Briefly describe the aspect of practice/topic observed and the clinical situation. Describe what has led you to choose the practice/topic observed. Examine how a practice may have differed from what was expected, based on previous learning.

NUR1299 Reflective Essay

  • Word limit: 1000 words (Excluding Reference List)  APA Referencing.

Part of being a Registered Nurse involves the nurse looking at practice critically within the clinical setting. By this we mean to examine practice and to make critical judgements about what is occurring so that there are continuous improvements to the quality of patient care. We have ideals about what should occur, and you may hear your Clinical Nurse Teachers/Facilitators refer to these ideals as ‘best practice’ and or ‘standards’. However, there are many considerations that may affect how these ideals are translated into the quality of care delivered. These may include the socio-political environment, which may affect resourcing, staffing skill mix and training requirements. Staff culture, apathy and/or fatigue may also have a detrimental effect on the quality of care delivered.

This assignment requires you to select an ‘aspect of practice’ observed / experienced in the clinical setting and write a reflective essay on the selected practice aspect / issue you have chosen. The topics will relate to the content discussed in weekly modules, forum discussions and or practical laboratory simulations.

These topics include;

  • mobility, and falls
  • hygiene
  • pressure area and wound care
  • nutrition and elimination
  • sleep
  • psychosocial aspects
  • infection control
  • manual handling
  • medications

The observed ‘aspect of care’ maybe negative and/or positive. As this is a reflective piece based on your perceived and/or personal experiences, it will remain confidential. In preparing your essay you will need to outline the context of the practice aspect and draw conclusions against the available evidence and literature.

The detail is in the marking guide, therefore use the marking guide to direct your assignment.

You may use the headings provided in the marking guide to structure your assignment.

Below are some resources to assist you in your Reflective Essay. The reflection is based on the clinical reflective activity that you are required to complete for each clinical subject within your degree.

 

Adapted from:  Burns, S. and Bulman, C. (2000) (Eds.) Reflective Practice in Nursing: The Growth of the Professional Practitioner (2nd Ed.) Blackwell Scientific Publications, Oxford.

Reflective writing encourages you to reveal your personal thoughts about your life experiences in relation to clinical experiences and the content you are learning about in class, thus enhancing the link between theory and practice.

Instructions:

Introduction (50 words)

Provide a brief introduction outlining the scope and direction of the discussion that follows in the body of the reflective essay.

Description of Event

Briefly describe the aspect of practice/topic observed and the clinical situation. Describe what has led you to choose the practice/topic observed. Examine how a practice may have differed from what was expected, based on previous learning. Please remember to use in-text referencing when writing the reflection.  A reminder that all persons and facilities must not be identified however, it is appropriate to identify a person as an RN or EN, for example.

Pseudonyms may also be used.

Identify Clinical Factors that influence the delivery of care.

Consider how clinical environment may have influenced the aspect of care. Particular considerations may relate to resources, training, staff and/or patient factors.

What feeling/ emotions/ thoughts did you have or others experience?

Identify and discuss what you were feeling when observing this practice. Describe how others involved in this interaction may have felt and/or thought? This may include other caregivers, patients and/or family members. Has this influenced your perceptions of ‘self’, ‘ageing’, ‘nursing’ and/or ‘delivery of care’?

What values/beliefs underpin thoughts/feelings experienced?  

How has your previous life experience influenced how you felt (experiences, culture, religion and/or relationships with others) when observing the topic/aspects of care? Have your personal values influenced your perceptions of the aspect of care/topic delivered? Please explain how.

Analysis: What sense/ meanings can be made of this situation?

Utilizing course resources and additional literature substantiate your arguments and apply theoretical knowledge to your experiences and/or observations.

What action plan/strategies would you use?

What action plan/strategies based on your review of resources would you utilize to improve aspects of care in the clinical setting? How will this experience influence how you deliver an aspect of care? Consider how you could improve delivery of care in relation to the aspect of care observed.

 

 

What conclusions can be drawn?

After reflecting on the aspect of care/chosen topic, what you have learnt from the course content? What could have been improved in this situation? How will this experience make you a better nurse?

Reference List (separate page)

Please cut and paste the marking rubric on a new page after your reference list.

