nursing leaders reflective essay

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Essay: Leadership in Adult Nursing (reflective)

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Introduction Leadership is a process which involves individual activity to state desire objective and vision in a situation, providing support and motivating other people to attend set goals (Swearingen, 2009). Danae et al. (2017) believe that leadership is broadly recognised as a key aspect of overall effective healthcare. Therefore, nurses require strong leadership skills to accomplish various tasks to improve care quality. In this assignment, I will cross reference six experts (see appendices) from my professional development portfolio related to the four domains of standards of competence for preregistration nursing (NMC, 2010). Additionally, I will address each domain using Rolfe, Freshwater and Jasper (2001) reflection model, which is composed of three stages ‘what’, ‘so what’, and ‘now what’. This model is suitable to link practical experiences with theory, it helps to improve clinical practice and identify further learning opportunities; which will be addressed by formulating a S.M.A.R.T action plan (Doran, 1981). Domaine 1: Professional values What? Appendix 1 shows aspects of the professional values that I need to address. It contains mentor’s comment about patient advocacy skill. During my Nursing Practice 5 (NP5), I looked after a 56-year-old disabled woman with Spina Bifida who was alert and orientated, unable to move on her own, but, had clearly expressed her need to be moved every two hours to avoid another pressure ulcer as she had one before. This was not respected by health care assistant taking for excuses “the ward is very busy, she is not the only patient”. I regret I didn’t advocate for her. Furthermore, appendix 2, which is the leadership framework self-assessment tool demonstrates aspects of personal quality that I need to review. These are related to the (NMC, 2010) instructing nurses to take all reasonable steps to protect people who are vulnerable or at risk from harm, neglect or abuse. So what? Professionalism means practice through the application of the Code (NMC, 2017). In the UK, nurses must act as advocates for their patients, challenge poor practice and discriminatory attitudes and behaviour relating to the care of vulnerable people, (NMC, 2015). This is supported by the Royal College of Nursing (RCN) stating that speaking on behalf of another is an integral part of the nurse’s role (RCN, 2008). Moreover, The International Council of Nurses emphasises the need for nurses to respect the rights, values, customs and beliefs of individuals and families, and to advocate for equity and social justice in resource allocation and in access to health (ICN, 2012). Such endeavours are central, as illness nearly always increase levels of patient vulnerability and dependence (Marquis and Huston 2012). Emphasizing the fact that nurses should influence the way care is given in a manner that is open and responds to individual needs (RCN, 2015). Unfortunately, there have been cases where nurses have failed to provide fundamental care to patients. The report into the failing at the Mid Staffordshire Hospital identified poor leadership coupled with clinical staff accepting standards of care that should not have been tolerated (Ellis and Bach, 2015). More recently, Care Quality Commission (CQC) has issued a Warning Notice requiring some trusts to improve safety, patient consent and overall leadership (CQC, 2017). This accentuates the role of leadership in prioritising patient safety and in listening to and learning from patients (storey and Holti, 2013). Stressing the need for nurse leaders to be self-aware and recognise how their own values and principles may affect their practice (NMC, 2010). Leaders encourage teamwork by appreciating individuals’ contributions and ideas; this creates needed behaviour, such as shared respect, compassionate care, attention to detail, between team members (NHS Leadership Academy, 2013), and create a motivating work environment (Adair, 2002). Therefore, the quality of leadership has a direct impact on the quality of service provided at all levels. The leader’s obligation is to create an environment in which good people can provide good care (Engard, 2017). Pointing out personal attributes of nurses that help to enable advocacy like flexibility, empathy, self-motivation, professional commitment, sense of responsibility, and the ability to cope with stress (Choi, 2015). Reflecting on the above scenario, transformational and transactional leadership can both play a role in the negotiation of a win-win situation. Transformational leadership is defined as a leadership approach that causes changes in individuals and social systems. It is about having a vision of how things should or could be and being able to communicate this idea effectively to others (Ellis and Bach, 2015). Whereas transactional leadership is based on contingent rewards and can have a positive effect on followers’ satisfaction and performance (Tomlinson, 2012). Transformational leadership plays a more critical role in the present scenario. it can motivate and inspire healthcare assistant and have a more significant impact to change both their thinking and behaviour Jie-HuiXu (2017), thus, allowing them to reach their potential and deliver sustainable changes to care. Now what? Now I should strive on developing and sustaining my engagement in patient advocacy by the end of NP7. In my Ongoing Achievement Record document, I will work with my mentor to complete competency 1.2. called: Understand and apply current legislation to all service users, paying special attention to the protection of vulnerable people, including those with complex needs. I will actively seek mentor, patients, family and others health professionals’ feedback and reflect on when I have been involved in patient advocacy during placement and review this with my mentor at mid- and end-point review. Domain 2: Communication and Interpersonal Skill What? Communication and interpersonal skill are vital parts of collaborative working (NMC, 2010). I reflect on communication using Situation, Background, Assessment and Recommendation (SBAR) mentioned in appendix 3, which is a reflective writing during placement 5. In a surgical ward, during routine observation of a patient who had undergone a cystectomy, I noticed that the patient was spiking in temperature (38.5) although NEWS score was 1, I immediately informed my mentor who directed me to blip the doctor in charge of his care. While communicating with him I was unable to give a clear response to questions about the patient’s condition. Even though he reassessed my patient immediately, I regret I didn’t use SBAR tool, because it could have helped to communicate clearly and prevent any potential delays. Appendix 1 in the section ‘working with others’ further shows that I need to improve my interpersonal skills. These relate to part of the NMC (2010) stating: nurses must use a range of communication skills and technologies to support person-centred care and enhance quality and safety. So what? Bach and Grant (2010) state that good communication and interpersonal skills are essential characteristics of high-quality nursing practice. The NMC (2010) also said that all nurses must use the full range of communication methods, including verbal, nonverbal and written, to acquire, interpret and record their knowledge and understanding of people’s needs. Emphasizing the use of communication tools like SBAR. SBAR is a tangible approach to framing conversations, especially critical ones that require a nurse’s instant attention and action. It promotes the provision of safe, efficient, timely, and patient-centred communication (Chaboyer et al., 2010; Day, 2010). Moreover, SBAR can be used for multiple forms of communication. It can be a change-of-shift report (Pope et al., 2008; Thomas et al., 2009), or can be applied to written communication (Perry, 2014). In addition, SBAR helps nursing students and recent graduate nurses organize their thoughts prior to calling physicians, to save time, reduce frustration, and improve overall communication (Pope et al., 2008). Furthermore, the use of SBAR communication tool temporarily flattens the hierarchy perceived in most healthcare settings, resulting in more effective channels of communication between healthcare providers (De Meester, Verspuy, Monsieurs, & Van Bogaert, 2013). According to Hackman and Johnson (2013), leadership is first, and foremost, a communication-based activity. Depending on the circumstances, a leader should try to be more authoritarian, democratic or laissez-faire (Mitchell, 2012); or should focus the communication on the tasks or use a more interpersonal style (Hackman and Johnson 2013). Reflecting on the scenario related to this domain, an assertive, clear and focus communication using SBAR format would have provided a brief, organized, predictable flow of information improving critical thinking communication skills and patient safety (Olin, 2012). It can be argued that it is hard to serve as an effective leader without effective communication (Hackman and Johnson 2013). This is agreed by Perry et al (2014) stating that effective commutation is a central attribute of clinical leadership. Clinical leaders can influence their colleagues with effective communication skill such as good listening skill and extremely good at explaining things at the right level that can be understood by followers. However, it is important to note that each clinical leader has a preferred style of communication that would not necessary works every time. Hackman and Johnson (2013) recommend choosing a leadership communication style that will work best according to the situation and the level of knowledge of followers. Now what? During next placement (NP7), I will strive to change communicating SBAR in a more professional, concise, clear, in a timely manner when communicating with the multidisciplinary team to improve patient outcome. I will actively seek feedback from my mentor and other professionals at mid- and end-point reviews. I will also change my preferred communication style from passive aggressive to an assertive communication style. For that, I will use the communication style questionnaire at the beginning then altered my behaviour during the first part of the placement, then repeat the questionnaire at mid-point and ask for feedback to my mentor base on the comparison on two questionnaire results and base on her observation. And repeat this again by end-point. Domain 3: Nursing Practice and Decision Making What? Here I reflect on nursing practice and decision making, see appendix 4, which is an end-point mentor comment during NP3 showing that improvement is needed in this domain. This is underpinned by appendix 5: a reflection done at the beginning of NP6 when I looked after a patient with hypoxic brain damaged who had a seizure. On my entry into his room, I found the patient unconscious, I took the decision to clear his airway before pressing the emergency bell which could have jeopardised patient safety. This is related to the NMC (2010) stating that nurses must be able to recognise and interpret signs of normal and deteriorating mental and physical health and respond promptly to maintain or improve the health and comfort of the service user. My behaviour pointed out the need to enhance my skill and knowledge in this domain. So what? Judgement and decision-making are important facets of healthcare for nurses (Traynor et al., 2010). Judgement is defined as weighing up different alternatives; while decision-making involves choosing a specific course of action to follow between alternatives (Lamb and Sevdalis, 2011). Hence, (Undre et al., 2009) define efficacious judgement and decision-making as skills that go beyond clinical knowledge and technical competence, highlighting the fact that nursing judgement and decision-making contribute significantly to the safety and quality of patient care (Traynor et al., 2010). However, several studies have high-pointed that when given the same information, and undertaking the same decisions, nurses will make consistently different judgements and decisions (Thompson et al., 2008; Thompson and Yang, 2009). Differing judgement and decision indicate different types of reasoning, in situations where time is not constrained, newly qualified nurses will make structured judgments with a rational-analytical decision. For those situations where time is limited, information is perceptual, and the nurse has some perceived expertise, it is appropriate to use intuition as the basis for judgement (Hammond et al., 1987). Thompson et al (2008) suggest that the key to successful reasoning is to adapt reasoning to the demands of the task. However, such adaptive reasoning by nurses is sometimes absent. Thus, good decisions and judgements are not independent to the cognitive process but can be influenced by how information is prioritised and the nurse’s ability to identify and respond to vital aspects of the clinical situation (Pearson, 2013). Thompson et al (2013) state that recent studies have shown positive benefits associated with the introduction of Computerised Decision Support Systems (CDSS) to support nursing decisions. Hence, helping to promote patient’s safety and improve their outcome. Reflecting on the scenario related to this domain, future decisions making process, whether they are based on normative, prescriptive or descriptive theory must include clinical expertise, patient value and best available research evidence (Sackett, 1996). because evidence by itself, does not make the decision, but it can help support the patient care process. In the same order, Marquis and Huston (2015) suggest that to be effective as a leader, one needs certain skills for making decisions, such as self-awareness, fairness and transparency which are skills also needed in decision making. This is supported by Thompson and Dowding (2009 p5) affirming that “One of the distinguishing features that mark out exceptional nurses is their skills in judgement and decision making”. Decision making is considered important leadership skills and is recognised by Sofarelli and Brown (1998) as qualities associated with transformational leadership. Now what? I have realised that decision making, particularly in nursing, is vital as it influences patient safety and outcomes (Ellis and Bach, 2015). It has been mention earlier that experience is a factor that affects decision making. To gained experience in judgement and decision making, I will use every opportunity during NP7 to practice evidence base in nursing practice and decision making by always based my decision on useful information sources like clinical guidelines, protocol and policy and patient preference. After what I will actively seek feedback from my mentor and others healthcare professionals and of course to patients to check their satisfaction about their involvement in the decision-making process about their own care at mid- and end-point reviews. . Domain 4: Leadership, management and team-working What? My leadership, management and team working skill are measured in appendix 2 and appendix 6 which are both leadership self-assessment tools. The first one showing aspects of my leadership that needs to be improved and the second one showing my leadership style which is “guiding” needing improvement to become more empowering. These are further supported by appendix 4: mentor end NP3 comment. During the leadership module, I took part in several group activities, which enabled me to understand team role importance and that there is no leader without followers. This part relates to NMC (2010) stating that nurses must work independently as well as in teams; be able to take the lead in coordinating, delegating and supervising care safely, managing risk and remaining accountable for care given. So what? Tomlison (2012) states that self-assessment helps individuals to appreciate their qualities, strengths and weaknesses thereby, enabling better transformational leadership. Bass (1985) found that transformational leadership contributes to individual performance and motivation. Whereas transactional leadership (Burns, 1978) is short-lived, and task-based, with the leader intervening with negative feedback when things go wrong. Adair (2002) proposed a three-circle model of strategic leadership, with the circles being the needs of the task, the individual and the team. This is a democratic model of leadership matching the NMC code, where Individuals and groups are involved in decision-making processes concerning their work (Adair, 2002). Management skills are as important as leadership skills in addressing some failings like those identified in the Francis report (Kerridge, 2013). Kerridge suggests they are closely linked, effective management and leadership both require putting first thing first. The King’s Fund report (2011) concurs, defining leadership as the art of motivating people toward a shared vision and management as getting the job done, suggesting that the exercise of leadership across shifts could be extended to management practice; pointing out that every member of healthcare team has some management and reporting functions as part of their job (Baker et al., 2012). Lord Darzi (2008) said: ‘Leadership is not just about individuals, but teams’. A successful leader will see each person as an individual, recognising their unique set of needs, as not everyone will perform at the same level (Hackman and Johnson 2013). This rejoins the description of team role by Belbin (1996) as he described a team role as ‘a tendency to behave, contribute and interrelate with others in a particular way’. Suggesting that Belbin assessment would be an ideal way for a team to examine: the roles they play, how these fit in with the team and the contribution of roles to the team (Frankel, 2011). Therefore, it would be advisable that team members use the questionnaire to helps identify individuals’ preferred roles, their manageable roles and their least preferred roles within the nine teams’ roles as described by Belbin in-order-to improve the success of teamwork. Nurse leaders need also to be able to respond to an ever-changing healthcare environment (Frankel, 2011). The literature suggests that leadership, effective communication and team working are among the most important elements for planned change (Schifalacqua et al., 2009a). Kurt (1951) identified three steps of change: unfreezing, moving and refreezing. This work was modified by Rogers (2003) who described five phases of planned change: awareness, interest, evaluation, trial and adoption. Another change theorist, Ronald Lippitt (Lippitt et al., (1958), identified seven phrases. Mitchell (2013) advises that Lippitt’s work is likely to be more useful to nurses because it incorporates a detailed plan of how to generate change and is underpinned by the four elements of the nursing process: assessment, planning, implementation and evaluation. Now what? To improve my Leadership, management and teamwork skills, I will use the first week of my MP7 to observe my mentor and nurses in charge leading some shifts, then, I will seek clarification on grey areas of my understanding and ask to have my own patients. This will enable me to practice leading others, managing patients and working with the multidisciplinary team. I will actively seek feedback till mid-point review, then, I will lead and manage my mentor whole set of patients under her observation and correction whenever needs arise till end-point. This will help me to move toward an empowering leadership style. Conclusion I have learnt that: a good leader or manager remains grounded in the values, beliefs and behaviours that guide professional nursing practice; understanding your role and that of other will nurture clear communication thus improving the success of the team; safe decision-making must be evidence-based; and effective leadership fosters a high-quality work environment leading to positive safe climate that assures better patient outcomes.

