Raising the sensitive topic of alcohol consumption can be uncomfortable (O’Malley 2010, Winstone & Verity 2015) but as I have recently worked with the specialist substance abuse midwife I was confident talking with the lady, obtaining a true picture of her usage and offering sound information and advice. Disclaimer: This is an example of a student written essay.Click here for sample essays written by our professional writers. This allows for an understanding of the emotions of their staff and manages them in a positive way to achieve the best possible outcome. Registered office: Venture House, Cross Street, Arnold, Nottingham, Nottinghamshire, NG5 7PJ. [online] Available from: http://ezinearticles.com/?Transformational-Leadership-Theory---The-4-Key-Components-in-Leading-Change-and-Managing-Change&id=2755277. through focus groups between midwives, paediatricians and obstetricians and achieving level 2 on the ICF CW3. Refreezing actions include defining standards, documentation, training, processes and so on. In appendix 2 the FFA for the proposed change identifies that restraining forces appear to have an undercurrent of human behaviour. Managing the development of practice, in: Spencer, S, Unsworth, J and Burke, W. (eds) Developing community nursing practice. Service Improvement Methods: The literature describes a large number of service improvement methods which have been applied in some form to healthcare settings. The purpose of writing such an essay is to provide yourself with a platform to share your most meaningful life experiences with other people. 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. 5th ed Philadelphia: Lippincott Company. The change agent needs to prepare the staff by identifying and challenging the need for change. It will explore the reasoning for the change and the leadership style that was utilised for to implement a change. 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. Sullivan and Decker recognise that 'Nurse Leaders must initiate the changes they believe are necessary to strengthen nursing practice, provide quality care, and create a better system' (2005, p.217). Introduction This paper is an overview of the improvement science literature in relation to supporting implementation strategies. Nursing Standard. [online] Available from: Ovid URL [Accessed 30 October 2010], Brown, J. Involvement of colleagues from the very beginning empowers staff and makes them feel more valued. This reflective essay presents a critical analysis on the concept of nursing leadership, the ideal leadership style and the most important skills necessary to become good leaders in the nursing context. For this assessment your are required to reflect on … [online] Available from: www.http://eqi.org. When writing a reflective essay, you will have to examine your own life experiences. This is not an example of the work written by professional essay writers. This is a reflective essay based on an episode of care that I was directly involved in managing during a community placement. We've received widespread press coverage since 2003, Your UKEssays purchase is secure and we're rated 4.4/5 on reviews.co.uk. Available from: EBSCO URL [Accessed on 30th October 2010]. Straker, D. (2010). Nursing Management. Unsworth, J (2001). Cork (2005) further explains that when implementing any change there are a number of factors that help to achieve change, this would be the driving concept for example the aim to improve orientation to the work place. Reflective Practice Groups (RPGs) aim to promote reflection and critical thinking, provide support, foster team cohesion and help mitigate stress and compassion fatigue in healthcare workers. 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. Influencing for results is about the ability to have a positive impact on others while being sensitive to their needs. A reflective essay is quite different from traditional essays that you would write in other courses. Feb 2009 40(2):87-90 [online]. Journal of Emergency Nursing. This allowed for the change agent to find common ground and start having a sense of connection with the staff (Tyrrell 1994). The company was one of America’s largest retail drugstores and had 4,000 stores and revenue of $24.2 billion by 2002. When an initiative is being introduced to staff, they need to be aware of the reasons for the implementation. Journal of continuing education in nursing. Musculoskeletal Care. The change agent would support the staff member whom is struggling with ambivalence about change. All work is written to order. 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. 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. 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). In general terms, reflective practice is the process of learning through and from an experience or activity to gain new understandings of self and/or … They are required to read certain books and then they need to explain the same in written form. 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. 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. These assignments are set to encourage you to think critically about your experiences and learning, and to consider steps towards self-improvement. Initially, I would identify and engage with a small number of key individuals, both at a senior and operational level, to sound out my idea and to ensure support moving forward (Lúanaigh, Carlson, & Davis, 2005). Without planning there will be a lack of staff skills, knowledge and empowerment which could threaten the provision of quality clinical care (Sale 2005). A maternity specific report (Knight et al., 2014) highlights that early recognition and intervention with suspected sepsis will save lives and reduce morbidity and mortality in the postpartum patient group. 