In order to full fill the requirements for learning outcome (LOC) 6 I will compare my first placement with my experiences from following placements - This will allow me to reflect on my progression as a paediatric nurse.

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Learning Outcome 6

In order to full fill the requirements for learning outcome (LOC) 6 I will compare my first placement with my experiences from following placements.  This will allow me to reflect on my progression as a paediatric nurse.

Schon (1991) identified 2 sub categories of reflection, reflection on action and reflection in action and I have decided the most appropriate method of reflection for the purpose of the LOC, is reflection on action.

This is reflecting after an event has happened or in my case, my progression from the beginning of my training until now.

My chosen tool of reflection is Gibb’s reflective cycle (1988).  Kitchen (1999) describes this model as useful for the less experienced reflective practitioner.  Ghaye and Lillyman (1997) also have supporting favour of this model as it aims to incorporate feelings, knowledge and action in one cycle of learning.  I, therefore, feel this is the most appropriate model for me and as Johns (1995) explains, the purpose of reflection is to promote the practitioners understanding and learning about his/her lived experience.  This model will therefore help me to achieve this type of understanding and learning from my past experiences.


The first experience I remember was the handover from the night staff to the morning staff.  I can remember thinking the language used could not be English.  I had no idea what they were talking about!

I followed my mentor around like a ‘lost sheep’ and felt very nervous, as everything was unfamiliar and new.  I was curious about this new environment and asked lots of questions in an attempt to gain an understanding of what I was suppose to be doing.  However, I went home believing I had learnt nothing and felt very frustrated, confused and extremely tired from trying to absorb so much new information.

As the weeks passed and I settled in, I began to relax and I started to feel like I fitted in on the ward.  Every day brought with it, new experiences and with each new experience, came the feeling of apprehension.

However, I got on very well with the staff and I had many new learning opportunities, which boosted my confidence.

There was one thing that frustrated me the most and that was DOCTORS.  They made me feel intimidated and I became scared of them.  This did not improve as my placement progressed.

I, however, interacted well with patients and their families and thought this may be the result of having my own children and knowing how to talk to children and what interests they may have.

By the end of the placement my clinical and cognitive skills were beginning to take shape.  I was becoming familiar with the nursing terminology and how the ward was run.  I also started to recognise how theory was integrated into practice, it was all beginning to make sense.

When I reflect back to my first placement and compare myself from where I was to where I am now, I can see a very different picture.  I feel I have become a lot more confident and have learnt a lot more knowledge about nursing.  The knowledge I have learnt helps me to progress in new learning opportunities.  I have found I am no longer scared to try new things and push myself where ever possible.  I feel this is the only way to get the most out of a placement and also earn respect from the other members of the multidisciplinary team.

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My fear of Doctors is still prevalent but I no longer shy away from them.  I have started to make a conscious effort to initiate a conversation or ask them questions.

The nursing language is a lot more comprehensive; however, each new placement brings with it more unfamiliar terminology that I have to learn in order to understand what is being said.  Also, each placement, so far, has been in a different area i.e. medical ward, surgical ward etc... This means, I have to start at the beginning of the learning curve on each new placement, as each one focuses ...

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