Development of Competent Medical Skills

This essay focuses on a reflection on the development from beginner, to competent novice, to skilled practitioner in the light of my very own development in scientific nursing practice. It really is based on the signposts discovered within my scientific learning stock portfolio and targets the idea of the helping role and caring skills within nursing practice. It utilises a reflective framework to raised identify and represent upon the voyage from beginner to specialist.Development of Competent Medical Skills

The model for reflection I’ve chosen is Gibbs Reflective Routine (see Appendix). Reflection has been described as as a process of internally evaluating and exploring an issue of concern, induced by an experience which creates and clarifies meaning in conditions of home, and which results in a transformed conceptual perspective (Boyd and Fales, 1983). Therefore, the experience of my three placements are explored under three rotations of Gibbs Circuit. Meretoja et al (2004) state that nurses’ self-recognition of own level of competence is essential in retaining high expectations of care. I’ve chosen the nurturing role predicated on my own identification of the level of competence achieved in this area.

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Cycle One

Novice to Advanced beginner

What Took place.

I had to assist a patient along with personal care; make sure they are comfortable in bed and collaborate in pressure area management; help with toileting, cleansing, mouthcare, and application of emollient cream. I also were required to document treatment and any deviations from typical.

Feelings

I was very alert to my inexperience and of the trust this patient put in my and the nursing team. I had been also alert to the intimate character of the health care I used to be providing, and the actual fact that it was basic health care also highlighted the essential role such good care has in assisting health campaign and patient wellbeing.Development of Competent Medical Skills

Evaluation

I was uncomfortable at first, and clumsy in the provision of the various aspects of care. However, my mentor was informative, supportive and helpful, which assisted me in doing the many tasks. However, I came across it difficult to complete these as quickly as I will have. I did learn to talk to the patient and offer a sensitive procedure.

Analysis

This situation required important areas of the caring role. It also demonstrates the hyperlink between basic medical care an almost every other aspect of nursing. The NMC (2004) requires nurses to provide individualised look after their patients. The look after this person was predicated on their own needs and adapted as those needs altered. I could identify those needs and develop competency in providing attention as of this level. The caring role was very satisfying but literally and psychologically taxing However, I had been still along the way of figuring out particular needs and giving an answer to them, such as toileting, which required me working with others in a collaborative manner, which I didn’t find easy. I also realised how much I did not find out about nursing.

Conclusion

In this situation, I could have developed more collaborative working skills and modelled myself on those around me more actively ie. , copied the ways that other nurses and health care assistants provided care and attention. When I did do that, it was effective. But I came across that despite my enthusiastic procedure, my knowledge basic meant that I did so not necessarily understand the explanation for what I used to be doing.

Action Plan

The action plan out of this was to take the assurance and competence I had fashioned developed in the practical skills and incorporate them into all areas of the caring role. It had been also to recognize areas where my knowledge foundation was missing, and look for this knowledge. Keeping knowledge current is a dependence on the NMC code of condut (NMC, 2004). Working collaboratively is another NMC need (NMC, 2004). Taking this knowledge frontward into practice made this process of reflection a learning activity.Development of Competent Medical Skills

Cycle Two

Advanced Beginner

What Happened

As part of my role helping with patient attention, I had fashioned to screen pain levels and assist with providing analgesia as prescribed, along with monitoring its efficiency. This is a surgical placement, and I also discussed with elderly patient their coping and wellbeing after hospital discharge. I employed in health education and support to permit clients to be self-caring.

I was also responsible for monitoring wellbeing through undertaking and recording medical observations, saving fluid balance and reporting any abnormalities. I used to be also involved with providing personal care to patients in a safe manner, especially in the removal of waste products.

Feelings

To start with, I noticed glad to be working at a more advanced level of competency, and believed confident in my own basic medical skills including accomplishing medical observations. However, the increased demand also intended increased pressure and I was alert to this. Again, I sensed that I acquired developed a amount of competency but was very alert to my need to build up further knowledge and skills. The caring role included supporting people and I got to access other pros to ensure I gave the right information and that my care have been effective.

Evaluation

It was good to discover that I had fashioned the clinical competence to effectively monitor clinical status. However, the intricate character of patient needs meant that I still didn’t always know the answers with their questions. Being involved with discharge planning was an enabling activity for myself and the patients. I developed competence in the administration of medications, under supervision, including managed drugs, but thought I still needed more practice and skill in this area. Colleagues noted my competence and certified staff were pleased to delegate a variety of appropriate responsibilities to me.

Analysis

It would appear that the caring role means the provision of patient centred, alternative care. This was achievable in this situation but required a great deal of knowledge and the ability to provide focused attention and empathic health care whilst carrying out complex clinical medical tasks. This was harder to achieve, and I was made aware of my continued learning needs around medication and medical attention, for example. However, I have to are suffering from some competence as experienced staff were pleased to delegate if you ask me and to work on my responses.Development of Competent Medical Skills

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Conclusion

It is hard to see what else I possibly could did, except perhaps done more reading around operative care, discharge planning and the nurse-patient romantic relationship.

Action Plan

It was possible to recognize future learning needs, therefore my action plan included building on my current competence by engaging in more complex practice, under supervision. Having the self-assurance to activate in more complex nursing tasks can help me to achieve more competence in advanced practice in the future. Recognising the requirements of the caring role means that I’ll view future practice as centered upon this role.

Cycle Three

Competent Level

What Took place.

I supervised patients with persistent pain and contributed to analgesia. I also reinforced patients with freedom of preference for their own good care (NMC, 2004) and provided personal and palliative attention in sensitive manner. I learned more advanced sensible medical skills including aseptic strategy and safe disposal of sharps. I completely documented all health care given, and recorded medication given, and communicated to staff at change change during the medical handover.Development of Competent Medical Skills

Feelings

During this experience, I felt that my knowledge and experience in the caring role was finally coming together. I had been self-assured and happy in interesting with patients and providing empathy and a supportive manner, whilst also carrying out more complex professional medical tasks correctly and effectively. It had been very nerve-wracking supplying handover, but I became more confident as I acquired more practice.

Evaluation

I was able to provide care and attention of a high standard, and recognise my sphere of competence and seek help when needed. I was able to take part in effective caring romantic relationships with clients, meet their individual needs, but also value my own input to their wellbeing.

Analysis

It was clear that I got shifted to an even of nursing competence which allowed me some autonomy. I was able to take action with less immediate supervision, but still access the support of the whole attention team. The caring role expanded to the provision of most care and attention, including end of life attention, and I could utilise my knowledge and experience and also identify my learning doing his thing, and my future learning needs, which have changed because the first reflection.Development of Competent Medical Skills

Conclusion

The differ from novice to qualified specialist in the caring role has shown not only the acquisition of skill but the incorporation of specialized medical talents into what is very a way to be with patients.

Action Plan

Signposting future learning needs is important following this reflection. I could identify the necessity to still learn advanced specialized medical skills and perhaps know more about the range of other pros who could improve care in specific situations.

Conclusion

This reflection has signposted my development towards experienced medical practice. The caring role encompasses provision of basic health care, advanced techniques, medication and treatment, health advertising, end of life care and attention and collaborative treatment. It appears to be the fundamental & most important part of nursing practice.

Collaboration and coordination, as well as the all natural management of the situation, are highly recognized as meaningful characteristics of capable medical practice (Meretoja et al, 2002). Development of Competent Medical Skills