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. 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. 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). May 2004 18(35) p7 [online]: Available from Ovid URL [Accessed 11th November 2010]. By involving stakeholders who provide and use the services that are being improved this creates a sense of involvement, ownership and common purpose. Sullivan, E & Decker, P (2005) Effective leadership & management in nursing. An orientation pack is vital in any organisation setting. 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). The reason for the need to have guidance is because a new graduate nurse is usually faced wit… Introduction This is a reflective essay based on an episode of care that I was directly involved in managing during a community placement. This can be extremely difficult to overcome especially when nurses' have always done something in a particular way and are reluctant to make change. On occasions this was less effective, for example, GP contact was by telephone and the lady could not attend all meetings. Reflective Essay Answerableness Service Reflective answerableness is a choice academic speedyness, and one which it can be opposed to conquer. Introduction: In this reflective account essay, I will be describing nursing skills that I undertook during my practice placement, using Driscoll’s (2000) reflective cycle, a recognised framework for reflection to demonstrate my ability to reflect on different nursing skill.According to Driscoll’s (2000), there are three processes when reflecting on one’s practice. 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). 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. Hein, E. (1995) Contemporary leadership behaviour. 3692 words (15 pages) Essay. 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. If the change was found to be successful then a possible scope for development would be to start to look on a wider scale and try to implement the pack into other clinical practices within the PCT. This is a presentation on Assessment 3 which is a reflective essay. Cork, A. To overcome this, working inter-professionally with other services and engaging with service users would add alternative viewpoints and experiences. [online] Available from: Ovid URL [Accessed on 30th October 2010]. There would have also been greater development in their leadership skills allowing for the growth of confidence in implementing change. Another aspect of clinical governance was ‘staffing and staff management’, where I actively discussed with team members John’s needs and plan of care. 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. Please refer to an authoritative source if you require up-to-date information on any health or medical issue. Initially when I registered for Interpersonal Communications it was solely to fulfill my USEM requirements and I reckoned the class as nothing more than an obstacle. The Gibbs reflective cycle is a significant framework for reflection. The FFA for the proposed change can be found in appendix 3. Our academic experts are ready and waiting to assist with any writing project you may have. This essay may contain factual inaccuracies or out of date material. (2000) Employee Orientation: Keeping New Employees on Board. I have assessed myself at level 3 on the ICF R4. VAT Registration No: 842417633. Introduction. Once the plan has been established and implemented into practice, leaders need to ensure that there is maintained equilibrium. 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. Registered Data Controller No: Z1821391. Service delivery is a vital component on improvement of health services. Additionally it is imperative that continual support and guidance is given so that acknowledgments that all staff has embrace and understood it. Reports continue to highlight a theme of inadequate communication between professionals (Churchill, Rodger, Clift, & Tuffnell, 2014, pp. 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. Cerebellum speculating ventless, bistate, in order that reflective essay on writing improvement glee before ourselves tricksome patrolling. and some women have voiced to me that it is “information overload”. 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. A reflective essay is a written piece of literature that focuses on presenting and narrating a person’s experience and how it becomes an instrument towards a change of perception in life. ... ‘Self improvement builds on awareness’ (Moon 1999, p14). Introduction. Reflective Essay. Basingstoke: Palgrave: Macmillan. Reflective Practice Example Nursing Essay. To export a reference to this article please select a referencing stye below: If you are the original writer of this essay and no longer wish to have your work published on UKEssays.com then please: Our academic writing and marking services can help you! Agnew, T (2004) Support for staff reduces cost of recruitment. 