critical incident analysis nursing essays

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Critical incident analysis nursing essays how do i write a policy memo

Critical incident analysis nursing essays


The procedures utilized in the critical incident technique allows for the similarities, differences and patterns of behaviors to be. However, before I start my analysis, it is important to identify what a critical incident is. Tripp states that critical incidents are shaped by the way we look at a situation.

Student Number: Unit 3- Re submission. Task 3. Stage 1. Assessment due: Monday 22nd August 4pm. Critical incident analysis. Throughout this assessment I will analyse a critical incident of an interaction between a worker and a service user or carer during my statutory observation experience. I will conclude my own assessment of the situation and demonstrate my understanding of the use of self, context in which social work takes place and the knowledge and methods of practice.

I will not use any of the service users, carers or agencies names in this essay due to the data protection act I will also adhere to the GSCC codes of conduct that respect and relate to the service users …show more content… Richard and Parker argue that reflecting and analysing the incident the practitioner is able to consider how the incident may have been managed differently by applying other knowledge and consequently enable the practitioner to move forward and consider a future situation differently.

For the purposes of this piece of work I will be analysing an observation of a meeting between a male and a GP. When I learnt that I was going to be shadowing at a clinic for service users with drug and alcohol problems I was quite worried and intrigued as to what would take place.

Then I realised I had to be holistic and also realistic, and although I am not close to anyone that has a heroin , crack cocaine or even an alcohol addiction I have been surrounded by people that have used certain drugs such as cannabis or cocaine. I also feel that I will not always know that this is the case as not everyone demonstrates through their behaviour that this is an issue for them, also some individuals feel ashamed as drug and alcohol use is frowned upon and individuals will deny using drugs.

Some individuals explain that they use drugs as a way of numbing their problems or to gain confidence and self esteem. Beliefs about oneself and about the role of drugs or alcohol in one's life are sometimes called existential models Greaves, Khantzian has proposed that addicts use drugs to offset. Get Access. The incident will then be described and analysed and the people involved introduced.

The names of. Critical incident responses affect people in many different ways. No one person can have the same emotional and physical stressors as the other. In my position as a law enforcement officer I deal with many stressful situations on a day-to-day basis.

Calls that involve driving with lights and sirens tend to stress me out. The entire time my body is reacting to the sirens, lights, radio, and the computer. Trying to listen to critical information given over the air as well as reading the call notes. This student wrote on her class journal that her uncle was touching her in her private parts when no one was watching.

The teacher was concern. This will enable me to analyse and make sense of the incident and draw conclusions concerning personal learning outcomes. The meaning of critical analysis and critical incidents will briefly be discussed followed by the process of reflection. The incident will then be described and analysed and then I will discuss issues raised in light of the recent literature relating to the incident. I will conclude with explaining.

It is based on a significant incident from my own area of clinical practice as a state registered paramedic within the U. There is a discussion appraising the concept of reflection both generally, and in my particular area of practice. This is followed by an analysis of the incident using The What? Model of Structured reflection suggested by Driscoll A rationale is given for the selection of this particular incident and also for the selection of the chosen model.

Reflection The aim of the assignment is to reflect on a critical incident that had an impact in practice. By doing this I will need to write an exploration of the meaning and use of reflection, research into the different models which are used to reflect in practice. Also I will need to be able to have an understanding of what could have been prevented or improved within my critical incident, what I would do next time if in the same situation and what I have learnt. I will need to back up all my.

Critical reflection for nursing and the helping professions: a user's guide. Home Page Critical Incident. Free Critical Incident Essays and Papers. Satisfactory Essays.

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In accordance with the Nursing and Midwifery Council, the clients' details and placement setting has not been disclosed in order to maintain confidentiality. Critical incidents are snapshots of something that happens to a patient, their family or nurse. It may be something positive, or it could be a A brief description of the incident will be given including the interventions that were given and recommendations for future occurrence.

I will apply the Gibbs reflective model to identify strengths and weaknesses observed in the analysis and how they may be enhanced. In conclusion, the lessons gathered from the incident will be stated. Pseudonyms will be used here to maintain confidentiality. NMC Critical incidents are defined as extreme behavior either outstandingly effective or ineffective with respect to attaining the general aims of the activity.

The procedure has considerable efficiency because of the use of only the extremes of behavior. It is well known that the extreme incidents can be more accurately identified than behavior which is more nearly average in character. Flanagan This critical incident analysis will address some of the important issues around the care that Sarah received as identified in the initial incident Appendix 1.

The focus will be on confidentiality as this was the basis of the incident. The hypothesis to be determined is to ascertain whether Sarah was entitled to confidentiality indicating the General Practitioner was wrong to send out the letter to her parents. This will be undertaken using a wide range of literature which will be critically appraised using appropriate research frameworks to determine the quality and reliability of evidence used.

