Johns Model of Structured Reflection – Essay Sample

For this arrangement I was on an aged male medical ward. As I have had no old experience of attention in a health care puting their where legion thing with which I had to customise myself.

Johns Model of Structured Reflection ( Johns 1998 ) is depicted is this argumentative essay.

1. Write a description of the experience. Ask yourself:

*’What are the important issues I need to pay attention to? ’

On my first twenty-four hours on the ward it was decided that I should shadow one of the staff nurses to acustomise myself with the ward. During this initiation we had to help an aged gentleman with sever diarrhoea the gentleman in inquiry was quit big and about wholly immobile. On review of the patient he was incontinent of both urine and faeces the staff nurse so talked with the patient explicating to him what had happened and that we needed to clean him and alter his bedclothes. It was really hard to understand what he said in answer because as I found out subsequently he was besides enduring from sever unwritten thrush doing it painful for him to open or travel his oral cavity. We began by taking the top sheet and bedspread and it was decided that because the patient was lying somewhat to the left we would function him towards the staff nurse go forthing me to make the bulk of the cleansing.

As I had ne’er encountered anything like this before I was acquiring more and more flustered as to what to make and whether I was making it right and each clip the patient moaned in hurting I felt worse. the staff nurse with me was helpful but as she would hold done this sort of thing 100s of times she was non really informative as it likely seemed absolutely obvious what to make and how to make it. Each clip I did something I was believing what now. how do I make this and easy convinced myself that I was hopeless and incapable of even altering a bed. Whilst turn overing the patient over towards me to take the old sheet I started to experience hot and dizzy the nurse working with me noticed this about consecutive off called for some aid to take my topographic point and took me to the visitors’ room to sit down and retrieve.

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2. Research the experience utilizing the brooding cues:

*Aesthetic: Ask yourself:

a ) -‘What was I seeking to accomplish? ’

B ) -‘Why did I respond as I did? ’

degree Celsius ) -‘What were the effects of that for:

*The patient?


*Myself? ’

vitamin D ) -‘How was the individual ( s ) feeling? ’

a ) We where seeking to clean and alter the patient to do him more comfy with minimal hurting and hurt.

B ) I think I responded as I did because of several factors. foremost I was really nervous about being on a new ward with all new milieus and people. I had ne’er come into close contact with a wholly immobile patient who relies on person else to make everything for them. I was really witting as to whether I was making the right thing or non and it was rather warm on the ward all of these factors contributed to me droping out of topographic point acquiring flustered and the panic reaction.

degree Celsius ) * For the patient I can merely think that it was straitening. On reflecting my traveling techniques where non positive plenty so alternatively of traveling him with easiness and control he was shuffled unit of ammunition doing undue uncomfortableness. Besides as clip was taken to go to to me the clip it took to finish looking after the patient was increased protracting his uncomfortableness.

* For the other staff I suspect they thought nil of it and continued on as normal but it would hold been a perturbation for the nurses who had to go forth what they where making to take my topographic point

* The effects for me were that I lost assurance in my abilities to cover with hard state of affairss and to command my jitteriness.

vitamin D ) At the clip I thought the patient was acquiring annoyed with me because of my incompetency in contemplation I think he would non hold noticed me any more than any other nurse their. ( I ne’er got opportunity to talk with him once more as he passed off during the dark ) . Besides I thought that I was being sneered at by the other nurses as I was so uncoordinated but after speaking with them over the class of the arrangement I discovered they thought I did good as a hole on my first twenty-four hours.

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*Personal: inquire your ego:

-‘How did I experience in this state of affairs? ’

-‘What internal factors were act uponing me? ’

First I felt nervous at the start as I was making things I had ne’er encountered before I was besides discerning about how good I would execute in forepart of the other nurses. as the process went on I became hot and bothered and more nervous which made me even more jittery and I started to free path of what I was making this made me irritated with myself. all this combined made me all of a sudden feel really hot and giddy I tried to concentrate on what I was making but it was impossible. After I had recovered I merely felt a spot stupid and abashed.

*Ethics: inquire yourself:

-‘Did my actions match with my beliefs? ’

-‘What factors made me move in incongruent ways? ’

Before I started on the ward I believed that I could manage any state of affairs presented to me as I have a really logical head and can work my manner around jobs. What I was non prepared for was the intimacy of contact with patients. I knew I would hold to cover with this type of state of affairs but I was non prepared for my reaction it felt really out of topographic point for me I have ne’er responded in such a manner before or since. I’m non certain why I acted the manner I did I think it was merely deficiency of assurance and internal force per unit areas to make good.

*Empirics: inquire yourself:

-‘What cognition did or should hold informed me? ’

There are 100s of books on the market related to confidence end scene and self belief. All of which are likely really good if you are cognizant of a job within yourself and wish to construct these accomplishments to get by with any state of affairs but in my sentiment you can’t all in pattern the more you pattern something no mater what it is you will better.

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*Reflexivity: ask yourself:

-‘How does this connect with old experiences? ’

-‘Could I handle this better in similar state of affairss? ’

-‘What would the effects be of alternate actions for:

*The patient?


*Myself? ’

-‘how do I now feel about this experience? ’

-‘can I support myself and others better as a effect? ’

-‘has this chanced my manner of acting? ’

: -In old experiences where I have been placed in new milieus and expected to make something new I seem to hold handled it ok I think the ground I acted otherwise in this state of affairs is because during the clip at university it is stressed how of import it is to make everything right even down to the right position as non to ache your dorsum. so I was seeking non to make anything incorrect seting to much force per unit area on myself

: -From this point on I gained more assurance as the one or two of the nurses took this incident as something to speak to me about in a joking manner so on acquiring to cognize the staff put me at easiness and the following clip we had to rinse a patient I was all right and more confident. And now I have developed the basic lovingness accomplishments when I move onto my following ward I will hold cognition of what to anticipate and fix myself consequently.

: -If I had had this cognition so the whole incident would hold gone by much more smoothly with no breaks and less uncomfortableness for all involved.

: -I still look back with little embarrassment at the whole state of affairs but I believe it has put me in much better position for covering with state of affairss of a similar nature in future. This incident has changed my manner of nearing something new now I have a spell and realise that if it is my first effort at something I am bound to do errors and to larn from those errors.


Johns. C. . Freshwater. D. ( 1998 ) Transforming nursing through brooding pattern. Bailliere’s Study Skills for Nurses Vol 2 Bailliere Tindall pp