Reflection on Gibbs Reflective Cycle
This is a reflective assignment on my coursework based on the Gibbs Reflective Cycle. Through this assignment, I have gone ahead to explain my thoughts and understanding that have contributed to the development of my philosophy that will guide me through my profession as I offer personal centered care. My coursework understanding measured through this assignment will be a reflection of my understanding of the Roper, Logan and Tierney’s domains on factors limited to psychological, political-economic, social-cultural, biological and environmental factors with references to a patient scenario.
In visualizing the RLT model of nursing we assessed Mr. Jim Laverty who was an outpatient and had sustained injuries from a building fall. The patient complained of a pain in his right knee and right wrist and has a history of osteoarthritis and cholecystectomy. From the assessment of this patient, I learned that factors that influence activities of living are important in visualizing this model, factors of living include biological/physical, psychological, environmental, political-economic and social-cultural. I have gathered that biological factors measure the impact of the patient’s overall health, impact of the current injury and the scope of the patient’s anatomy. Psychological factors that influence living include the impact of factors to include cognition which is a measure of patient’s understanding, emotions, and factors to include spiritual beliefs. Sociocultural factors that influence activities of living include the impacts of society, social class, and culture. Environmental factors include the impact of a person’s surrounding environment. Lastly, political-economic factors include the impact of the government, implemented policies and the economy (Koshy, et al.,2017).
Feelings
The Gibbs Reflective Cycle was developed and implemented by Graham Gibbs, this cycle was initially referred to as learning by doing, particularly because learning is derived from personal experience since, personal experiences create long-lasting impact (Kelly, et al., 2016). I will reflect on my course work while maintaining and referring to the Gibbs cycle to successfully evaluate the application of the RLT model in nursing. The Image presented below in figure 1 represents the Gibbs Cycle that discusses the Activities of Living (ALs). This essay also sheds light on the most important activities that are important to live in regards to the RLT model. Throughout the coursework, it has come to my understanding that even if this model directly correlates with the nursing profession there are a few factors that need to be put under careful consideration since they are responsible for the ALs of patients.
Throughout the course work, I have come to acknowledge the role of this theory in the provision of healthcare services. This theory serves the purpose of explaining and breaking down the concepts of AL, and as a nursing student, it is of vital importance that I take time to understand all the aspect presented by the RLT model and this is because I particularly desire to offer personal individualized care for patients (Stonehouse, 2017).
Figure 1
Evaluation
Learning and understanding this theory is a fundamental step in nursing. Through the course work, I have been able to select and evaluate a few factors and their application and significance in my nursing profession. I have also gathered that the effective factors that are environmental, psychological, biological, social-cultural and political-economics may vary in the case of every patient when providing personal care (Howatson-Jones, 2016). After a review of the listed factors, I understand that personal care relies on personal factors to include but not limited to habits, injuries and the work of the patient (Kieft, et al., 2014). The mentioned factors are responsible for shaping the direction in which the personal treatment and care of an individual take.
Description
The ALs to include breathing, communication, drinking, mobilization, maintaining a safe environment sleep, eating and breathing and many more are part of the RLT model. These ALs are crucial and play an important role as components of living. I have successfully been able to integrate this model with my coursework, and through this integration, it has come to my knowledge that through the evaluation of the factors of the RLT model a healthcare provider can be able to establish the sleeping patterns, the mobility of a patient and other elements of the patient (In Holland, & In Jenkins, 2019). The first step to effectively and efficiently delivering personal care is analyzing the overall health and all factors surrounding the patient this analysis will facilitate the formulation of a treatment plan that is in accordance with the RLT model.
Also, I have noted that biological and psychological factors are effectively addressed through treatment (In Holland, & In Jenkins, 2019). However, I firmly understand that each of the five factors are different and may play a vital role in facilitating the sleeping patterns, the behavior and the communication of the patient as well as the food habits of the individual (In Holland, & In Jenkins, 2019). Furthermore, I have learned that hygiene factors which are environmental aspects may further be used to develop further treatment plans that can be used to deliver personal care.
Personal Philosophy of Nursing and The Outcome of Reflective Learning
From a nurse’s perspective I can conclude that it is only through a thorough evaluation of the patient that the progress of the patient can be established (Jayatilleke, et al., 2013). It has also come to my attention that political-economic factors address but are not limited to provision, availability of health reforms, funding, and benefits and political reforms implemented by governmental policies and plans (Tashiro, et al., 2013). In addition, I have identified and concluded that socio-cultural factors are responsible for influencing the psychological needs and shapes the need requirement of patients (Peate, & Peate, 2010). Moreover, I am of the notion that there are various matters that nurses find hard and uneasy to discuss, hence, the patient may also be uncomfortable when discussing the ALs discussed by the model. Despite this, the contribution that is being made by this model towards developing a personal care plan is broad and invaluable. Despite this contribution, my philosophy will also emphasize that the success of this model in delivering personal care will entirely depend on the honesty of the patient, effective personal care plans must be based on true information from the patient.
Linking with Personal Philosophy and Future Practice
With regards to my above-discussed philosophy on personal care, I would like to acknowledge that, the five factors that have been discussed in the course of this essay are the backbone of this model, and without them the model is flawed. My conclusion is at per with Dr, Roper, one of the individuals responsible for the formulation of this model (In Holland, & In Jenkins, 2019). In the future I would highly recommend that this model be established as a learning model instead of using it as just a checklist. I firmly believe that my philosophy is at per with the concepts discussed by Dr. Roper. For example, linking all the ALs with the five identified factors that explain the environment of a patient is of benefits in formulating a better understanding of the individual.
Conclusion
I have gained a lot of understanding through this reflective practice of my course work with particular reference to the RLT Model and I can successfully conclude that this model is effective enough to be used to deliver personal centered care. I also plan to use the RLT model to deliver individualized-centered care, this model would act as the backbone when developing a care plan that identifies various patterns of the patient. Moreover, considering that this model has five factors I would emphasize on the individual nature of all five factors since personal care requires an individual approach to ensure the delivery of quality care.
References
Fragkos, K. C. (2016). Reflective practice in healthcare education: an umbrella review. Education Sciences, 6(3), 27.
Howatson-Jones, L. (2016). Reflective practice in nursing.
In Holland, K., & In Jenkins, J. (2019). Applying the Roper-Logan-Tierney model in practice.
Jayatilleke, N., & Mackie, A. (2013). Reflection as part of continuous professional development for public health professionals: a literature review. Journal of public health, 35(2), 308- 312.
Kelly, M. A., Berragan, E., Husebø, S. E., & Orr, F. (2016). Simulation in nursing education— International perspectives and contemporary scope of practice. Journal of Nursing Scholarship, 48(3), 312-321.
Kieft, R. A., de Brouwer, B. B., Francke, A. L., & Delnoij, D. M. (2014). How nurses and their work environment affect patient experiences of the quality of care: a qualitative study. BMC health services research, 14(1), 249.
Koshy, K., Limb, C., Gundogan, B., Whitehurst, K., & Jafree, D. J. (2017). Reflective practice in health care and how to reflect effectively. International journal of surgery. Oncology, 2(6), e20.
Peate, I., & Peate, I. (2010). Nursing care and the activities of living. Oxford: Wiley-Blackwell.
Stonehouse, D. (2017). A support worker's guide to models of living and nursing. British Journal of Healthcare Assistants, 11(9), 454-457.
Tashiro, J., Shimpuku, Y., Naruse, K., & Matsutani, M. (2013). Concept analysis of reflection in nursing professional development. Japan Journal of Nursing Science, 10(2), 170-179.
