15 Jul CRITICAL REFLECTIONS THAT RELATE TO THE NMC CODE AND ACCOUNTABILITY
Critical reflections that relate to the NMC Code and accountability
Detailed Assessment Guidance
“The NMC requires nurses to revalidate and as part of this process to prepare written reflective accounts”.
Prepare two critical reflections both of which must relate to the NMC Code and accountability. They should each be of similar length (1100 words each). It is not necessary to use a reflective model.
Each reflection must be recorded using the template( see attachment ) provided and must refer to either:
An instance of your learning and/or
A piece of practice-related feedback you have received and/or
An event or experience in your own professional practice
As per the tool –
Briefly outline the nature of the learning activity and/or practice-related feedback and/or event or experience in your practice.
Consider what you learnt from the learning activity and/or feedback and/or event or experience in your practice with specific focus on issues of accountability.
How did you change or improve your practice as a result?
How is this relevant to the Code?
The reflective analyses must be evidence based and appropriately referenced. Reflective essays use a combination of the first and third person for the writing approach.
Reflective account: 1100 words
What was the nature of the CPD activity and/or practice-related feedback and/or event or experience in your practice?
The CPD activity in my practice involved attending the nurse revalidation workshop. The attendance of the workshop was evidenced by participatory certificate awarded after completion of the workshop. Key topics covered during the nurse revalidation workshop included the importance of professional development, the importance of nursing appraisal, learning about the most effective ways of completing the revalidation self-assessment and confirmers role in revalidation. Riley et al. (2018) indicate that nurse revalidation causes anxiety among practitioners due to uncertainties surrounding the process. Nurses are usually tense during the revalidation period and fearful of the results. However, Glasper, (2014) notes that revalidation empower the nurses and midwives to reflect on their skills and practices and make positive changes.
The nurse revalidation workshop also focused on reviewing basic processes in the organisation as well as divisional differences. This ensured that the nurses were familiar with the basic operations of the organization prior to the revalidation process. The workshop also involved a discussion on various ways of strengthening the nursing appraisal in order to design an effective revalidation model. According to Grove, Burns and Gray (2012), effective nursing appraisal model leads to better clinical outcomes. The appraisal allows the nursing practitioners to know the critical areas of performance hence improving on those areas. Other than appraisal and revalidation, the workshop facilitators also shared on professional development and ensuring improvement in quality of services as well as the health outcome of the patients.
What did you learn from the CPD activity and/or feedback and/or event or experience in your practice?
I learned how to prepare for the nurse revalidation effectively. I gained new skills on how to complete a revalidation self-assessment effectively. The workshop helped me to know the important areas and elements that the revalidation form should contain. Groves (2014) in a study discussed various proposals outlined by the NMC to ensure a robust revalidation of nurses and midwives in order to enhance public protection. Professional standards of care should be maintained during the revalidation process to minimize bias. The study further highlights that the nurses should feel fully valued and supported during the revalidation process to ensure delivery of safest cafe to the patients. I learned that the revalidation focuses on enhancing the performance but does not centre on reprimanding the nurses. Revalidation ensures that nurse continue to practice safely and closely observe the codes of NMC throughout their profession (Middleton, Ryley and Llewellyn, 2015).
I also learned that the main objective of nursing appraisal is to improve the quality of services delivered by the practitioners and ensure that nurses maintain the expected level of competence during practice. Professional development is another area that the workshop enlightened me. I learned that one must always seek to advance practice knowledge through research and experience. One has to identify the best ways of handling issues through critical thinking and consultations (People, 2016). The workshop also helped me to understand the professional standards of care corresponding to the dynamic health care environment. Through the workshop, I gained insight on various divisions of the organization and their respective processes. This made me aware of the ad-hoc services provided by the organization. I was able to learn how we can work together with my colleagues from other departments to improve the overall outcome of the organisation.
How did you change or improve your practice as a result?
Because of the workshop, I am now extra conscious of the quality of care that I provide to my patients. I am dedicated to providing professional services to my clients and focus on positive health outcome of the patients. The CPD activity enabled me to discover personal weaknesses in professional service delivery. This includes prioritising the information provided by the client other than what I think the problem is. According to Brekelmans, Poell and van Wijk (2013), CPD ensures that a nursing practitioner maintains and enhance the knowledge and skills that are needed to facilitate delivery of professional services to clients and community. The discussion about appraisal mechanisms enabled me advance my practice approach. Knowledge of the changing trends in appraisal and the new appraisal methods motivated me to adopt a new practice approach while focusing to satisfy the current requirements of high performance care delivery. For instance, I began to self-evaluation based on the successful positive health outcome for my clients. Previously, my motivation was to serve as many clients as possible. Currently, I am more determined to achieve good clinical outcomes rather than serving many customers within a short period.
Learning how to develop revalidation self-assessment allowed me to find out about the key areas of practice and identify my weaknesses. This motivated me to seek professional development from the relevant areas to improve my competence in service delivery. For instance, I started engaging in critical research when faced with complex health issue rather than using basic available information. LoBiondo-Wood and Haber (2017) in a study encourages physicians to conduct in-depth research about complex health problems that may not be familiar with or ordinary health conditions that may be modified by dynamic environmental factors. In respect to this newly acquired information, I changed my approach of tackling complex health problems through conducting detailed research and wide consultations with other professionals.
How is this relevant to the Code?
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