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Requirement
Critically reflect on a pleasant/unpleasant event (choose either one) of your clinical experiences, and write a reflective account on the situation by utilizing Driscoll’s Model of Structured Reflection to help explore your reflective thoughts and feelings.
Solution
Reflective Thinking Assignment
My clinical experience pertains to the extended care facility. I was at the facility at 6.00 AM and was thrilled with the learning that I could put to use basis the class lectures. My task of interviewing the patients in the facility and trying to access their mental condition was amusing. Little did I know that the care facility was run in a really professional manner. The encouragement to the nurses was provisioned to a greater extent.
With the well scheduled breaks being allocated to the resources at the facility, my motivational levels were highly spirited. While interviewing the patients suffering from various psychological disorders, it was a great experience as I learned a lot about them (Willemse, B. M. et al., 2015). In particular, the patients at the care facility ranged between 45 years to 79 years of age. They were of varied backgrounds and it was interesting to note the background they carry. There was great compassion involved as I heard their stories and the experiences they shared with me (Gander, M. et al., 2018). The keenness with which I was trying to associate myself with the grief and the sadness they had basis the experiences overwhelmed their state.
Most of the seniors in the facility were happy being here. Although with the patients I did interview there were just two of them who were really not happy about them being part of the facility. The facility did have greater emphasis laid on the various tasks being created for the members as part of the facility. The tasks and the activities which used to be conducted each day was fun for the members of the facility (Willemse, B. M. et al., 2015; Gander, M. et al., 2018). The patients did relish the activities and there was greater learning I received as to how much they cherish being part of the activities. My wish of having all the more participation for them grew. I indeed spoke to the Administrator In charge at the care facility.
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The administrators at the facility were diligent about their duties. The well managed extended care facility had a process for everything. While I joined the facility, there was a procedure adhered with respect to training me and three other peers who had joined with me. The training plan conducted at the extended facility was an 18 hour program that laid greater emphasis on the care facilitation and the manner in which delivery of care can be well established (de Souto Barreto, P. et al., 2016; Slayton, R. B. et al., 2015; Willemse, B. M. et al., 2015; Gander, M. et al., 2018). There were loads of activities as part of the training program which stretched for 3 days.
The entire three day period was amusing for me. Not only did I had greater experience in the learning pertaining to the topics and the areas I always had keenness to know more, the activities too kept us engrossed. With the activity entailing as to how well we can communicate and interact with the patients in the facility was really helpful. There were greater aids that were provided to us as part of the various modules covered under training. It was interesting to know that the arena is so vast (de Souto Barreto, P. et al., 2016; Slayton, R. B. et al., 2015; Sanford, A. M. et al., 2015; Willemse, B. M. et al., 2015; Gander, M. et al., 2018). The trainer at the facility training us had a charm with the manner in which she conducted the entire program for three days.
The activities kept us all engrossed and at the same time there was greater learning too that formed part of the training we attended. There was greater emphasis laid on the theoretical lessons along with the activities. The crucial part of the training was that on the last day, there was a role play wherein the other staff members acted as patients and we 3 interns as part of the facility were given the opportunity to communicate well and try and understand the vivid behaviour in role play (de Souto Barreto, P. et al., 2016; Slayton, R. B. et al., 2015; Sanford, A. M. et al., 2015; Willemse, B. M. et al., 2015; Gander, M. et al., 2018). With the fair assessment at the end of the training program, we were to set ourselves and begin the role and responsibility at the extended care facility.
There was greater confidence instilled into us and we three members forming part of the new batch were excited about the various activities and the learning we can experience and share at the facility. The experience that we cherished the most was while being part of the care facility and playing an active role in being with the patients. While discussing with the existing workforce at the facility, I had the opportunity to learn the new terms that I was not acquainted in the arena of medicine.
