Reflection on a clinical skill Essay

This essay will discuss a clinical experience in which I feel more competent in practicing. I will use a reflective model to discuss how I have achieved the necessary level of competence in my nurse training programme.The reflective model I have chosen to use is Gibbs model (Gibbs 1988). Gibbs model of reflection incorporates the following: description, feelings, evaluation, analysis, conclusion and an action plan (Gibbs 1988). The model will help facilitate critical thought process as it relates theory to practice. Discussion will include the knowledge underpinning practice and the evidence base for the clinical skill. A conclusion to the essay will then be given which will discuss my reflection skills, acknowledge my competence and show my personal and professional development. Trigger Event The clinical skill I have chosen to reflect on within this essay is my first IV start. I have chosen this as my first clinical placement is on a surgical unit, where Intravenous therapy is a widely used to administer medication. I was very happy to finally be able to start developing this skill as I have seen it done several time and was ever able to acquire the process in which is needed to start an intravenous. Appraisal The first stage of Gibbs (1988) model of reflection requires a description of events. As a transitioning Registered Practical Nurse to a Registered Nurse the expectation are that I will have develop this scope in my practice. I had observed this clinical skill on a variety of occasions and had previously administered IV medication and antibiotics under supervision. On this occasion I was being observed by my clinical educator. I had gathered all the necessary things I needed which included a bag of normal saline. My clinical educator was talk me through the procedure step by step and informed me that I should never place the tape on any surface as tit leads to cross contamination, and I should always clean blood from around the IV site. The facility also uses chlorhexadine instead of alcohol as eliminates stinging sensation. The second stage of Gibbs (1988) model of reflection, which is a discussion about my thoughts and feelings. I was aware of being under the supervision of my educator and other classmates this made me feel  very nervous and self- conscious. Once my professor said I am in do not advance I realize how truly nervous and under pressure I was feeling. I held my breath as I did not want this vain to blow and have to stink the patient again. This patient was an elderly gentlemen and I did not want the patient to feel that I did not know what I was doing. I thought that as I had been observed this clinical procedure on many other occasions it would be easy for me to do but it was very challenging, finding an appropriate vain, the right size of needle and wanting to get success on my first try made this a very trying experience. Exploration Evaluation is the third stage of Gibbs (1988) model of reflection and requires the reflector to with state what was good and bad about the event. This experience was filled with emotion because for many years I have been an rpn and I always wanted to be able to start an IV and I finally got to do just that. I think the best thing about this experience is I got it the first time and my instructor made it seem so effortless. So many times I had place tape on the hand rail of a bed in preparation of taping a dressing, I never thought of the fact that I was taking all the germs from that rail onto the patient. This one little thing has caused me to change my present practice. Integration Stage four of Gibbs (1988) is an analysis of the event, where Gibbs encourages the reflector to make sense of the situation. I will do this by exploring the skill and look for other opportunities to get more starts that I will feel more confident in my practice. In conclusion the use of this model of reflection has helped me to structure my thoughts and feelings appropriately. My level of awareness concerning evidence based practice, and its importance, has been enhanced with the use of critical reflection. My competence, within this clinical skill, has been further developed and I now feel that my personal and professional development is progressing. Using this reflective model has helped me to realise that my learning is something which I must be proactive in. Furthermore as a student nurse I have recognised that reflection is an important learning tool in practice.

How has Christ been Understood to be Present in the Eucharist Essay

How has Christ been Understood to be Present in the Eucharist - Essay Example This essay stresses that Christ is not only the author and minister of each sacrament, but equally the exemplar of the grace which each sacrament is designed to realise, by naming explicitly the grace or virtue conveyed in and through each sacrament. In the Eucharist, this particular grace is self-giving. Macquarrie forwards the idea that through these sacraments, â€Å"things† which are considered otherwise ordinary are taken to new spiritual levels, or people’s understanding of them have, by virtue of the persistence of their faith, undergone intense deepening. Hence, bread which is of the earth and which human hands have made become the â€Å"Word of Life† and Wine, normally considered the fruit of the vine and a product of human toil and labor, becomes the â€Å"spiritual drink† and the â€Å"cup of our salvation†. This paper makes a conclusion that there is no doubt that the Eucharist is very important in the Anglican Church. No one by a bishop or presbyter may administer the Eucharist and it mandates that â€Å"pure wheaten bread and wine, being the fermented juice of the grape, are the necessary elements of the Sacrament.† The doctrine of the Catholic Church and the Anglican Church with respect to Transubstantiation was one and the same. When the reign of Edward VI ushered in a more Protestant ideology, transubstantiation was refuted and denied. The Doctrine of Transubstantiation, many Anglicans believe, tend to obscure the deeper meaning of the Eucharist.

Business Process Analysis Essay Example | Topics and Well Written Essays - 1000 words

Business Process Analysis - Essay Example The above-depicted model can be better analyzed with reference to Tesco, which possess similar components that entail ‘inputs’, ‘guides’, ‘outputs’ and ‘enablers.’ The inputs of Tesco in relation to the stated model can be better understood by ascertaining the involvement level of the suppliers with the company while procuring products. As illustrated above, enablers denote the functions of operations, manpower resources, group skills and innovation of products along with services. In this regard, Tesco adheres to this component of the model in the form of employing qualified as well as skilled personnel and also integrating advanced technological systems in its operational functions. The third element of the model is ‘output’, which involves selling products via physical outlets and online stores. Tesco conducts its business by offering its products to the customers by making them visit physical stores and also purchas ing the same through online. The final stage of the Burlton IGOE Model i.e. ‘guides’ lays stress upon introducing effective policies and regulations towards conducting business in an efficient manner. Tesco tries to ensure that proper governance is being followed throughout the organization with the introduction of several policies and standards associated with health and safety and human resource among others. The company focused on fulfilling its core objectives by maintaining an ethical code of conduct and evading negative situations.

