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1、http://www.lxws.net 留學(xué)生論文專業(yè)定制代寫網(wǎng)站 http://www.lxws.net 專業(yè)提供留學(xué)生各類 essay 定制寫作服務(wù) 留學(xué)生 留學(xué)生 Essay 寫作 寫作—使用 Rolfe 反思性模型的反思性文章示例 This reflective essay will adopt Rolfe’s model of reflection,(Rolfe,G et al.2001)which was derived f

2、rom Borton’s developmental model.(Boyd E et al.1983) The scenario is presented as Appendix 1 and the patient has been anonymised as‘Lee’in accordance with the NMC guidelines(NMC 2008) What? What? When analys

3、ed in overview,one can note that the main issues contained in this scenario are that a schizophrenic patient,who may therefore be psychotic,who is certainly confused due to his metabolic disturbances(hyponatraemi

4、a)and possibly idiopathic confusion,has made an allegation of physical assault against another staff member.The patient is also forgetful and the event happened three days ago.Clearly the incident cannot be confidently

5、 verified at this stage and there is a question as to whether the patient is reliable in making this allegation.Analysis revolves around my reflection on the actions that I took and whether they could be considered appro

6、priate or capable of improvement. My role in the situation was that I was the recipient of the allegation.Having heard the allegation,I tried to make sense of it.On the one hand I was aware of the seriousness o

7、f the allegation if it were true,and therefore I was also aware of the potential harm that an untrue allegation could cause to the professional integrity of the‘Special‘who was involved.I was obviously aware of Le

8、e’s potential for confusion and psychosis,but I was also impressed by the apparent veracity of his recollection and also by the fact that he started to cry when he was recounting it.(Nicol M N et al.2004) On balance,

9、I did believe his account of the situation.I therefore felt that I had a moral and professional duty to escalate the complaint to the Senior Ward Sister.After a period of discussion with the Ward Sister,I filled

10、in an Incident Report Form(IR1),which was then forwarded to the hospital management. After the event,I experienced a period of prolonged self-examination.I was concerned in case I had inadvertently been party t

11、o a false allegation and considered further the consequences for the‘Special’involved.After a period of intense reflection,I concluded that I was right to take the action that I did,both because of my pr

12、ofessional duty to‘do my best for http://www.lxws.net 留學(xué)生論文專業(yè)定制代寫網(wǎng)站 http://www.lxws.net 專業(yè)提供留學(xué)生各類 essay 定制寫作服務(wù) This level of analysis gave me a deeper insight into the situation and reinforced my initial conclus

13、ions relating to the proper and appropriate course of action. Now what? Now what? Given the fact that Lee had reported a possible episode of abuse,it seems entirely appropriate that it would be properly inves

14、tigated.The action of the Sister in removing the‘Special’from caring for Lee also seemed appropriate and proportionate.It may have been considered more appropriate to suspend the‘Special’from work,but in circumst

15、ances when one is dealing with a confused and psychotic patient and there is a significant element of uncertainty about the veracity of the allegations,this might be considered inappropriate and unduly prejudicial to

16、the‘Special’.(McMillan J 2005) At the time of the reporting of the incident,I apologised to Lee myself and reassured him that such a situation would not be allowed to occur again.I feel that this was also a professionall

17、y appropriate course of action,as it not only communicated a professional sense of responsibility to Lee,but also it demonstrated the fact that I was taking his complaint seriously and was sorry that it had hap

18、pened.(Kozier,B et al.2008) When analysed in overview,I effectively had two possible potential outcomes of the situation.Either I believed that Lee‘s story was probably true,or I didn’t.This gives rise to a dee

19、per analysis and,in the words of Cruess&Cruess,the evolution of a student into an‘expert practitioner’is judged by the ability to operate from a deep and holistic understanding of the total sit

20、uation,a concept that is often referred to as ‘professional intuition’ .(Baillie L 2005).Cruess et al.suggest that this ‘professional intuition’is better considered as‘professional expertise’,which is genera

21、lly built up and gained over years of experience and which,when tested in the clinical environment,can become an altogether more robust concept.(Cruess S R et al.2007).Reflection on this situation,together with the gui

22、dance received from the Ward Sister,has helped me to fully understand the main elements of this situation.If I were to encounter such a situation again I would feel more confident in dealing with t

23、he situation rather than having to reflect at length after the event.Such analysis has helped me to realise that,to cite Schon,it is one of the ways professionals evolve and move beyond rule-bound

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