Watching that the staff came together to assist me in my interviews and interaction was joyous. We all workers felt good about the manner in which we all were interacting and activities forming part of the session being planned in a great manner. It was the interesting experience (Broad, J. B. et al., 2015; Martin, R. S., Hayes, B. et al., 2016; Willemse, B. M. et al., 2015; Gander, M. et al., 2018; de Souto Barreto, P. et al., 2016; Slayton, R. B. et al., 2015). The management at the facility was organized with the flexibility for the staff to take breaks. The good part was that post 5 PM, we were all asked to sit and share our stories with the patients.
The patients were made to sit in the lawn and were assisted as they approached the meeting point. Each one of us had to share a story. The next few days, the learning was elaborated with the greater emphasis on the medications and the diagnosis. The various terminologies that were earlier unclear to me got clarified and I was able to well relate the medication and the diagnosis. The patients at the facility had a charm. They were eager to be part of the fun activities that were planned (Broad, J. B. et al., 2015; Martin, R. S. et al., 2016; Willemse, B. M. et al., 2015; Gander, M. et al., 2018; de Souto Barreto, P. et al., 2016; Slayton, R. B. et al., 2015). The administrator at the facility contributed a lot with the efforts planned in such a manner that the staffs are well able to exploit the resources and the capabilities. The elderly patients were given an opportunity to interact amongst themselves too. The sub groups they had formed were bound together in a great manner.
The best part about the facility also entailed the manner in which care was provisioned for the patients. There was greater coordination amongst the staff members that enabled in making the setting more effective. With regards to the experience we all shared, the same was also being well monitored and controlled. The various activities that had to be done basis the schedule were crucial (Unroe, K. T. et al., 2015; Carpman, J. R., & Grant, M. A., 2016; Broad, J. B. et al., 2015; Martin, R. S. et al., 2016; Willemse, B. M. et al., 2015; Gander, M. et al., 2018; de Souto Barreto, P. et al., 2016; Slayton, R. B. et al., 2015). The facility had an adept manner in which the planned schedule for the next fortnight would be prepared well in advance.
The schedule was prepared basis the feedback received from the staff members and the supervisor in charge of the schedules at the facility would have a one to one session with each of the staff members trying to reinstate the feedback that was ascertained basis the earlier schedule. The training provisioned on the effective care facilities and the first aid that needs to be given to the patients was handled diligently.
The trainers were adept in letting us all know that the reason and justification of a diagnosis associated with the medical condition seemed essential part. The challenges that were faced by the staff had to be discussed in a weekly meet with the administrator and the supervisor in charge of the facility (Unroe, K. T. et al., 2015; Carpman, J. R., & Grant, M. A., 2016; Broad, J. B. et al., 2015; Martin, R. S. et al., 2016; Willemse, B. M. et al., 2015; Gander, M. et al., 2018; de Souto Barreto, P. et al., 2016; Slayton, R. B. et al., 2015). The various concerns with regards to the delivery of efficient services pertaining to quality and appreciating the various processes and sub processes linked to the delivery were crucial.
There was greater support and admiration that the workers managed to get from the existing staff members at the facility .The same was essential as it paved way for us to perform the best in case of any emergencies that would occur at any time in the facility. Before the paramedics would arrive, the basics essential care needs to be provisioned.
There was greater emphasis on the various strategies that can be deployed to restore to the normal conditions. The variances that would be ascertained basis the feedback session were discussed in the meet that used to take place while considering the involvement of all the staff members. The facility had a unique manner in which the coordinated activities and the processes formed the normal running if iterations (Unroe, K. T. et al., 2015; Carpman, J. R., & Grant, M. A., 2016; Broad, J. B. et al., 2015; Martin, R. S. et al., 2016; Willemse, B. M. et al., 2015; Gander, M. et al., 2018; de Souto Barreto, P. et al., 2016; Slayton, R. B. et al., 2015). There was implementation of code of ethics too and greater professionalism being adhered as the staff members and other employees retained.
The challenges were being catered to in an effective manner. There was a 360 degrees feedback mechanism well in place which enabled us to recognize well our strengths and weaknesses (Unroe, K. T. et al., 2015; Carpman, J. R., & Grant, M. A., 2016). The opportunity to work well on our weaknesses was provisioned with an effective session held on a one to one basis. The employees were courteous in the environment and there was less a challenge faced. With respect to the enhancement of care provisioned to the patients and the goal of the facility being to have effective delivery mechanism in place was well administered by the senior management. The other important consideration that was effectively managed was the manner in which the admissions of the patients took place at the facility. There was greater emphasis laid on the strategies deployed while admitting them to the facility.
