The purpose of this essay is to reflect and critically study an incident from a clinical setting whilst using a model of reflection. This will allow me to analyse and make sense of the incident and draw conclusions relating to personal learning outcomes. The significance of critical analysis and critical incidents will briefly be discussed followed by the process of reflection using the chosen model Critical Incident Case Study Analysis Social Work Essay. Info: words (13 pages) Essay Published: 1st Jan in Social Work Reference this The description and analysis of critical incidents Introduction. Even outside the teaching profession, individuals are faced with incidents that require reflective Incident Analysis. While advocating for critical thinking, Tripp () stated that when something is wrong we not only Thinking
Essay on Reflection on a Critical Incident - Words | Bartleby
Engagement with a service user can be a challenging process which needs to be reflected upon by the individual nurse van Os et al When a critical or unique incident arises reflection enables the practitioner to assess, understand and learn through their experiences Johns, It was also suggested by Jarvis that reflection is not just thoughtful practice but a learning experience.
This assignment is a reflective critical incident analysis of an engagement encounter on a community placement recently using Gibbs Reflective Cycle Appendix 1,3. In maintaining confidentiality NMC, and privacy, even for reflective pursuance Hargreaves,pseudonyms will be used.
I will also further reflect on a teaching session I contacted following this incident. Critical Incident analysis During a recent clinical placement with the local CMHT there was a distress call from parents of a client, Mat. An immediate visit by the two co-coordinators and me, critical incident essay, followed without checking, or doing a risk assessment.
This visit resulted in aggressive and abusive encounter and Mat was then admitted to hospital, critical incident essay, Appendix 2. This incident is critical to me as it presented a learning opportunity as well as a risk of physical harm to me and the nurses with me.
As I look back on this incident there are several issues that relate to the role of the nurse. When Critical incident essay look back at this incident, critical incident essay, I felt anxious but my thoughts were that this was a learning experience even when it was clear I was the main focus of the aggressive threats Fazzone, et al, I knew I needed to remain calm and to assess for escape routes.
I made mental notes of these but still I was not sure and everything was happening so fast and my mentor was already telling us what to do. Being able to remain calm could have help and I feel this was a positive thing. As I reflect if I had panicked visibly this could have encouraged Mat to have a real go.
It also helped us to remain in control as we walked out of the house, critical incident essay. This could have reassured her parents that the nurses were confident of what they were doing, critical incident essay. This incident was bad as an engagement with the client did not go well resulting with the client going into hospital. This is usually distressing for most people although hospital is regarded as a place of safety in these circumstances.
Even guidelines to the mental health act MHA, acknowledge this that hospital can be distressing to others. On a positive note the situation was handled well and no physical harm was done to anyone.
It was also a learning opportunity for me, as I gained an insight and now the opportunity to reflect on relevant issues related to risk assessment and management in the community. When the message was received about Mat, a decision was made promptly critical incident essay visit. On each planned visit I would get an update and I was expected to find out critical incident essay about the client as well.
This usually focused on risk and other necessary critical incident essay information which would help me understand the intervention and interactions with that client. I took this to be good practice and put one in an informed position. There are protocols and guidelines on managing risk in the community and the local team had its own arrangements. A good risk assessment through the CPA process will minimise distress to staff, carers and the patient in service provision in the critical incident essay Manthorpe and Alaszewski, Rita is a senior CPN and knew about critical incident essay client.
Maybe she decided to react straight on the basis of the cues she picked from her short conversation with the parents making use of her clinical experience and knowledge critical incident essay the service user Benner, ; DOH, critical incident essay, She could have considered the clinical need and prioritised and as this was an emergency, practice and theory rarely converge in these circumstances depending on what you perceive to be the link between practice and theory Welsh and Swann, Mat could have felt provoked by three strangers walking into his place.
Nurses are expected to respect the client and more so in their own homes. Manley and McCormack contended that the client should be respected and given autonomy and choice and some do feel aggrieved if critical incident essay is breached.
The situation was different in this case as Mat lived with his parents who had invited us and opened the door for us. But this could appear Mat as clear case of invasion of his privacy or space.
Although Mat was clearly unwell I feel seeing a crowd rushing into your house will make anyone uneasy and feel disrespected. When Mat was clearly aggressive Rita informed us to leave.
This was logical for safety and as nurses are not to be subjected to abuse. Healthcare Commission, Without a prior risk assessment this decision could have been meant to create pace and time for risk to be considered. The space created may have been meant to allow space and time for Mat to calm down as well. I did not see explicit measures and effort being put to de-escalate the situation at that moment. I am of the opinion that this could have helped and saved the stress of involving police and the hospitalisation which followed, critical incident essay.
I think this way, as by the time they got to hospital I was informed that Mat was apologetic for his attack especially on me. Maybe with a bit of time he could have calmed down.
Rita could have felt the need to fulfil that requirement of her role duty of care as a nurse NMC, and moral duty towards the vulnerable parents. In all this I assumed a back seat role. This critical incident essay in line with my position as a student as I had to be aware of my limitations NMC, critical incident essay, I was not sure of how to react, whether to wait for cues from my mentor or to take the initiative was on my mind. This could critical incident essay have helped as I could have reacted in a way critical incident essay aggravate the situation as I was target in this aggression, critical incident essay.
