Reflection Of Clinical Practice Nursing Essay

Reflection Of Clinical recital Nursing EssayThe purpose of this essay is to demonstrate application of gist components of the NMC Code of passkey Conduct (2008) using reflective pr portrayalice. The NMC Code of passe-partout Conduct (2008) deposits that nurses should act in accordance with the code, using an honest and efficacious framework to en indisputable forbearing well world and regard confidentiality. Nurses essential act in a fair, non-discriminatory way which respects customs, values and beliefs of an individual, providing fretfulness which demonstrates sensibility (NMC 2008, p2). Reflective practice is described by Duffy (2008, p.1405) as an active and deal process to critically examine practice, where an individual is challenged to undertake the process of self-enquiry. Refection allows us to look at an experience and how it makes us step and react, asking what is safe and bad, and what can be learnt (Sellman Snelling 2010). Gibbs reflective cycle (1988) al lows a systematic and structured synopsis and reflection of an event.Description.On my second day of placement in Theatres, I was in the recovery room where a 3 family one-time(a) boy was being recovered following surgery. The next unhurried admitted was a Polish lady, who I will call Joanna, in assure to maintain confidentiality. She was admitted following an elective terminal of pregnancy. Pre operatively she had an interpreter award, that she had returned to the ward and was non present in recovery. When she woke up, Joanna turned to her right and truism the 3 year old boy next to her. She became distressed and started to cry. Joanna appe atomic number 18d to pick up no English at all, I tried to calm her part up and reassure her, except she did not seem to comprehend. The staff nurse panorama that she was upset at seeing the boy aft(prenominal) her procedure and went to locomote a mobile screen to separate the patients. Joanna then became more upset. I called the ward and asked the interpreter to come back to recovery, as the patient was acquiring more distressed and we were not able to reassure her due to a communion barrier. The 3 year old boy was withal fair upset. When the interpreter arrived Joanna was able to verbalise that it was the heraldic bearing of the child that ca utilize her upset and anxiety, as it was the last thing she expected to see when she woke up from anaesthesia.Feelings.I tangle help slight as I could not fully understand why she was upset, and I was unable(p) to reassure her or calm her down. I alike felt sad and concerned for the 3 year old boy who was obviously distressed by the circumstances. I was concerned that Joanna whitethorn bemuse felt more isolated by putting the screen there, and perchance felt judged because of her procedure. I felt the staff nurse assumed the comportment of the boy was causing Joannas upset, but that we could not be absolutely sure.Evaluation.Joanna was in a vulnerable position during her ship- operative period, and we were unable to help her at once due to communication barriers. We attempted to resolve what we thought might be the problem by placing the screen, but this appeared to worsen levels of distress for Joanna. Alongside this we were unable to assess her pain, nausea levels and fully explain what we were doing. Positively, we called the interpreter to return as soon as possible to attempt to resolve the situation. I also feel that I was able to look inside myself to challenge my Islamic religious beliefs, which are fundamentally against spontaneous abortion, putting these aside to treat Joanna in a fair non-discriminatory way. I was able to act in a sensitive and compassionate style, affirming my belief that I am able to beat to the Code of Professional Conduct (2008) and its core components.Analysis.The Abortion Act (1967) allows termination of pregnancy up to 24 weeks if continuance of the pregnancy would involve danger to the p hysical and mental health of the mother. Abortion is one area where health professionals may raise a conscientious objection. Nurses may avoid winning part in the procedure, but must continue to care for the patient, out front and after the procedure, despite personal opinions and moral concerns (Royal College of Midwives 1997, NMC 2006). Kane (2009) states in accordance with the NMC nurses must keep appropriate and comprehensive care to all patients, regardless of their source for being in hospital. The Code of Conduct states you must act as an advocate for those in your care (2008, p2), nurses also stand a sanctioned obligation to care. I feel I gave appropriate care, regardless of Joannas solid ground for admission, and did not treat her any differently because of this.The Royal College of Nursing (2012) state that nurses must be culturally competent, caring for the expects of people with differences in beliefs, values and cultures, to provide meaningful, beneficial he alth care. Health care is via mediad when the patient does not understand what is being said to them (Anderson et al. 2003). Communication is seen