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Providing care to any adult patient who has complex needs is a critical task for which effective skills and knowledge are required. I will discuss my strategy of intervention for providing such care to an adult patient having a complex need. I will discuss all of my experiences about the successful intervention of caring for such an adult patient with complex needs using the Gibbs reflective model (Momennasab et al. 2019). This model is easier to understand my learning along with gaps based on practical experience and feelings. Further, evaluation of my strategies along with analysis and possible action plan for improvement of knowledge will be the other key aspects of this reflective analysis study.
Reflective analysis
Description (Learning)
During my clinical practice in health care, I have experienced the caring of an adult patient who has complex needs. The adult patient has an issue of cancer along with the issue of ovid-19 for which he has been admitted to the hospital. The complexity of the situation indicates the absence of a doctor at that sudden time and my supervisor handled have handled this situation as per my own experience. My supervisor has helped the other staff to admit the patient to the hospital and start to communicate with him about the health problem and with his family. According to Jack (2020), communication can be termed as an important aspect for any veterinarian or staff associated with complex health issue handling that helps in effective outcomes in clinical treatment. The patient and the other family members have behaved rudely due to the absence of a doctor at that time. However, I observe to effectively communicate with them by informing them that the patient will be fine as I am treating them effectively without wasting time.
We have tried our best to provide comfort to the patient by communicating and providing treatment accurately. The outcome has gone to the positive side as the patient and his family have understood that we have done our best to treat the patient immediately. Teamwork and maintenance of coordination are two important aspects in providing clinical care to any adult patient with a presence of complex needs. Lack of teamwork and maintenance of collaboration are crucial issues in maintaining quality in clinical care (Edvardssonet al. 2017). My supervisor has guided this team in providing the treatment at that time to satisfy the adult patient significantly.
Feelings (Gaps in knowledge)
I have understood the situation for that patient and his family for which we have kept patience and tried to cure the issue as much as possible. Before this situation, I have felt about the strategy of treatment in case of such an emergency. However, after this experience, I have understood that skills are necessary to treat emergency adult patients with such a complex need. Emergency care and intervention especially for adults having complex needs is a vital thing for providing immediate response to save the patient (Carlson et al. 2019). However, I have identified that communication; leadership and time management are three important gaps that are still present within me for response against any critical emergency health situation. However, I have enough confidence that I can handle this situation with the support of other staff to satisfy the needs of the adult patient.
However, I can say that other people can feel this situation is, as seriously complex as healing the bleeding of a cancer patient requires strong skill and knowledge along with experience. I have understood that I still need to improve my practical skill to tackle such situations of handling the physical as well as mental health of a patient. Clinical simulation is based on three important steps such as effective preparation, active participation, and debriefing (Tyerman et al. 2019). Now, I have understood that I have handled that situation well with my team; however, I still need to improve my practical knowledge gap for successful intervention for caring for an adult patient with complex needs.
Evaluation (Evaluation of practice)
I have treated that adult patient successfully which indicates that I have a skill for practical treatment effectively during any emergency. However, I have thought that I can make a mess during treatment that is a negative thought that I need to overcome for improving accuracy. The covid-19 issue has changed the clinical treatment policies for adult patients for reducing close contact and spread (Owens et al. 2020). I have communicated with the patient and his family empathically that has worked especially in that complex situation. That indicates I have the communication ability to handle patients and family members to inform them about the issue accurately. I have taken all of the safety equipment to safeguard my other team members during treatment. I was able to understand the actual care strategy of patients during my clinical practice coursework through observing that has helped me a lot to handle such a critical situation. My supervisor applied my practical knowledge first to admit and motivate the patient that nothing will happen and plays a leader’s role in that clinical service of Covid-19 treatment.
I have noticed that some staffs were not so strong in emergency management and my supervisor has guided them by separating their tasks. Therefore, the processes of treatment, teamwork, and effective handling of emergencies along with patient satisfaction have gone well during this practice. According to Keats (2019), teamwork in clinical patient care is important as it helps in the improvement of situational awareness. However, some members in this group have not performed as per my mentioned way and little delay due to improper experience is not a good aspect for a clinical practitioner. Members in that emergency clinical response team have contributed their best, however; some have not accurately contributed to this treatment process. Some were reluctant to do so due to the absence of experienced doctors. Effective communication, time management, and proper clinical practice knowledge application have saved adult patients with such complexity of cancer.
Analysis (More knowledge)
I have gained knowledge from observing my supervisor handling this sudden emergency about the handling of such complex situations involving a group. This treatment process has gone well due to the accuracy in the application of practical clinical knowledge. Further, my supervisor’s leadership skill has helped to tackle other members in doing their tasks for health service to the patient. Clinical leaders are important for initiation for the change in the clinical service especially for emergency patients (Blanck-Kösteret al. 2020). I have gained knowledge from this situation that a healthcare staff needs to be accurate and ready to handle any situation accurately. I have learned thoroughly that safeguarding equipment is important especially for treating such spreading disease during treating an emergency patient. I observed this complex situation, as I am not qualified to lead it. Hence, guidance from my supervisor has assisted me to obtain necessary knowledge. I have further realised importance of consent recommended by NMC Code UK, 2018. It suggests that apart from acting in line with best interests of people, a balance needs to be remained concerning respect a person’s right to accept or refuse treatment (Golden, 2018). This is highly essential for patients having complex needs.