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Nurturing Leadership: 4 Key Strategies for Reflective Practice in Nursing

5 min read • February, 21 2024

Nursing leaders play a pivotal role in guiding change to enhance patient care and improve professional practice environments. Reflective practice stands out as a cornerstone for effective leadership, allowing nursing professionals to evaluate their experiences critically and foster continuous improvement. This article delves into four key reflective practices that can empower nursing leaders to drive meaningful change.

The Power of Reflection in Nursing Change

Reflective practice is more than a method; it's a mindset that enables nursing leaders to learn from their actions, make informed decisions, and engage their teams in the journey towards excellence. By incorporating reflective practices into their leadership approach , nurses can better navigate the complexities of healthcare, adapt to challenges, and implement strategies that align with their goals and values.

Understanding Your Change Goals

Q: What did you say you were going to do? A: Begin by revisiting your initial objectives. Clear articulation of your goals lays the foundation for accountability and sets the stage for impactful change. Reflect on the scope of the changes you envisioned and the outcomes you aimed to achieve. This honest appraisal is your first step towards meaningful progress.

Assessing Your Actions

Q: What did you actually do? A: Reality often diverges from our plans. Assessing your actions with candor enables you to identify discrepancies between your intentions and your actual practices. Acknowledge both your achievements and the areas where you fell short. This recognition is crucial for realistic self-assessment and sets the groundwork for authentic growth.

Learning from Experience

Q: What did you learn? A: Every step in the change process offers valuable lessons. Reflect on the insights gained from your experiences and how they can inform future strategies. These lessons are the silver lining, providing clarity and direction for your next moves.

Planning Your Next Steps

Q: What do you need to do next? A: Armed with new knowledge, plan your forward strategy. Consider who needs to be involved, the resources required, and the timeline for implementation. This step is about translating insights into actionable plans that drive further change.

Incorporating Reflective Practice into Your Routine

Integrating reflective practice into your leadership routine doesn't have to be daunting. Start small with regular reflection sessions, encourage team discussions that foster collective learning, and set aside time for personal and professional development. Embracing reflection as a habit can transform your leadership approach and significantly impact your team's performance and well-being.

Reflective practice is an invaluable tool for nursing leaders seeking to navigate the complexities of healthcare and drive positive change. By focusing on these four essential aspects of reflection, you can enhance your leadership effectiveness, improve patient care , and foster a culture of continuous learning and improvement . Start today by taking a moment to reflect on your practice and empower yourself and your team for the challenges and opportunities ahead.

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Nursing Reflective Essay: Examples + Useful Writing Tips [2024]

Do you need to write a reflective nursing essay? Whether you are a nursing student or already working, we know that you may be too busy writing papers. We’ve prepared information for you about reflection models and nursing reflective essay examples, writing instructions, and templates for the outline. This article will teach everything you need to make writing your essay easier.