as a fundamental component in fluff cultural care and terminology difficulties can lead to insufficient care and poor quality treat (Jirwe et al. 2010, Jacobs et al. 2006). I do feel although we attempted to resolve the situation, our ability to care for Joanna was compromised by not being able to communicate verbally. Jirwe et al. (2010) found in their study that nurses who experienced difficulties in talking to their patients led to care being mechanical and impersonal, as they were fearful of making mistakes. Jirwe et al. (2010) suggest that nursing programs need to address this deficit to ensure nurses are skilled to deal with cross cultural differences, such as using translators, nonverbal communication etc. This is supported by Jacobs et al. (2006) who state that people with limited English are less likely to receive the care t hey need and are less satisfied with health care. The however factor that can improve this is the use of someone who speaks their language, i.e. an interpreter. Carnevale et al. (2009) state that linguistic barriers can cause discrimination and compromise nursing care. They apply ethical theory in that the patient should be respected as a unique person, their right to self-determination upheld, respect for privacy and the nurses responsibility for ones competence and judgement. Veiga et al. (2011) found in their research that the presence of a support person in the recovery room post termination was perceived by the women in a positive manner and also reduced anxiety levels.Termination of pregnancy is associated with pain, which can be exacerbated by anxiety and psychological factors (Pud et al. 2005). It is estimated 10-20% of women following terminations suffer from serious disallow psychological complications such as anxiety, depression and sleep disturbances (Coleman et al 200 5). I am concerned that Joannas level of anxiety, may crap caused her increased pain, and may also have affected her recovery in the longer term. I was unable to find any research that suggested that adults and children should not be recovered together. However there is a drive in the UK to provide uniform sex accommodation where possible in order to promote haughtiness and privacy (NHS pioneer for Innovation Improvement 2010). A privacy and arrogance report by the Chief Nursing Officer stated that screens if used should be high enough to feel like they are in a separate room.Conclusion.Based upon the literature reviewed during the analysis, it is evident that an interpreter should have been available to reduce Joannas stress, anxiety and even pain response. We do not always know how a patient will recover in the immediate postoperative period and patients can often be disorientated. This was make worse for Joanna as she did not understand what was happening. We could not effe ctively give reassurance, or fully assess the situation due to the language barrier. The only way in which this could have been resolved was to have the interpreter present when she came round from her anaesthetic. In reflection, the screen should have been in place before Joanna came round from theatre to protect both her, and the 3 year old boys dignity and privacy. If the screen had been in place, then this incident would not have occurred. It I difficult to say whether placing the screen was the right action after Joanna became upset, as it seemed to cause Joanna more distress. However, we also had to take into consideration the 3 year old boy, who was frightened, scared and also becoming upset. It is my opinion that this was in both patients best interests to place the screen after the fact, although it would have been a better situation if the interpreter had been present. It must however be said, that it is not always possible to have an interpreter due to scarce resources, but as the patients advocate, we should do all we can to protect their best interests. work Plan.In future, regardless of my location, I will endeavour to be sure of potential problems that may arise due to the patients circumstance or environment. I will be more focused on making sure that all resources are in place, such as anticipating when an interpreter may be necessary, and also ensuring dignity and privacy are maintained. I feel this reflective essay has been invaluable, and I am able to demonstrate ethical practice, acting in a non-discriminatory and fair manner, within a wakeless framework , despite my own personal beliefs.References.Anderson, L.M., Scrimshaw, S. C., Fullilove, M. T., Fielding, J.E. et al. 2003. Culturally competent health care systems. American Journal of Preventative Medicine. 24 (3), pp. 68-79.Carnevale, F. A., Vissandjee, B., Nyland, A., and Vinet-Bonin, A. 2009. Ethical considerations in cross linguistic nursing. Nursing Ethics. 16 (6), pp. 813-26.Co leman, P.K., Reardon, D. C., Strahan, T., and Cougle, J. R. 2005. The psychology of abortion a review and suggestions for future research. Psychology Health. 20 (2), pp. 237-271.Duffy, A. 2008. A concept analysis of reflective practice. 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