Summative Assessment: Reflecting on the Identification of Current Learning Needs Based on the Professional Nursing Practice

Introduction

Generally, the healthcare field is in a constant state of evolution, this means that it is imperative for healthcare workers to tailor and progress their practice to meet the shifting demands of their careers. In this assignment, there shall be an exploration of the significance of utilizing reflection and reflective models in the nursing practice. We will also explore the reasons for using reflective models and specifically identify Gibbs’ Reflective Cycle as our chosen model for reflection. Additionally, this task will be presented using a particular focus on the identified learning needs Vis a Vis the NMC (Nursing and Midwifery Council) standards. The NMC principles, especially those in the Code of Conduct, stress the importance of making people a priority, minding their individual rights to privacy besides confidentiality, and acting in a manner that supports their best interests. Lastly, there will be in-depth reflective writing based on knowledge skills alongside values presented in a manner that shows their connection to the NMC Code. In this way, there will be a comprehensive understanding of the importance of using reflection in the healthcare setup and how such a practice aligns with the ethical and professional codes put forward by the NMC.

The Significance of Using Reflection and Reflective Models in Practice:

The nursing career is founded on some core principles and values that give priority to the health of individuals. The core of its focus, especially with regard to nursing, is treating people with decorum, maintaining their privacy, and handling them with their best interests in mind (NMC, 2018). Reflective practice corresponds seamlessly with these professional codes as it permits nurses to analyze their experiences and warrant that their actions conform to these ideals (Cambridge, 2019).

Reflection is paramount to personal and professional progress. Since the healthcare setting constantly evolves, nurses ought to Acclimatize and improve their skills to provide safe and efficient evidence-focused care (NMC, 2018). Reflection assists nurses in comprehending their experiences, learning from them, and preparing well for future circumstances. It presents a structured method to investigate events, that is, to analyze whether they were effective or not, hence boosting personal and professional development (Cambridge, 2019).

Notably, the Gibbs’ Reflective Cycle model, developed in 1988 by Graham Gibbs, gives a structured framework for this healthcare process. It urges nurses to analyze experiences in six phases: description, feelings, evaluation, analysis, conclusion, and action plan (The University of Edinburgh, 2020). This circular technique is especially beneficial when handling repeated situations, letting learning and improvement be continuous.

To highlight the importance of using reflection and reflective guidelines in nursing practice, it is critical to leverage existing literature. This move guarantees that the discussion is founded on evidence-based knowledge. Reflective practice is fundamental to augmenting clinical skills, enhancing patient care, and nurturing personal growth in nursing (Cambridge, 2019). By offering a detailed overview of the purposes of reflection, this reference stands to support the concept that reflection is necessary in the nursing practice.

Links to Professional Values and NMC Code:

Reflective practice in nursing closely aligns with the professional values and standards set by the NMC. These values emphasize treating individuals with dignity, respecting their privacy, and acting in their best interests. Reflections ensure that nurses’ actions constantly follow these principles, making them a central part of the nursing practice.

Importance of Reflection for the Professional Practice?

Reflection, especially in accordance with the nursing practice context, is an intentional and systematically organized process of examining and reviewing past healthcare experiences. It is a method of assisting nurses in considering the impact of their actions, thoughts, and choices when it comes to patient care and professional advancement (Hcpc, 2021). The contribution of reflection is in its capability to strengthen personal and professional growth, thus guaranteeing that nurses continue to provide the best care.

Reasons for Using Reflective Models

Reflective models are used for many purposes, namely (Hcpc, 2021):

1. First, it allows for Engaging with a Reflective Process, meaning that using reflective models is one of the straightforward manners of engaging with a reflective process. They offer structure, guidance, and inquiries that assist in reflecting on one’s own experiences.
2. Provides a platform for Self-Questioning. With reflective models, a window is open for a process of self-questioning that makes understanding experiences better.
3. Learning and Development: Reflective models assist in pinpointing actions intended to assist in learning, development, or progress of professional practice alongside providing more significant insights and self-awareness.
4. Critical Thinking: Reflective models urge critical thinking; through challenging one’s practice, there is evaluation of assumptions, exploration of different perspectives, and consideration is endorsed regarding the impact of actions.
5. Planning for the Future: Generally, several reflective models have a stage that involves planning for future action owing to the insights obtained from reflections.
6. Professional Responsibility: In many careers, for example, tutoring, where people usually work alone, the reflective process gives the opportunity to professionals to gauge the efficacy of their decisions and actions and settle on what to do to adjust.

