Reflection-Gibbs Reflective Cycle

Reflection-Gibbs Reflective Cycle

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Reflection-Gibbs Reflective Cycle

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Reflection-Gibbs Reflective Cycle

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it is a reflective piece of writing utilizing Gibbs reflective cycle. Review, refine, reference and extend the journal entries for tutorial week 5, 6, 7 to develop cohesive reflection that represents your understandings of RLT model of care and the clinical reasoning cycle.

During week 5 of the nursing course, we had been introduced to number of important topics and concepts such as the Ropert Logan Tienary model (RLT model), Clinical Reasoning Cycle (CRC) and following a Person Centred Approach. We were made to undergo though a number of videos as well as case studies in order to understand the importance of the application of these concepts within nursing and support care. The mode of learning which had been followed with us over here was video or lecture notes.  In order to develop out level of understanding we were shown short films. Therefore, base upon our understanding the lessons learnt we were asked to review the different case scenarios presented and the benefits of the application of the RLT model and the clinical reasoning cycle in the different scenarios.
I think the application of the RLT model provides a much wider platform for the assessment of the patient condition.  The RLT model takes into consideration five important factors which are – biological, psychological, socio-cultural, politico-environmental and environmental factors (Howatson-Jones, 2016). Therefore, accessing the condition of the patient through each of the five domains of the RLT model could help in developing a comprehensive view of the patient condition (Moura et al., 2015). Additionally, the clinical reasoning cycle helps in effective consideration of the patient situation, gathering and processing of information, which further helps in identification of the patient issue. I personally found the entire process of data gathering very interesting as it helped me to develop sufficient knowledge of different evidence based tool. Initially, I had some difficulties in understanding the application process of the evidence based tools in data gathering process of the clinical reasoning cycle. However, I was later helped by me professor who helped me in clearing my doubts.
In the week 6, the professor had further asked us to apply the CRC and the RLT model in evaluating each case study or video lecture note which had been presented to use in the course of the study. At this stage, I had felt the need of breaking down the model and understanding the importance of each component. I think the RLT method required the nursing professionals to take a number of factors into consideration, which consists of the biological, psychological, socio-cultural, politico-environmental and environmental factors.  Therefore, in order to develop an understanding of the psychological factors affecting the health of the patient I would also need to focus upon some of the additional approaches such as implementing therapeutic communications into practice. As mentioned by Husebø, O’Regan& Nestel (2015), the biological, environmental as well as the psychological factors control to a great extent the health and well being of the people. However, as a nursing student I have often faced from a number of dilemmas regarding which factor/factors I should focus upon more. However, this completely rests upon the aspects of effective decision making and rationale formation. Therefore at many stages during the course of the study I have felt that I   lacked the effective decision making capacity and required the help of my professors.  I think as a nursing student I also lacked the required communication skills and often found the aspect of communicating with patients coming from different geographical barriers difficult. Hence , I  was further guided by my professor to apply  the skills of therapeutic communication  much of which  lied in  application  of friendly body languages while  approaching the patient.
The seventh week helped me develop a comprehensive knowledge of all three different approaches of nursing.  Therefore, focusing upon the CRC model and the RLT model helped me understand the aspects of person centred care better. This is because the models takes into consideration a number of perspectives as well as the biopsychosocial factors helps in providing effective support and care to the patients. Therefore, at the seventh week I could see myself develop a better hold at the multi-dimensional approaches of nursing care which will help me in my future course of practices. Some of these approaches are more useful when looking after people in palliative care as the multidimensional approaches helps in providing holistic support and care. The   different social determinants of care presented through the RLT model could help me in understanding the effect of the past life trauma of the patient over the present situation.  I think some of these aspects are pivotal to mental healthcare and support. The RLT model also  places sufficient  importance  over a person centred care (Williams, 2015).This is  because the factors presented through the  RLT model could  be expanded  to  support the recovery of the patient  by focusing upon the socio-economic conditions of the patient and their respective families  .
The current study helped me understand the different aspects of nursing care practices. Some of the evidence based approaches learnt through the course of the module helped me in understanding the patient condition well. Additionally, it also helped me in understanding the importance of some of the other factors such as presence of effective communication skills within the nursing professionals.  As suggested by Husebø, O’Regan& Nestel (2015), the communication skill could help me in my future clinical practices. For instance, the therapeutic communication  skill could  help me in understanding the emotional status of the patient as highlighted  in the RLT  model,  where  assessment of  psychological factors forms a pivotal  part of the  clinical care and nursing practices. I also feel that the application of the person centred care could also help me in improving the quality of care. I think one of the biggest aspects of the clinical reasoning cycle is that it helped me in development of an effective nursing care plan based upon the present health status and conditions of the patient. Additionally, the CRC could be used to learn regarding effective note taking and documentation process which are pivotal to the making of an appropriate healthcare plan (Moorhead, Johnson, Maas & Swanson, 2018). On the whole, I think the entire learning session provided the students with sufficient branstorming activities which helped us in developing effective decision making and judgemental skills. Additionally, the entire learning session helped me focus upon my different strengths and weaknesses which could help me emerge as a well trained nursing professional.
Husebø, S. E., O’Regan, S., & Nestel, D. (2015). Reflective practice and its role in simulation. Clinical Simulation in Nursing, 11(8), 368-375.
Moorhead, S., Johnson, M., Maas, M. L., & Swanson, E. (2018). Nursing Outcomes Classification (NOC)-E-Book: Measurement of Health Outcomes. Elsevier Health Sciences. Howatson-Jones, L. (2016). Reflective practice in nursing. Learning Matters, 55-75
Moura, G. N. D., Nascimento, J. C. D., Lima, M. A. D., Frota, N. M., Cristino, V. M., & Caetano, J. A. (2015). Activities of living of disabled people according to the Roper-Logan-Tierney model of nursing. Northeast Network Nursing Journal, 16(3).
Williams, B. C. (2017). The Roper-Logan-Tierney model of nursing. Nursing2017 Critical Care, 12(1), 17-20.

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