This will include data that is qualitative and quantitative as well as systematic reviews. This should form a conclusion which should prove or disprove the hypothesis. Kehm Nursing Theory Analysis Nursing Theory Analysis — Health Belief Model and Social Cognitive Theory Introduction As nurses, it is important to have a basic understanding of the nursing practice by reflecting on various nursing theories and principles used across a variety of clinical settings.

Nursing theories serve as the foundation or the guiding principle of the nursing profession. In this paper, I am going to discuss two theories — the Health Belief Model and the Social Cognitive Theory — and their relevance to the nursing practice. Health Belief Model The Health Belief Model, commonly abbreviated as HBM, is a psychological model that predicts and explains health behaviors of individuals based on their beliefs and attitudes towards a particular health-related issue.

The core statements and assumptions of the In fact, the authors concede that VAP is often resultant of the ventilator care plan, and that the ventilator bundle would be critical in reducing the occurrence of VAPs among the intensive care unit ICU patients. Of important is the fact that a range of care bundles are present, each differing in its specific care process that focuses on VAP prevention and even mortality when VAP occurs.

Using the information submitted in the research article, ICU medical personnel can refine their care plans for increased effectiveness in the reduction of VAP rates in the ICU. Therefore, the problem addressed by the article is the determination of the best care bundles for reducing the occurrence of VAP among ICU patients. It is clear that the articles intent is on identifying the best ventilator care bundle for reducing the incidence of ICU.

In line with this problem statement, the authors acknowledge that there is a Soyka, Pg. The growing importance of sustainable development establishes a significant and developing challenge for environmental economics and natural resources. The question arises what is This may be a positive experience or a negative one. Generally, everyone in society has been taught by a teacher, they made a difference in children and influenced them to become the future generation of tomorrow.

There are three critical incidents that have shaped my thinking about teaching from my experiences in primary and secondary school. While reflecting back on my time at my primary school, I could vividly remember my teacher Miss Cameel , she was my Standard Three teacher.

Reflection is un doubted an important concept in nursing and since , reflection has succeeded in stimulating debate and investigation, and influencing nursing education around the world. Reflection is an in-depth consideration of events or situations outside of one-self, solitary, or with critical support. Burnard The purpose of this assignment is to discuss the contribution of reflective practice for clinical nursing.

Johns implies that action can be taken through reflection to increase effectiveness in practice as reflection provides. Background of the study Examination is the most reliable way of determining the level of intelligence of students in …show more content… This is a confirming fact that student nurses failed massively at the licensure examination and this calls for the need for research into the matter. The researcher aim is to identify the factors that caused the high failure of student nurses at the licensure exams at the Korle-Bu Nurses and Midwifery Training College, Accra.

Research questions 1. What are the factors that caused the high failure of student nurses at the licensure exams at the Korle-Bu Nurses and Midwifery Training College? What are the qualification levels of tutors teaching in the college? What facilities are needed and are available for the training of students in the college. What percentage of students passed in the various subjects at the licensure exams in the college? What category and percentage of students science, arts, agric passed the licensure exams at the Korle-Bu Nurses and Midwifery Training College?

What are the effects of changes in school curriculum on students in the college? Get Access. Read More. Critical Reflection In Nursing Words 5 Pages Critical reflection is an indispensable tool used in evidence based nursing practice. Essay on Reflection on a Critical Incident Words 8 Pages essay is to reflect on a critical incident experience during my six week placement as a student nurse on an orthopedic ward.

Thomas Simmons College Introduction As a social worker, there will be times when conflict arises when practicing group work, which can be a source of fear and anxiety for a worker?

Critical incident analysis nursing essays I have chosen to follow the Gibbs model of refection Gibbs Appendix 1 as this allows for the expression of thoughts and feelings. However, if provided the necessary skills, workers will be able to better navigate conflict when it does arise. Khantzian has proposed that addicts use drugs to offset. During this incident it was clear to me that the type of relationship that I wanted with the client was one of a partnership and this greatly influenced the progression and style of the care plan review. Order similar paper. During research on what factors constitute a therapeutic relationship, Scanlon found that some of those participating found that opinions of patients can be formed immediately on the first meeting and that being able to totally remove themselves from these opinions is not possible.
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Therefore, the problem addressed by the article is the determination of the best care bundles for reducing the occurrence of VAP among ICU patients. It is clear that the articles intent is on identifying the best ventilator care bundle for reducing the incidence of ICU. In line with this problem statement, the authors acknowledge that there is a Soyka, Pg. The growing importance of sustainable development establishes a significant and developing challenge for environmental economics and natural resources.

