Nursing Assignment: Analyzing Evidence-Based Nursing Care
Question
Task: Prepare a nursing assignment discussing about thereflective practice to analyze evidence-based nursing care within a stimulating clinical environment using Gibb’s reflection.
Answer
Introduction
The reflective analysis is a crucial step as discussed in this nursing assignment that provides a recollection of learning, knowledge, and experience. Through this current reflective practice, it was possible to analyze evidence-based nursing care within a stimulating clinical environment.
Part A
In this part of reflective analysis, Gibbs' model of reflection has been applied for the understanding of ANTT simple dressing as a clinical example for demonstrating knowledge as well as experience of delivering evidence-based nursing care in a simulated clinical environment. Gibbs' model of reflective analysis has 5 simple steps for analysis of reflective practice, which include description and feelings, evaluation, analysis, conclusion, and action plan (Dean, 2014).
Description and feelings
Clinical knowledge and experience are crucial in the delivery of evidence-based nursing care in a simulated clinical environment. In this current experience of Clinical Placement Community, I had to use Aseptic nontouch technique (ANTT) for preventing contamination of wound as well as other susceptible sites for ensuring that the site of the patient comes in contact with sterile fluids and objects only, minimizing risks of contamination (Mutalib et al, 2015, p 395). I was assigned a patient who had received a significant road-side injury and had a deep and open wound, so in dressing the patient, I had to follow ANTT. In this experience, I had to adopt an aseptic technique which involved decontaminating my hand and also using personal protective equipment, preparation of the environment, and also maintaining sterile field all times (Rowley, & Clare, 2019, p 15). At the time of dressing, I was very apprehensive and made sure that a clean technique is adopted and the packaged equipment is stored in a dry and clean dust-free environment. After the event I was recollecting and evaluating whether I had done the procedures appropriately or not.
Evaluation
While dressing my patient and undertaking ANTT procedure, I was able to develop my clinical knowledge as well as experienced in the delivery of evidence-based nursing care in a stimulating clinical environment (Clare, & Rowley, 2018, p 10). All the learnings and knowledge gained during my course as well as in my experience, I was able to translate them into clinical practice. This was a positive aspect of my clinical experience and practice. However, evaluating my practice, I noticed that my apprehension was a major barrier in the implementation of my learnings into practical environment. At every step, I needed to gather courage and recall my learning due to my apprehension for the adaptation of my clinical knowledge into practice. This was a negative aspect of my practice as per NMBA standards, as a nurse needs to be readily able to transform learnings into practice (Birks et al, 2016, p 540).
Figure 1: Gibbs' model of reflective writing
Source: (Dean, 2014)
Analysis
Analyzing my experience as undertaken in clinical practice there have been positive as well as negative aspects. Factors that assisted in the positive outcome of my clinical practice include my abilities to comprehend my learning as well as knowledge building as well as consulting with senior EN during the course as well as in practice.My role was of an RN and I contributed to the success of this experience by way of adopting specific guidelines of ANTT. However, things did not go as planned due to the lack of my experience as well as due to my hesitance. People who were useful in this experience were EN and my professor, who provided me with specific guidelines regarding ways to implement ANTT procedure (Sonoiki et al, 2020, p S32). However, my EN considered my role to be tremendously effective in rendering care to the patients in my ward. They felt that as a transitioning nurse I have shown effectiveness in my practice to render care.
Conclusion
In conclusion, my overall experience had been significantly positive and effective. I learned ways to transfer my theoretical knowledge into practice as a result of this experience. I also developed the confidence to transit into practice and apply such skills in the future, by carefully maintaining a journal of learning. I need to further develop my knowledge as well as skills as per NMBA practice. Next time I would try and develop my confidence by refereeing to learning journals also by maintaining a record of learning from the classroom. Such as to apply mediation safety, I will prepare a specific learning journal to check skills and learnings by the same.
