1.

Introduction
A reflection is an important tool in healthcare provision, education programs as well as in practice. While it is contended that
reflection is a tough concept to explain, Rolfe and Freshwater (2020, p. 32) define it as "reviewing practice from training for it to be
designated, analysed, appraised, and thus used to enlighten and change forthcoming exercise."
Portfolio progress and an indication of practice-based knowledge consist of the use of reflection. It is identified as a beneficial
instrument for experts and trainees to use after grave occurrences to aid them to reflect practices and garner new ideas (Rolfe, 2019, p.
44). "Reflective writing is a treasured instrument for educating nursing students, as well as for record-keeping, support, and creating
knowledge in nursing." Reflection should be measured within the framework of self-awareness, settings, and comprehensive
perception of health and healthcare issues." According to Rolfe (2019), this reflective portfolio will use Rolfe's technique, which was
inspired by Borton's developmental model (Taylor and Cook, 2018).

2. Reflection on contribution to the research or project field or host organisation

What?
The primary problems in this sort of situation would be that a schizophrenic patient, who may be psychotic and is undoubtedly
confused due to his metabolic abnormalities (hyponatraemia) and conceivably undiagnosed confusion, has accused a member of staff
of assault.. My part in the scenario was that I was the one who was accused. I attempted to comprehend the unsubstantiated claim after
having heard it. On only one hand, I was cognisant of the gravitational pull of the insinuation if it were truly the case, and I was also
cognizant of the potential damage an unprovable assertion could cause to the expert's reputation of the 'Special care' involved. I was
well aware of Johnson's propensity for false perception and excessive concern, but I was captivated by the obvious sincerity of his
recollection and the realisation that he began to break down in tears as he recounted it.
Overall, I believed his analysis of the event. As a result, I felt compelled to intensify the allegation to the Head Ward Matron on
adherence to ethical grounds.
Immediately after the scene, I went through a phase of intense self-evaluation. I was particularly worried that I had unintentionally
become a signatory to a false accusation, and I thought about the implications for the 'Special care patient' involved. After much
thought, I asserted that I was correct to intervene as I did, not only due to my official obligations to "do my utmost for the patient," but
rather because I was responding as the patient's counsel in these conditions, which looked perfectly acceptable.
Any critical reflection must take into account the patient's feelings (Flynn and Levie, 2021). Throughout this case, Johnson seemed
impressed that he was being treated with respect, but his erratic vividness meant that any further questioning did not settle the matter.
So What?
One of the major responsibilities of a healthcare practitioner is to make sure the best possible care is given to the patient (Doran,
Phillips and Board, 2020). In similar situations, the trainee is unambiguous in his valuation that the ethical duties of a nurse share
unprobeable report on the possibility of abuse to the patient to his superior, vulnerability of the patient should be put into consideration
and protection should therefore be offered (Bjerkvik and Hilli, 2019)
An evaluation would recommend that the nurse initiate the Principle of Non-Maleficence, which again was gleaned from Hippocrates'
oft-quoted dictum that someone should "initially do no damage." According to this Principle, healthcare service expert should ensure
that patients will not be negatively affected and will not be adversely affected.
I considered speaking with the 'Special' in an informal setting but concluded that there would be nothing participants might say that
would modify the best possible action. This is consistent with Flynn and Levie evaluation of multiple comparable circumstances.
This stage of analysis put a deep understanding into the scenario and reinforced my first conclusion that relates to the right and
adequate course of action (Flynn and Levie, 2021)

Now What?
Because Johnson initially reported a case of possible abuse, it seems reasonable that the situation should be adequately investigated.
The Matron’s action of removing Johnson from Special care can be regarded as proper and necessary. Suspending the Special care
patient from work may seem proper, but when dealing with psychotic patient spent the critical element of uncertainty about unethical
accusations should be considered as decisions would be regarded as inapt and detrimental to the patient with Special care.
As at when the incident was reported, I apologized to Johnson and gave him assured him event will not happen to him again. I feel
that professionally it was a necessary action to be taken by any professional, as this will induce trust in the mind of Johnson and he
will be assured that he is being taken seriously I am really about the event that happened to him.
When evaluated in the background, I reached a possible conclusion about the scenario, I either believed whether Johnson was being
truthful or not. This introduced deeper analysis and is judged by the ability to function from the depth and understand the entire
scenario which is referred to as professional intuition.
With my reflection on this circumstance and instructions by the ward matrons, if such a situation should ever occur again, I will be
more confident in tackling the challenge rather than having to brood over it. The analysis has assisted me in understanding It is among
the means by which specialists mature and transcend guideline conduct, enabling them to operate in a world of constant change and
the unexpected.

