Reflective account of a recent legal incident

Reflective account of a recent licit misadventureNurses ar faced with many wakeless or honest dilemmas, the Nurses Handbook of legal philosophy Ethics (1992) states that nurses should integrate manageledge of ethical and legal aspects of health c be and professional values into nursing intrust. It is important to know what types of dilemmas nurses may face during their considerers and how they may induct been dealt with in the past. In this makeup I forget address one of these dilemmas in the form of a unfavourable incidence and protrudeline the legal and ethical problems, I go out alike give my personal reflective thoughts to show visiting and go by dint ofing.As a student nurse I bear encountered a yield of critical incidents that I have cute to reflect on to better my habituate. The critical incident that I am focvictimization on in this show deals with issues of neglect, duty of care and a lack of communication and sentience between professionals and di ligents. Through this critical incident, I will explore the issues from a professional, legal and ethical perspective. Showing how done rebuke, I can learn both person exclusivelyy and professionally how to become a better nurse. In this essay I will contend my understanding of reflection using a reflective form. This will be followed by an analysis of the incident and what ethical and legal b night clubs were crossed. In accordance with the Nursing and Midwifery write in code of Conduct (NMC 2008) all names and placement details will be concealed, and I will refer to the patient as Mrs. A at all metres.Refection is an important tool for a nurse, it offers a vehicle through which we can communicate and justify the importance of practice and practice cognition Bulman and Schtuz (2004, p1) . in that respect are two forms of reflection, refection-in- sitisfy and reflection-on-action. Reflection in action is to turn over about what one is doing whilst one is doing it it is typi gossipy stimulated by surprise, by something which puzzled the practitioner concerned(Greenwood, 1993). Schon (1987, p26) believes that the several(prenominal) will Stop and think and break out in the midst of action. I do believe that this happens in practice and a benefit of this type of reflection is it shows more intelligent opinion however a disadvantage is it would take up valuable time when break outping to think about all your action.Reflection on action is defined as The retrospective contemplation of practice undertaken in order to uncover the knowledge used in practical situations, by analysing and understand the information recalled (Fitzgerald, 1994pp67). Reflection on action involves looking back in hindsight and turning the information from the incident into knowledge to use in the future. or else Boyd Fales suggest reflection on action is The process of creating and clarifying the meanings of start outs in terms of self in relation to both self and world. The final result of this process is changed conceptual perspectives (Boyd Fales, 1983pp113). None of these views however take into consideration reflection before action, as we plan out our acts before we do them.There are many reflective models that show how to reflect on situations powerful and learn from them, the one I have chosen for the purpose of my essay is Gibbs model of Reflection (1998).Gibbs model Confronts practitioners to consider their normal way of sentiment and responding within the situation towards gaining insight into self and practice (Johns2005 p18). It is a truthful model and encourages a clear description of the situation, it analyses the practioners feelings, gives you help to evaluate the experience and maybe make sense of it all and it examines what you would do if the situation arose again. Gibbs model incorporates all the core skills of reflection. It is focused more on reflection on action, and with practice it could be used to focus on reflection i n and before action.Gibbs Model consists of 6 stages present 1 interpretation of the event, Stage 2 Feelings and Thoughts (Self sentiency), Stage 3 Evaluation, Stage 4 Analysis, Stage 5 Conclusion (Synthesis), Stage 6 betion Plan. I will go through each stage in relation to my critical incident. The first stage is describing the event, my placement was on a busy community hospital that dealt with a variety of elderly patients who were there for rest and refilling or re-housing. Mrs A was a 70 year old patient on the ward who was suffering with orthopaedic problems. She had bone deterioration and had disordered her leg badly from a fall in her home, it was such a bad break that she had to have her regenerate leg in a full cast from hip to toe. She had true(p) use of her other limbs and was taught by the physiotherapists to use a special stick and strap on garb when evaluateing to walk. Mrs A found this extremely hard to do and over time she stopped trying or even wanting t o try and eventually stopped wanting to do anything for herself. Mrs A gradually started printing press the call bell shape more and more to get the nurses to help her with subaltern things that often she could do or get for herself. The nurses who were at times actually busy felt this was of great annoyance, they would tell Mrs A that they had other patients to help, non just her and that she had to stop pressing the bell so much. Mrs A was manifestly scared about falling again and wanted a post if attention which was overlooked by the nurses and I witnessed a number of times, that the call bell would be moved out of Mrs As reach or wrapped round a peg behind her where she again could not reach it. This was a great worry to me as what would happen if she did have a genuine emergency?In this paragraph, I will discuss the second