Critical Reflection on One Nurse-Family Interaction
Introduction
This paper describes a significant learning family interaction that occurred when I was working in a community placement as a student nurse. I would be reflecting on that family interaction and use the “One Question Question” approach and analyse how this would contribute to your learning needs and nursing practice.
Critical or significant interactions can be defined as situations that make an impression or have a special meaning to an individual. The analysis of such incidents, a useful reflective technique helps us to identify professional capabilities, increase knowledge of self and improve patient care outcomes (Lian, 2001) and lead to practice that is better informed than before the reflection (Usher et al, 2001).
Critical reflection on one nurse-family interaction and the impact
I was in my community placement where I got an opportunity to interact with an adolescent who was Insulin Dependent Type 2 diabetes and his family. The community nurse visited for the monitoring of the BGL tests and insulin administration as he had fluctuating BGLs and he had a history of not complying with the insulin. He was admitted to hospital numerous times with episodes of hypoglycaemias and hyperglycaemias. The family were very concerned about him and were worried about his erratic lifestyle. I must say the interactions I had with this family had some impact on me and I realised my shortcomings and learning needs.
I used John’s model of reflection to access, make sense of, and learn through this type of experience. My reflection involved what was I trying to achieve, why I did act as I did, what were the consequences of my actions - for the patient and family, for myself, & for people I work with. It also involved about how I felt about this experience when it was happening, how the patient felt about it, and how I know how the patient felt about it. (Johns’, 2004)
This model was a guide for analysis of my critical incident family interaction or indeed
This paper describes a significant learning family interaction that occurred when I was working in a community placement as a student nurse. I would be reflecting on that family interaction and use the “One Question Question” approach and analyse how this would contribute to your learning needs and nursing practice.
Critical or significant interactions can be defined as situations that make an impression or have a special meaning to an individual. The analysis of such incidents, a useful reflective technique helps us to identify professional capabilities, increase knowledge of self and improve patient care outcomes (Lian, 2001) and lead to practice that is better informed than before the reflection (Usher et al, 2001).
Critical reflection on one nurse-family interaction and the impact
I was in my community placement where I got an opportunity to interact with an adolescent who was Insulin Dependent Type 2 diabetes and his family. The community nurse visited for the monitoring of the BGL tests and insulin administration as he had fluctuating BGLs and he had a history of not complying with the insulin. He was admitted to hospital numerous times with episodes of hypoglycaemias and hyperglycaemias. The family were very concerned about him and were worried about his erratic lifestyle. I must say the interactions I had with this family had some impact on me and I realised my shortcomings and learning needs.
I used John’s model of reflection to access, make sense of, and learn through this type of experience. My reflection involved what was I trying to achieve, why I did act as I did, what were the consequences of my actions - for the patient and family, for myself, & for people I work with. It also involved about how I felt about this experience when it was happening, how the patient felt about it, and how I know how the patient felt about it. (Johns’, 2004)
This model was a guide for analysis of my critical incident family interaction or indeed
References: * American Diabetes Association (ADA): Standards of medical care for patients with diabetes mellitus (Position Statement 2003). Diabetes Care, 26 (Suppl. 1):S33–S50. * Anderson, B.J. (2001). Children with diabetes mellitus and family functioning: translating research into practice. J Pediatr Endocrinol Metab, 14 (Suppl. 1):645–652. * Carroll, A.E., Marrero, D.G. (2006). How do parents perceive their adolescent 's diabetes: A qualitative study. Diabetes Medicine, 23:1222-1224. * Clements, P., Bradley, J. (2005). When a young patient dies. RN, 68 (4):40-43. * Duhamel, F, Dupuis, F. & Wright, L. (2009). Families’ and nurses’ responses to the “One Question Question”: Reflections for clinical practice, education, and research in family nursing, Journal of Family Nursing, 15(4): 461- 485. * Hanna, K. M., Guthrie, D. (2003): Adolescents’ behavioural autonomy related to diabetes management and adolescent activities/rules. Diabetes Educ, 29:283–289. * Johns, C. (2004). Becoming a Reflective Practitioner. 2nd. Ed. Oxford: Blackwell Publishers. * Lian, J. X. (2001) Reflective practice: A critical incident. Contemporary Nurse, 10(3-4): 217-221. * Martinez, A. M., D’Artois, D., & Rennick, J. E. (2007). Does the 15 (or less) family interview influence family nursing practice? Journal of Family Nursing, 13:157-178. * Redinbaugh, E.M., Schuerger, J.M., Weiss, L.L., Brufsky, A., Arnold, R. (2001) Health care professionals’ grief: A model based on occupational style and coping. Psycho-Oncology. 10:187-198. * Usher, K., Tollefson, J., Francis, D. (2001). Moving from technical to critical reflection in journaling: An investigation of students ' ability to incorporate three levels of reflective writing. Australian Journal of Advanced Nursing, 19(1): 1-19. * Wright, L. M. (1989). When clients ask questions: Enriching the therapeutic conversation. The Family Therapy Networker, 13: 15-16. * Wright, L. M., & Leahey, M. (2005). The three most common errors in family nursing: How to avoid or sidestep. Journal of Family Nursing, 11: 90-101. * Wright, L., & Leahey, M. (2009). Nurses and families: A guide to family assessment and intervention (5th ed.). Philadelphia: F. A. Davis * Wysocki, T., Harris, M.A., Buckloh, L.M., Mertlich, D., Lochrie, A.S,, Taylor, A., et al