3. Reflection on professional values and behaviours

What?
A gentleman 69 years old named Johnson who has been diagnosed with schizophrenia, and other critical clinical conditions one of
which is Hypothermia and Misperception was a patient admitted to my Ward. Mr Johnson and his next of kin have been previously
briefed by the Head Matron that it is dangerous for Johnson to take more than 650 mmol of fluid daily. Moreover, due to his mental
status of Johnson, he finds it difficult to admit his restrictions, so he constantly asks for fluids and if his demand is not met, he starts
shouting and disturbing other patients in the ward and a time he becomes very aggressive. For these reasons, a Special care service
was requested by the Senior Matron to take care of Mr Johnson.
One morning as I was assisting Mr Johnson with his hygiene, he began crying propitiously then I said to him “why are you crying Mr
Johnson?” he replied by saying ‘as I was been attended to six days ago my caregiver slapped my face and squeezed my ear. The
continued by saying ‘I waited for the caregiver to finish so I can tell one of the ward matrons but I forgot’. I hope my grandson can
visit me soon, I am sure I will remember to tell him how I have been treated,
I promised him that never would that kind of treatment occur again to him and I assured him that the caregiver would be removed
from taking care of him. the incident that occurred was reported
I filled an Incident Report Form with the Head Matron after I reported the incident to her

So What?
To debate these?' segments of Rolfe (2019)'s conceptual model, I will first examine the nurse's role in providing high-quality care and
preserving integrity. Koustas and Blais (2021) described how sympathy and good communication skills are regarded as the
craftsmanship of nursing, as opposed to the scientific knowledge, which is typically scientifically proven and supported by the facts.
Rolfe (2019) suggested that, in contemporaneous healthcare, it can be difficult for healthcare providers to afford the time to exercise
and establish the drama of nursing. Consequently, I believe that it is essential for trainees to consider how they share information with
others and patient care. Mulvogue, Scates and Dening (2018) emphasised, when trying to discuss the direct implementation of
integrity and sympathy, these were not merely "catchphrases," but rather principles that should have been ingrained in daily practices
in other create inept perfection in care for patients and families members and caregivers.
Humanising subsequent applications (Forghani, Bavali and Hadipour Fard, 2022) that I had managed to learn about in college guided
my efforts to provide empathetic and dignified care all through the case mentioned. In their daily practices, Beausoleil (2022)
espoused that nursing staff could perhaps place the patients and family members at the forefront of providing and work towards
making them happy and satisfied as fellow humans.
What Now?
The concluding section of Rolfe (2019)'s reflective model is "now what? ", which focuses on how new knowledge is transferred to
future professional practice. This reflection has unquestionably highlighted the significance of embracing a developmental and
empathetic approach and how much I can use this in my role as a nurse to assist individuals in resolving problems and enhancing their
standard of health. Before my clinical placement, I believed I helped provide high-quality care, but I wasn't yet constantly mindful of
how I was doing so nor did I evaluate the implications I was experiencing on my patients. Investigating the research that supports
sympathy has instructed me that nurses must prove their comprehension of the condition of the patient by having to listen, perceiving,
and asking respectful questions. I have discovered that it is essential to view patients (and their families) as individuals before
concentrating on their challenges. It has become crucial for me to assist them in resolving their problems to improve their quality of
life. Investigating the developmental values framework (Patel and Metersky, 2021) has prompted me to consider what it means to be
human while caring for my patients and, as suggested by Taylor and Cook (2018), it has provided me with a support system to provide
the highest quality care possible.
4. Reflection on personal and professional benefits gained during the module, including new
skills and knowledge acquired
What?
We had a finite amount in time to generate the review for the professor as belonging to a group of five persons who collaborated on a
given timeframe My team's objective was to counsel a company on the optimal method of recruitment to implement. My teammates
held differing viewpoints from my own, making it nearly impossible for anybody to agree on terms amicably. This resulted in frequent
disagreements and a communication gap. Due to our varied personal commitments, we had little time to come together to discuss the
improvement of our task, because we each had to work part-time online and consented to have sufficient conversations and viewpoints
via videoconferences. After compiling each participant's profile, it was determined that we were already in agreement with the
information obtained and that only minor adjustments were necessary; we then forwarded our tasks.
So What?
I realized upon reflection that I feel more at ease in a smaller number of people because I can talk more freely. However, I was
extremely worried and nervous about being in a group of strangers with whom I had no r which helped make me somewhat
impervious to their theories. Aside from that, I realised that different players have different skill sets, so it was important to take into
consideration everybody else's suggestions and ideas in or denote the team project by the timeframe. Additionally, there were times
when it is impossible to function effectively ,especially at the beginning of the task. It could be debated that any inconvenient
atmosphere emerged and so everybody was stoic with each other; however, I ascertained we could have functioned better if the
teammates had been together for many years together or were acquainted with one another. According to Ions and Sutcliffe (2019),
colleagues will require less cause to feel relaxed among each other if they have a previous social circle and a solid history. In addition,
I learned that it is essential to comprehend one's learning methods, particularly when working as a team. It was not the case for me
although I was unaware of the effective learning style for my task. However, upon reflection, I realise that I am a person who learns
primarily through practical application. I rely on others for details rather than conducting mn scientific analysis, which illustrates why
I was so dependent on my group at one point.
Nevertheless, the importance of effective communication cannot be overemphasised. Effective collaborative communication is
essential according to Dressler R. et al. (2018), who posit that group members must interact in open conversation and have well-
defined objectives. In terms of my communications plan, it appeared that I avoided finding a compromise and instead aimed to be a
"rational and concise thinker and facilitator," as described by Bass J. et al. (2020). It could be argued that we largely attained our goals
as a result of communicating effectively, mutual understanding, and teamwork.
Our team discovered during the period that it is time-consuming mind and laborious to delegate work to team members despite
conflicting requirements, timeframes, and other roles. This was a major handicap for me because of our group, and maybe we'd have
taken into account how to allocate help in the future. El Miedany (2019) asserts that committees can lead to significant time savings
during group work, and it's something we should have investigated further because we quite often ceased to reassess the different
advantages and disadvantages of our teammates. In addition, it makes it appear that we had a problem with other people not revealing
up on time for regular appointments, not wrapping up designed to simulate events on real-time, and our group not devoting enough
time to complete project effectively. These were all significant issues for me and the rest of the group. This may demonstrate the need
for 'contribution from each team member in order to create a vibrant catalyst for change' (Forghani, Bavali and Hadipour Fard, 2022).
This sudden reflection has given me a useful studies and I will ensure that appropriate groundwork and schedule are scheduled for
future group activities.

