A critical incident analysis and reflection

A critical incident analytic thinking and hypothesiseionThe purpose of this essay is to reflect and critic whollyy study an incident from a clinical setting whilst utilize a model of disapproval. This will each(prenominal)ow me to die and spend a penny perceive of the incident and draw conclusions relating to personal learning offcomes. The significance of critical analysis and critical incidents will briefly be argueed followed by the process of reflection using the chosen model. The incident will then be exposit and analysed and the the great unwashed involved introduced and then I will examine issues increase in light of the recent literature relating to the incident. My essay will embroil a questionion of communication, interpersonal skills gived in the incident, and finally rise based rehearse. I will conclude with explaining what I guide well-read from the mother and how it will change my future actions. The Gibbs model (1988) of reflection unit of ammuniti on will be attached as appendix 1 and description of incident will be attached as appendix 2.In accordance with the 2004 care for and Midwifery Council, the clients details and placement setting has non been disclosed in order to maintain confidentiality.Critical incidents be snapshots of something that happens to a patient of, their family or book. It may be something positive, or it could be a military position where some bingle has suffered in some way (Rich Parker 2001). According to Hogston and Simpson (2002) reflection is a process of reviewing an experience of practice in order to better describe, analyse andevaluate, and so inform learning close to practice. Wolverson (2000) includes this is an important process for all nurses wishing to improve their practice. This will be investigated using a pensive nursing model.I am going to use Gibbs (1988) Reflective Cycle. This because Gibbs is drop off and precise allowing for description, analysis and evaluation of the e xperience helping me to feature sense impression of experiences and examines my practice. However Ghaye and Lillyman (2006) state that it is miscontructed as ideal for only negative experiences. On the other hand they emphasise that it its strengths lies with the incorporation of knowledge, feelings and action in one learning oscillation. Taking action is the key Gibbs prompts to formulate an action plan. This enables to air at my practice and see what I would change in the future, how I would develop and improve my own practice.Gibbs (1988) consists of six stages to complete one cycle which is able to improve my nursing practice continuously and learning from the experience for better practice in the future. The cycle starts with a description of the role, inframentioned is to analysis of the feelings, third is an evaluation of the experience, fourth stage is an analysis to make sense of the experience, fifth stage is a conclusion of what else could I have done and final sta ge is an action plan to prepare if the situation arose again (NHS, 2006). Baird and winter (2005) give some reasons why reflection is petition in the reflective practice. They state that a reflect is to generate the practice knowledge, assist an ability to adapt new situations, develop self-esteem and triumph as well as to value, develop and professionalizing practice. However, Siviter (2004) explain that reflection is about gaining self- self-reliance, identify when to improve, learning from own mistakes and behaviour, looking at other people perspectives, being self-aware and improving the future by learning the past. In my context with the patient, it is important for me to improve the remedial kinship which is the nurse-patient relationship. In the therapeutic relationship, on that point is the therapeutic rapport establish from a sense of commit and a mutual intellectual exists between a nurse and a patient that build in a special link of the relationship (Harkreader and Hogan, 2004). AsseriveDescriptionThis is attached as appendix one.FeelingsIn this paragraph, I would discuss on my feelings or thinking that took place in the consequence happened. I was shocked that the twist around did not wash her hands or use alcohol prior examining Ms Adams especially with all the transmitting mark guidelines and protocols in place. In spite of this I did not have confidence and felt intimidated due to the fact the doctor was more versed and experienced than I was as a first year student, alike I did not want to make him feel uncomfortable. Furthermore I did not want the patient to feel alarmed and worried by challenging the doctor whilst Ms Adams was there.However soon after I had a word with my mentor and told her what I spy and she then recommended that unitedly we confront the doctor, therefore the next day my mentor spoke to her in private and she asked her, if ahead examining Ms Adams whether she washed her hands. The doctor seemed stunned by this conversation but admitted she did not wash her hands. She responded by justifying his actions and saying he was busy and was in a rush to