The DPR model consists of three entities to become a competent and reflective practitioner. My competence, within this clinical skill, has been further developed and I now feel that my personal and professional development is progressing.

The reflective model I have chosen to use is Gibbs model (Gibbs 1988). Empathy can be communicated using verbal or non-verbal communication and Thwaites and Bennett-Levy (2007) suggest that an acknowledgement of what somebody is going through using verbatim helps to bind the relationship between practitioner and patient. This could have been done by not looking at the clock when the patient was speaking and doing this when there was a pause in the flow of speech, rather than when they were talking. You can view samples of our professional work here. Reflection 3: OSCE Posted on March 15, 2019 The weeks of preparation before the animal handling Objective Structured Clinical Examinations (OSCE) did nothing to decrease my nerves upon the day. Burnard (2002) suggests that a learner is a passive recipient of received knowledge, and that learning through activity engages all of our senses. All work is written to order. The baby is then delivered by lateral flexion with the next contraction. It has also been noted that the use of cleansing with an alcohol wipe can cause skin hardening (Mallet & Dougherty 2000). Registered office: Venture House, Cross Street, Arnold, Nottingham, Nottinghamshire, NG5 7PJ. Do you have a 2:1 degree or higher? We're here to answer any questions you have about our services. An IM injection is the administration of medication into the muscle; there are many reasons why drugs are given via the IM route (Workman 1999). Reflection is important in therapeutic communication as it allows for the patient to ‘hear’ their own thoughts and check that everything has been understood from both perspectives (Heller-Levitt, 2008). Study for free with our range of nursing lectures! It shall broadly discuss a reflection of the OSCE undertaken based on Gibbs Reflective Cycle outlining the key factors of the model, importance and the application of the Gibbs Reflective Model to OSCE (Gibbs, 2103). This caused these areas of the OSCE to not go as well as planned and this could have been because throughout the OSCE, it was performed in an artificial environment, I was feeling anxious and I was focused on gathering all the disorder-specific information. Bethea (2018) proposes that there are two main types of reflection – mirroring and paraphrasing. I have chosen this because midwives use the theory of the mechanism of labour to assess progress during labour, and to explain events during labour.

The site used in the IM injection was the gluteus maximus, this the most commonly used site for the administration of IM injections (Greenway 2004, Workman 1999). Reference this. A particular example of this is when the patient says, “I’ve been getting shoulder pain and headaches” [02:00] in which I mirror her with the reflection “So you’ve been getting shoulder pain and headaches” [02:07]. Gibbs model of reflection includes: description, feelings, evaluation, analysis, conclusion and an action plan (Gibbs 1988). Ask in patient review questionnaires how they found the assessment. On my clinical placement, an orthopaedic outpatient centre, IM injections were administered on an almost daily basis. Study for free with our range of university lectures! Once I had read the scenario I grabbed the doll and pelvis and sat down on the chair provided and placed the dolls head in the pelvis in the transverse position. Undertake practice of adequate funnelling skills – moving from open to closed questions. Stage four of Gibbs (1988) is an analysis of the event, where Gibbs encourages the reflector to make sense of the situation. *You can also browse our support articles here >.

By advancing on this skill, I might feel more confident in offering a probable diagnosis, explaining correct treatment choices for the patient and therefore have productive supervision, which is important as a PWP (Westwood, 2017).

I was given a scenario which stated that I was looking after a patient called Jane who had been admitted to labour ward in labour. Throughout this piece of writing I will be establishing strengths of the assessment performance and areas in which could be improved. Supervisor will be able to give feedback on my technique. Following this incident in practice I will now be more prepared to challenge the views of others in relation to my clinical practice. No plagiarism, guaranteed!

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