Community policing Assignment Example | Topics and Well Written Essays - 750 words

Community policing - Assignment Example Community policing does offer an opportunity to improve traditional policing. Police departments are also suffering from cuts in their budgets during the down economy (France, 2009), stretching their resources even thinner than before. Essentially, watch groups put more eyes and ears on the streets. Because community policing is controlled by the citizens, reports of crimes come from the perspective of the residents in the neighborhood and reflect what they view as crime. Such things as mischief and trespassing are sometimes treated with less priority by overloaded police departments, but if residents step up these smaller crimes tend to decline. Watch group participants are not supposed to intervene in crimes and confront criminals; they are supposed to call the police about suspicious activities which they observe. The USA on Watch website (2007) states that the first Neighborhood Watch was formed in North Las Vegas in 1993. Since then, more than 8,000 residents have volunteered to participate in the Neighborhood Watch program, and there are more than 360 official captains. Nicole Dennis, a Crime Prevention Specialist, was the police department coordinator in 2007. She commented, â€Å"What we’ve tried to do over the last several years is modernize the program and empower residents to take a stand for their communities† (para. 3). She also commented on a misperception that people sometimes have of Neighborhood Watch groups: that they are â€Å"nosy neighbors† (para. 4). Through training and education of all the residents, they understand that watch groups are not there to keep on eye on them, but rather to watch out for them. Interviews with two community members revealed that community policing is more important than it may have been in the past. With changes in the economy, people have been moving in and out of neighborhoods, making it more difficult for long-time residents to watch their own neighborhoods. One of the interviewees commented,

Homlessness in America Essay Example | Topics and Well Written Essays - 250 words

Homlessness in America - Essay Example The third intervention for reducing homelessness is by incorporating the input of various organisations and corporate bodies dealing with the provision of services for the homeless and their welfare, more so in metropolitan areas. In fact, there are numerous charitable organisations that could be instrumental in raising funds for settling the homeless (Rhodes & Frey, 2011). The third strategy for reducing homelessness is the provision of the critical subsidy for housing trust funds and other long- and short-term homeless support funds. This subsidy will not only help long-term homeless people find houses but will also maintain the already established housing projects. The above strategies are however not as effective in reducing homelessness as preventive strategies are. However, if it is rather late to prevent a case of homelessness, it is advisable that such family or individual is quickly moved into housing. Through these strategies, the homeless would be less anxious, feel safe, and their children will have strong foundation for education, social skill building, and good health (Rhodes & Frey, 2011). Rhodes, C. K., and Frey, J. R. (2011). Preventing and Reducing Homelessness: Investments That Save both Lives and Money. Retrieved on June 12, 2012 from

Learning Management Systems Essay Example | Topics and Well Written Essays - 750 words

Learning Management Systems - Essay Example This paper aims at discussing a little about the Learning Management System, and the uses of this system in colleges, universities and also for business purposes. There is a need for a system to assist in collection and distribution of learning content speedily and in an orderly manner, merging the training initiatives on a web based platform and better and more developed self –service and self guided services. As a solution to the abovementioned issues, the Learning Management System was introduced. A learning management system (LMS) is a software application or Web-based technology used to plan, implement, and assess a specific learning process. This system mainly provides the instructors with a solution to develop and deliver content, helps monitoring the student participation, and also helps to assess the student performance. It is also very interactive and provides the students with an option to post content, use the threaded discussion in the discussion forums, and also video conferencing. The Learning Management Software application also provides a chance to automate the tracking, admissions, administration and the training events. Learning Management Systems also prove to be very helpful in colleges and universities, and business organisations. The benefits and uses of the Learning Management systems for colleges / universities and businesses were also discussed in this essay. The effectiveness of adopting a Learning Management System is very beneficial for accurate administration of the course.

Learning - teacher Essay Example for Free

Learning teacher Essay Good afternoon everyone, today I am going to talk about education. Education has many affects but how does education affects our lives. Education affects people by opening them up to new ideas, thus broadening their thinking. As for example, A degree can also broaden opportunities in the job market. Sometimes education can change what you believe, if you find new truth and need to fit it into your worldview. As long as a person is careful to actually examine the information that is presented, and not just blindly accept anything from any source, education usually improves lives and minds and offers us more opportunities and possibilities. The education for society can be different, due to the fact that various types of education and learning methods and assumptions affect me and others in many different ways. An important key role in our life by far is education, because so far it has given me a different perspective of life. A well-known Greek Philosopher named Plato once said that the direction in which education starts a man will determine his future in life. He literally means the type of education we chose to follow or have leads to us becoming that. So far in my journey of life it has opened and shown my eyes to a lot to see in this world. Education has given me the chance to learn and discover new things around me; in addition it has taught me to believe about life. Education has made me who I am today, and will have a huge impact in my future to come, because it will determine how I will live. It has given me a picture and sense on what I can achieve and do in life. My education started at a very young age, just like most people start theirs. My first mentors and teachers were not from elementary school, but they were my own people that raised me from home. The education I received to this day has made me a better decision maker about life’s big questions. Nelson Mandela best said that education is the most powerful weapon which can be used to change the world. What Nelson Mandela is trying to mean is that education is the answer to move forward in life. I totally agree with Mandela on that.