An ethical analysis would suggest that the nurse should invoke the Principle of Non-Malificence, which was derived from the often quoted dictum of Hippocrates, which stated that one should “first do no harm”. In line with Borton's (1970) model, the Rolfe et al. After the event, I experienced a period of prolonged self-examination. The resigned is as-well coerciongetful and the lucent betideed three days past. If an original source cannot be located, Rolfe et al. This reflective essay will adopt Rolfe’s model of reflection, (Rolfe, G et al. For this reason the Senior Sister requested a special in order to provide a one to one care for Lee. Blackwell Publishing, Singapore. 20th Aug 2018 Nursing Reference this Disclaimer: This work has been submitted by a university student. SPSS, EViews, RStudio, Minitab, etc.) I reported the incident to the Ward Senior Sister and together we filled in an Incident Report Form (IR1). Company Registration No: 4964706. Also, if this is used within a clinical setting, the guiding questions created to enhance Bortons' basic model provide a higher level of guidance, which is particularly useful for novices and provides advantages over the more generic models. This is not an example of the work produced by our Essay Writing Service. He certainly appeared to be pleased when he was told that the ‘special’ would not be assigned to him again. British Journal of Sports Medicine 2008; 42 : 344 – 351. with this order? Transformation through Reflective Practice in Librarianship, In At the Helm: Leading Transformation: The Proceedings of the ACRL, Baltimore, MD, Association of College and Research Libraries, pp. (2018) The role of reflective practice in professional development, The Veterinary Nurse, [online] Available from: https://www.theveterinarynurse.com/review/article/the-role-of-reflective-practice-in-professional-development. This gives rise to a deeper analysis and, in the words of Cruess & Cruess, the evolution of a student into an ‘expert practitioner’ is judged by the ability to operate from a deep and holistic understanding of the total situation, a concept that is often referred to as ‘professional intuition’. Rolfe, Freshwater and Jasper (2010) present a model which may be used to undertake reflective learning. • More complex than other simpler models, such as Bortons' (1970). 60–75. Georgetown University press : Philadelphia. This reflective essay will adopt Rolfe’s model of reflection, (Rolfe, G et al. Reference this, Tags: nursingreflective learningrolfe reflective model. Clearly the incident cannot be confidently verified at this stage and there is a question as to whether the patient is reliable in making this allegation. Also, the relationship with her teammates suffered, which may be explained with Mayo's (1976) Hawthorne Studies showing good team relationships may increase motivation and performance; if we had been more supportive, the outcome might have been different. So What? The model may be used with the learner noting down the different headings and then making notes on the event. 1983), The scenario is presented as Appendix 1 and the patient has been anonymised as ‘Lee’ in accordance with the NMC guidelines (NMC 2008). When analysed in overview, one can note that the main issues contained in this scenario are that a schizophrenic patient, who may therefore be psychotic, who is certainly confused due to his metabolic disturbances (hyponatraemia) and possibly idiopathic confusion, has made an allegation of physical assault against another staff member. Nursing I was obviously aware of Lee’s potential for confusion and psychosis, but I was also impressed by the apparent veracity of his recollection and also by the fact that he started to cry when he was recounting it. Carrick P (2000) Medical Ethics in the Ancient World. (Carrick P 2000). (Baillie L 2005). Either I believed that Lee‘s story was probably true, or I didn’t. This Principle stated that healthcare professionals must ensure that their patients are not harmed, nor will … Georgetown University press : Philadelphia. suggest that this ‘professional intuition’ is better considered as ‘professional expertise’, which is generally built up and gained over years of experience and which, when tested in the clinical environment, can become an altogether more robust concept. This left the team in a mess, and as it was a shared grade, the rest of the team felt it was unfair. The response of the Ward Sister seemed entirely appropriate. Either I believed that Lee‘s story was probably true, or I didn’t. I was quite sharp with her, and we agreed on a new date for her to complete the work, and again she missed the deadline. All rights reserved. 2004). What did I do? If I were to encounter such a situation again I would feel more confident in dealing with the situation rather than having to reflect at length after the event. For example, consideration of what happened from the client and others perspectives (ScOPT, 2017). Such analysis has helped me to realise that, to cite Schon, it is one of the ways professionals evolve and move beyond rule-bound behaviour and which enables them to function in a world of uncertainty and see problems in a holistic way and act appropriately. Emerson, R. M. (1976) Social exchange theory, Annual Review of Sociology, 2, pp. ScOPT (2017) Rolfe et al's Reflective Framework (2001), The Scottish Organisation for Practice Teaching, [online] Available from: https://www.scopt.co.uk/wp-content/uploads/2017/10/Rolfe-Reflective-Framework.pdf. • Simple to understand, with clear guidance on the contents of each stage. • Comprehensive analysis of the second stage is reliant on appropriate theoretical knowledge (ScOPT, 2017). Moon, J. Griggs et al. 335–362, [online] Available from: https://www.annualreviews.org/doi/abs/10.1146/annurev.so.02.080176.002003. I did consider the possibility of speaking to the ‘Special’ in an unofficial capacity, but came to the conclusion, that there was nothing that they could say which would change the proper course of action. A 78 year old gentleman called Lee was admitted to my Ward with schizophrenia and other medical conditions, one of which includes confusion and hyponatremia. If you are not sure of anything or would like some clarification, please don't hesitate to give us a call on 0203 011 0100 and we would be happy to help you. ORDER PLAGIARISM -FREE PAPER HERE When analysed in overview, one can note that the main issues contained in this scenario are that a schizophrenic patient, who may therefore be psychotic, who is certainly confused due to his metabolic disturbances (hyponatraemia) and possibly idiopathic confusion, has made an allegation of physical assault against another staff member. In any reflective process, one also has to consider the feelings of the patient. 2001) which was derived from Borton’s developmental model. MA, Cengage Learning. Such analysis has helped me to realise that, to cite Schon, it is one of the ways professionals evolve and move beyond rule-bound behaviour and which enables them to function in a world of uncertainty and see problems in a holistic way and act appropriately. However, it is a model that could be applied to other areas of healthcare, or other practitioner areas, for example, Fontaine (2018, p. After a period of discussion with the Ward Sister, I filled in an Incident Report Form (IR1), which was then forwarded to the hospital management. This will then guide the subsequent action plan. Harlow: Pearson Education. Cruess et al. The theoretical elements of the analysis of this situation are straightforward. Schön, D A: (1987), Educating the Reflective Practitioner: Toward a New Design for Teaching and Learning in the Professions, Jossey-Bass Publishers, San Francisco. • Incorporates intangible elements of the experience, including feelings (Jasper, 2013). I was working as part of a team, and one team member had problems so had not completed their tasks. (cited Jasper, 2013). (Schön, D A (1987). Do you have a 2:1 degree or higher? Make sure you include all that you need. An ethical analysis would suggest that the nurse should invoke the Principle of Non-Malificence, which was derived from the often quoted dictum of Hippocrates, which stated that one should “first do no harm”. This reassured me greatly. Kozier, B, et al. Rolfe Reflective Model Essay Example Reflective writing is quite different from academic writing. (Tschudin, V 2003). And he said ‘I was waiting for her to finish her shift to inform a staff nurse, by then I had forgotten’. *You can also browse our support articles here >. What was good or bad about the experience? Lond Mosby Elsevier. What was I trying to achieve? I reported the incident to the Ward Senior Sister and together we filled in an Incident Report Form (IR1). I reassured him that this will not happen again and I also apologised on her behalf and told Lee that particular specialist will not be caring for him any more. The patient is also forgetful and the event happened three days ago. 461–468. Rolfe's model was initially published in 2001 and has been republished.