So, how do you write an academic reflective essay?

What Is a Reflective Essay?

15 best reflective essay topics: nursing, nursing reflective essay examples, reflective tools and models, reflective essay writing tips, reflective essay body paragraphs, how to conclude a reflective essay.

In a reflective essay, you express your thoughts based on your knowledge, beliefs, reflections, and experiences. A reflective essay is best described as an exceptional and personal essay: you will have a lot to think about, comprehend, and explain. You have to demonstrate the feelings that you have experienced before. It should be honest. If you have any opposing thoughts and feelings about the topic, you should write them.

The peculiarity of a reflective essay, unlike an analytical one, is in the expression of thoughts based on personal experience.

How long does a reflective essay last? It’s simple. It depends on your topic and how you express your thoughts. But you have to remember that this is a highly brief type of essay, and you can do it with a few pages.

You can check out the 100% free essay samples to see it all.

What Is a Reflection in Nursing Essay?

Nursing involves many aspects of work, and reflection is one of the critical tools for developing professional competence and personal skills. In nursing, reflection is important because it provides all the prerequisites for further personal growth. It is a reflection that will allow you to take a broader look at your strengths and weaknesses and assess your prospects.

Think of your nursing reflective essay as a chance to reflect on your career, skills, and personality, which will lead to further improvement.

• Empathy and support in nursing.
• Communication with patients is one of a nurse’s most important tasks.
• Nursing is the art of caring for the patient during illness.
• The key is not to cause harm but to help afterward.
• Time management in nursing.
• The Patient’s Interests Come First.
• Why did I become a nurse?
• Doctor- patient confidentiality in nursing.
• The importance of enhancing soft skills for the nurse.
• Nursing knowledge should not be limited to narrowly professional information.
• Reflective essay on the internship .
• Nursing culture and ethics .
• Deontology of nursing and its synthesis with my personal experience.
• Nursing clinical reflection essay.
• Nursing issues for the elderly.

To better understand what reflexivity is, let’s look at examples based on these articles:

Scientists from different fields of science invented many models to simplify the process of reflection. Below are reflection models you can use in your essay nursing writing practice.

Gibbs’ Reflective Model

In 1998, Graham Gibbs introduced his reflexive model to the world. Gibbs’ model is a cycle and, therefore, excellent for analyzing repetitive experience.

It covers 6 stages:

• Description. What happened? Don’t judge or try to conclude yet; just describe.
• Feelings. What were your reactions and emotions? Again, don’t begin to analyze them yet.
• Evaluation. What was good or bad about the experience? Make value judgments.
• Analysis. Were different people’s experiences similar or different in importance?
• Conclusions. What conclusions can you draw in a general sense from this experience and your analysis? What conclusions can you draw about your particular, unique personal situation or way of working?
• Personal action plans. What steps are you going to take based on what you have learned? What are you going to do differently in this situation next time?

Dewey’s Reflective Thinking Model

John Dewey believed that reflective thinking is the active, persistent, and careful evaluation of a belief or assumed form of knowledge, the grounds for that knowledge, and the additional conclusions to which knowledge leads.

John Dewey’s Reflective Model was one of the first and has been the foundation for many other models. He identified five steps of reflective thinking:

• Step 1: Identify the problem.
• Step 2: Investigate the issue.
• Step 3: Generate several possible solutions.
• Step 4: Evaluate the options and select the best answer from the combination of solutions.
• Step 5: Test and implement the solution.

Kolb Reflective Model

The Kolb Reflective Model or “Kolb cycle” focuses on transforming information into knowledge. The basic four steps of the Kolb model are as follows:

• Concrete experience. Anyone should already have experience in the field or area they want to learn.
• Observation and reflection . This stage implies analyzing the person’s experience and knowledge .
• Forming abstract concepts . A model describing the information and expertise is built at this stage . Ideas are generated, interrelations are made, and new information is added concerning how everything works and is arranged.
• Testing in new situations . The last stage implies experimentation and testing the model’s applicability and concept . The result of this stage is a direct unique experience. Then the circle closes.

Schön Reflective Model

Donald Schön’s reflexive model was described in the book ‘ The Reflexive Practitioner .’ He explained how professionals solve problems with a kind of improvisation that is perfected through practice.

Schön’s reflective model , like his writings, is based in many ways on the Dewey we already know

• Action reflection involves reflecting on an experience you have already had or an action you have already taken. It involves considering what could have been done differently and the positive aspects of that interaction.
• Reflection in action involves reflecting on your efforts as you make them and considering issues such as best practices throughout the process.

Bouds Reflective Model

David Bouds paired with Schön to explore the limits of reflective practice. This model is based on learning by doing. By analyzing his own experience, the practitioner begins to understand better how to improve certain things.

Bouds suggests that by reflecting, a person may be unconsciously learning. In reassessing the events of his life, he systematizes and classifies emotions, ideas, and results, as well as results, and compares past goals with results.

Past experiences, experiences, and ideas require constant analysis attention to feelings. This leads to new perspectives, commitment to action overall positive changes in behavior.

Driscoll Reflective Model

John Driskoll proposed a simple model of reflection at the beginning of the 21st century. It involves reflection through extended answers to questions we are already familiar with. The scholar linked the three basic questions to the stages of the experiential learning cycle and then added trigger questions that must be answered to complete the process of reflection.

Step 1: What? Sets out to recall what happened as objectively as possible, without criticizing anything that happened

• What exactly happened?
• What exactly did you do?
• Was anyone else involved?
• Was it a good experience? Or a bad experience? Or both? And why?

Step 2: So what? It requires you to slow down and start looking for patterns or meaningful moments. The key here is to bring in concepts that help shed light on what is going on.

• How did you feel at that particular moment?
• How did you react?
• Why did you react that way?
• Did you feel the same way about the situation then as you do now?
• Did you experience conflict with your values?
• Do you think past cases influenced your experiences in this situation?
• Who else was involved in the situation? How did they feel? And how did they react? And why did they react that way?

Step 3: Now what? Encourages beginning to transfer new knowledge into future situations and other contexts.

• What did you learn from reflecting on this situation/experience/incident?
• Could you have prevented the negative consequences?
• And how might you have done so?
• What would you have done differently if a similar situation arose in the future?
• What could you have done to better prepare for it?
• Where did things go wrong last time, and what would you focus on now?

5R Framework

The 5R Framework was developed in 2002 by a group of scientists as a universal system of reflection, later modified.

It focuses on five basic steps, each addressing one aspect of reflection. Thinking through the five stages, an individual will engage all of the major reflection components, allowing you to create a critically meaningful review based on your experience.

• Report. What do you see and hear? Write it all down.
• React. What do you think is happening? What works well and what doesn’t? How do you feel about the situation you are reflecting on? What is it about this situation that makes you feel this way?
• Relate. How do my perceptions of this situation relate to my personal and professional experiences? How do they relate to my knowledge and skills? Through what “lens” do you view this situation? From the perspective of classroom management or collaborative learning? Do you need professional development in terms of content knowledge?
• Reason. Do you relate your point of view to someone else’s and how it affects the situation? Does sound practice support your strategies, or do you use different approaches? How does your point of view affect how you understand the problem? Could another point of view be helpful?
• Reconstruct. What did you learn from this observation, and how will it affect your practice?

CARL framework

The CARL framework of reflection involves going through four stages: context, action, results, and learning. The vastness of this model gives a lot of information, and even at the first stage, you can already get a lot of valuable data. But this is also its main disadvantage because it makes the model more complex.

The framework has four steps:

• Context : Description of the context of the experience.
• Action : Explanation of the action taken.
• Results : Explanation of what your actions led to.
• Learning : Identification of the experience and knowledge gained.

Now that we’ve covered the basic concepts let’s write a reflective nursing essay.

Reflective Essay Outline

How to make a reflective essay? First, write an outline.

Any reflective essay is a statement of thoughts about something, and the outline acts as a sketch in which you write them down. Creating it is the first step to creating high quality and vivid essay.

What would make a good outline structure for a reflection essay? Structure all your knowledge. Write what you want to see in the introduction, body, and conclusion.

Here is the reflective essay outline template:

• Hook: Use a catchy statement to set the tone and introduce the article.
• Mention the main points.
• Thesis statement: Include all the important points and ideas in one statement.
• Topic sentence: Carefully explain the first idea in one sentence.
• Proof of topic or idea: Use authoritative sources to support the idea.
• Idea analysis: Apply logic and rational thought to the idea and information from the source.
• Topic sentence: Carefully explain the second idea in one sentence.
• Topic sentence: Carefully explain the third idea in one sentence.
• Repeat the statement of the thesis.
• Review the main ideas
• Final, concluding sentence

Reflective Essay Thesis

A thesis statement is a condensed version of the paper in which you must briefly explain your position. The point is for your audience to read it and understand your work.

To make a good thesis statement for a reflective essay, you need to formulate your thought on paper. To begin with, think well about the problem, and develop your attitude toward it. That’s why the thesis statement should be created after writing the outline. It is unnecessary to give everything out in advance to the reader because later, you will unfold this thought more broadly.

