plan. The model will be applied to the essay to facilitate critical thoughts, relating theory to practice where the model allows. Also appropriate legislations will be included to support the assignment. A conclusion to the essay will then be given which will discuss how reflection skills contribute to acknowledging competence and provide evidence to personal and professional development. The primary part of Gibbs (1988) reflective cycles suggests a description of events. Whilst on placement on a busy, elderly medical ward Trevor a gentleman aged 60 years with a past medical history of personality disorders was admitted onto the ward. ...read more.

Middle

I explained that due to my inexperience I feared he might be a risk to the other patients on the ward. The nurse seemed quite taken back that I had questioned her authority and suggested that I had a problem in nursing psychiatric patients. I explained I did not have a problem with nursing a patient with mental health problems but more a problem with not only my safety but the patients in the bay. I explained that although I fully understood Trevor's condition was to blame for his aggressiveness, I did not feel safe and would prefer a more experienced member of staff to assess him. I felt the adrenalin reach my stomach and the blood rush to my cheeks as I recalled an incident which occurred many years go in which I was viciously attacked. As I explained my past experiences to the nurse, for no unknown reason I started to cry and shake. Reflecting back to this situation I can only assume it was due to a genuine fear of the situation occurring again or due to the fact I was feeling inadequate in front of the senior nurse, for whatever reasons I certainly did not feel experienced enough to be placed in this situation. Although I did feel a great deal of sympathy for Trevor and the inner torment he must be experiencing, I did not feel confident enough to nurse him to the standard he clearly needed. I felt I had acted in the correct manner by discussing my feelings in private and not in front of everybody else on the ward, however although I unquestionably acted in a professional manner; I felt very little and inadequate yet proud for being assertive. The NMC (2004) Guide for students of nursing and midwifery states that students should work within their level of understanding and competence (pp4). The NMC (2004) further concludes that as students a conscientiousness in accepting responsibility for ones own actions should be practiced nevertheless the guidelines by the NMC (2004) ...read more.

Conclusion

The final part of Gibbs (1988) cycle of reflection is to make an action plan should this situation arise in the future. I feel that as I gain more experience of nursing a wider range of patients my confidence will grow. From experience the student nurse will gain confidence, if this situation which I am sure I will encounter many times in my career as a registered nurse was to occur again. I would look at what my limitations are and assess the situation more effectively. As a Staff nurse I have a duty of care (NMC 2004) 1.4, pp4) to all patients in my care and also have the duty to act to identify and minimize risks to patients and clients within my care(clause 1.2, pp 4) therefore it is imperative that everybody's safety is maintained .If the situation was out of my limitations then apart from making the area safe and hazard free, I would enlist the help of a psychiatrist and specialized nurse who has been trained appropriately in the field of nursing people with mental health problems. This would be adhering to clause 2.4 of the NMC (2004) Code of Professional Conduct which claims "The nurse as a professional should promote the interests of patients and clients. This includes helping individuals and groups gain access to health and social care, information and support relevant to their needs" In conclusion my reflection skills have developed through the production of this assignment. Using a model of reflection has assisted me in structuring my thoughts and feelings appropriately. My level of awareness concerning different groups of people and their individual needs, and its importance, has been enhanced with the use of critical reflection. My competence, within this; communication skills, assertiveness and furthermore confidence, has been further developed and I now feel that my personal and professional development is progressing. Using this reflective model has helped me to realise that my learning experience is something which I must be proactive in. Furthermore as a student nurse I have recognised that reflection is an important learning tool in practice. ...read more.

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