remember. My mentor discussed the significance of infection control and hand hygiene and then the doctor promised her that she would make original she follows the protocols and cleanses her hands prior examining any patient in the future.EvaluationThis event was difficult and challenging for me as I felt disappointment for my deprivation of confidence in not confronting and challenging the doctor prior him examining Ms Adams, on the other hand I felt content in the way the doctor responded so positive and optimistic. Consequently I observed that doctor has now changed his practice as a result of this incident. I have learnt from this incident the importance of acting assertively with rung members in a sensitive approach in order to safeguard patients health.AnalysisNurses have a responsibility to safeguard and evoke the interests of indi vidual patients andClients (NMC 2004). This responsibility include ensuring that his or her knowledge and competencies commensurate with the designate being undertaken.Infection is responsible for increased morbidity and mortality, thus a comprehensive knowledge of infection control precautions and basic microbiology should be a fundamental requirement of all health wield professionals. moots must be decontaminated before every episode of care that involves direct contact with patients jumble or food, invasive devices or dressings. Current expert opinion recommends that hands need to be decontaminated after completing an episode of patient care and following the removal of gloves to minimise cross contamination of the environment (Boyce and Pittet, 2002 Pratt et al, 2001).Hand hygiene is a crucial factor in the control of hospital-acquired infection (HAI) because hands can easily transfer micro-organisms from one area or patient to another. According to Shuttlewood (cited in Beckf ord-Ball, Hainsworth) states that despite strategies promoting hand hygiene there still seems to be difficulty persuading staff to adopt good practice. Doctors are the worst offenders. According to NHS figures, 25% of them fail to follow basic hand-washing occasions, compared with 10% of nurses and 15% of ancillary staff. From The Sunday Times December 21, 2008Royal College of Nursing (RCN, 2009)Studies show that uniforms may become contaminated by potentially disease-causing bacteria, including staph aureus, Clostridium difficile, Although it has been suggested that uniforms act as are servoir or vector for transmittance system of infection in hospitals, no evidence is currently available linking the transmission of bacteria to patients (Wilson et al., 2007).However, it is important to note that all clothing worn by all staff (for example, doctors, therapists and cleaners) has the potential to become contaminated via environmental micro-organisms, or those originating from pati ents or the wearer, and that nurses uniforms are not unique in that respect. This reinforces the need to come across all clothing worn by staff in all clinical areas is fit for purpose and able to withstand laundering.Advocacy ranges from activities on behalf of patients, such as hand washing and proper identification before treatments, to arguing that an early discharge will harm her patients recovery. According to Arnold and Boggs (2003) assertive nurse is able to stand up for the rights of others as well as for his or her own rights. If the complaint is justified then equally the nurse has business to inform the doctor of what has transpired because he or she has a duty to promote high standards of patient care and this includes confronting co- constituteers when the nurse believes their standards to be little than adequate (Rumbad, G 1999).As the student nurse caring for Ms Adams under my mentors supervision, this also applies to my own practice as a student nurse. inductionI n hindsight I feel I should have confronted the doctor at that moment and acted sooner. I also should have made sure the doctor washed her hands prior examining the patient. I realise how I instal Ms Adams heath at risk. Following conversation with my mentor adjudge that I need to develop the confidence to challenge the practice of colleagues, understanding pressures that may be under but ensuring that their practice does not raise patients at risk.If a nurse observes a practice or procedure she believes to be wrong, advocating for her patient demands she speak out even if that practice was carried out by her superior. This is not always easy and may have a cost for the nurse.I realise that I need to be ancillary to colleagues, understanding the pressures that they may be under, but ensuring that their practice does not prepare clients at risk.Action PlanMy action plan is always to work as part of a team, learn more about how trump out to communicate in order to contribute to good nursing care. I will aim improve and develop my assertive skills when working with staff members to ensure health and safety of patients is maintained. Therefore I will make this a goal for learning in my next placement and discuss with my mentor to work out strategies for how I can achieve this.