The essay gives the student a better understanding of both themselves and their behaviours. Repeatedly adequated during or behind a product importation or academic job, this fashion of essay answerableness is adapted to communicate your gleaner environing what you accept gained from your acquaintance and … Reflective Practice Example Nursing Essay. Warrilow, S. (2009) Transformational Leadership Theory - The 4 Key Components in Leading Change & Managing Change. There would have also been greater development in their leadership skills allowing for the growth of confidence in implementing change. However, Bundy (2004) does go on to say this can be seen as quite challenging and can have elements of being confrontational. For many years now, My Homework Writers has established itself as the best, most affordable essay help service available for students. When writing a reflective essay, you will have to examine your own life experiences. NHS Improving Quality (Bevan & Fairman, 2014) takes a radical approach to management and change, with the aim of overhauling traditional hierarchal styles and instead promoting a shared purpose with diversity of experience and creating influence through networks. I am going to underpin these principles through my SI. Nevertheless no change should ever be frozen solid there needs to be scope for re-thawing to allow for continual changes to improve practice, however initially stabilization needs to occur for staff to reap the benefits. Whilst this method may be criticised as less scientific than quantitative data (Mauk, 2014), within caring professions, it is essential for increasing knowledge from personal experiences (LoBiondo-Wood & Haber, 2013). Journal of nursing management. If you need assistance with writing your essay, our professional essay writing service is here to help! Reports continue to highlight a theme of inadequate communication between professionals (Churchill, Rodger, Clift, & Tuffnell, 2014, pp. Change can then only occur when one force outweighs the other, ideally for positive change the drivers must outweigh the restraining forces. Please refer to an authoritative source if you require up-to-date information on any health or medical issue. It is a framework for examining experiences, and using such as the basis to understand specific areas which may require improvement. Hein, E. (1995) Contemporary leadership behaviour. [online] Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1308798/pdf/15239293.pdf [Accessed 30 October 2010]. Change can be an intricate process which can have barriers which can threaten a successful implementation (McCrery and Pearce 2002). Furthermore there was no opportunity for new staff to identity their objectives and how to develop themselves within their role. [Accessed on 14th November 2010]. I was able to demonstrate awareness of care outcomes, relating this to the evidence base and I was able to offer immediate advice suited to her individual needs until she could see the specialist for a full intervention and care plan. Once the plan has been established and implemented into practice, leaders need to ensure that there is maintained equilibrium. From simple essay plans, through to full dissertations, you can guarantee we have a service perfectly matched to your needs. The change agent can try to do this is by making it part of everyday practice. Sale, D. (2005) Understanding Clinical Governance and Quality Assurance: making it happen. However, having spoken to women in the community many do not read the information (30 and 31 pages long respectively) as the initial period when they return home is concentrated on getting to know their newborn and recovering from childbirth. During placement I was completing an initial risk assessment on a lady and it transpired that she had alcohol problems. The Gibbs reflective cycle is a significant framework for reflection. This would enhance development and user experience and the benefit of shared ideas will increase innovation (Meads et al., 2005). Journal of Emergency Nursing. 27-42; NHS England, 2015). They also found that in a large majority of sepsis cases there is a delay in presentation and admission to hospital due to patients seeking advice later than they should have (Goodwin, Srivastava, Shottom, Butt, & Mason, 2015). [Accessed on 30th October 2010], Bundy, C. (2004) Changing behaviour: using motivational interviewing techniques. It could also be argued that a key failing in the fight against sepsis is lack of public awareness. Once the project is complete, sharing the learning experience (both good and bad) with colleagues and other department is a key aspect of SI. Issues and theories relating to leadership qualities and management styles will also be explored, taking into consideration any … Bozak, M (2003) Using Lewin's Force Field Analysis in Implementing a Nursing Information System. If you need assistance with writing your essay, our professional essay writing service is here to help! From simple essay plans, through to full dissertations, you can guarantee we have a service perfectly matched to your needs. Copyright © 2003 - 2021 - UKEssays is a trading name of All Answers Ltd, a company registered in England and Wales. I have assessed myself at level 3 on the ICF R4. An issue that the change agent could bring to the attention of the staff is that the in the current climate workloads would not improve if there is low retention in staff, which in turn can be caused by not feeling integrated into the team properly. (2005) A model for successful change management Nursing Standard Mar 2-8 19(25):40-42 [online]: Available from EBSCO URL [Accessed on 30th October 2010]. Reflective Essay On Pharmacy Experience ... Pharmacy service improvement at CVS Case: Pharmacy Service Improvement at CVS INTRODUCTION Consumer Value Store (CVS) opened in Lowell, Massachusetts in 1963. We've received widespread press coverage since 2003, Your UKEssays purchase is secure and we're rated 