Maintaining loyalty in treatment and providing information to the family of patients are essential in clinical care that maintains transparency in service. Transparency in the clinical healthcare practice is selected as an important instrument for the satisfaction of patients with effective care (van de Bovenkamp et al. 2017). Therefore, I have gained knowledge about the maintenance of loyalty during patient care as well as a clinical strategy to eliminate bias during treatment. The presence of experienced doctors and working with my supervisor helped me to implement that knowledge during the treatment of such a complex patient.
Action plan (Strategy of gaining knowledge)
Identifying my strength and weakness during such emergency patient treatment, I have made my action plan for improving my clinical practice skills in future. I have identified that gaining knowledge during helping doctors for treating such critical adult patients will be helpful to increase my practical knowledge. Further, I have decided to learn new things online that can be beneficial to treat the patient effectively in future. I will complete my clinical practice training accurately to gain more knowledge on how to communicate with patients for motivation, a strategy of emergency response and effective time management for treating complex adult patients. I will learn from this course and online sources about the safest strategy of patient care using a complete patient-centric treatment strategy.
Further, I will improve my leadership skills in the upcoming days to handle a team for the effective intervention of complex adult patients. The emergency department is an important department for which team performance and leadership are essential (Gharaveis et al. 2019). I will study from online sources about a strategy to improve leadership skills and handle conflict with members during clinical service. Advanced technologies for treating Covid-19 patients along with proper usage of safeguarding equipment are beneficial during treatment. I will learn from the course about the usage of such equipment and effective treatment to safe patients as well as group members.
Conclusion
Gibbs reflective cycle has helped me to understand my clinical practice for treating that patient and gaining knowledge in the improvement of skills for the future. Further, this model has helped me to decide the strengths of skills along with weaknesses that need to be improved in clinical practice. I have applied my clinical practice course knowledge here for treating that patient with Covid-19 issue and already have a chronic disease such as cancer. I have gained knowledge from experienced doctors to handle emergencies along with evaluation of my existing weaknesses such as time management and negative thoughts. Based on these weaknesses identified by me during this situation, I have made an action plan such as improvement of communication skill, leadership skill and advanced knowledge in treating Covid-19 emergency in future
References
Journals
Blanck-Köster, K., Roes, M. and Gaidys, U., 2020. Clinical leadership competencies in advanced nursing practice: Scoping review. MedizinischeKlinik, Intensivmedizin und Notfallmedizin, 115(6), pp.466-476.
Carlson, L.C., Reynolds, T.A., Wallis, L.A. and Calvello Hynes, E.J., 2019. Reconceptualizing the role of emergency care in the context of global healthcare delivery. Health policy and planning, 34(1), pp.78-82.
Edvardsson, D., Watt, E. and Pearce, F., 2017. Patient experiences of caring and person?centredness are associated with perceived nursing care quality. Journal of advanced nursing, 73(1), pp.217-227.
Gharaveis, A., Kirk Hamilton, D., Shepley, M., Pati, D. and Rodiek, S., 2019. Design suggestions for greater teamwork, communication and security in hospital emergency departments. Indoor and Built Environment, 28(8), pp.1126-1139.
Golden, P., 2018. Coercion or consent?. British Journal of Midwifery, 26(7), pp.482-483.
Jack, K.H., 2020. An integrated review of the role of communication in veterinary clinical practice. BMC Veterinary Research, 16(1), pp.1-14.
Keats, J.P., 2019. Leadership and teamwork: essential roles in patient safety. Obstetrics and Gynecology Clinics, 46(2), pp.293-303.
Momennasab, M., Shadfard, Z., Jaberi, A., Najafi, S.S. and Hosseini, F.N., 2019. The effect of group reflection on nursing students' spiritual well-being and attitude toward spiritual care: A randomized controlled trial. Investigacion y educacion en enfermeria, 37(1), pp.80-89.
Owens, A.P., Ballard, C., Beigi, M., Kalafatis, C., Brooker, H., Lavelle, G., Brønnick, K.K., Sauer, J., Boddington, S., Velayudhan, L. and Aarsland, D., 2020. Implementing remote memory clinics to enhance clinical care during and after COVID-19. Frontiers in Psychiatry, 11, p.990.
Tyerman, J., Luctkar-Flude, M., Graham, L., Coffey, S. and Olsen-Lynch, E., 2019. A systematic review of health care presimulation preparation and briefing effectiveness. Clinical Simulation in Nursing, 27, pp.12-25.
van de Bovenkamp, H.M., Stoopendaal, A. and Bal, R., 2017. Working with layers: the governance and regulation of healthcare quality in an institutionally layered system. Public policy and administration, 32(1), pp.45-65.