After successfully developing the thesis statement, you can proceed to the actual writing.

And so, below, you can see examples of the reflective essay introduction and conclusion. Learn what its body of it is.

How to Start a Reflective Essay? Examples

You need to start any paper in the right way. How to write a reflective essay introduction? Check these examples:

• Practice and theory do not always agree. Not all of the medical reference books that I have been able to study are fully applicable in practice. John Kimble’s case is a testament that it is often necessary to rely on them and consider the specific situation. He complained of dizziness, and the doctors advised him to get a blood iron test. The test showed that there was nothing wrong. But as it turned out later, this was an erroneous result because Kimble had eaten redfish rich in iron the day before, which temporarily raised the iron in his blood.
• I had always dreamed of becoming a nurse, but my fear of blood robbed me of all desire to study. But still, my passion and ambition made me pull my will into a fist. I had to change and forget what fear of blood was. I lived my dream, which helped me overcome one of my fears.
• A few years ago, I went through a severe emotional crisis. I had always dreamed of going to the University of California, as it is one of the most prestigious medical universities in the United States. But unfortunately, I failed my entrance exams, so I had to study at the university in my hometown. My failure seemed like a disaster, but now I realize it was a real blessing.

The essay’s body carries arguments, explanations of the topic, and the main body of information.

Each paragraph should begin with short introductory sentences, and the body of the sections should be divided into several parts. This will help you better structure what you have written and help the reader navigate through the text.

It is worth remembering about argumentation. There should be several things that you rely on in your position. Describe each of them in detail in a separate paragraph. Observe the semantic sequence. A mistake, in this case, will be to repeat twice the same argument in different words. It will give the reader the impression that there is nothing to say.

You should also remember about transitions in a reflective essay. Move smoothly from one aspect to another and take your time.

How to end a reflective essay? In conclusion, you should focus on pulling together all of the material, summarizing all of the points made and what you have learned. Try to include a few moments about why and how your attitudes and behaviors changed. Here are some examples:

• Was the practice of volunteer nursing helpful to me? Absolutely! I was grateful for these weeks because I learned a lot. But most of all, I have learned my Soft skills, which will help me get used to my professional activities.
• At that moment, I thought about who would be the priority in that situation, and I still believe it was the patient. If the same problem were to arise again, I think I would do nothing but speak up and justify my decisions. I recognize and know that time management and prioritization are essential skills in nursing, and I hope that my skills will improve with practice.
• I reflected on how personal values can affect professional practice from the incident. Still, it is crucial to consider that the organization has its own set of values to follow, regardless of personal values. Finally, in reflecting on the incident, I was able to discuss the importance of quality assurance monitoring and health care evaluation both in general and during the incident, which allowed me to consider what conclusions were drawn from the incident and how to prevent similar situations occurring again.

So, now you have examples and an idea for writing a reflective nursing essay. Writing your paper will become many times easier and faster.

If this article was helpful, share it with your friends and colleagues!

❓ What Is the Purpose of Writing a Reflective Essay?

A reflective essay aims to express one’s thoughts about a previous experience, including how one changed in the process and what one learned. It is often described in a diary entry; they are intended to demonstrate how the author’s thoughts have changed over time.

❓ What Makes a Good Reflective Essay?

A reflective essay is a combination of both objective and subjective elements. We mix scholarly analysis with personal experiences. This type of paper should explain to readers how our experience influences our behavior and what lessons we learned.

❓ What Are the 3 Basic Parts of Reflection Paper?

An essay should have a clear structure and must contain three parts. It should have a clear introduction reflecting the problem, then the central part with an analysis of the causes, and the conclusion with possible solutions to the problem or how it affected the author.

❓ What Is the Best Reflective Model to Use in Nursing?

One of the best options for nurses is the Gibbs model. The model is accessible and extremely simple. Therefore it can be operated without any problems in any situation.

• Reflection toolkit: The University of Edinburgh
• Essay Conclusions: University of Maryland
• Thesis Statements: UNC Writing Center
• A short guide to reflective writing: University of Birmingham
• Outlining: Harvard College Writing Center
• Reflective Practice in Nursing: ZU
• Critical self-reflection for nurse education: NCBI
• Essay Structure: Harvard College Writing Center
• Essay Structure: UAGC Writing Center
• General tips for academic reflections: The University Of Edinburgh
• Reflective essays – ANU
• Writing An Essay Title – Illinois Valley Community College
• Nursing Essay Help: Medical Essay Writing Service in UK
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Gibb’s Reflective Cycle in Nursing Leadership Essay

• To find inspiration for your paper and overcome writer’s block
• As a source of information (ensure proper referencing)
• As a template for you assignment

Introduction

Description.

In the healthcare setting, nursing leadership plays a critical role in influencing the overall health outcome. The activities involved in patient care are repetitive and tiresome, which sometimes makes nurses exhausted and unable to deliver the best quality services. In such conditions, they require a nurse manager able to inspire and motivate them to work towards achieving the objectives set. To ensure all the processes run effectively in the organization, the leader must reflect on the various encounters to improve the aspect of decision-making and management. By relying on Gibb’s Reflective Cycle, the nurse manager will have the ability to effectively scrutinize experience and establish a proper action plan necessary for better service delivery.

One night at around 11 pm, when I was at home relaxing, I received a phone call from a nurse who was part of the night shift team informing me that other providers refused to attend to the patients. I had already planned the schedule and assigned each of the practitioners their roles (Tawanwongsri & Phenwan, 2019). I was forced to report and assess the situation at the hospital immediately. Several patients did not receive their routine medication, and I had to give it to them despite lateness.

I felt scared knowing how missing medication could worsen the condition of patients. Before I left the healthcare facility, I was confident knowing that I had arranged the night shift program for the providers on duty. The nurse who reported was confused and overwhelmed with duties during the situation. The scenario made the majority of the patients feel that care services were not properly given. During the phone call, I thought most sick individuals would be reactive due to poor services. Later I asked the nurses why they did not attend to the patients, and they said they were tired.

The occurrence made some of the patients change their medication to enable them to reverse the condition. The incident made me understand the value of motivation to staff workers and how it affects their performance (Markkanen et al., 2020). When I arrived, I found the active nurse had given the majority of patients their evening doses. As the nurse manager, I convinced and promised the providers to go slow and better working conditions to improve their participation.

Work burnout is a serious issue in the healthcare setting, and it is upon management to formulate effective ways to manage it. Without proper motivation, providers are more likely to become unresponsive (Dall’Ora et al., 2020). From the incident, I realized that it is important to cater to the well-being of nurses to keep them inspired. Nurse leaders should always be within the facility to intervene immediately in case of such situations.

If I had acted before to motivate the nurses either through a balanced work schedule or other benefits, the incident would not have occurred. It is now clear to me that I failed to act on my capacity to create proper working conditions to prevent work stress that limits providers’ participation. I have realized that as a leader, I must support and ensure nurses’ needs are met to enable them to remain active and ready to work.

Based on the incident, I will ensure to motivate and engage staff members by inquiring about the challenges they are facing that might hinder their service delivery. Such involvement will allow me to prevent the occurrence of such situation that risks the lives of patients. I will further establish a proper routine so professionals have adequate time to relax and refresh their minds to lower issues of burnout.

Dall’Ora, C., Ball, J., Reinius, M., & Griffiths, P. (2020). Burnout in nursing: A theoretical review . Human resources for health , 18 (1), 1-17. Web.

Markkanen, P., Välimäki, M., Anttila, M., & Kuuskorpi, M. (2020). A reflective cycle: Understanding challenging situations in a school setting . Educational Research , 62 (1), 46-62. Web.

Tawanwongsri, W., & Phenwan, T. (2019). Reflective and feedback performances on Thai medical students’ patient history-taking skills . BMC medical education , 19 (1), 1-8. Web.

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IvyPanda. (2023, November 29). Gibb’s Reflective Cycle in Nursing Leadership. https://ivypanda.com/essays/gibbs-reflective-cycle-in-nursing-leadership/

"Gibb’s Reflective Cycle in Nursing Leadership." IvyPanda , 29 Nov. 2023, ivypanda.com/essays/gibbs-reflective-cycle-in-nursing-leadership/.

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IvyPanda . 2023. "Gibb’s Reflective Cycle in Nursing Leadership." November 29, 2023. https://ivypanda.com/essays/gibbs-reflective-cycle-in-nursing-leadership/.

1. IvyPanda . "Gibb’s Reflective Cycle in Nursing Leadership." November 29, 2023. https://ivypanda.com/essays/gibbs-reflective-cycle-in-nursing-leadership/.

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IvyPanda . "Gibb’s Reflective Cycle in Nursing Leadership." November 29, 2023. https://ivypanda.com/essays/gibbs-reflective-cycle-in-nursing-leadership/.

How to Write a Nursing Reflective Essay (Guide for Nurse Students)

If you are a nursing or medicine student, you are aware that you will come across or have already come across assignments requiring you to write a nursing reflection essay. At first, such a task always appears challenging, but given the understanding of the steps, things flat out, and you can write reflective essays and get better grades.