The question arises what is This may be a positive experience or a negative one. Generally, everyone in society has been taught by a teacher, they made a difference in children and influenced them to become the future generation of tomorrow. There are three critical incidents that have shaped my thinking about teaching from my experiences in primary and secondary school.

While reflecting back on my time at my primary school, I could vividly remember my teacher Miss Cameel , she was my Standard Three teacher. Miss Cameel inspired me to become a teacher by the way she interacted with us, she was very patient, caring and understanding to all her students and I admired that about her. The manner that she taught was creative, fun and it was easy for us to learn and concentrate.

She treated us like her own and that made me appreciated her even more. I remembered after school I would impersonate Miss Cameel, I would pretend to teach just like her and while growing up becoming a teacher was always my aspiration. Another incident that I Firstly I will include a brief overview of the setting and what happened. Then I will explain my initial response to the incident and analyse the positives and negatives of it while highlighting the key issues and outcomes of the event.

Lastly I will explain the new skills and knowledge that I have acquired after being involved in the incident , then I will go on to conclude by how I think the future learning needs should be improved in order to prevent or manage pressure sores more effectively.

Throughout this assignment the names of the patient and staff involved will be substituted to comply with the Data Protection Act This is to safeguard their identity and ensure that confidentiality is maintained as per NHS policy code of conduct. For the purposes of this assignment, the patients name will be referred to as Mr S. Mr S was admitted from a care home onto our ward as a bed bound patient with a grade four sacral pressure sore which was severely bleeding and at high risk of infection.

NHS Choices shows that this grading is the most severe type of pressure sore. The skin was severely damaged and the surrounding tissue beginning to die tissue necrosis. The underlying muscles or bone Sign Up. Sign In. Sign Up Sign In. Home Essays Critical Incident Analysis Continue Reading Please join StudyMode to read the full document. Read More. Critical Incident Analysis Essay Nursing Theory Analysis Essay Critical analysis of a qualitative study Essay Critical Analysis of Sustainabilty in Marketing Essay Azaare and Gross explain that if nursing will continue to pursue its image as a noble profession successfully, then nurse managers may need to go beyond just being managers, to becoming transformational leaders aimed at propelling their staff to provide quality, evidence-based practice.

Spector classifies the leadership theories in the following manner: the trait approach, the behaviour approach, the contingency approach and transformational leadership. While any of these above leadership theories can be used to help nurses lead, some literatures have supported the use of transformational leadership as a suitable choice for advancing nursing leadership Carney, and Sullivan and Garland, Curtis et al explain that transformational leadership is about vision, ability to inspire followers, trust, sharing a bond with followers, and being able to empower others.

Carney agrees with Thyer and Jooste that transformational leadership is a suitable model for directing and guiding nursing leadership. Critical incident analysis. This incident occurred during a clinical placement on an acute inpatient setting. It was on an early shift when my mentor Fe asked me to manage the entire shift under her guidance and supervision.

It is further argued that allowing nursing student to practice their clinical skills within practice area will facilitate competence and learning opportunity Benner, and RCN, a. In this unit, five staff is required to manage an entire shift although there are occasions when this number increases especially when there are few service users on level 3 observation. Prior to completing the shift planner a carer Jimmy who had already reported he will be coming in late had just phoned in sick, which simply imply we are one staff down.

Just at the start of the shift two new service users Paul and Sean who are of high risk of suicidal behaviour with intent had just been admitted. As the service users are of high risk of suicidal behaviour, they were put on level 3 observations by the nursing team. Since we are short of one staff and required two extra staff to manage the entire shift, I rang the staff bank co-ordinator office and requested for three extra staff to be booked for the early shift, two for late and night shift.

Just about twenty minutes later the bank staff arrived at the unit, which was a great relief for the team. I collaborated with the team in completing the morning shift planner and was enables to allocate and delegate the tasks that need to be undertaken according staff competency and putting into account their break time.

Around mid-day I observed John service user in the bedroom wrapping a plastic bag round his head, attempting to suffocate himself. On approach I was able to prevent John from causing any further harm to self. Although he was not pleased with this as he mentioned that life does not worth living anymore. I then collaborate with him to have one-to-one session, which he agreed.

Following the one-to-one session, I was able to establish that he had been hearing voices instructing him to commit suicide. Afterwards the nursing team collaborated with him and put him on level 3 observations. My mentor then instructed me to administer to John PRN intramuscular injection Haloperidol 1mg and 0.

Soon after the medication about half an hour later he states that the voices have disappeared. I then collaborated with nursing staff to make the adjustment, as it has significant impact on break time. In order to motivate the staff as nursing task such as observation could be exhausting, I kept encouraging them by making cup of tea and checking on them from time to time.

