The Reflective Practitioner Assignment Sample

• Subject Name : Nursing

Part 1: Self, Others and Context Awareness

Self-awareness has been rightly identified by Mosey as ones’ best capability to rightfully recognize their reactions to the external world and how the world reciprocates in their reaction to oneself (Ikiugu, 2007). I gauged with my years of experience that to enhance self-care mechanisms self-awareness is very important which involves an amalgamation of both self-knowledge and dual-awareness, which permits the healthcare workers to see to the needs of the patients, their environment their personal experience. If I operate with lack of self-awareness I more likely lose perspective, and increase stress in working in collaboration with their environment, experience liability and also have an experience more sympathy fatigue and exhaustion. Self-awareness improves patient-care and self-care satisfaction. As healthcare professionals integrate this into our practice, it helps us to accept limitations which encompasses ones’ personal influence, accountability and their limits, thereby maintaining clarity about each other with their interconnections. (Sabo and Vachon, 2011)

My feelings and its impact on the surroundings and how is our response to them keeping in mind about the social background and the people around constitutes the Emotional Intelligence. Also, it includes the social skills i.e. our ability to collaborate with others awareness and help in the development of their skills and actions. In order to be a leader and set examples, we need to be conscious of ourself, our reactions and be conscious of the perception of others about us (Sokn, 2019). In our healthcare industry, the emotional quotient takes a higher step in the ladder as it mostly involves to help the patients in coping with a new diagnosis, formulating a caring strategy or facing other challenges in the healthcare team. Secondary to the emotional tangent, is the clinical reasoning which comprises mainly of metacognition. This means monitoring of oneself ( ones’ thinking, knowledge and performance) from a third persons standpoint and being your own critique. A deep link exists amid cognition, metacognition and acquisition of knowledge which enables one to learn from their experience of clinical practice e.g. fortifies the immediate judgement of a clinician in recognizing lack of clarity in a question (Jones, 2019). Nowadays, I see a shift in the significance of emotional exhaustion characterized by depersonalization to personal achievements.

As I pondered over the three basic differences over the three concepts from “How to” I realized there are the three concepts of perspectiveness.

Perspective is explained as a point of view of an individuals as an attitude in toward regarding something. To have a perspective doesn’t mean good or bad, it simply means that until the perspective lasts or it does not create a block in the attainment of a goal or objective. To lead, manage or work with the colleagues it is imperative to understand the perspectives of all the people in their reactions to different situations. Perspective is the main key to decipher why a particular situation does not give the desired results. Additionally, one should expand their viewpoint and consider all the viewpoints of everyone in their workplace before coming to any particular conclusive decision. This way one can achieve innovation by cultivating the talent and tapping them in the best way.

Slightly dissimilar is context from perspective which is defined as the situations that form the base of all events, statements, ideas in a way that they can be addressed and understood best. In other ways we can say that context can be defined as the lens by which one can view the world, the people and the environment. The people like us for the basis of these circumstances which are derived from the past and pick up clues to our contexts from the language used by us. Similar to perspective, a limitation is put on our abilities by the concept of context in achieving our targets, however, once identified, one can shift the context, expand it or overcome it by the behaviour shift.

The state of being to be self-aware means mainly to be aware of our perspective and context.

Self-awareness can be defined as the ability to introspect one individual and separate it from the environment and other workers. Awareness includes one’s traits, behaviours, feelings leading to increased emotional intelligence which is a necessary base to build up a successful team and relationships which are essential in achieving mutual goals.

When we become mindful of ourselves (present) and how we are (be) on the planet and afterward thus, aware of how our relationship to our conditions is impacting our activities we are then ready to roll out significant improvements in our conduct. The word reference characterizes presence as:

the state or truth of existing, happening or being available and characterizes present as: in a specific spot or existing or happening in a spot or thing. To have presence and additionally to be available is being here (existing) at this careful second in time. Being available is simply the way to creating

mindfulness. The way to creating mindfulness is to become agreeable and learned with your programmed methods of being, your musings, sentiments and body sensations. Monitoring your musings at that point permits you to see those contemplations equitably and consequently structure decisions on acceptable behavior on those considerations. It is here that we can intrude on old propensities and additionally designs. From interference we can settle on decisions that produce results past our past outcomes and break boundaries to progress.