Reflective practice is highly encouraged in nursing. Reflection entails making sense of situations, events, actions, and phenomena in the workplace.

As a nursing student, you will be asked to write a reflective essay on your clinical placement, practicum, shadowing experience, shadow health DCE activities, personal nursing philosophy, why you want to become a nurse, nursing program, ethical dilemma, knowledge, skills, and abilities, systems, and processes.

The easiest way to complete the reflective essay assignment is by first determining what reflective writing entails, its significance, its steps, and some of the best tips that form the core of this ultimate guide.

Basics of Reflective Writing in Nursing

Reflective writing is an analytical writing practice where the writer describes a real or imaginary event, scene, phenomenon, occurrence, or memory, including their takeaway. It entails the critical analysis of an experience, including recording how it has impacted you and what you intend to do with the new knowledge or how to act when such an occurrence recurs.

As you document the encounter, you can use first-person pronouns and write subjectively and objectively. This means that you can decide to either use personal experiences alone or support these experiences using citations from scholarly sources.

When writing a reflective essay in nursing, you must recount the events and give critical detail of how the events shaped your knowledge acquisition. Reflection helps nursing students develop skills in self-directed learning, which is directly associated with high motivation and improved quality of care .

In most cases, reflection occurs on what went well and what went wrong. It could be a successful operation, a thank you note from a patient, a patient who regained their health faster, or a new nursing care plan that worked. However, it can also be about adverse events such as death, postoperative complications, death of an infant at birth, dissatisfied patient, medical error, or a failed procedure.

As a nursing student, when you learn to reflect on situations, you grow to become a professional nurse who diligently does their noble duty.

When writing a reflective essay, you begin by setting the scene (explaining what, where, how, and who-the situation), detailing how you felt (emotional state), why it happened (making sense of the situation), critical review and development of insights, a note on what was learned, and strategies to address future recurrence.

Your professor may ask you to write a nursing reflective paper about various topics in your course or your experience working in a group, how you solved a problem, a healthcare issue, or clinical practice. Consider the following example of a reflective statement in nursing; in my clinical practices, I realized I focused more on the technical aspects but failed to explain what it was doing to improve their health. I would like to understand more about listening to patience and their concerns to better care for them.

As you will notice later, these reflective stages are structured into different reflective models and frameworks that we will explore in-depth. So, with the understanding of what comprises reflective writing and its importance in nursing, let's now get solid on the structure.

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Structure of a Reflective Essay in Nursing

A reflective essay is an analytical writing piece describing and evaluating encounters or experiences. When asked to write one, you should know that an excellent reflective essay consists of different parts, just like a typical academic essay. It comprises the cover or title page, introduction, body paragraphs, conclusions, and a references page.

The title page contains information about the assignment. If you are writing the reflective essay in APA, include these on the title page:

• Title of the reflective essay
• Course code and name
• Instructors name
• Name of your institution
• Date of submission

When writing in Harvard format, the title or the cover page will consist of the following:

• Title of the essay in title case and the page number (upper right margin),
• Title of the essay in CAPS,
• Name of class or course,
• Name of the instructor,
• Name of your school,
• City and state where your school is located and,
• The date of submission.

Introduction

The introduction begins with an attention grabber or a hook sentence to attract readers' attention. It should then explain the essay's purpose and signpost the ideas that will come later in the essay. The introduction also has a thesis statement at the end of the paragraph- the last sentence. The thesis is concise, clear, and relatable and should reflect your position.

Body Paragraphs

The body paragraphs of a reflective essay can be three or more, depending on the length of the essay. Essentially, the body comprises 80% of the total word count.

The first paragraph is where you describe the situation, including the events, why they occurred, how they occurred, and those involved.

The second paragraph entails your personal feelings or reaction to the situation and how it made you feel.

The third paragraph can include making sense of the situation. You have to think about why things happened the way they did. You should also critically review and develop insights based on the situation. Finally, think of the factors that could have influenced the situation.

The next paragraph should explain how the event or situation will change your practice, approach, decisions, perspective, or perception. This is where you evaluate the experience by detailing the knowledge and skills you took from the experience.

The last body paragraph should entail a critical reflection on the learning opportunities. First, describe the situation and what it made you learn. Next, elaborate on how you intend to make yourself better poised to address such situations.

Mostly, you should structure the body of your essay as per the preferred nursing reflective model.

After everything else falls into place, you need to summarize the information you presented in the essay. Then, finally, restate your thesis and have a call to action to bring a sense of closure to your readers.

Steps for Writing a Nursing Reflection Essay � The Guide

When assigned to write a reflective essay for your nursing class, here are the surefire steps to get you to success.

Read the instructions

The first step after receiving an assignment is to begin reading the instructions. as you read, note what your instructor or professor expects in the paper you will submit for marking.

Reading instructions helps you to get informed on the scope of the paper, word count, number of references and pages, and the formatting style to use.

Besides, you also get to plan your paper with the deadline highlighted in the instructions.

You need to get a conducive environment where you can start writing.

The first step of writing is to brainstorm about situations during your clinical hours when you were shadowing a Nurse Practitioner or one you have read about.

Assess whether the situation or scenario you have thought, encountered, or chosen can help you write a reflective essay that meets the requirements.

Research and Plan

After choosing a scenario, the next step is researching the best reflective model.

You can use your class text, the instructions, the college library, course readings, and online nursing journals to get articles and resources with information about specific reflective models.

Select the best reflective model and take notes on the steps it entails.

As you research, write down notes on how to address your paper based on your selected framework or model of reflection . Additionally, research nursing journal articles with information you can use when critically analyzing a situation.

Plan how you will handle the paper as well. For instance, as you research, develop a thesis statement that grounds your entire paper, then draft an outline on how to develop the thesis.

Write an Outline

Outlining is a crucial aspect of writing. It helps you envision how you will meet the objective of writing a reflective essay. As an essential part of the essay writing process, outlining helps create a good flow of ideas and can come in handy in helping you overcome writer's block. Your outline should comprise the following:

• The hook or attention grabber
• Thesis statement
• Main points of each body paragraph (topic sentence, evidence, examples, illustrations, etc.)
• Conclusion (restated thesis and call-to-action)

With the outline done, you should take a break and resume writing your first draft of the nursing reflection essay. Writing with an outline helps avoid mistakes and also helps you write faster.

Describe the Experience

Once you have identified the relevant experience, begin describing it chronologically.

Describe the experience that prompted you to consider nursing your ideal career goal. Think of this experience's key elements, such as the setting, patient demographics, and significant events that impacted you.

Show how these events changed your perspective on life. Ensure you are as descriptive as possible to paint a clear picture for readers.

Consider the following questions to come up with a good description:

• What happened?
• Was there someone involved? If yes, what part did they play?
• Where did the event take place?
• What actions did you take?

Set the context of this experience by giving relevant background information. Ensure you are objective and pay attention to the facts.

Provide a Reflection

Talk about your feelings and thoughts concerning the particular experience you went through. You have to be honest and open up about your initial expectations and challenges you faced at each stage of the experience. The following questions can help you come up with a good reflection:

• What was I trying to achieve?
• What prompted me to act the way I did?
• Are there any consequences for my actions? If yes, what are they?
• How did I feel about this event as it was happening?
• How did those around me react to it?
• How do I know how those around me felt about it?

Analyze the Experience

Description of an experience is essential, but so is analysis. You have to move beyond the surface and give a critical analysis of your experience.

State your actions, and your overall experience will give insights into your experience. Think of how the experience has impacted your actions, feelings, and thoughts.

Give an Evaluation

Evaluate the skills and knowledge you got from the experience. Show how you can apply these skills and knowledge in your nursing practice. Also, state the actions and interventions you took during the nursing experience.

State whether you achieved the desired outcome and if there are any specific areas that you need to improve on.

Talk about how you built or improved skills like communication, teamwork, and critical thinking.

As you evaluate the experience, identify what you believe to be your strengths and weaknesses in the nursing experience. What have you learned from the experience? State the areas where you excelled and what abilities contributed to your success.

Talk about how those you were with during the clinical experience complimented you. Similarly, acknowledge your weaknesses.

What kind of mistakes did you make, and how did you improve them? Talk about the tasks that drain you most during the experience.

Illustrate Learning

Demonstrate elements of deeper thought and reflection levels. This is a great point to include nursing theories in your reflection essay to support analysis of your experience.

Relate your experiences to the theoretical frameworks you were taught in class. This is effective learning and will demonstrate your ability to apply knowledge to real-life nursing situations.

Doing this will also show that you can effectively deduce different things from observations made during the reflection process.

Ensure you also demonstrate a change in perspective, as this will prove that you learned something from the experience.

Write Your Conclusion

Conclude by summarizing your points and highlighting the lessons learned.

The lessons you reached as part of your reflection should support your overall conclusion.

Also, restate your thesis statement.

Come Up with an Action Plan

Now that you have learned from your reflection develop an action plan for future nursing practice.

This part should contain all the details you have learned and actions needed to improve when faced with a similar situation. Consider the following questions:

• What would I change if faced with a similar situation?
• How can I develop the necessary skills needed to face this situation?
• How can I act differently in a similar situation?  