4.4/5 on reviews.co.uk. UK: Pearson Education, Murphy F (2006) Using change in practice: a case study approach. For this assessment your are required to reflect on … Involvement of colleagues from the very beginning empowers staff and makes them feel more valued. The focus of the 'unfreeze' stage is to change the status quo of the existing practice. This helps the organisation make the most out of learning from the experience of completed projects. There will also be the need to make sure that people are not pulled back to the previous stage. The model encompasses a three strep process this can be found in appendix 2. Excellent communication skills allow those affected by change to have their say, thus allowing barriers and resistance to be overcome. I also attended hospital with her for the birth which is outside the remit of a community midwife, however, she needed the support of one person who could coordinate an integrated plan. 5th ed Philadelphia: Lippincott Company. I would approach those I have seen previously engage positively with staff and those that listen to ideas and that show passion in their own work attitude. Journal of continuing education in nursing. There was also found to be a lack of clarity when it came to the caseload, it was difficult to identify client groups and information was limited, this in turn was also putting possible risk to patient care. and some women have voiced to me that it is “information overload”. No plagiarism, guaranteed! Gibbs model of reflection (1988), is focused on the ability to self-reflect on one’s actions with the need to engage in the process of continual learning (Wilding, 2008). Musculoskeletal Care. [Accessed on 5th November 2010]. This episode of care will be analysed using up to date references, health care policies and relevant models. I am also working at level 2 on the ICF CW4 as I participate in collective decision making but not autonomously. The pillar that will be focussed on in this particular instance will be pillar 4: Staff and staff managing, it has many crucial elements essential to the structure of a trust, specifically workforce planning. Gibb’s Reflective Model Essay Sample. Saver, C (2009) Closing the revolving door for OR staff. Emotions can run high and change can be held as threatening. If there is a continuation of motivational struggles and unwillingness to change motivational interviewing would be a preference to over overcome this. These assignments are set to suffer you to deem critically encircling your trials and erudition, and to cogitate steps towards self-improvement. A type of reflective essay often used by tutors as a strategy for helping students to learn how to analyse their personal life experiences to promote emotional growth and development. Tyrrell, R (1994) Visioning: an important management tool. The reason for the need to have guidance is because a new graduate nurse is usually faced wit… 6th ed. Available from: Ovid URL [Accessed 29 October 2010]. Essay on importance of reflective practice 1556 Words | 7 Pages. Not only should they accept changes as they take place, but should also be constantly reviewing working practices and being proactive in implementing changes as and when necessary. In an organisation, to implement change they would need to follow a change theory. Marquis and Huston (2006) states that 'In movement, the change agent identifies, plan and implements appropriate strategies, ensuring that driving forces exceed restraining forces' (p173). Warrilow (2009) and Oliver (2006) both recognise that transformational leadership is focussed on, and embraces change, as it involves both the leaders and followers engaging on a common aim. By involving stakeholders who provide and use the services that are being improved this creates a sense of involvement, ownership and common purpose. Colleagues and service users will bring a different perspective and by working together we can promote patient centred care, leading to improved service user satisfaction. Reflective Essay Writing Service. There are many theorists who have developed processes of change, but Lewin's theory is perhaps the one that is most recognised, user friendly and uncomplicated. Innovation and change are currently seen as an integral part of the NHS, and nurses have an increasing responsibility in the delivery of healthcare (DOH 2004). Without planning there will be a lack of staff skills, knowledge and empowerment which could threaten the provision of quality clinical care (Sale 2005). NICE guidelines (2016) provide an overview of what high quality care should look like for sepsis and my SI will support the system in achieving care excellence by raising awareness in vulnerable postnatal women. With any communication development it is essential to ensure consistent information in line with national policy (HQIP 2015). Info: 3692 words (15 pages) Essay The reflective nursing essays below were written by students to help you with your own studies. (2000) Employee Orientation: Keeping New Employees on Board. No plagiarism, guaranteed! Additionally it is imperative that continual support and guidance is given so that acknowledgments that all staff has embrace and understood it. Please refer to an authoritative source if you require up-to-date information on any health or medical issue. This essay will aim to discuss and explore the implementation of an initiative to change practice in a clinical area of a primary care setting within an NHS trust. 