Individual Position Statement

INDIVIDUAL POSITION STATEMENT 8

IndividualPosition Statement

Reflectivepractice entails the examination of individual thoughts and actions.In the case of practitioners, this implies focusing on the mannerthat they interact with the environment and their colleagues inobtaining a clearer view of their own actions (Chang &ampDaly,2012).Therefore, reflective practice emerges as a process through whichpractitioners can understand themselves in a better way in order toensure that they are capable of building the existing strengths,which is critical in taking appropriate actions in the future(McGregor &ampCartwright,2011).In this paper, I will present the argument that reflective practiceof the registered nurse has a merit and influences patient outcomes.In this regard, the paper will discuss the assumptions considered andthe argument presented links with the NMBA competency.

Reflectivepractice has been considered an element of superiority and interestto registered nurses. Besides, it has been argued that being areflective practitioner can be seen as an indication of professionalmaturity and a depiction of strong commitment in enhancing thepractice this is a reasonable ambition for any registered nurse.According to McGill &amp Brockbank (2004), reflective practiceentails a means through which a professional develops the ability ofcontinuously engaging in critical dialogue concerning professionalactivity, both with others and individually. On the other hand, thereflective practice is usually perceived as constant and continuing.Based on the definition, the reflective practice can be seen as acontinuous process, which has a direct impact on everyone who is apractitioner. Two fundamental forms of reflection existreflection-in-action and reflection-on-action (Johns &ampBurnie,2013).Reflection-in-action is the trait associated with the experiencedprofessionals. In the case, the professional examines own actions andthat of others when in a situation. Here, a professional can take therole of a participant observer. On the other hand,reflection-on-action entails carefully re-running past events in themind with a chief aim of valuing own strengths and developing varied,more effective actions for the future.

TheNurses and Midwives Board of Australia (NMBA) developed NationalContinuing Competence (NCC) framework with the primary aim ofproviding consistency for the Australian regulating bodies,nurses/midwives, and employers at a national level with regard to theclinical capabilities of nurses and midwives. The competency has tobe evaluated through an assessment process. In fact, it wasrecommended that from 2009, it is mandatory to fill the requirementsof NCC framework so as to renew registration of practicing in allAustralian states. However, the requirements do not apply in NewSouth Wales. The NCC framework encompasses an assessment,professional portfolio, proof of Continuous Professional Development(CPD), a declaration of continuing competence and hours of practice.Self-assessment is usually expected through taking a declaration ofcompetence. According to the NCC framework, developed by the NMBA, anurse/midwife should use reflection in completing the self-assessmentprocess. Therefore, reflective practice emerges as a significantprocess, which should be considered by a registered nurse since it isa key requirement by the NMBA.

Assumptions

Oneof the assumptions put into consideration is that the reflectivepractice will not have a pre-determined outcome. In some instances,practitioners may choose not to get involved in reflecting negativememories. In this assignment, it is assumed that both negative andpositive memories are considered by registered nurses duringreflective practices. Another assumption that is considered in thisassignment entails the concern that the registered nurse underconsideration will carry on a reflective practice as required by theNMBA competency.

Benefitsof Reflective Practice

Thereflective practice is usually associated with several benefits. Oneof the benefits of the reflective practice ensures that theregistered nurse provides evidence-based care. This is where theregistered nurse uses the current best evidence, when makingdecisions concerning the care that should be offered to individualpatients. As nurses reflect, they become conversant with the currentbest practices that can be used in providing care to patients (Johns&amp Freshwater, 2009). This is critical since it helps the nursesin offering the best current practice to patients hence, reflectivepractice helps in providing evidence-based care.

Anotherbenefit that accrues to reflective practice is that it tends tomaximize learning opportunities to the registered nurse, which iscritical in identifying shortfalls in the nurse’s skills andknowledge. As a nurse participates in the reflective practice, he hasthe opportunity of identifying the shortfalls in his knowledge andskills and at the same time, he has an opportunity of acquiring newdimensions of handling certain health care issues that he did nothave the capacity to handle. In such a situation, a registered nursemaximizes his learning opportunity with the reflective practice.

Besides,reflective practice has a benefit in that it helps a registered nursein identifying learning needs and also aids a nurse in continuallydeveloping his/her practice. During the reflective practice, nursesare in a position to assess themselves, which help them inidentifying their learning needs (Bradbury, 2010). The identificationof their learning needs is critical because it helps in knowing theareas that they need to improve strengthening their practice. On theother hand, the reflective practice aids nurses in continuallydeveloping their practice since through reflection, nurses add totheir knowledge practice because they continuously learn how tobetter carry out the nursing practice as they continuously reflect.