Therefore, Reflective models, such as Gibbs’ Reflective Cycle, provide a structured method of reflection. They equip nurses with a systematic framework to analyze their experiences, hence rendering it more accessible to learn from both fruitful and challenging circumstances. This structured method can steer one to get profound insights, enhance one’s grasp of emotional responses, and develop effective strategies for future issues.

Identification of Gibbs’ Reflective Cycle Model Selected for Reflection:

Gibbs’ Reflective Cycle is a trustworthy model employed for reflection purposes in nursing practice. Pioneered by Graham Gibbs in 1988, this technique offers a structurally developed model for evaluating experiences (The University of Edinburgh, 2020). It has six stages, with each being vital to a comprehensive reflection:

1. Description of the Experience: This phase entails providing a thorough and objective account of the experience, revolving around what occurred, when and where it happened, those present, and the anticipated outcomes.
2. Feelings and Thoughts: Herein, nurses probe their thoughts and emotions during the target experience. They pay attention to how these feelings may have affected the circumstance and evaluate the cognitive and emotional reactions of others involved.
3. Evaluation of the Experience: Assessment needs a calculated analysis of the experience. Nurses must outline both positive and negative experiences. This stage encourages them to monitor what worked appropriately and what could have been adjusted.
4. Analysis: The analysis period concentrates on deciphering the situation. Nurses look at why things happened well and why they didn’t.
5. Conclusion: Herein, nurses settled on decisions regarding their reflection. They find essential information and learnings from the experience. It provides a chance to consider what could have been handled in a different manner.
6. Action Plan: The last stage encompasses developing an action plan for addressing similar cases in the future.

Therefore, Gibbs’ Reflective Cycle model, with its structural reflective process, provides nurses with a comprehensive outline for learning from their experiences (The University of Edinburgh, 2020).

A reflection on knowledge, skills, and values in relation to the NMC Code

When it comes to nursing practice, it’s imperative to continually analyze and ponder on one’s skills, values, and knowledge, more so in accordance with the Nursing and Midwifery Council (NMC) Code. As a healthcare expert with over 15 years of experience, I have had the honor to evolve and adapt, obtaining key lessons from my strengths and acknowledging my central learning needs. In this reflective course, I will survey my personal strengths and essential learning gaps recognized in my Scope of Practice Learning Contract (SLOC) (Nursing and Midwifery Council, 2023). Besides, I will reflect on how these concepts link with the NMC Code and highlight my plan to manage my learning needs based on the available opportunities.

Strengths as they relate to safe and effective nursing practice

Adaptability and Active Listening

One of my core key strengths lies in my ability to adapt to the specific needs of each person under my care. Notably, the NMC Code of Conduct, especially standard 2, stresses the importance of listening to people and answering their concerns, and that is done based on their preferences. Having practiced in healthcare for over 15 years, I have the capacity to adapt to match each individual needs since I am a good listener. Going further and reflecting on the Nursing and Midwifery Council System of Conduct, the second states that professionals handling clients ought to listen to people and respond to their preferences and issues. This conduct is intended to be a collective responsibility of all those who are working in partnership in order to deliver quality and efficient care to service users. Notably, this has become one of my strengths in my job. Basically, when someone is asked to handle something or asked for something, they cannot do it most of the time; they have to rely on staff. So, personally, I often consider that if I am in such a situation where I cannot help myself, it can be a nice gesture in case someone else comes in to help (Nursing and Midwifery Council, 2023). Therefore, I always try my level best to get things done, ensuring they are also done on time.

Prioritizing Privacy and Confidentiality

Another major strength that I have is a solid dedication for valuing people’s privacy rights and confidentiality, as indicated in the NMC Code’s fifth standard. I firmly believe that each person’s privacy must be protected in all details regarding their care. Adhering to prioritizing people is an appropriate manner to respect the client’s right to privacy and confidentiality. Every individual has the right to have their privacy and confidentiality upheld, and that should be obeyed. Remarkably, The NMC code states that people’s privacy has to be respected in all aspects related to their care needs. In this context, it speaks to my strength since I clearly believe that everyone’s privacy needs to be confidentially safeguarded (Nursing and Midwifery Council, 2023). This obligation to respect privacy is part and parcel of my practice.