What Now?
In coming years, as a member of the team, I will help advance a collaborative environment (consisting of norms, behaviours,
atmosphere, and group attitudes) which might help my team accomplish its objective. By creating a communicative environment in
which analytical and unbiased staff members can combine their ideas with the experiments and perceptions of active team members.
This would aid them in designing and building a series of images by allowing them to indicate their personal experience through
monologues that integrate and analyse the varied experiences of teammates (Rolfe, 2019, p. 18). This shared image will serve as a
compass for my group as it understands to establish on its own and adapt effectively to the needs of its surroundings and objective,
because "a team that cannot see itself is finally going to fly blind." In addition, I realised in retrospect that my intense rivalry with my
colleagues hindered the establishment of a unified group dynamic. In the future, rather than concentrating strictly on my responses, I
will demonstrate curiosity about helping anyone that is going through a difficult time. According to Rolfe, G. and Freshwater (2020, p.
24) members of the team should never be entirely independent or self-directed, but they should be willing to take part in both personal
and group achievements.
Lastly, I would guarantee that my colleagues have a sense of shared purpose to guide them, but first I would establish a collaborative
relationship to fully comprehend oneself and our expectations and desires, arrive at a mutual understanding and explanation of the
group's purpose and implement both the personal objectives and the group's goal.

5 Personal Development Plan

personal development plan Tone of Activities to undertake to attain my Support/resources do I Achievemen

Priority objectives? needed for objectives target
(high/med achievement
/low

 Managingne my emotions as well as that of

Having the interest of cooperating
others
in endorsed and familiar teammates
High  Paying adequate attention to
both Books, articles, online
together with others.
perceptions of my teammates and think database, publications,
personal development plan Tone of Activities to undertake to attain my Support/resources do I Achievemen
Priority objectives? needed for objectives target
(high/med achievement
/low

about their assertion April, 2022

 Encourage practice of personal-reflection
by self-evaluating interpersonal
involvement and discussions, that will
permit me to cram from my achievements
and let-downs and linger to go onward
personal development plan Tone of Activities to undertake to attain my Support/resources do I Achievemen
Priority objectives? needed for objectives target
(high/med achievement
/low

Expressing my ideas not only to a
little set of people but to the entire High
Public
 Interrelating with teammates Preparing notes to aid in 4mnth
 Be present during a training exercise preparing ahead of rendering
 Using group work to enhance my speech.
confidence and involve more in lectures
 Offer to deliver reports anytime I am
free, such as during workshops.
 Participate in showcasing skills seminar

Improve my Nursing expertise  Talking to teammates Attend short lectures provided 9mnth
(e.g., showing compassion and care High by my school to aid in
 Attending classes
improving my nursing skills.
to patients)  Acquiring applications
 Joining good internet forums
 regular practising
personal development plan Tone of Activities to undertake to attain my Support/resources do I Achievemen
Priority objectives? needed for objectives target
(high/med achievement
/low

system

Professional skills Medium  put my work in order so I am prepared Using pin notes, creating Gantt 4mnth
charts, diary usage, or doing
critical reflective analysis.

