(Reflection and Personal action plan)


In this assignment the author will utilise the reflective cycle (Gibbs 1988) as a framework to review experiences from the management simulation day. In writing up this reflection, I will use both the first person and the third person in the pursuit of reflexivity (Webb 1992). The transferable skill of communication will be reviewed. The reflection will emphasise on the personal aspects of both verbal and non-verbal communication as this contributes to the quality of nursing care (Hinchiff S, Norman S, Schober J. 2003). An action plan in communication skills for the personal and professional development of the author has been presented. The authors Curriculum Vitae is presented as appendix I. Pseudonyms will be used to maintain anonymity and confidentiality in accordance with clause five of the Nursing and Midwifery Council (NMC) Code of Professional Conduct (NMC 2002).

Health professionals in carrying out their tasks constantly engage and disengage with their patients, without communication this relating will be almost impossible (Purtilo 1990; Hinchiff 2002). As far back as 1990, Purtilo realised that communication is extremely important for nurses as they are more likely to initiate interactions with patients in a health care setting (Hargie et al 1994; Holyoake 1998). It is through personal communications that people make their thoughts and wishes known to one another (Hargie et al 1994). Davies (1994) defines communication as an interaction where two or more people send and receive messages and in doing so both present themselves and interpret the other. Communication is about sharing information, through speaking (verbal) and writing (non-verbal) gestures like hand movements and even making faces (Hargie et al 1994). It will be almost impossible to care for patients without the use of verbal and non-verbal communication (Ellis et al 1995; Hinchiff 2003).

Taylor (2000) defines reflection as the re-collecting of thought and memories in a cognitive manner such as thinking in order to make appropriate changes when necessary. Reflecting is not jus about recalling events but also requires the nurse to want to make a change (Reid 1993; Holyoake 1998).
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Mary, the team co-ordinator handed over a patient to me (Helen) who came in with falls. Helen is a 30-year-old woman who lives alone and has no past medical history of falls. On this occasion, she missed a step and fell down the stairs at her home. Neighbours heard her cries for help and called an ambulance, which took her to the hospital and Helen needed to be admitted.

During the admission interview, I introduced myself to Helen who was fully conscious and explained the complete admission process. Although she was fully conscious, she ...

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