I was perplexed while I came to know that the admission had stringent norms in order to protect other staff members being impacted by the perception and impressions of the newly admitted. There was sufficient scope provisioned wherein such staff did train the admitted new patients too. The patients had to be aware of the policies and procedures being adhered. In order to do so, impactful training with relevance to the adherence of rules and the policies had to be well inculcated. There was greater effectiveness as the entire process carried greater value.
I can well as certain that the experience at the extended care facility enabled in me growing to a level wherein I became mature and more confident in handling the processes.
The appreciation from the patients and the manner in which I did create a sense of wellbeing and belongingness at the care facility was amazing. The wonderful experiences are there at the back of mind and every time the thought of me being part of the facility fills me with pride. There was greater learning I experienced. The impact of such an experience can be remembered all through life and the interesting experiences with the staff members and the senior management appreciated,
While I was been given an opportunity to serve at the facility, I had doubts with regards to the performance and whether I would be able to well contribute. Little did I know that my experience would be really cherished by me each day as I think of it now. Understanding the word from a different perspective and trying to gain the advantage of having been associated to such care facility is a dream come true for me. The clinical experience is unforgettable and the learning an ode for the coming years ahead. I feel blessed considering the experience.
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Broad, J. B., Ashton, T., Gott, M., McLeod, H., Davis, P. B., & Connolly, M. J. (2015). Likelihood of residential aged care use in later life: A simple approach to estimation with international comparison. Australian and New Zealand journal of public health, 39(4), 374-379.
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Carpman, J. R., & Grant, M. A. (2016). Design that cares: Planning health facilities for patients and visitors (Vol. 142). John Wiley & Sons.
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de Souto Barreto, P., Morley, J. E., Chodzko-Zajko, W., Pitkala, K. H., Weening-Djiksterhuis, E., Rodriguez-Mañas, L., ... & Izquierdo, M. (2016). Recommendations on physical activity and exercise for older adults living in long-term care facilities: A taskforce report. Journal of the American Medical Directors Association, 17(5), 381-392.
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Gander, M., Schiestl, C., Dahlbender, R., Ronel, J., & Buchheim, A. (2018). Facial Behavior During an Attachment Interview in Patients With Complicated Grief. The Journal of nervous and mental disease.
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Martin, R. S., Hayes, B., Gregorevic, K., & Lim, W. K. (2016). The effects of advance care planning interventions on nursing home residents: a systematic review. Journal of the American Medical Directors Association, 17(4), 284-293.
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Sanford, A. M., Orrell, M., Tolson, D., Abbatecola, A. M., Arai, H., Bauer, J. M., ... & Hajjar, R. (2015). An international definition for “nursing home”. Journal of the American Medical Directors Association, 16(3), 181-184.
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Slayton, R. B., Toth, D., Lee, B. Y., Tanner, W., Bartsch, S. M., Khader, K., ... & Miller, L. G. (2015). Vital signs: estimated effects of a coordinated approach for action to reduce antibiotic-resistant infections in health care facilities—United States. MMWR. Morbidity and mortality weekly report, 64(30), 826.
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Unroe, K. T., Nazir, A., Holtz, L. R., Maurer, H., Miller, E., Hickman, S. E., ... & Sachs, G. A. (2015). The optimizing patient transfers, impacting medical quality, and improving symptoms: transforming institutional care approach: preliminary data from the implementation of a centers for Medicare and Medicaid services nursing facility demonstration project. Journal of the American Geriatrics Society, 63(1), 165-169.
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Willemse, B. M., Downs, M., Arnold, L., Smit, D., de Lange, J., & Pot, A. M. (2015). Staff–resident interactions in long-term care for people with dementia: the role of meeting psychological needs in achieving residents’ well-being. Aging & mental health, 19(5), 444-452.
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