stage my feelings and thoughts. When I first met Mrs A I introduced myself and sat at eye level with her as to build a good rapport, I could sense she was nervous and so wanted to make her feel comfortable. Each day we would chat and although she was slightly demanding she was a lovely brothel keeper who was never nasty or foul mouthed just lonely. The nurses would often kvetch about her and after voicing my opinion to my mentor of how she just wanted someone to talk to I was told she and the other nurses didnt have the time and Mrs A was selfish for not currentising they were busy and tired. I could understand the nurses concerns about seeing all of the patients and having a suitable break but thought the military capability towards Mrs A was unfair. When I saw the nurses remove/move the call bell I bringed my mentor again why that was being done and she told me to stop her from having them constantly running around after her when I asked what if a real emergency arose she did not answer and felt too embarrassed to ask again, this whole situation led me to evaluate my practice and the practice of those around me.Evaluatio n is the third stage of Gibbs (1988) model of reflection and the reflector mustiness state what they feel was good and bad about the incident. I understand that fatigue is a common issue with nurses as alot work yearn hard days sometimes without breaks, Van Dijk Swaen (2008, p1136) state that, Fatigue is a common complaint in the working population. Approximately 20% of the working population report symptoms that fall under the concept of fatigue. and I also recognize that fatigue can contribute toward errors in judgement and practice but I feel fatigue was not a gigantic promoter in Mrs As care, it was more laziness on the nurses behalf sort of than tiredness.Stage four of Gibbs (1988) is an analysis. (Will Expand)In conclusion, stage five of the Gibbs (1988) model, I am aware that all nurses do not hide patients call bells when they are getting tired or annoyed at the patients persistent employment but as I witnessed some nurses do. I will in future try to not let pressure stop me from doing the right thing and speaking up for a patient. I must tense to practice as safely as a can and do so in the patients best interest.Within my action plan my select is to research further into how to help and deal with the patient in shoot of constant attention and find literature to help qualified nurses when dealings with the same problem. In conclusion my reflection skills have true through the production of this essay. employ Gibbs model of reflection has helped me to structure my thoughts and feelings appropriately. My level of awareness concerning patients needs and feelings has been enhanced with the use of critical reflection. My competence, within this situation, has been further true and I now feel that my personal and professional development is progressing. Using this reflective model has helped me to realise that my learning is something which I must be proactive in. Furthermore as a student nurse I have recognised that reflection is an importan t learning tool in practice.Reflection may help to develop knowledge of law and ethics as when we reflect an incident, legal and ethical issues may arise and be researched thus new knowledge will be learned and consequently used in relation to practice.Law affects almost everything we do Judith Hendrick (2000, p1). Law is any made by judges(common law) or parliament(statute law). Statute law is started as a bill or proposal made by the government, an individual MP or a member of the house of lords, it is debated and then either approved or denied with or without amendments. Statutes have been passed on most topics but some of those relevant to health care are statutes establishing the NHS and modifying its structure and institution and acts regulating the health care professions such as the Medical Act 1983 for doctors, nurses, midwifes and health visitors.This is primary legislation as it sets out basic rules for all in the UK to follow, secondary legislation is law made by an administrator authority under powers given to them by primary legislation so for example the welsh assembly have delegated powers to implement requirements set out in primary legislation. Common law is law developed by judges through decisions of cases in court. It is based on precedent (legal principles developed in earlier cases).Statute law sets out a mannequin for the NHS and common law sets out the law of the land but nurses are also governed by 3 separate set of legal rules. licit obligations to patients, Professional obligations to patients (imposed by the UKCC -will explain) and legal employment relationship, this outlines the employers right to have his lag perform at a professional standard and the staff to have the right to be treated properly.This is what I will include in the rest of my essay.NHS Trust BREACH OF THE CODE OF PROFESSIONAL CONDUCT In this incident the following clauses are relevantClause 1. Act always in such a manner as to promote and safety the int erests and wellbeing of patients and clientsClause 2. ensure that no action or cut on your par t, or within your sphere of responsibility, is detrimental to the interests, material body or safety of patients and clients .Clause 7. recognize and respect the uniqueness and dignity of each patient and client, and respond to their need of care, irrespective of their ethnic origin, ghostlike beliefs, personal attributes, the nature of their health problems or any other factorClause11. report to an appropriate person or authority, having regard to the physical, psychological and amicable effects on patients and clients, any circumstances in the environment of care which could jeopardize standards of practice