Ensure you identify areas to improve and set realistic goals to enhance your nursing skills. Discuss how you intend to seek additional education, training, or mentorship to address your shortcomings.

Finally, end the essay with a happy note so readers know you learned something from the experiences.

Proofread, Edit, and Polish

After doing your first draft, take a break to relax and get out of the writing mood - it helps you to become objective.

You can then resume reading out loud to yourself, make necessary tweaks, and ensure that every part you include meets the rubric requirements.

Edit for grammar, punctuation, tenses, voice, spelling, and use of language. You should also proofread the essay to adhere to the style, organization, and presentation requirements.

Ensure that all the in-text citations are accounted for in the reference list and are up-to-date. You are good to go when you have an essay that meets all the instructions.

Finally, you can submit the paper for grading.

Writing is not everyone's cup of tea. For that reason, you can hire a nursing reflection essay writer from our website to assist you in crafting a top-grade paper. In addition, we have nursing writers whose forte is writing various nursing papers.

Choosing the suitable Reflective Model or Framework

As you can see above, many reflective models are used for your reflective essay. We have not exhaustively listed and expounded on all of them. Other reflective models and frameworks you can also consider when writing a reflective essay in nursing include:

• Bouds Reflective Model
• Brookfield Reflective Model
• Pender's Health Promotion Model
• Roper Logan and Tierney Model
• Driscoll Reflective Model
• The Johari window model

Note that most nursing instructors will often suggest the models they prefer for you to use in your essay.

For example, in most nursing reflective essays. Whichever the case, readily available information expands on each model to make it easier to write a reflection essay on a specific aspect of nursing education or practice.

Read the assignment rubric and instructions to understand the specific model. If it is unclear, ask for clarification from your instructor early enough.

Tips for Writing a Good Nursing Reflective Essay

As you try to figure out how to write a nursing reflective essay, keep the following tips in mind.

Choose the Right Topic

If the instructions from your professors involve choosing a topic for the reflective essay, you must select one that is meaningful to you.

This will ensure you can easily write and easily develop relevant elements about the topic. Therefore, take time to pick a topic that you find interesting.

As you write, ensure you stay on topic, whether sharing a one-off event or a recurrent story.

Use the Right Tone

A reflective essay is more personal, unlike other types of academic essays. This means you don't need a strict or formal tone.

Since this is about your experiences, use personal pronouns such as I and Me.

Be Vulnerable

You must be extremely vulnerable to learn how to write a reflective essay in nursing.

Be open about your thoughts, feelings, and beliefs about something you went through that sparked an interest in nursing.

It's okay to share mistakes or things you did wrong that eventually led you to this career path.

Choose the Right Focus

A reflection essay is all about narrating your experience during the nursing experience.

While including other people in your experience is okay, please let them not be the center of your reflection.

This is your essay, so you should be the focus of attention.

Keep it Brief

A good nursing reflection essay should be between 300 and 800 consciously written words. Because of this length, you must only write relevant information about your reflection. Refrain from lengthy reflections, as they make it difficult to pass your points across.

Convey Your Information Wisely

Even though a nursing reflection essay is about your personal experiences, it doesn't mean you should reveal everything about yourself. Ask yourself whether something is appropriate before including it in your paper.

Mistakes to Avoid When Writing a Reflection Essay in Nursing

A good reflection essay involves reflecting on your nursing studies and practices throughout school and career to demonstrate your competence. For this reason, there are certain mistakes you should be aware of when writing an essay.

Not including a Personal Story

Like food tastes bland without salt, so does a reflection essay without a personal story. At the center of a reflection essay is You. This means the essay should focus on your personal story that led you to want a nursing career. A lot of times, students miss out on this instead of talking about their story. You need more than just the personal qualities you think will be a great fit for the nursing program; you must also share a story that shows how well you contributed to nursing care.

Failing to Share Your Experience

You will lose points when you fail to include nursing-related experiences in your reflection essay. Mentioning that you want to be a nurse is great, but failing to show specific events that led to the desire will cost you a great point.

Plagiarizing Your Essay

Plagiarism is a serious academic offense because it is considered taking other people's ideas and using them as your own without crediting the author. So, provide relevant citations and references for any ideas that aren't your own. Also, an AI will not write your essay as a human writer would. 

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Sample of a Nursing Reflective Essay 

The following is a sample of a nursing Reflective essay using Gibb's Model of Reflection. Use this sample to guide you when writing your own.

Introduction  Communication is an important element in healthcare practice as it determines patient satisfaction and treatment outcomes. This essay will focus on reflecting on an experience I went through with a 40-year-old diabetic patient who also had a foot infected with an ulcer. When I approached the patient to sign the consent form, I noticed that he wasn't happy because of the news given to him about his health. I concluded that there must be a communication dilemma. I will reflect on the experience using Gibb's Model of Reflection. Using this model, I will identify and discuss the actions taken to resolve the issue. Description  This incident happened a few months ago when I was working as a wound nurse in a Methodist hospital in my hometown. I was part of a care team handling the case of a 40-year-old male patient with diabetes and an infected diabetic foot ulcer. After careful examination, a team comprising various specialists concluded that his leg needed amputation below the knee. After making this decision, the team left, and I was asked to give the patient a consent form to sign. When I came back from retrieving the form, I noticed the patient looked sorrowful because of the news given to him. Feelings  As soon as I saw the patient, I knew what he was going through. He perceived the situation to be irreparable, but I wasn't sure whether to console the patient or not. I was powerless and couldn't imagine what he was going through. At the same time, I was startled that the team left without showing any compassion. They could have handled the situation more delicately. I, on the other hand, could have relayed the information better. I wasn't sure whether my approach would be acceptable or appropriate. Evaluation  I always go back to that particular situation and wonder whether I could have acted better. The situation helped me better understand the importance of good communication in patient care, particularly in therapeutic care. Before the incident, I didn't acknowledge the role of nurses play in caring for patient's emotional needs. I realized nurses must show compassion and console patients in their low moments.  Analysis  Most healthcare professionals do not know how to deliver bad news to patients. They find the process extremely challenging and always feel psychologically unprepared. This has a negative impact on patients and could lead to bad health outcomes. Furthermore, how information is relayed could impact a patient's adherence to treatment. Because of these effects, multiple protocols and approaches were developed to help with communicating bad news to patients. One of the approaches that was proposed is emotion-centered. This proposes that a healthcare provider acknowledges how sad the patient is and builds a professional relationship based on empathy and sympathy. Action Plan I now understand the essence of communicating bad news with compassion. The experience allowed me to look closely at different aspects of my professional development that needed more improvement. Thus, I plan to be more empathetic and speak up in support of patient's emotional and psychological well-being, especially when presented with traumatic news about their health. Additionally, I now understand I am not powerless when dealing with a sorrowful patient. I believe I have learned from my experience, and I'm not able to communicate well with patients any more. Conclusion  The experience allowed me to value good communication in nursing and the need to incorporate it into daily nurse-patient interaction. Nurses must learn how to deliver bad news and manage patient's sorrow. This has been and will continue to be my biggest priority in patient care. References Street Jr, R. L., Makoul, G., Arora, N. K., & Epstein, R. M. (2009). How does communication heal? Pathways linking clinician–patient communication to health outcomes. Patient education and counselling, 74(3), 295-301. Buckman, R. (1992). Breaking bad news: why is it still so difficult? BMJ: British Medical Journal, 304(6842), 886. Ptacek, J. T., & Eberhardt, T. L. (1996). Breaking bad news: a review of the literature. The Journal of the American Medical Association, 276(6), 496-502.

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Reflective Practice

Introduction.

Nursing leadership and leadership requires a lot of reflection to allow for the enhancement of service delivery. Oelofsen (2012) notes that in frontline nursing, nurses can use the reflective practice to enhance the sense of the work they do and the mode of service delivery. According to Oelofsen (2012), reflective practice is a model that allows for nurses and especially leaders and administrators to up their skills in the way they deliver care among the patients they are taking care of. Moreover, this practice allows nurses to take more control of the clinicians by allowing them to be careful while offering care to the patients. It is imperative to, however, note that the aspect of reflective practice takes place both at group and personal level and should not be mistaken for personal milestones in healthcare.

1. Nicol, J., & Dosser, I. (2016). Understanding reflective practice. Nursing Standard, 30(36), 34-42. http://dx.doi.org/10.7748/ns.30.36.34.s44

2. Oelofsen, N. (2012). Using reflective practice in frontline nursing. Nursing Times. Retrieved 22 March 2017, from https://www.nursingtimes.net/home/courses/using-reflective-practice-in-frontline-nursing/5045779.article

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Management and Leadership (M&L) Reflection in Nursing

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The 8 key leadership skills you need to know in 2024

Anyone can be placed in a leadership role, but  to be good and thrive in that position requires solid leadership skills . Leadership skills are typically at the top of the list of competencies that recruiters focus on when hiring, or when managers are promoted from within an organization.

Effective leadership skills are crucial, both in a professional and personal capacity and are vital in facilitating effective team dynamics, driving success, managing change, and promoting personal and professional development.

