Reflective practice: Professional behaviors into safe practice in accordance with the College of Nurses

please read all documents. no APA format, fill up the form.

 This is my first week at the clinical placement, before i go to there, i have to have flu shot, police check, immunization (MMR),  gold card(about health), mask fit test.

to preparing these document, need spend a lots of time, and also i need to wearing white uniform, white shoes, with my student card, putting my hair up,

i was thinking this is not necessary to have all.

but now i know this is my accountability, professional .

you do not need all 12 objectives, you can just choose one or two objective. and please draw a check mark in the box.

WEEKLY REFLECTIVE JOURNAL

• Write an individual reflective journal entry about a significant event related to practical nursing this semester.  Use the LEARN format from class to complete your entry. 

STEPS IN REFLECTIVE JOURNAL WRITING

• Engaging in reflection is individualized.  There are several different ways to utilize reflection as a component of reflective practice.
• CNO suggests using the LEARN acronym as a useful tool when engaging in reflection as a component of reflective practice. 
• The following steps are an adaptation of the CNO LEARN acronym & cycle and John’s Model of Structured Reflection.
• Use this tool as you engage in reflective journal writing throughout your nursing education at Niagara College.  As a graduate nurse, you will have the skill and proficiency to complete several steps in the Reflective Practice component required for the CNO Quality Assurance Program.

• The CNO LEARN format for reflective journal writing consists of 5 steps:

  L – Look Back

  E – Elaborate and Describe

  A – Analyse Outcomes

  R – Revise Approach

  N – New Trial

• These five steps should be used to guide the nurse through reflection journaling.

STEP 1:  LOOK BACK:

• Recall the experience as accurately as possible.  Reflecting soon after the event will assist with accurate recall.  Try to see the “Big Picture”.
• Describe what happened and what you did.
• The following questions may help to clarify this step.  You are not required to answer EACH question – the questions are meant to stimulate and organize your thoughts regarding the experience:

  What happened?  Describe the experience.

  Who was involved in the experience? Who was there - client, family members, peers, other staff, physicians?

STEP 2:  ELABORATE & CLARIFY THE EXPERIENCE:

• What factors contributed to the experience (Include subjective and objective data):
• Elaborate using the following questions.  You are not required to answer EACH question – the questions are meant to stimulate and organize your thoughts regarding the experience:
•  

  How did I act?

  What did I say or do?  What actions did I take?

  How did others respond to my actions? (Client, peers, family members, bystanders). 

• Clarify the experience:

  What bothers me about this experience? 

  What doesn’t feel right? 

  Why do I think I should reflect on this experience?

STEP 3:  ANALYSE THE OUTCOME:

• Was this experience a positive or negative experience for me and why?
• The following questions may help to clarify this step.  You are not required to answer EACH question – the questions are meant to stimulate and organize your thoughts regarding the experience:

  What assumptions did I make about the experience?

  What was I trying to achieve?

  Why did I intervene as I did?

  What internal factors influenced my actions?

  What external factors influenced my actions?

  What sources of knowledge should/could have influenced my actions?

  What other choices did I have?

  What happened as a result of my actions for: myself, my client, my peers

STEP 4:  REVISE THE APPROACH:

• As a result of reflection, identify what you will continue to use in practice, and what you were not satisfied with and could/should have done differently.
• The following questions may help to clarify this step.  You are not required to answer EACH question – the questions are meant to stimulate and organize your thoughts regarding the experience:

  Could I have dealt better with the situation?

  What other choices did I have?

  What do I need to learn or do better?

  What do I know now that I did not know before?

STEP 5:  NEW TRIAL:

• Try it out!
• Consciously plan to use new knowledge and insight gained from reflection in practice.
• You may need to change your practice, seek more knowledge, or you may decide that your practice is safe and ethical and requires no change.
• Answer the following questions:

  What did I learn from this experience?

  What will I be able to do now that I could not do before?

  What will I change in my practice to support the learning that has occurred?

  How will I find opportunities to incorporate this new learning into my clinical practice?

  How will I evaluate the effectiveness of this new learning?