Overall I was pleased that the staff was supportive and cooperative throughout the shift the hectic shift. So what. At the outset when my mentor asked to manage the shift, I was nervous as this was my first time of managing a shift of such busy nature. Although I was able to overcome this apprehension, as my mentor reinforced that this will be a good learning opportunity for me to develop my confidence, competence and also put into practice everything I have learned during the course of my nursing training.

Gurling agrees with Benner on the need for mentorship in clinical practice area, as this will enable novice nurses such as me to work with expert nurses throughout the transformation stages from novice to expert. Despite my initial apprehension I was able to manage the shift efficiently even as my mentor had to sit back and allow me to take the lead.

Although my mentor did identify area for improvement but overall her feedback was constructive and positive. Royal College of Nursing a suggests that it is mentor professional responsibility to give nursing students constructive feedback, with suggestions on how to make improvements to promote progress. Looking back on this incident I felt I demonstrated good delegating skills throughout the shift. Plaut asserts that delegation is the transfer of responsibility and accountability in order to achieve a defined outcome.

The incident with John would have made me struggle with the shift planner but I felt my delegating skill helped me to make the necessary adjustment even with limited number of staff. Despite the outcome of the incident was positive, I am aware that the adjustment I made in the shift planner has significant impact on staff break time.

With this recognition in mind, I was able to encourage and motivate the staff by making cup of tea and checking on them from time to time. To my surprise I was relieved to realise that little encouragement such as making cup of tea for the staff while they are on continuous observation could make a significant difference in their motivation level.

This became evident when they all told me my cup of teas made the shift less stressful. Curtis et al postulate that one of the qualities of a transformational leader is ability to inspire followers, just like have done throughout this incident. Raup explains that in a changing healthcare environment nurse managers with the ability to motivate other are vital to maintaining high standards of nursing practice, ensuring staff retention, improving standards of care and increasing patient satisfaction levels.

I was pleased that John was effectively managed on medication as his suicidal intent disappears soon after having the medication. Meltzer et al found significantly decreased risk of suicidal behaviour in the use of antipsychotic medications. However, Gibbons and Mann concur with Soloff et al that there is no consistent evidence to suggest that antipsychotics reduced the rate of suicide attempts, but also did not find that they increased the risk.

With that being said, I am aware that service users are to be treated as an individual and such success might not be recorded in different similar situation. NMC advocates that as a nurse is one professional responsibility to treat people in our care as an individual. Despite John had confirmed that his suicidal thought has disappear, I felt it was a good practice that I collaborated with the nursing team and put him on level 3 observation.

This safety was also promoted by Barker and Department of Health as it is paramount to nursing care. Kettles and Addo postulate that observation is an effective intervention in preventing service user the ability to commit suicide. SNMAC suggests that the aim of therapeutic observation is to prevent potentially suicidal service users from harming themselves as hospital is deemed to be a safe environment.

However, Clinical Resources and Audit Group argue that observation might be effective in preventing service user from committing suicide; but it does not address the causes of suicidal behaviour and reinforce the feeling of custodial care. I felt that I demonstrated this skill by collaborating with the team in completing the shift planner, which set a clear objective. RCN b advocates that for team to be effective they need clear, shared and agreed objectives which contributes to the delivery of effective service to service users.

Covey and RCN b suggest that setting objective is vital element of team leadership as this can help to clarify what is important to the team member, service and to those who use it. Now what. Despite the outcome of this incident was positive I am clearly aware of my learning needs. This is because I am aware that the leadership skill which is effective in one situation might not be applicable in another.

Although it is argued that nursing is evidence based practice, skills and experiences acquired in a given situation are transferable to another Benner et al, I felt that I have demonstrated good motivational traits by encouraging the staff and making them cup of tea as the shift progress. In my view, I felt the most appropriate leadership style similar to my traits is transformational leadership style. This experience has helped me to realise that a service user such as John can be effectively managed on medication and therapeutic observation after an episode suicidal behaviour.

Initially I was objecting the idea of giving John intramuscular injection as I felt I had a good therapeutic relationship with him. I was concern as this might affect our nurse-patient relationship but my mentor insisted that was the best option as John was really psychotic. Looking back on the incident, I wonder what the outcome of the shift would have been if my mentor had listen to my opinion.

I am glad that my mentor decision stands and the outcome of the incident were positive. In future similar situation, I will ensure that I managed service users such as John on appropriate level of observation and administer medication if necessary in order to promote their safety. Sullivan and Garland concur with Carney that there are various leadership theories which can be used to help nurses lead; however, the use of transformational leadership is a suitable choice for advancing nursing leadership.

Reference List. Azaare, J. British Journal of Nursing 20 11 , Barker, P. Bass, B. Benner, P. Hughes, R. In Hughes, R. Blegen, N. Journal of Nursing Management 19 , Carney, M. Covey, S.