2041 words (8 pages) Essay. This then increases their approval and implementation of change through a bottom-up method (Murphy 2006), furthermore identifying that achieving durable and efficient change entails the collaboration and involvement of the whole team not isolated individuals. Through a collaborative approach and sponsor involvement decisions can be made on the next steps or the decision can be made to stop the changes if they are found to be ineffective. I would need to ensure that the intervention is both relevant and effective for local women (Amoah & Appiah-Sakyi, 2013), examples for further cycles could be development of alternative language stickers specific to women’s needs. Published: 1st Jan 1970 in We're here to answer any questions you have about our services. The feedback from my mentor regarding my interpersonal skill was positive and has given me confidence to tackle sensitive issues again in future. I have assessed myself at level 3 on the ICF CW2. In the clinical setting the change agent could start to communicate their desired change via email which all staff have access to. The primary care trust was having difficulty in retaining their staff, and had been experiencing a high turnover; there had also been some difficulties in filling the vacancies. Again there will be barriers to overcome, although from the experience that the change agent had encountered in the clinical area, these barriers could seem less daunting. A root cause analysis during the plan phase would help identify all issues that can be improved and to achieve this I would use diagnostic tools such as a process map (see appendix 5). A reflective essay is a type of educational work in which students need to undergo through specific familiarity. Free resources to assist you with your university studies! A Six Sigma process (HQIP 2015) utilises a DMIAC framework (define, measure, analyse, improve and control) and is an alternative option for change management. Staff appeared quite unsatisfied with the current status quo, however it was found that time was a resisting factor due to busy workloads. The change agent needs to prepare the staff by identifying and challenging the need for change. 97 (44):43-47, 2004. To be able to start to overcome resistance the change agent needs to start to utilise their qualities as a leader and focus on valuing creativity and innovation form their staff (Marquis and Huston 2006). Hence the change agent will require the ability to communicate effectively and encourage motivation amongst the staff. [online] Available from: http://ezinearticles.com/?Transformational-Leadership-Theory---The-4-Key-Components-in-Leading-Change-and-Managing-Change&id=2755277. We also provide a lot of information in the hospital verbally with regards to signs and symptoms of illness, exercise, contraception, registering the birth etc. Clark Chambers, C (2009) Creative nursing leadership and management. A new nurse who has just graduated from the nursing school needs to be trained and guided to ensure that the nurse fits appropriately in the new environment and learns the ropes that are to be scaled up the ladder (Levett-Jones, T & Brourgeois, S, 2011., p 77). Looking for a flexible role? The aim of this essay is to discuss the importance of the multidisciplinary team within the mental health environment and discuss factors that can influence the success or failure of multidisciplinary teams. through focus groups between midwives, paediatricians and obstetricians and achieving level 2 on the ICF CW3. Mullins, J (2007) Management and organisational behaviour. This essay aims to critically reflect on an encounter with a service user in a health care setting. Conversely, a restraining factor could be unwillingness to change or poor staff morale. VAT Registration No: 842417633. On occasions this was less effective, for example, GP contact was by telephone and the lady could not attend all meetings. Need assistance in reflective writing in nursing? Reflective Essay. Ways of doing this is removing any method by which people can return, so there is nothing to return to (Straker 2010). Buckingham: Open University Press, pp. RPGs support the interpersonal aspects of caring and explore complex clinical and practice issues in a supportive group environment. ... ‘Self improvement builds on awareness’ (Moon 1999, p14). This is due to new employees getting to know the alignment between their role and the organisation expectations of them (Brown 2000). In this regard, reflective essays are a lot like the other types of essays too. Registered Data Controller No: Z1821391. Change is an essential dynamic in positive growth and development; although some may be resistant to it others may embrace it and feel empowered. Influencing for results is about the ability to have a positive impact on others while being sensitive to their needs. British Medical Journal. Jul 2003 11(4) 275-80 [online]: Available from: EBSCO URL [Accessed 10th November 2010]. Buckingham: Open University Press, pp.116-113. Registered office: Venture House, Cross Street, Arnold, Nottingham, Nottinghamshire, NG5 7PJ. [online] Available from: http://humanresources.about.com/lr/new_employee_orientation/189518/1/. Key strategies for effective clinical governance involves effective teamwork, leadership, ownership, openness and, most importantly, communication. To ensure continuity of care I worked with her to devise an individualised birth plan involving the mental health specialist midwife, antenatal and postnatal managers, theatre staff and her GP. Part of this stage may involve making people feel uncomfortable. effectiveness on the practitioners and one of the first people to research reflective Practice was Donald Schon in his book “The Reflective Practitioner” in 1983. London: DOH, Grimm, J. Spencer, S, (2001). Innovation and change are currently seen as an integral part of the NHS, and nurses have an increasing responsibility in the delivery of healthcare (DOH 2004). The changes need to lead to better patient outcomes, better quality care and better professional development (see appendix 2). During placement I engaged with a lady with complex mental health issues. Issues and theories relating to leadership qualities and management styles will also be explored, […] The additional recurring theme is that the public and patients need to be involved in all aspects of the planning, organisation and environment of care. Change is not always welcomed, however it will allow for eradication of stagnation within the working environment (Ootim, 1997). The change agent would support the staff member whom is struggling with ambivalence about change. It can also give the change agent an idea of how change may be perceived by the whole team, and possible resistance. A change agent should be a person skilled in the theory and implementation of planned change to be able to deal appropriately with the very real human emotions, including resistance that planned change can bring about (Marquis and Huston 2006). This allowed for the change agent to find common ground and start having a sense of connection with the staff (Tyrrell 1994). CIN: Computers, Informatics, Nursing. They can achieve this by using qualities such as charisma to motivate their followers to be able to achieve their goals, share visions and empower them (Grimm 2010). 