Accountability in Nursing

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This assignment will examine an area of practice from the authors own experience and look at where there is a barrier to communication. The essay will focus on a communication barrier when showing a patient with moderate learning difficulties how to use an inhaler properly. This assignment will look at reflective practice using Gibbs Model of reflection as a guide (Gibbs 1998.) It will also discuss communication theory and principles of good practice. Some of this assignment will be written in the first person and it will also maintain confidentiality in keeping with the Nursing and Midwifery Guidelines (NMC 2010.)

Reflective Practice according to Quinn (1998), is the ability to think and consider experience, perception, ideas, values and beliefs, with a view to the discovery of new relations or the drawing of conclusions for the guidance of future action
In this essay I am going to use Gibbs (1988) cycle of reflection. This framework guides you through a cycle in order to provide guidance and structure when reflecting on an event, the analysis of feelings, the evaluation of experience in order to examine what you would do it the situation arouse again. Reflecting in health care is important as it is a key skill which enables you to manage the personal and also professional impact for you patients and wellbeing needs on a daily basis to inform learning from practice.

The first stage of Gibbs is description of events. Using this cycle I will now discuss my patient and the care I provided. I met Richard and his father, Mr Evans in my clinic where they attended for Richards asthma review. Richard is a 35yr old man,

Who lives at home with his parents and has moderate learning difficulties which are a part of his disability Down’s syndrome. People with Down syndrome have an affectionate, happy personality with an inherent sense of fun, but they also have a…...

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