Improved mindfulness expands our capacity to incorporate and precisely assess various wellsprings of data, and to make translations that help us to accomplish settled upon results. Mindfulness takes fearlessness since it includes distinguishing our common and fixed methods of seeing ourselves and the world, the contrasts among truth and translation, the difference between our contemplations, sentiments and activities.

So as to make new move and arrive at objectives or potentially targets not came to before there must be a pledge to move your perspective and find additional opportunities for activity. It is essential to every now and again "self check" during this cycle to guarantee that you are open, adaptable and sure. In spite of the advantages of expanded mindfulness, it is entirely expected to likewise hinder this cycle.

In palliative care in the nursing field, one of the main interventions done by a psychoeducational group utilizing reflective writing made it more meaning-centric to support the nursing professionals in providing care, which was referred to as Enhanced Meaning in Palliative Care Nursing. When I am reflective and conscious as a therapist by being aware of my psychic processes, I collaborate more effectively with my clients. It is similar to the 3 level model given by Fleming and Strong. Firstly, the self-awareness due to cognitive, metacognitive or physical deficits. Secondly, deficits due to functional implications for an independent livelihood and thirdly, the aptitude to set real goals and the capability to predict ones’ own future state.

Crosson and Associates in their pyramidal model included three interdependent forms of awareness such as Intellectual awareness, emergent and anticipatory awareness. Those who have brain injuries can exhibit impairment in all the three domains or in any of them specifically.

In the context of others, these three stage model was further extended to compensation strategies which are related to the trigger caused by the type of awareness such as Anticipatory compensation, Recognition, situational and external compensation. Anticipatory compensation is applied only in anticipation of a problem, only then the compensatory technique is applied.

Recognition compensation also comes into force only when needed which comes into effect when one recognizes the coming problem and requires emergent consciousness and action. Situational compensation triggered by a specific circumstance in which the deficit affects proper functionality. This type of compensation occurs irrespective of the clients’ judgement. To bring this strategy into force one has to use intellectual awareness i.e. unless one knows about the deficit only then the solution can be formed.External compensation which is triggered by an external stimuli or environmental change for example lists of meal preparations, emergency watches etc.  

Abreu and colleagues challenged the hierarchy given by Crosson and associates following a self-awareness study after acute brain injury. They studied awareness to be related to presentation of three functional tasks (like dressing, management of money or planning of meals). I being a nurse consider these as very important tasks in our day to day regime in the hospital. The questionnaire based on the Likert scale is used to determine awareness such as if I was aware of the problem in my ability in performing a particular task which is intellectual awareness. How well I can carry out the task (emergent awareness). How well will my capabilities ensure that along with my work in the hospital I can live independently and enjoy life as well (anticipatory awareness). Their analysis showed a lot of differences in the hierarchy of self-awareness among the three tasks. The findings were not in support of the hierarchy but they also question the sensitivity of their questions to all different levels of self-awareness in their study model and concluded that better operationalization are necessary. Some authors have criticized the above model and said that a dynamic model was required to determine a relationship between their knowledge, tasks and beliefs and concepts of metacognition. (Toglia and Kirk, 2016)

Part 2: Self- Awareness

Self- awareness is very successful in characterizing ones’ therapeutic self which involves one to be vigilant continuously and self-audit oneself which is enhanced by ones’ day to day reflection on the personal experiences. Through this the therapist can be authentic and justifies Rogers reference to genuineness (Ikiugu, 2007). Rightfully in agreement with above theories I also believe self-awareness to be ones’ primary virtue to be followed as a health care professional. To enhance self-awareness, I integrate it in my clinical practice which has supported me emotionally, personally and professionally by an increased satisfaction and self-regeneration when faced with challenging situations at work front in all ways. I consider Balint’s practical ways to increase self-awareness which can be continuing education, mindfulness meditation, peer support and reflective writing.

References for The Reflective Practitioner

Sabo, B.M. and Vachon, M.L.S. (2011). Supportive Oncology. Care of professional caregivers. 575-589, Elsevier publication. https://doi.org/10.1016/B978-1-4377-1015-1.00056-4.

Ikiugu, M.N. (2007). Psychosocial Conceptual Practice Models in Occupational Therapy. Building Adaptive Capability,119-148. Copyright © 2007 Elsevier Inc. Mosby publication. https://doi.org/10.1016/B978-032304182-9.50013-1.

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