Fundamental Learning Needs Identified in the SLOC

Recognizing my strengths is fundamental to equally acknowledging my learning needs. Since such areas are avenues that offer chances for growth and progress, some essential learning necessities identified in my SLOC include improving on paperwork and cataloging, balancing personal views with professional boundaries, cooperating with investigations and audits, and Upholding the reputation of the profession (Hcpc, 2020).

Paperwork plus Record Keeping: One of the central learning needs highlighted in my practice is associated with harmonizing all investigations and audits, especially when it comes to the up-to-date maintenance of training and audit records. While I am keen on finishing paperwork, it is a subject that I can tweak in terms of effectiveness (Hcpc, 2020). Finalizing paperwork usually takes longer than I would wish, and I recognize the need to improve my organizational skills in this area.

Balancing Personal Views with Professional Boundaries: equally important is my need to strike a balance between acting in the best interest of clients every moment while upholding professional boundaries. Sometimes, it becomes challenging for me to split my personal opinions from my professional responsibilities (Hcpc, 2020). Therefore, it is imperative for me to settle for the right balance, guaranteeing that my judgments stay objective and in line with the deserved patient interests.

Cooperation with investigations and audits: Another learning need revolves around cooperating with investigations and audits, which are fundamental for maintaining the quality and safety of healthcare services. In my role as a Team Leader, ensuring that training and audit records are consistently up to date is crucial. However, my aversion to paperwork has been a limitation in this aspect. Although I manage to complete the required documentation, it often takes more time than it should (Hcpc, 2020). This challenge is an opportunity for me to improve my efficiency and embrace the administrative aspects of my role, which are integral to safe and effective nursing practice.

Upholding the reputation of the profession: admittedly another learning need I have concerns while acting in the best interest of patients at all times. While it is essential to offer personal opinions, some cases call for additional handling techniques that may not be part of the profession. This means I have remained professional even in situations that push me to my limits. There may be times when I question a policy and procedure with a piece of paperwork that is put in place, but I have to remember the correct routes and go against what I see to be better judgment (Hcpc, 2020).

Implications for Safe and Effective Practice and Alignment with the NMC Code

Reflecting on these learning needs brings to light the consequences that result from safe and effective practice and how they correspond with the NMC Protocol. Cooperating with investigations and audits directly ties to the theme of “Practicing Effectively.” Cataloging accurate records and confirming compliance with the outlined standards is fundamental for providing evidence-based services, which is outlined in Standard 5 of the Code. Furthermore, acting on time to record any errors or harm that happens aligns with Standard 7, insisting on the significance of reducing potential risks that may emerge from the nursing practice (Nursing and Midwifery Council, 2023).

Moving on to acting in the best interest of patients at all times, this learning need is associated with the themes of “Prioritizing People” and “Preserving Safety.” Whereas it can be problematic to balance personal sentiments with professional obligation, it is vital to remain candid and open concerning any blunders or harm that might happen. Notably, that aligns with Standard 7 (Nursing and Midwifery Council, 2023). Moreover, raising issues in case a person is susceptible or at risk Standard 9 displays a duty and commitment to patient safety and protection.

Addressing Learning Needs through Available Opportunities

Acknowledging learning needs is just the beginning. The following vital phase is to handle such needs through using the presenting opportunities. Two key opportunities that align with the NMC Code come to the forefront.

Paperwork plus Record Keeping: as aforementioned, one of the central learning needs highlighted in my practice is associated with harmonizing all investigations and audits, especially when it comes to the up-to-date maintenance of training and audit records. Sorting this issue with the learning need to be linked to paperwork and record keeping, I will continuously pursue appropriate assistance from colleagues who have the skills to do so since one of my opportunities involve being able to delegate duties to other. The main issue will be to identify the person or people who are competitive enough to handle this issue (Nursing and Midwifery Council, 2023). Additionally, I will seek training and workshops that focus on time management and efficient record-keeping practices.

Balancing Personal Views with Professional Boundaries: It is now clear that I have to strike a balance between acting in the best interest of clients every moment and upholding professional boundaries. Therefore, to enhance my capability to perform my duties in the best interest of patients while maintaining professional boundaries, I will engage in a procedural reflective practice utilizing Gibbs’ Reflective Cycle, which provides a structured method of experimental learning (Nursing and Midwifery Council, 2023). This technique equips with the necessary basis to analyze situations in which personal views might interfere with professional judgment, hence leading to the development of strategies that will maintain objectivity.