Action
My planned course of action for next time will include conducting a patient intervention without any hesitation. To increase the likelihood of the future positive outcome, I will not only adopt a learning journal but also practice such approaches to provide nursing interventions as per the NMBA standards. I need to learn to apply more nursing interventions and skills as per NMBA to transit to a professional approach (Li et al, 2020, p 75). I will also take advice from my tutor as well as a placement supervisor for certain guidelines to be adopted during my placement. It will be better if I can attend training for transitioning into professional practice well.
Part B
|
STAR |
Clinical Experience |
|
Opening |
During my clinical placement, I had faced several challenges and committed errors. While I undertook my clinical practice in a sincere mode, I made every effort to transit my clinical knowledge and skills into practice in an effective manner. In this situation my clinical knowledge as well as experience fo delivery of evidence-based nursing care in clinical setting has been undertaken. |
|
Situation |
The situation of my clinical practice has been undertaken here at the hospital setting. While conducting my practice I thought that I was effective in undertaking practice, however, when I watched my video recording, I noticed various mistakes. Some of the major mistakes that were committed by me include bed-height, making use of contaminated tweezer for picking 2nd gauze without folding it first as I was scared and less confident in practice. |
|
Task |
While attending to a patient, the bed-height of the patient must be maintained at appropriate levels. This allows ease of rendering specific nursing intervention comfortably also allowing patients to easily receive such interventions. |
|
Action |
However, while transitioning into practice, I was not capable enough to apply the same which led to ineffectiveness in my intervention also lacking my satisfaction levels.While picking up 2nd gauze using a tweezer, I committed the mistake of not sterilizing it or folding it first. This is a major error that can lead to risks of increasing patient infection as well. Hence, I will need to adopt appropriate nursing care as per NMBA standards to render safe and effective care to my patients. |
Conclusion
In conclusion, this reflective practice has enabled me to analyze gaps existing in my knowledge and skills. In both the parts, relevant reflection regarding my clinical practice using evidence-based practice has been undertaken. Also, it has allowed me to adopt a suitable action plan for undertaking corrective measures to overcome any challenges faced.
References
Birks, M., Davis, J., Smithson, J., &Cant, R. (2016). Registered nurse scope of practice in Australia: an integrative review of the literature. Contemporary
Nurse, 52(5), 522-543. https://doi.org/10.1080/10376178.2016.1238773 Clare, S., & Rowley, S. (2018).Implementing the Aseptic Non Touch Technique (ANTT®) clinical practice framework for aseptic technique: a pragmatic evaluation using a mixed methods approach in two London hospitals. Journal of infection prevention, 19(1), 6-15.https://doi.org/10.1177/1757177417720996
Dean, E. (2014). Reflective practice.DOI:10.7748/ns.35.6.67.s23
Li, Y., Chen, W., Liu, C., & Deng, M. (2020). Nurses’ Psychological Feelings About the Application of Gibbs Reflective Cycle of Adverse Events. Nursing assignmentAmerican Journal of Nursing, 9(2), 74-78.
Mutalib, M., Evans, V., Hughes, A., & Hill, S. (2015). Aseptic non-touch technique and catheter-related bloodstream infection in children receiving parenteral nutrition at home. United European gastroenterology journal, 3(4), 393-398.https://doi.org/10.1177/2050640615576444
Rowley, S., & Clare, S. (2019). Standardizing the Critical Clinical Competency of Aseptic, Sterile, and Clean Techniques with a Single International Standard: Aseptic Non Touch Technique (ANTT®). Journal of the Association for Vascular Access, 24(4), 12-17. https://doi.org/10.2309/j.java.2019.004.003
Sonoiki, T., Young, J., & Alexis, O. (2020). Challenges faced by nurses in complying with aseptic non-touch technique principles during wound care: a review. British Journal of Nursing, 29(5), S28-S35.https://doi.org/10.12968/bjon.2020.29.5.S28