In light of the risk posed by Mat a decision was made to involve the police. This is not an easy decision to make if one considers the impact this will have on the client. In this case Rita had to spend the rest of her day involved on this issue. My mind kept telling me that there could have been an alternative approach somewhere, but Rita could have made the right choice as after MHA assessments carried out by other professionals; a consultant and ASW, it was felt there was a need for Mat to be in hospital.
In decision making Rita might have considered the vulnerability and the stress the parents could have been going through. Nurses also have to look after the interest of the public or carers as in this case NMC After reflecting on what transpired on this day I feel there are things that could have been done differently.
This does not suggest that anything was done in any wrong way, neither that my suggestions are better. Most of my suggestions are grounded in the benefit of hindsight which might not have been available to Rita at the time. The staff could have taken their time critical incident essay risk assessed before rushing out to see the client. Rita could have explored about the risk posed from the critical incident essay DH, This could not have breached any confidentiality and eventually could have helped reduce further distress on all involved.
This could clearly have quantified the level of risk and appropriate arrangements for interventions made. This could have involved a full MHA assessment with the right personnel in attendance. If the risk was high for the parents police could have been involved in the first instance to minimise risk. Policies and procedures are there to give guidelines and they could have proved to save the day in this incident, critical incident essay.
It is the responsibility of staff to adhere to them NHS SMS, Mat appeared prepared to talk to Rita and not the rest of us, even if it was on racial grounds. This issue could have been addressed later after he was composed highlighting how his behaviour was inappropriate. NHS SMS, has emphasised on this in nits guidelines. Since he was unwell benefit of the doubt could have allowed Mat to speak to appropriate staff in the situation and this could have saved hospitalisation or involvement of other professionals.
Such positive risk Morgan taking could have saved distress on the part of the client and carers and resources of time and number of agencies and professionals involved, critical incident essay.
Further to positive risk taking, staff from CMHT could have involved the Critical incident essay Treatment Team. This could have helped Mat to remain at home with an increased level of support as Mat settled down fairly quickly once in hospital. It was also realised that his level of medication was quite a low dose and there were other factors triggering a relapse.
HTT team could have given support and assurance to the parents in line with holistic care and moral agency, Manley and McCormack, A discussion with the parents could have been considered to ascertain how they felt about Mat staying home with the support from Critical incident essay. After being involved in this incident and reflection I have considered several issues as regards my professional position and development.
I have identified that risk assessment is varied and circumstantial to the environment. I have to be aware of the risk considerations and then to equip myself with the right skills and tools to meet my responsibilities Rew and Ferns, The tools provided such as policies and procedures are there to complement and minimise risk and not to hinder our work.
It is my professional duty to be aware of these and make use of them where they are available, critical incident essay. As I go into my last clinical placement I will make sure I am aware of these polices and adhere to them. Teaching session reflection I planned for a teaching session on Risk Management as an issue I had identified in the incident I reflected upon.
This was also a rare incident with this CMHT. Violence critical incident essay anyone is distressing so when I looked at the role of the nurse as a teacher, RCN statement on violence and the professional expectations, I felt the need to share my knowledge on the topic. I delivered a presentation on the topic of risk management with focused reference to the incident.
The participants were all the 8 staff members who attended the staff meeting for that afternoon. In preparation I encountered encouragement and support from some team members but challenges were also there. In planning the teaching I looked at the subject area and relevance to the prospective audience. The language in critical incident essay of jargon and the method of teaching was considered looking at my position as teacher and learner as well as the adult professional participants, critical incident essay.
I had hoped to use power point but this was not available. The room and timing of the session were determined by doing the session during a weekly staff meeting which provided for teaching or presentation session appendix 5. Critical incident essay the onset anxiety set in as I was trying to decide what exactly I was going to focus critical incident essay Haward, This was mainly so as I was going to deliver a teaching to people who I was sure knew the subject matter better than me, critical incident essay.
Awareness of my limitations was glaring me in the face. The subject of risk is such a vast area and being specific can be a mammoth task. This happened early on in my placement and I was still getting familiar with the team.
Critical Reflection,Thinking and Writing: Social Work
, time: 41:18Critical Analysis and Critical Incidents Free Essay Example
The purpose of this essay is to reflect and critically study an incident from a clinical setting whilst using a model of reflection. This will allow me to analyse and make sense of the incident and draw conclusions relating to personal learning outcomes. The significance of critical analysis and critical incidents will briefly be discussed followed by the process of reflection using the chosen model Critical Incident Case Study Analysis Social Work Essay. Info: words (13 pages) Essay Published: 1st Jan in Social Work Reference this · Thinking strategies Tripp () highlights that thinking strategies help reflective thinkers to gain a deeper understanding of a critical incident. When we think about critical incidents, we must consider non-events which reinforce the idea that when something has happened, this usually means that other things have not happened
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