Professional skills Medium  Participatingng in team work to assist Continous communication to 4 months
me to adjust to the way others learn, get data in a simple way
consenting me to interconnect more
self-assuredly and effectually

Skills in solving problems High  By doing an operative inspection of Support Senior matrons with 8mnth
executives' techniques for deciding pre-emptive analyses.
tasks so that greater prospects may be
It is also obligatory I guise for
attained.
an accessible resource to
resolve any problem at work to
achieve the objective

Management skills High  Attend numerous training and a Read literature on Leadership 7mnth
personal development plan Tone of Activities to undertake to attain my Support/resources do I Achievemen
Priority objectives? needed for objectives target
(high/med achievement
/low

seminar to hone my leadership and

decision-making abilities.
 Join in a leadership development
scheme.
 Performing in leadership seminars that
will enable me learning from more
experienced leaders.

high  Interrelating with team memebers. Ensuring that previous 9mnth

 Keeping a time record. seminars have helped to be
Time management
 Working earnestly. meticulous with time.

Decision-making high  Making Plans. Providing a workshop that will 3mnth

 Limiting chances. advance decisional skills in
 Be assertive. administration.
 Set deadlines
personal development plan Tone of Activities to undertake to attain my Support/resources do I Achievemen
Priority objectives? needed for objectives target
(high/med achievement
/low

Demonstration skills
high  Examine presentations by some other Providing educational and 6mnth
persons. vocational training
 Create the thought to initiate the sub-
topics of your research topic.
 Understanding how to interconnect with
the public.

Groupwork skills high  Occupied with a set of persons to Providing seminars on team 6mnth
achieve a shared goal effectively. managerial skills
 Creating good communication skills.
 Listening to other members of the team

high  Seek good foundations. Providing seminars on patient 5mnths

 Examine all investigated result. relationship
Information sourcing skills
 personal development plan Tone of Activities to undertake to attain my Support/resources do I Achievemen
Priority objectives? needed for objectives target
(high/med achievement
/low

 Explaining the study terms

While making preparations for graduate school, I reflected on my career to determine why I felt such an intense tendency to register
for graduate school. I can recall the first time I considered being a nurse; however, I no longer share my aspirations in the same
manner. I was in 6th grade when I became interested in nursing, a moment when a child must decide what to do with his or her life. As
most of my fellow students struggled to determine their future careers, I already had made the decision weeks later that everything that
I wanted to do in-became become a nurse and care for society's sick. The nursing profession is as of now the most sophisticated and
diversified of all healthcare professions. It is a profession that requires a keen intellect, a desire for ongoing improvement, and a very
kind heart, all of which I retain. With these qualities, I presume I am qualified to undertake a bachelor of science in nursing studies in
Geriatric medicine, which focuses on the healthcare provider of elderly patients. It may not be an easy career choice, but I eagerly
anticipate the challenging problem it presents. I acknowledge that a good nurse must be successful in establishing a sympathetic
relationship with all patients' needs and be prepared to cooperate with limited supervision. However, it is precise because of all these
rigorous requirements that the incentives in this area of science are so substantial. Geriatric studies and practice consist of a
combination of superior awareness of the health sciences and patient room care, both of which I have procured as an ICU nurse for
seven years and a behavioural health protracted care nurse for seven years since getting a degree from College in 2000 with a BSN. I
believe that nursing is the ideal profession for me because I possess a great deal of kindness and understanding, as well as a love of
science and health. I believe I possess the orientation required of a nurse because without it I could not provide quality patient care.
This scenario may jeopardise the entirety of my nursing career. I believe that incorporating quality nursing care into the nursing
development strategy ought to be a priority, as this would save lives and boost graduate nurses' responsibility. Each healthcare
professional must respect patient confidentiality, one of the fundamental principles.