 

 

 

 

 

 Student Name                                                                                   Student Number;

 

 
                                                     MARKING RUBRIC

                                           Assignment 1 NUR1299 Semester 2 2018

                                                          Reflective Essay

 

 
Description- Identifies relevant aspect of care relating to weekly topics.

 

 

 

 

Relevant aspect of care/topic not identified.

 

No incorporation of resource materials

Relevant aspect of care/topic minimally identified.

Minimal incorporation of resource materials.

Aspect of care/topic identified, with a reason as to why it was chosen.

Incorporation of resource materials and literature.

Aspect of care identified with an excellent description and rationale for choice.

Critical comparison to resource materials/relevant literature.

 

  0 0.5 1 1.5
Identifies Clinical Environmental factors that influence care delivery.

 

Environmental factors not considered.

 

 

 

Environmental factor considered and briefly articulated. Environmental factors considered, with an explanation on how this has influenced care delivery. Environmental factors considered, with an explanation on how this has influenced care delivery. Substantiated by relevant resource materials.
             0 0.5 1 1.5
Identifies feelings/emotions and links to values and beliefs Feelings and emotions not articulated.

 

 

Values and beliefs not included.

Identifies feelings / emotions of self but not others.

 

Identifies values and beliefs of self or others or society.

 

 

 

 

 

 

 

 

 

Identifies feelings / emotions of self and others.

 

Identifies values and beliefs of self, others and society.

 

Describes how personal values influenced patient interactions and aspects of care.

 

Identifies feelings / emotions of self and others demonstrating insight into the situation

from multiple perspectives.

Describes how personal

values influence perception of care aspect/topic/care delivered.

Describes how this interaction has altered personal perceptions.

  0.5 1 2 3
Analysis and conclusions

Applies relevant theories and concepts from the course materials

Poor to minimal application of theory from within the course material applied to the situation

Poor to minimal evidence of further

Limited knowledge of theory from within the course applied to the situation

Limited  evidence of further

Good knowledge of theory from within the course applied to the situation

Good use of the evidence/literature

Very good to excellent knowledge of  theory from within the course and the relevant evidence applied to the situation

Very good to excellent use of the

 

and the evidence to the situation reading/literature review

 

reading/literature review

 

 

 

applied to the situation.

 

evidence/literature applied to the situation
  0-3 4 6 8
Identifies actions and plans strategies from the theory (course work) to inform future practice as a registered nurse Poor to minimal evidence of development of links between theory and practice used to inform future practice. Limited evidence of development of links between theory and practice used to inform future practice. Good evidence of development of links between theory and practice used to inform future practice. Strong evidence of development of links between theory and practice used to inform future practice
  0-3 4 6 8
Student Name:                                                                                  Student Number:  
Academic writing No Introduction/ Conclusion

Numerous errors

•       Typographical

•       Punctuation

•       Grammatical

•       Referencing

 

Does not conform to expected academic standards and scholarly conventions, No proof reading evident

Does not conform to APA referencing style

Under word limit, greater than 20 %

Over word limit, greater than 20 %

 

 

Introduction or Conclusion

Many errors

•       Typographical

•       Punctuation

•       Grammatical

•       Referencing

 

Some evidence of  expected academic standards and scholarly conventions, needs further proof reading

Attempts to conform to APA referencing style, however does not apply style consistently

Under word limit, greater than 20 %

Over word limit, greater than 20 %

Introduction and Conclusion – no new information.

Minimal (5 or less) errors

•       Typographical

•       Punctuation

•       Grammatical

•       Referencing

(material cited

correctly)

 

Mostly presented in accordance with expected academic standards and scholarly conventions

Mostly conforms to APA referencing style stated 3 or less errors

Sources are mostly cited accurately

Within word limits

Introduction (establishes assignment outline) and Conclusion –Reiterates mains points – no new information

Correct grammar, spelling, punctuation, citation of references

Presented in accordance with expected academic standards and scholarly conventions, proof reading evident

 

Conforms to academic referencing style stated

(1 typo allowed)

 

Within word limits

  0-1 2 3 4
COMMENT:

 

 

Marker:

   

 

 

/26

Student Name:                                                     Student Number:  

 

 

 

 

 

 

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