Why do nurses need to understand the underpinning theories and evidence? How does knowing this inform our practice?

GUIDELINE SPOKE PLACEMENT REFLECTION
Explain essay is going to be about. Why have you chosen to focus on Last offices?
Tell the reader what the essay is all about, this is a reflective account about how I learnt about Last Offices. And Palliative care
At the start what was your skill and knowledge level…? Had only observed during placement
Explain and define Palliative care and the Last offices (keep brief) and explain when and why they are important
Introduce the Driscoll’s (2007) model of reflection with a rationale for choice and evidence to support this.
Why nurses need to reflect – NMC code.
Briefly define person-centred care.(REF)

What?
The focus is on your learning and what you have learnt, how you have learnt it and what else you need to do
Being on palliative ward for the first time how did you feel about this – nervous, excited, worried about seeing patient suffering ? What was difficult? What was easier than expected…? What was the key learning for you from this session?
Reflect
Did you then get an opportunity to observe or practice this in placement? How was that? How did you feel about it? What did you learn from your observations or practice? Did you identify anything that you needed to learn or practice after placement (maybe there was no opportunity to practice this time…?). Reflect on placement practice
You then had a further opportunity to practise on the ward. How was this experience? What did you do well, what needs further practice?
How did you judge your performance? Did you use a SWOT analysis? An OSCE checklist? Lasater’s Clinical rubric?
What did you learn from this process?
So what?
This is where the underpinning theory and evidence goes and may include some of the elements that you have included below:
VITAL SINGS< MEDICATION PERSONAL CARE (Anatomy &Physiology) or nursing textbooks not from (google). Brief description with underpinning evidence to support what you are discussing, this part needs lots of clinical evidence (Ref this). Evidence-based practice regarding PERSONAL CARE< VITAL SIGNS, hydration food intake, what does the literature say? Therapeutic observations Look at (Clinical skills.net). It tells us about how to do the procedures where there is a list of references which is underpinning evidence When and to check vital sign Administering medication to a cancer patients, what else is involved / needs to be considered? Link to person centred care again AND communication i.e. explanations. Consent, considering comfort etc (keep brief 1-2 paragraphs) Literature and evidence-based practice regarding Pleurx drainage, anaesthetic non touch technique. While giving an injection in skills think of person-centred, holistic care Holistic care-encompasses everything about a patient, wellbeing, social and culture and etc What have you learnt from your further reading and research? What key information will you take into your practice? The Last offices Why do nurses need to understand the underpinning theories and evidence? How does knowing this inform our practice? Did you learn anything that helped you understand why something is done in a particular way? It is unlikely that you can cover all of the points you have listed above, so select the key elements that you needed to find out more about. Which of these were you unsure of and needed to research further? Now what? What else do you need to do / learn / practice? What learning can you feedforward into your next placement? What will you do in your next placement to practice this skill? How will you know when you are proficient? How will you judge this or who will judge this? How do we maintain proficiency over time? Have you identified any other key areas of learning related to this skill that require further practice in placement? • What I learned from this • How have I improved, has my manual dexterity improved? • Have I improved my communication skills? • Am I self-aware of how I come across other people? • Demonstration of care and compassion • Am I aware of my professional values? • How am I going to take it in future? • Relate to NMC code of conduct and the 6c’s Conclusion: What have your learnt specifically about IM injections through undertaking this process? What have you learnt generally about your practice through undertaking this process? How has undertaking a focused reflection on this consolidated your learning and / or uncovered new meaning for you? How will you use reflection in future learning? Is there anything else you still need to discover and how do you plan to do this? Reference list: Please undertake a literature review using the library databases i.e CINAHL. Nice Guideline CINHAL, GOV POLICIES Trust Polices Driscoll Evidence based on everything, • Safe caring, everything should be safe • Learning skills in simulated environment is a safe environment to learn (safe for you to learn and practice (Ref) • Keep the person in the centre of what you are doing • What does the based evidence say? • Use the interpersonal skills---- good communication, empathy, • How do you introduce yourself to gain consent? • Verbally explain what you are doing to the patient Use a range of appropriate skills to deliver person-centred care in commonly encountered situations under guidance; • Find out from the patient if they understand what you are doing and why. • Confidentiality You do not need to refer to a specific clinical incident or placement. In the What? section think about what YOU have learnt from observing and practising in placement in general terms and in terms of what you have learnt specifically from this. Demonstrate and reflect on professional values and attitudes in delivering person-centred care; (L • NMC code of conduct • 6 cs caring compassion, attitude, consideration, respecting privacy • Good communication, appearing professionally dressed, hair, nails, protect yourself by tying hair at the back of your head • Instil values in your patient • Show respect for patients • Go with what the patient wants and what they believe in With support, integrate theory and practice in a structured reflective account to support personal and professional development; • Critical thinking • Identify the learning gap and skills • demonstrate how you have learned • Demonstrate what you have learnt • Polices and procedure regarding IM administration followed