Some of the world’s largest companies hunt for people with well-honed leadership skills to fill their most sought after executive positions.

8 key leadership skills you need to know about:

• Relationship building
• Agility and adaptability
• Innovation and creativity
• Employee motivation
• Decision-making
• Conflict management
• Negotiation
• Critical Thinking

1. Relationship building (the foundation of a high-performing team)

Some leaders will say they that they do not need to be loved in the workplace to succeed. This may be true, but to build a cohesive and more engaged team, great managers need the  leadership skills  to forge strong working relationships with their employees.

Leaders with strong, trusting and authentic relationships with their teams know that investing time in building these bonds makes them more effective as a leader, and creates a foundation for success.

Good working relationships increase employee engagement and according to Gallup’s meta-analysis of employee engagement, business units with good employee engagement have 41% fewer quality defects and 37% less absenteeism. A 21% increase in productivity was also seen to result from higher employee engagement.

So even if you think you don’t need to be loved in the workplace, you will definitely need to be skilled in building good relationships in order to be an  effective leader.  

If your team is highly engaged and happy in the workplace, you are likely to be well  respected as a leader  with employees who love what they do, and hopefully the strong relationships you cultivate will help your team perform at their highest level.

Tips for leaders to navigate relationships in the workplace »

2. Agility and adaptability (stay at the cutting edge as a leader)

In a study conducted by Development Dimensions International in 2008, one of the most important leadership qualities, was the ability to facilitate change. Fast-forward to 2024, adaptability is  one of the most important  leadership skills. 

Leaders need to contend with a hyper-competitive business environment, geo-politics, climate change, the changes advanced by the COVID-19 pandemic and many more factors, all of which require leaders to adapt and develop agility.

Effective leaders must be able to adapt to both internal, and external changes – even if that means working outside of your comfort zone. As a leader you need to develop a lifelong learning mentality to ensure that you are not left behind by shifts in your industry, and can give your business the competitive edge. This is where as a leader you need to be agile and adaptable, which is easier said than done.

One key way to develop  leadership agility and adaptability  is to be accountable and assume your responsibilities, making sure that you have laid out a plan on how you should respond to change.

This plan should contain an achievable timeline, allowing you to constantly check your progress on how well you are adapting to the change and how you are exemplifying this to your team.

Read IMD article on agile leadership in an age of digital disruption »

3. Innovation and creativity (learn to push your boundaries)

Innovation in leadership  is of utmost importance for every company. Successful innovation begins with ideation — the phase where outstanding ideas are developed and become the foundation of innovation success.

Consider some of the industry leaders, what did it take for Apple to become a leader technology industry? They made innovations to products with their customers in mind.

Steve Jobs, and perhaps even more so Tim Cook led the innovation and creativity for Apple Inc. by continuously forging ahead of the competition, and this probably made them some of the most  innovative leaders  within the tech industry.

The increasing demand for creativity and innovation will continue to be a driving force for executives, as  who must harness their leadership skills in these areas to be effective and competitive.

4. Employee motivation (improve engagement and efficiency)

In close connection with relationship building, the ability to  motivate your workforce  is as important as keeping employee engagement high. One of the most effective  leadership skills  is knowing how to continuously motivate employees, which requires leaders to be connected to their teams and attentive to what is going on around them.

In a study done by the firm Interact on 10,000 employees in the US which cited that the number 1 complaint (63%) from employees concerning their managers is lack of appreciation, and, conversely, when managers appreciate their contribution, their engagement increases by 60%.

In another study by Westminster College, it was found that boosting morale is the top (32%) motivational technique employees prefer. If employees are not motivated, the company can be negatively affected (financially) with absenteeism, attrition and low productivity.

Motivated employees are much more engaged, they are also more self-confident in what they do, and can do. This leads them to know how to react in difficult situations and develop innovative ideas that could help optimize business performance.

5. Decision-making (leading with conviction)

A leader is tasked with making decisions all the time. To be an effective leader, those  decision making skills  need to be top notch. Critical decisions affecting your organization on a large scale need to be sound, rational and solid.

In reality, your decisions as a leader will determine your – and potentially your organization’s – success. Making decisions, however big or small, are a fundamental part of Leadership, as a leader you need to develop strong decision-making skills and have the conviction to  stand by your decisions,  whilst also recognizing the need to adapt when those decisions do not lead to the desired outcome. It is a unique balancing act.

Remember, some decisions may not always be favorable. Making an unpopular but necessary decision is probably one of the most difficult tasks as a leader, but it is vital that as a leader you are able to recognize your responsibilities and make clear decisions for your team or organization.

📝 Try an exercise for better decision making »

6. Conflict management (keeping the peace)

According to the American Management Association, managers spend at least 24% of their time managing conflict. Conflict can happen in any area of business.

A conflict is considered to be any issue between two or more individuals that can potentially disrupt work. Conflict in business may go beyond the workplace as it can involve customers, suppliers and even competitors.

When a conflict arises, an  effective leader  should be able to jump in and resolve or at least mitigate the conflict before it affects the business negatively. When properly dealt with, a conflict may even turn out to be positive for your organization, as it can often lead to stronger bonds or new ideas.

To be effective as a leader, you must be good at identifying conflict, and have foresight on how to resolve it. It is also essential to be rational when faced with confrontation. Conflict management is no doubt one of the most important leadership competencies but Robyn Short cited a study that found 60% of U.S. employees have not received any conflict management skills training.

As a leader, it is important that you are able to manage conflict, but developing these same skills in your team can help avoid conflict altogether.

How to manage conflict: Six essentials from a former FBI hostage negotiator »

7. Negotiation (winning the game)

Negotiation is a process where two parties with different ideals get together and mutually agree on what an outcome should be. According to Skills You Need, the process of negotiation involves 6 stages:

• Preparation
• Clarification of goals
• Negotiation towards a Win-Win outcome
• Implementation of a course of action

Good negotiations can be beneficial to an organization because they will build better relationships, both internally and externally. They will also help find the best long-term solution by getting the most out of two different sides. An effective leader must be well versed in his negotiation style to move an organization forward.

As a leader, negotiation is used to understand the interests of your employees and to find ways of satisfying those interests, in order to achieve organizational goals.

Tips on using negotiation to achieve positive outcomes »

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8. Critical Thinking (understand the links between ideas)

Leading a business is unquestionably challenging. To be successful, a leader must make a lot of difficult decisions, often under pressure. Research by the Brandon Hall Group shows that  critical thinking  is the most important skill required of leaders to successfully lead an organization.

Critical thinking is the ability to think clearly, whilst building a logical connection between different ideas. Critical thinkers are often intelligent decision makers, highly analytical and generally always rational. Critical thinking is a learned skill, and generally involves three steps:

Step 1 – Frame

Complex problems are rarely what they appear to be on first look. To better understand what you are dealing with, frame the problem by asking yourself “What is my problem?” Hint: you can safely assume that whatever you think your problem is right now probably isn’t your actual problem.

Step 2 – Explore

Do not rely on intuition. No matter how much faith you have in your own judgment, if you rely strictly on your instincts you will miss the opportunity to see things from an alternative perspective. Instead, explore potential solutions. That is, ask yourself “How may I solve my problem?” It is equally important to explore what matters to you; that is, the various attributes of a solution that would make it more attractive to you.

Step 3 – Decide

In most cases, one solution isn’t consistently superior to all others on all attributes. To make your decision, answer your question, “How should I solve my problem?” Surface the trade-offs for each solution, identifying what you are ready to give away that you value so that you can get a little more of something else that you value even more.

Frame, explore, decide, or FrED, for short. For most complex problems, your understanding of the problem changes as you progress through the analysis. The three steps aren’t so much a linear sequence as they are elements of an iterative loop. Do not hesitate to revise previous conclusions as new evidence surfaces.

Typically,  critical thinkers will rigorously question ideas and assumptions, they will always seek to determine whether the ideas, arguments and findings represent the true picture and are commonly able to recognize inconsistencies and errors in reasoning to achieve the desired outcome.

Sharpen your critical thinking skills with IMD »

Leadership is crucial to the success of individuals, teams, and organizations. It encompasses diverse skills, qualities, and approaches that empower individuals to guide and inspire others toward achieving common goals. As the business environment continues to evolve, so will the concept of leadership — adapting to meet the demands and challenges of a dynamic world. […]

Imagine navigating a ship through uncharted waters in the dark, with each crew member holding a piece of the map. That’s the challenge of leadership in today’s dynamic, ever-evolving business landscape. How do you, as a leader, unite these diverse pieces to chart a successful course? The answer lies in inclusive leadership. In a world […]

What if you could supercharge your leadership development in a way that’s tailored specifically to you? Today’s business leaders are under immense pressure to deliver. It’s not just about achieving quarterly targets; it’s about being a visionary, a strategic thinker, and a great manager.  That’s where executive coaching comes in. Far from being a sign […]

Do you believe each team member has a unique strength that can fuel innovation and solve complex challenges? If your answer is yes, you might want to explore the landscape of laissez-faire leadership. Laissez-faire leadership, a term many have heard but few completely understand, is growing more relevant in today’s ever-changing, complex work environments. It […]

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Flag of Elektrostal, Moscow Oblast, Russia

40 Facts About Elektrostal

Written by Lanette Mayes

Modified & Updated: 01 Jun 2024

Reviewed by Jessica Corbett

Elektrostal is a vibrant city located in the Moscow Oblast region of Russia. With a rich history, stunning architecture, and a thriving community, Elektrostal is a city that has much to offer. Whether you are a history buff, nature enthusiast, or simply curious about different cultures, Elektrostal is sure to captivate you.