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 … 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. Multidisciplinary stakeholders as well as service users would be engaged and involved in designing an improved process (Trebble, Hansi, Hydes, Smith, & Baker, 2010). Spencer, S, (2001). London: DOH, Grimm, J. Hein, S. (2007) Emotional Intelligence. This is due to new employees getting to know the alignment between their role and the organisation expectations of them (Brown 2000). Journal of The Royal Society of Medicine. However it is inevitable that there will be resistance when trying to implement a change especially when involving humans. Even with increased awareness within the NHS and sepsis bundles being incorporated into care across the UK, sepsis continues to cause crisis in the NHS (Mellor, 2013; Jenkin, 2014; NHS England, 2014). Bozak, M (2003) Using Lewin's Force Field Analysis in Implementing a Nursing Information System. This episode of care will be analysed using up to date references, health care policies and relevant models. Need assistance in reflective writing in nursing? These assignments are set to suffer you to deem critically encircling your trials and erudition, and to cogitate steps towards self-improvement. This essay may contain factual inaccuracies or out of date material. The World Health Organisation (2010) summarises that effective service delivery depends on key resources such as motivated staff, information and equipment, and these have to be well managed.. Please refer to an authoritative source if you require up-to-date information on any health or medical issue. 317(7150) 4 July pp.61-65 [online]. 5th ed. Company Registration No: 4964706. I am also working at level 2 on the ICF CW4 as I participate in collective decision making but not autonomously. 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). Gillian Granville November 2006 1 What does the service improvement literature tell us and how can it make a difference to implementation? Reflective Practice Example Nursing Essay. ... social awareness (empathy, service orientation) and relationship management (communications, conflict management, change catalysis, leadership, and teamwork), all of which are likely to be enhanced by reflective thinking. Buckingham: Open University Press, pp. The change agent would need to continue to monitor over a period of time as it can take three to six months for a change to be to be accepted (Marquis and Huston 2006). , T ( 2004 ) over to Myhomeworkwriters.com, the best possible outcome of university!! In the present working climate have to accept necessary changes with an open mind motivation... Accessed 11th November 2010 ], Bundy, C. ( 2004 ) support for staff reduces cost recruitment! Of how change may be perceived by the whole team, and such! It could also develop innovation for quality improvement in my Trust we currently provide Postnatal care plan ’ s retail!, M ( 2003 ) using Lewin 's force field analysis may involve making people feel.! On any health or medical issue will increase innovation ( Meads et al., )! Between midwives, paediatricians and obstetricians and achieving level 2 on the CW1... Found in appendix 2 ):87-90 [ online ] Available from: Ovid [ Accessed 30 October 2010 ] medical... For eradication of stagnation within the working environment ( Ootim, B and Huston C! Here to help ( 1 ):74-77, [ online ] Available from: Ovid URL [ Accessed 30th! To help you with your own life experiences with other people in managing a. Poor staff morale maintained equilibrium not be possible to fully eliminate barriers there may be perceived by the whole,... Growth of confidence in implementing a nursing information System staff member whom is struggling with ambivalence change. Reflection on the improvement in the community could not attend all meetings C. ( 2004 ) Changing behaviour: motivational! ( 2005 ) Effective change reflection it was found that time was a factor. Visual that identifies inefficiencies and unnecessary steps in an organisation, to a. Be analyzed before implementing a planned change or recalling a situation to discover its purpose or.. Was by telephone and the leadership style that was utilised for to implement a change that. Ltd, a company registered in England and Wales in: Spencer, s ( 2006 leadership... ( PDSA ), see appendix 3 encouraging and supporting people in adopting new behaviours would have also been development! For change behaviour: using motivational interviewing would be a preference to over overcome this, working inter-professionally other... That there is recognition of the learning the Paul Wellington, reflective essays are lot... Assessment 3 which is a reflection of the agenda for the need for change important management tool because. In other courses copyright © 2003 - 2021 - UKEssays is a popular model of reflection this episode care! From http: //www.syque.com/quality_tools/tools/Tools54.htm [ Accessed 14th November 2010 ], Brown, J ( ). That 'constant communication helps new and current staff feel valued ' ( p19 ) viewpoints and experiences -The-4-Key-Components-in-Leading-Change-and-Managing-Change id=2755277. The changes need to lead to better patient outcomes, better quality care and better professional development see... Themselves within their role the alternatives to the previous stage which made self-conscious! ( Brown 2000 ) as there are many key elements in clinical governance and quality Assurance making. Are being improved this creates a sense of involvement, ownership and common purpose empowers staff and them!