Reflective Journal - Formatting - Guidelines - Using Gibbs’ (1988) Reflective Cycle - Nursing Help

Assignment Task

Assessment

This is a scaffolded activity in which the student is supported in developing their skill and knowledge for reflective practice and journal activity during weeks 1-11 of the course. The student’s ability to undertake reflective practice and journaling is assessed in a summative assessment in week 12 on Professional Experience Placement. 

Writing a reflective journal can help nurses develop critical thinking skills, which is an integral component in the nursing process. Reflective practice is the ability to examine one’s actions and experiences with the outcome of developing their practice, inter professional learning and enhancing clinical knowledge. Reflective practice affects all levels of nursing, from students, to advanced practice nursing students, as well as practicing nurses. It is also important to include reflection on the interaction that you had with multidisciplinary team members, client and family members. 

Reflective Practice Assessment  

Using Gibbs’ (1988) reflective cycle, students will write a reflective paper on identified clinical themes from their PEP experience. Students should discuss similarities or differences between this learning experience and their previous professional experience, they will examine the clinical theme/ issue or dilemma, describe the incident, identify ethical issues, explore feelings, evaluate, critically analyse, draw conclusions and develop an action plan. Students will have to consider duty of care, standards of practice, consent, negligence, communication issues. The reflection will help the student identify their personal and professional development, evaluate the experience, analyse the similarities or differences between current learning experience and previous experience. Students will draw conclusions and develop an action plan to enable them to set goals, keep on track and reflect on own progress. 

The students will present a 1500-word paper, that focuses on weekly themes is undertaken each week of placement. In this paper students will relate clinical themes/ issues or dilemmas, describe the incident, identify ethical issues, explore feelings, evaluate, critically analyse, draw conclusions, relate these to the NMBA Registered Nurse Standards of Practice (2016) and the multi-disciplinary health care environment to develop an action plan. 

Week 1. Students should reflect on infection control practices

Week 2. Student should reflect on Medication Administration

Week 3. Student should reflect on Communication with the multidisciplinary team members, client and family members

Week 4. Student should reflect on Policies and Procedures for NMBA Registered Nurses Standards of Practice (2016) and NSQHS Standards of Practice.  

Week 5. Students should reflect on ethical dilemmas’ in the clinical area.

Week 6. Student should reflect on their own professional development.

General instructions for the assessment 

The reflective paper word limit is 1500 (plus or minus 20%). All words are calculated towards the word limit except for the cover page, title page, direct quotes, and end-text references. If you write less or more than this, penalties will apply.

• Assessment will be written in academic reflective journal format with an introduction, body and conclusion . 

There is a minimum of 3 - 4 references required for each theme. References for this reflective journal   should be within 5 years of publication – unless it is sentinel work. Students required to use the APA referencing system.

 Gibbs' (1998) reflective cycle 

Gibbs' (1998) reflective cycle guides us through six stages of reflection: 

 (Gibbs, G. (1988). Learning by Doing: A guide to teaching and learning methods. Oxford: Further Education Unit) 

Components to address using the Gibbs’ Reflective Cycle 

Description: what happened 

NB The following parts of your assessment should be concise. 

What, where and when? 

Who did/said what, what did you do/read/see or hear? 

In what order did things happen? 

What were the circumstances? 

What were you responsible for? 

Feelings: what were you thinking about? 

What were your initial feelings or reaction, and what does this tell you? 

Did you have any concerns related to this incident? Why? 

Did your feelings change? Why? 

What were you thinking? 

Evaluation: what was good or bad about the experience? 

What pleased, interested or was important to you? Within your learning 

What made you unhappy with this incident? E.g. Scope of practice issues? consent, confidentiality, respect, trust? Was anyone harmed? Did your learning enable you to make sense of the situation? 

Who/what was helpful or unhelpful? E.g. Related to the incident or your learning. 

Why? E.g. Did you feel supported in practice in your decision making? 

What needs improvement? related to the incident Why? E.g. standards of practice? Code of conduct or ethics. 

Analysis: what sense can you make of the situation? 

NB This should be the main part of your assessment 

E.g. Compare theory and practice. Examine your dilemmas from the perspective of ethical theorists a deontologist versus utilitarian view. Do any of the ethical principles apply? Was there a duty of care and legal aspects was there an act or omission? e.g. related to consent any negligence? Underpin relevant information with evidence. 

What similarities or differences are there between this experience and other experiences? 

Think about what actually happened. 

E.g. Consider your professional code of conduct and ethical frameworks. Do any of the ethical principles conflict with each other related to this incident 

What choices did you make and what effect did they have? 

Qs Was there any harm? What were the consequences to the patient and or nurse? Civil or criminal? 

What have you learnt for the future related to ethical dilemmas, the application of ethical principles, theories, legal framework? 

Conclusion: what else could you have done? 

Summary of the main points. What else could you have done? 

Action Plan: what will you do next time? 

If a similar situation arose again, what would you do? 

Formatting  

All written assignments must be formatted in APA style. 

According to the APA style manual this means that your assignment must have:

• Font: Times New Roman, 12 point.
• Page margins: One inch (2.54cm) from top, bottom, left and right side of each page.
• Body text line spacing: Double-spaced.
• Paragraph indentation: Indent the first line of each paragraph by one-half inch from the left margin. (Use your word processor’s Help feature for instructions on formatting paragraph indentation.)
• All text is left-justified, with an unjustified (ragged) right margin.
• Do not hyphenate words at the ends of lines.
• Use a running head throughout the paper. (If possible, use your word processor’s Header function to place it automatically on every page.) The header should appear one-half inch below the top of the page, flush.

Assessment Guidelines for Reflective Practice assessment 

 left, in all capital letters; it is a shortened version of the paper’s title (up to 50 characters, including spaces). The page number appears in the upper right corner. 

• Reference lists have single line spacing with a line break between entries. Each entry has a hanging indent. The font used in reference lists is size 12 times new roman, with italics for book and journal titles in accordance with the APA system.

  

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