This article will provide you with 40 fascinating facts about Elektrostal, giving you a better understanding of why this city is worth exploring. From its origins as an industrial hub to its modern-day charm, we will delve into the various aspects that make Elektrostal a unique and must-visit destination.

So, join us as we uncover the hidden treasures of Elektrostal and discover what makes this city a true gem in the heart of Russia.

Key Takeaways:

• Elektrostal, known as the “Motor City of Russia,” is a vibrant and growing city with a rich industrial history, offering diverse cultural experiences and a strong commitment to environmental sustainability.
• With its convenient location near Moscow, Elektrostal provides a picturesque landscape, vibrant nightlife, and a range of recreational activities, making it an ideal destination for residents and visitors alike.

Known as the “Motor City of Russia.”

Elektrostal, a city located in the Moscow Oblast region of Russia, earned the nickname “Motor City” due to its significant involvement in the automotive industry.

Home to the Elektrostal Metallurgical Plant.

Elektrostal is renowned for its metallurgical plant, which has been producing high-quality steel and alloys since its establishment in 1916.

Boasts a rich industrial heritage.

Elektrostal has a long history of industrial development, contributing to the growth and progress of the region.

Founded in 1916.

The city of Elektrostal was founded in 1916 as a result of the construction of the Elektrostal Metallurgical Plant.

Located approximately 50 kilometers east of Moscow.

Elektrostal is situated in close proximity to the Russian capital, making it easily accessible for both residents and visitors.

Known for its vibrant cultural scene.

Elektrostal is home to several cultural institutions, including museums, theaters, and art galleries that showcase the city’s rich artistic heritage.

A popular destination for nature lovers.

Surrounded by picturesque landscapes and forests, Elektrostal offers ample opportunities for outdoor activities such as hiking, camping, and birdwatching.

Hosts the annual Elektrostal City Day celebrations.

Every year, Elektrostal organizes festive events and activities to celebrate its founding, bringing together residents and visitors in a spirit of unity and joy.

Has a population of approximately 160,000 people.

Elektrostal is home to a diverse and vibrant community of around 160,000 residents, contributing to its dynamic atmosphere.

Boasts excellent education facilities.

The city is known for its well-established educational institutions, providing quality education to students of all ages.

A center for scientific research and innovation.

Elektrostal serves as an important hub for scientific research, particularly in the fields of metallurgy , materials science, and engineering.

Surrounded by picturesque lakes.

The city is blessed with numerous beautiful lakes , offering scenic views and recreational opportunities for locals and visitors alike.

Well-connected transportation system.

Elektrostal benefits from an efficient transportation network, including highways, railways, and public transportation options, ensuring convenient travel within and beyond the city.

Famous for its traditional Russian cuisine.

Food enthusiasts can indulge in authentic Russian dishes at numerous restaurants and cafes scattered throughout Elektrostal.

Home to notable architectural landmarks.

Elektrostal boasts impressive architecture, including the Church of the Transfiguration of the Lord and the Elektrostal Palace of Culture.

Offers a wide range of recreational facilities.

Residents and visitors can enjoy various recreational activities, such as sports complexes, swimming pools, and fitness centers, enhancing the overall quality of life.

Provides a high standard of healthcare.

Elektrostal is equipped with modern medical facilities, ensuring residents have access to quality healthcare services.

Home to the Elektrostal History Museum.

The Elektrostal History Museum showcases the city’s fascinating past through exhibitions and displays.

A hub for sports enthusiasts.

Elektrostal is passionate about sports, with numerous stadiums, arenas, and sports clubs offering opportunities for athletes and spectators.

Celebrates diverse cultural festivals.

Throughout the year, Elektrostal hosts a variety of cultural festivals, celebrating different ethnicities, traditions, and art forms.

Electric power played a significant role in its early development.

Elektrostal owes its name and initial growth to the establishment of electric power stations and the utilization of electricity in the industrial sector.

Boasts a thriving economy.

The city’s strong industrial base, coupled with its strategic location near Moscow, has contributed to Elektrostal’s prosperous economic status.

Houses the Elektrostal Drama Theater.

The Elektrostal Drama Theater is a cultural centerpiece, attracting theater enthusiasts from far and wide.

Popular destination for winter sports.

Elektrostal’s proximity to ski resorts and winter sport facilities makes it a favorite destination for skiing, snowboarding, and other winter activities.

Promotes environmental sustainability.

Elektrostal prioritizes environmental protection and sustainability, implementing initiatives to reduce pollution and preserve natural resources.

Home to renowned educational institutions.

Elektrostal is known for its prestigious schools and universities, offering a wide range of academic programs to students.

Committed to cultural preservation.

The city values its cultural heritage and takes active steps to preserve and promote traditional customs, crafts, and arts.

Hosts an annual International Film Festival.

The Elektrostal International Film Festival attracts filmmakers and cinema enthusiasts from around the world, showcasing a diverse range of films.

Encourages entrepreneurship and innovation.

Elektrostal supports aspiring entrepreneurs and fosters a culture of innovation, providing opportunities for startups and business development .

Offers a range of housing options.

Elektrostal provides diverse housing options, including apartments, houses, and residential complexes, catering to different lifestyles and budgets.

Home to notable sports teams.

Elektrostal is proud of its sports legacy , with several successful sports teams competing at regional and national levels.

Boasts a vibrant nightlife scene.

Residents and visitors can enjoy a lively nightlife in Elektrostal, with numerous bars, clubs, and entertainment venues.

Promotes cultural exchange and international relations.

Elektrostal actively engages in international partnerships, cultural exchanges, and diplomatic collaborations to foster global connections.

Surrounded by beautiful nature reserves.

Nearby nature reserves, such as the Barybino Forest and Luchinskoye Lake, offer opportunities for nature enthusiasts to explore and appreciate the region’s biodiversity.

Commemorates historical events.

The city pays tribute to significant historical events through memorials, monuments, and exhibitions, ensuring the preservation of collective memory.

Promotes sports and youth development.

Elektrostal invests in sports infrastructure and programs to encourage youth participation, health, and physical fitness.

Hosts annual cultural and artistic festivals.

Throughout the year, Elektrostal celebrates its cultural diversity through festivals dedicated to music, dance, art, and theater.

Provides a picturesque landscape for photography enthusiasts.

The city’s scenic beauty, architectural landmarks, and natural surroundings make it a paradise for photographers.

Connects to Moscow via a direct train line.

The convenient train connection between Elektrostal and Moscow makes commuting between the two cities effortless.

A city with a bright future.

Elektrostal continues to grow and develop, aiming to become a model city in terms of infrastructure, sustainability, and quality of life for its residents.

In conclusion, Elektrostal is a fascinating city with a rich history and a vibrant present. From its origins as a center of steel production to its modern-day status as a hub for education and industry, Elektrostal has plenty to offer both residents and visitors. With its beautiful parks, cultural attractions, and proximity to Moscow, there is no shortage of things to see and do in this dynamic city. Whether you’re interested in exploring its historical landmarks, enjoying outdoor activities, or immersing yourself in the local culture, Elektrostal has something for everyone. So, next time you find yourself in the Moscow region, don’t miss the opportunity to discover the hidden gems of Elektrostal.

Q: What is the population of Elektrostal?

A: As of the latest data, the population of Elektrostal is approximately XXXX.

Q: How far is Elektrostal from Moscow?

A: Elektrostal is located approximately XX kilometers away from Moscow.

Q: Are there any famous landmarks in Elektrostal?

A: Yes, Elektrostal is home to several notable landmarks, including XXXX and XXXX.

Q: What industries are prominent in Elektrostal?

A: Elektrostal is known for its steel production industry and is also a center for engineering and manufacturing.

Q: Are there any universities or educational institutions in Elektrostal?

A: Yes, Elektrostal is home to XXXX University and several other educational institutions.

Q: What are some popular outdoor activities in Elektrostal?

A: Elektrostal offers several outdoor activities, such as hiking, cycling, and picnicking in its beautiful parks.

Q: Is Elektrostal well-connected in terms of transportation?

A: Yes, Elektrostal has good transportation links, including trains and buses, making it easily accessible from nearby cities.

Q: Are there any annual events or festivals in Elektrostal?

A: Yes, Elektrostal hosts various events and festivals throughout the year, including XXXX and XXXX.

Elektrostal's fascinating history, vibrant culture, and promising future make it a city worth exploring. For more captivating facts about cities around the world, discover the unique characteristics that define each city . Uncover the hidden gems of Moscow Oblast through our in-depth look at Kolomna. Lastly, dive into the rich industrial heritage of Teesside, a thriving industrial center with its own story to tell.

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