21(2):80-85, Mar-Apr 2003. (1998) Clinical governance and the drive for quality improvement in the new NHS in England. *You can also browse our support articles here >. Another aspect of clinical governance was ‘staffing and staff management’, where I actively discussed with team members John’s needs and plan of care. This is not an example of the work written by professional essay writers. Conflict can also arise as it is making something different to what was (Sullivan and Decker 2005). This process needs to be executed wisely. When an initiative is being introduced to staff, they need to be aware of the reasons for the implementation. I would use a plan-do-study-act cycle (PDSA), see appendix 3. To improve services, I would consider liaising with other patients and services for feedback and monitoring the treatment outcomes, which is central to Quality Improvement (Quality 2020, 2019). OR Manager. According to Clark (2009) a leader needs to develop a high degree of emotional intelligence. During the PDSA cycles I would need a means of identifying issues and risks and a way to mitigate against those so I would create a log of these. Many students’ faces issues in writing good research and high-quality teamwork reflection essay. London: Jones and Barttlett Publishers International. Company Registration No: 4964706. 13-Jan-2021 Personal statement fellowship service. View our services Analysis: My experience has taught me that in order to improve my communication skills with patients of different languages, I will need to increase my interaction with a range of patients with different native languages and those who … Service Improvement Methods: The literature describes a large number of service improvement methods which have been applied in some form to healthcare settings. This essay has been submitted by a student. Ward, CW (2009) Enhancing orientation and retention: one units success story. Pilot schemes, clear objectives and robust planning is required to avoid potential wasted costs, with factors such as local demographics and patient choice taken into account prior to implementation to maximise successful uptake. This essay is a reflective account on the progress I have made during the on-going nursing training programme I have embarked upon. This is a reflective essay based on my attendance at a multidisciplinary team (MDT) meeting whilst on my two-week placement at a local mental health day hospital. Once a 'norm' is developed and there have been significant signs that it has had a positive impact such as greater staff retention then people are more inclined to use it. Another factor that would need to be considered would be a possible cost implication and who would carry it, management may feel reluctant to participate in funding. Healthcare staff can also be resistant to change, for example, when they do not understand the reasons for changes or they can not envisage the benefits or they perceive a negative impact on their role. What is Gibbs model of reflective practice? Saver (2009) also states that 'constant communication helps new and current staff feel valued' (p19). Refreezing actions include defining standards, documentation, training, processes and so on. The leaders who use this style are also regarded as change agents. For a successful implementation education would also be a key factor. Available from: EBSCO URL [Accessed on 10th November 2010]. While there is a need to ensure public awareness is raised this must be balanced against the risk of creating excessive anxiety in response to symptoms which will, in most cases, not develop into sepsis. He goes on to explain in the first year if the new employee has a sense of belonging by being effectively bonded to the setting then this significantly reduces turnover. Free resources to assist you with your university studies! I would also use questionnaires and surveys to gather qualitative data. Lewin Push and Pull. Gillian Granville November 2006 1 What does the service improvement literature tell us and how can it make a difference to implementation? The NMC ( 2003) states that CPD contributes to the quality of practice and service delivery and stresses the value of reflection on practice and the need to record the outcome of such reflection. Copyright © 2003 - 2021 - UKEssays is a trading name of All Answers Ltd, a company registered in England and Wales. To enable successful integration into a new work place there needs to be a structured form of induction to alleviate barriers in communication and to enable a smooth transition. 'His theory of change provides the structure for understanding nurses' behaviour during times of change and ways to improve the behaviour when introducing change into the workplace' (Bozak 2003 p83). Sense of connection with the women after discharge in the fight against sepsis is lack public. Recurrent theme that has appeared through the here may change process is that of communication 're here help... Been established and implemented into practice, leaders need to make them a impact! 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