ReflectivePractice Influences Patient Outcomes

Thereflective practice of a registered nurse is likely to influence thepatient outcomes. A registered nurse that continuously considers thereflective practice has the opportunity of learning current careknowledge (Bulman &ampSchutz,2013).This knowledge can be utilized in influencing patient outcomes sincepatients are likely to receive based on the recent acquiredknowledge. This implies that the patient outcomes are likely to beinfluenced since the use of current care may provide better resultscompared to other forms of outdated care. Besides, the reflectivepractice is critical in making practitioners have a higher confidencein providing care. Because of the enhanced confidence ofpractitioners in providing care, they are likely to offer betterstandards of safety, which is an indication that the patients willhave a better outcome. On the other hand, due to the reflectivepractice, a registered nurse is capable of providing better qualitycare since as he continuously reflects, he develops his practice(Gustafsson et al, 2011). The provision of better quality care islikely to improve the patient outcomes. Therefore, the reflectivepractice has an influence on the patient outcomes.

NMBAand Reflective Practice

Thereflective practice is crucial in bringing about critical thinking toa registered nurse. This is because as the registered nurse engagesin a continuous reflective practice, he is exposed to an environmentof making decisions based on critical thinking. Thus, through thereflective practice, a registered nurse enhances his skills ofcritical thinking. Critical thinking emerges as an extension of thereflective practice. Since critical thinking is a crucial competencyfor registered nurses as provided in the National CompetencyStandards (Staunton &ampChiarella,2013),there is a link between the reflective practice and the NMBA.Besides, since the competency has to be evaluated through anassessment process involving the reflective process, this indicates alink amid the reflective practice and NMBA.

Conclusion

Reflectivepractice entails a means through which a professional develops theability of continuously engaging in critical dialogue concerningprofessional activity, both with others and individually. On theother hand, the reflective practice is usually perceived as constantand continuing practice. Reflective practice usually leads tocritical thinking and development of the nursing practice (McIntosh,2010).According to the NCC framework developed by the NMBA, it is criticalfor any registered nurse to undergo a continuous assessment throughthe reflective practice in order to renew his/her registration (Andre&ampHeartfield,2011).This implies that the reflective practice is currently one of therequirements for a registered nurse in Australia. This establishes alink amid the reflective practice and the MNBA competency. Thereflective practice is usually associated with different benefits.One of the benefits is that the practice helps nurses in developingtheir nursing practice, which implies that they have the opportunityof developing their knowledge of practice through the reflectivepractice. Besides, the reflective practice has a benefit since ithelps in providing evidence-based care. On the other hand, thereflective practice has an influence on the patient outcomes sincethe reflective practice aids in providing better quality and currentcare. The provision of better quality care is likely to improve thepatient outcomes.

References

Andre,K., &amp Heartfield, M. (2011).&nbspNursingand midwifery portfolios: Evidence of continuing competence.Chatswood, N.S.W: Elsevier Australia.

Bradbury,H. (2010). BeyondReflective Practice: New Approaches to Professional LifelongLearning.New York: Routledge.

Bulman,C., &amp Schutz, S. (2013).&nbspReflectivepractice in nursing.Hoboken: Wiley-Blackwell.

Chang,E., &amp Daly, J. (2012).&nbspTransitionsin nursing: Preparing for professional practice.Chatswood, N.S.W: Elsevier Australia.

Gustafsson,C., Asp, M., &amp Fagerberg, I. (2011). Reflective practice innursing care: embedded assumptions in qualitative studies.InternationalJournal of Nursing Practice,13, 151-160.

Johns,C., &amp Burnie, S. (2013).&nbspBecominga reflective practitioner.Chichester, West Sussex: Wiley-Blackwell.

Johns,C., &amp Freshwater, D. (2009).&nbspTransformingnursing through reflective practice.Oxford: Blackwell Pub.

McGregor,D., &amp Cartwright, L. (2011).&nbspDevelopingreflective practice: A guide for beginning teachers.Berkshire, England: Open University Press.

McIntosh,P. (2010). ActionResearch and Reflective Practice: Creative and Visual Methods toResearcher of the Self.New York: Routledge.

Staunton,P. J., &amp Chiarella, M. (2013).&nbspLawfor nurses and midwives.Chatswood, N.S.W: Churchill Livingstone.