Cooperation with investigations and audits: The opportunity herein revolves around linking this issue and concern to the NMC code. Being accountable for delegating tasks and duties to others that I may not be in a position to handle is fundamental for service provision. Delegation is an essential skill in nursing practice, and it’s not only about distributing tasks but matching them with individuals who exhibit strengths in the respective field. This aligns with “Promoting Professionalism and Trust” as it showcases cooperation and the sharing of skills and knowledge with colleagues (Nursing and Midwifery Council, 2023). By maximizing this opportunity, I can improve my delegation skills and enhance efficiency in my role.

Upholding the reputation of the profession: The opportunity herein centers on being open and candid with service users about all aspects of care and treatment, including when mistakes or harm have occurred. It’s essential to show empathy and remorse when necessary, creating a safe and open environment for patients. This aligns with the theme of “Preserving Safety” and “Promoting Professionalism and Trust.” It demonstrates accountability for one’s actions (Standard 7) and upholds the reputation of the nursing profession (Standard 13) (Nursing and Midwifery Council, 2023). Utilizing this opportunity will allow me to enhance my communication skills, particularly in sensitive situations.

Therefore, reflecting on my knowledge, skills, and values in relation to the NMC Code has been an insightful journey. Recognizing my strengths and learning needs is the first step toward professional growth. My ability to adapt, listen, and respect patients’ privacy aligns with the core principles of safe and effective nursing practice. Acknowledging my learning needs, such as cooperation with investigations and maintaining the best interest of patients, presents opportunities for improvement. These learning needs are not only vital for my personal development but also for upholding the standards outlined in the NMC Code. By embracing opportunities for delegation and open communication with service users, I aim to address these learning needs effectively (Nursing and Midwifery Council, 2023). This not only enhances my practice but also contributes to the overarching goal of delivering safe, effective, and patient-centered care. In the ever-evolving field of nursing, reflection, growth, and alignment with professional standards are indispensable.

Conclusion

In a nutshell, reflecting on the outcomes for safe and effective nursing practice whilst bearing in mind personal and professional values is essential. My two key strengths that are factors that contribute to safe and effective technique are my ability to adapt well to individual requirements and my devotion to valuing the privacy and confidentiality of clients. Notably, the Nursing and Midwifery Council (NMC) ethical guidelines underline the significance of choosing to listen to customer issues and their preferences alongside esteeming their right to privacy and confidentiality. These standards are in alignment with my personal values and professional conduct. That encompasses placing priority on the well-being of people and upholding their privacy, which is clearly an essential part of being a nurse.

In addition, it’s imperative to handle personal learning needs as required. Acknowledging areas that need improvement, for instance, cooperating with investigations and audits and acting in the best interests of individuals, is a valued decision that fortifies personal and professional growth. Notably, carrying out reflection based on tools like Gibbs’ Reflective Cycle offers a structured tactic for learning through experiences to enhance healthcare practice, besides deepening one’s understanding of the sentiments and reactions in different contexts. Meaning that reflection supports the integration of personal and professional values into nursing practice, guaranteeing that patient care is secure, effective, and adheres to the NMC Code.

References

Cambridge . (2019). Getting Started with Reflective Practice. Cambridge Community. https://www.cambridge-community.org.uk/professional-development/gswrp/index.html

Hcpc. (2021, April 8). What Is Reflection? Www.hcpc-Uk.org; HCPC. https://www.hcpc-uk.org/standards/meeting-our-standards/reflective-practice/what-is-reflection/

Hcpc. (2020). Scope of practice |. Www.hcpc-Uk.org. https://www.hcpc-uk.org/students/learning-materials-for-students/guidance/scope-of-practice/

Nursing and Midwifery Council. (2023). Standards. Nmc.org.uk. https://www.nmc.org.uk/standards/

The University of Edinburgh. (2020, November 11). Gibbs’ Reflective Cycle. The University of Edinburgh; the University of Edinburgh. https://www.ed.ac.uk/reflection/reflectors-toolkit/reflecting-on-experience/gibbs-reflective-cycle