After LAS attended the scene, they found her GCS to be 11/15, and a spot measurement of random blood sugars resulted in a value of 2.5 mmol/L. Through this reflective case study assignment, I will critically review the care provided by me as the first responder. I will also analyse whether the care was in conformity with the NICE guidelines (Qureshi et al., 2005). For this assignment, I would use Gibbs model of reflection since this is useful in nursing, and this adds to the new knowledge in order to develop a care plan within a single reflective cycle (Wilding, 2008).
Reflection is a process of self-inquiry and transformation towards realising desirable practice as a lived reality. As such, reflection is both the research and developmental tool. By reflecting on my everyday practice, I have a chance to become increasingly mindful of myself within the practice, care delivery, and the way I do it. I may become more aware of the way I think, feel and respond to situations as they unfold. I may become more sensitive to the people within those situations, whether patients, their friends or relatives, or my colleagues. As a consequence, I can respond more in tune with my values and more skillfully with my patients and others, which is desirable from me as a person delivering care. The reflexive narrative is presented as an exemplar of researching self as a process of self-inquiry and transformation (Souter, 2003).
To begin with, however, it was difficult to discern where to begin. It has been suggested that using a framework would be better (Chabeli and Muller, 2004), so it makes the reflective process structured and guided. I personally feel those who are very experienced would not need a framework for reflection. For me as a nurse as a means of reflective practice, I have and would always prefer to have a framework, and I choose the Gibbs (1988) reflective cycle in my reflections on my practice.
From my experience and previous reflective episodes, I have seen that reflection is a dynamic and cyclic process. Therefore, a framework with overt cyclical approach would be most suitable. Gibbs formulated his reflective cycle while attempting to explain experiential learning, and in each step of the cycle, the reflective practitioner is faced with a series of questions that both guide and provide structure to the reflective process on practice. This process starts with a phenomenon and description of the event, and in each step, there are questions that lead to further critical analysis leading to a plan of action and then re-reflection on the changes. Reflections needs to take place at a conscious level that allows a nurse to make decisions about her learning, and critical analysis of such will also consider thoughts and ideas, evaluation of them, and making conscious informed choices about the future course of action in a given scenario. Most of the student life nursing placements lead to experiences which are based on observations in the clinical scenario of actions or practice of other people. This definitely helps the nurses to gain experience and technical skills. However, reflection is a process to review those experiences, so a closer and critical