Reflecting on an incident in the minor injuries department of A & E The concept of reflection as a learning tool in workplace education can enable the student to problem solve in practice. By exploring the individuals own unique situations and past experience they can, in order to learn, consider past thoughts and memories to achieve a desired outcome. (Rolfe, 1998). Taylor (2000) suggests that, to reflect on action from an event, we must remember our thoughts and memories. Then we must use the ability of contemplation, meditation and consideration, which will enable us to make sense of them in order to modify our behaviour, should we encounter a similar experience in the future. The following reflective account aims to explore specific complications and difficulties encountered after obtaining a history and performing a physical examination on a young patient that presented to the Accident and Emergency (A&E) Department. The incident that I have chosen to look at took place whilst on a shift in the Minor Injuries Unit based in an A & E Department. Confidentiality has been preserved throughout in accordance with the Nursing and Midwifery (NMC) Code of Professional Conduct (NMC 2004). To achieve and understand the use of reflection in a structured manner, the Gibbs (1988) Reflective Cycle will be utilised. Bulman and Schutz (2004) believe that reflection is a dynamic progression, and using a cyclical framework is of an advantage in providing structured guidance through a learning experience. A young boy was bought in to one of the treatment rooms, he had fallen over and bumped his chin on the seat of a chair as he fell. The little boy, Jamie, was 6 years old and sitting quietly on his mother's knee. He looked frightened and his eyes were red as if he had been crying. I introduced myself as a student nurse. I sought permission from Jamie's mum to obtain a history. Jamie's presenting problem was that he had fallen against a wooden chair, sustaining a cut under his...
References: Bulman C., and Schutz S. (2004). Reflective Practice in Nursing. 3rd ed. Oxford. Blackwell Publishing Ltd.
Burnard P. (1994). Counselling Skills for Health Professionals. 2nd ed. London. Chapman and Hall.
Castiglia, C. (1992) Pain in Children and Adolescents. Elsevier, Amsterdam
Department of Health (2001)
Hawkins, P. & Shohet, R. (1989) Supervision in the helping professions. Open University Press, Milton Keynes
Holloway, A & Whyte, C
Health Professions Council (2003). Standards of Conduct, Performance and Ethics. London. HPC.
Pantell RH, Stewart TJ, Dias JK, Wells P and Ross AW (1982) Physician Communication With Children and Parents. International Universities Press Inc., New York
Rolfe, G. (1998) Beyond expertise: reflective and reflexive nursing practice. In: Transforming Nursing Through Reflective Practice, (eds C. Johns & D. Freshwater). Blackwell Science, Oxford
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