6. Appendix
Scenario
A gentleman 69 years old named Johnson who has been diagnosed with schizophrenia, and other critical medical conditions one of
which is Hypothermia and Confusion was a patient admitted to my Ward. Mr Johnson and his next of kin have been previously
briefed by the Head Matron that it is dangerous for Johnson to take more than 650 mmol of fluid daily. Moreover, due to his mental
status of Johnson, he finds it difficult to admit his restrictions, so he constantly asks for fluids and if his demand is not met, he starts
shouting and disturbing other patients in the ward and a time he becomes very aggressive. For these reasons, a Special care service
was requested by the Senior Matron to take care of Mr Johnson.

One morning as I was assisting Mr Johnson with his hygiene, he began crying propitiously then I said to him “why are you crying Mr
Johnson?” he replied by saying ‘as I was been attended to six days ago my caregiver slapped my face and squeezed my ear. The
continued by saying ‘I waited for the caregiver to finish so I can tell one of the ward matrons but I forgot’. I hope my grandson can
visit me soon, I am sure I will remember to tell him how I have been treated,

I promised him that never would that kind of treatment occur again to him and I assured him that the caregiver would be removed
from taking care of him. the incident that occurred was reported

I filled an Incident Report Form with the Head Matron after I reported the incident to her
Table 1
personal development plan Tone of Activities to undertake to attain my Support/resources do I Achievemen
Priority objectives? needed for objectives target
(high/med achievement
/low

 Managingne my emotions as well as that of

Having the interest of cooperating
others
in endorsed and familiar teammates
High  Paying adequate attention to
both Books, articles, online
together with others.
perceptions of my teammates and think database, publications,
about their assertion
April, 2022
 Encourage practice of personal-reflection
by self-evaluating interpersonal
involvement and discussions, that will
permit me to cram from my achievements
and let-downs and linger to go onward
personal development plan Tone of Activities to undertake to attain my Support/resources do I Achievemen
Priority objectives? needed for objectives target
(high/med achievement
/low

Expressing my ideas not only to a
little set of people but to the entire High
Public
 Interrelating with teammates Preparing notes to aid in 4mnth
 Be present during a training exercise preparing ahead of rendering
 Using group work to enhance my speech.
confidence and involve more in lectures
 Offer to deliver reports anytime I am
free, such as during workshops.
 Participate in showcasing skills seminar

Improve my Nursing expertise  Talking to teammates Attend short lectures provided 9mnth
(e.g., showing compassion and care High by my school to aid in
 Attending classes
improving my nursing skills.
to patients)  Acquiring applications
 Joining good internet forums
 regular practising
personal development plan Tone of Activities to undertake to attain my Support/resources do I Achievemen
Priority objectives? needed for objectives target
(high/med achievement
/low

system

Professional skills Medium  put my work in order so I am prepared Using pin notes, creating Gantt 4mnth
charts, diary usage, or doing
critical reflective analysis.

Professional skills Medium  Participatingng in team work to assist Continous communication to 4 months
me to adjust to the way others learn, get data in a simple way
consenting me to interconnect more
self-assuredly and effectually

Skills in solving problems High  By doing an operative inspection of Support Senior matrons with 8mnth
executives' techniques for deciding pre-emptive analyses.
tasks so that greater prospects may be
It is also obligatory I guise for
attained.
an accessible resource to
resolve any problem at work to
achieve the objective

Management skills High  Attend numerous training and a Read literature on Leadership 7mnth
personal development plan Tone of Activities to undertake to attain my Support/resources do I Achievemen
Priority objectives? needed for objectives target
(high/med achievement
/low

seminar to hone my leadership and

decision-making abilities.
 Join in a leadership development
scheme.
 Performing in leadership seminars that
will enable me learning from more
experienced leaders.

high  Interrelating with team memebers. Ensuring that previous 9mnth

 Keeping a time record. seminars have helped to be
Time management
 Working earnestly. meticulous with time.

Decision-making high  Making Plans. Providing a workshop that will 3mnth

 Limiting chances. advance decisional skills in
 Be assertive. administration.
 Set deadlines
personal development plan Tone of Activities to undertake to attain my Support/resources do I Achievemen
Priority objectives? needed for objectives target
(high/med achievement
/low

Demonstration skills
high  Examine presentations by some other Providing educational and 6mnth
persons. vocational training
 Create the thought to initiate the sub-
topics of your research topic.
 Understanding how to interconnect with
the public.

Groupwork skills high  Occupied with a set of persons to Providing seminars on team 6mnth
achieve a shared goal effectively. managerial skills
 Creating good communication skills.
 Listening to other members of the team

high  Seek good foundations. Providing seminars on patient 5mnths

 Examine all investigated result. relationship
Information sourcing skills
 personal development plan Tone of Activities to undertake to attain my Support/resources do I Achievemen
Priority objectives? needed for objectives target
(high/med achievement
/low

 Explaining the study terms

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