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Gibbs' Reflective Cycle
One of the most famous cyclical models of reflection leading you through six stages exploring an experience: description, feelings, evaluation, analysis, conclusion and action plan.
Gibbs' Reflective Cycle was developed by Graham Gibbs in 1988 to give structure to learning from experiences. It offers a framework for examining experiences, and given its cyclic nature lends itself particularly well to repeated experiences, allowing you to learn and plan from things that either went well or didn’t go well. It covers 6 stages:
- Description of the experience
- Feelings and thoughts about the experience
- Evaluation of the experience, both good and bad
- Analysis to make sense of the situation
- Conclusion about what you learned and what you could have done differently
- Action plan for how you would deal with similar situations in the future, or general changes you might find appropriate.
Below is further information on:
- The model – each stage is given a fuller description, guiding questions to ask yourself and an example of how this might look in a reflection
- Different depths of reflection – an example of reflecting more briefly using this model
This is just one model of reflection. Test it out and see how it works for you. If you find that only a few of the questions are helpful for you, focus on those. However, by thinking about each stage you are more likely to engage critically with your learning experience.
This model is a good way to work through an experience. This can be either a stand-alone experience or a situation you go through frequently, for example meetings with a team you have to collaborate with. Gibbs originally advocated its use in repeated situations, but the stages and principles apply equally well for single experiences too. If done with a stand-alone experience, the action plan may become more general and look at how you can apply your conclusions in the future.
For each of the stages of the model a number of helpful questions are outlined below. You don’t have to answer all of them but they can guide you about what sort of things make sense to include in that stage. You might have other prompts that work better for you.
Here you have a chance to describe the situation in detail. The main points to include here concern what happened. Your feelings and conclusions will come later.
- What happened?
- When and where did it happen?
- Who was present?
- What did you and the other people do?
- What was the outcome of the situation?
- Why were you there?
- What did you want to happen?
Example of 'Description'
Here you can explore any feelings or thoughts that you had during the experience and how they may have impacted the experience.
- What were you feeling during the situation?
- What were you feeling before and after the situation?
- What do you think other people were feeling about the situation?
- What do you think other people feel about the situation now?
- What were you thinking during the situation?
- What do you think about the situation now?
Example of 'Feelings'
Here you have a chance to evaluate what worked and what didn’t work in the situation. Try to be as objective and honest as possible. To get the most out of your reflection focus on both the positive and the negative aspects of the situation, even if it was primarily one or the other.
- What was good and bad about the experience?
- What went well?
- What didn’t go so well?
- What did you and other people contribute to the situation (positively or negatively)?
Example of 'Evaluation'
The analysis step is where you have a chance to make sense of what happened. Up until now you have focused on details around what happened in the situation. Now you have a chance to extract meaning from it. You want to target the different aspects that went well or poorly and ask yourself why. If you are looking to include academic literature, this is the natural place to include it.
- Why did things go well?
- Why didn’t it go well?
- What sense can I make of the situation?
- What knowledge – my own or others (for example academic literature) can help me understand the situation?
Example of 'Analysis'
In this section you can make conclusions about what happened. This is where you summarise your learning and highlight what changes to your actions could improve the outcome in the future. It should be a natural response to the previous sections.
- What did I learn from this situation?
- How could this have been a more positive situation for everyone involved?
- What skills do I need to develop for me to handle a situation like this better?
- What else could I have done?
Example of a 'Conclusion'
At this step you plan for what you would do differently in a similar or related situation in the future. It can also be extremely helpful to think about how you will help yourself to act differently – such that you don’t only plan what you will do differently, but also how you will make sure it happens. Sometimes just the realisation is enough, but other times reminders might be helpful.
- If I had to do the same thing again, what would I do differently?
- How will I develop the required skills I need?
- How can I make sure that I can act differently next time?
Example of 'Action Plan'
Different depths of reflection.
Depending on the context you are doing the reflection in, you might want use different levels of details. Here is the same scenario, which was used in the example above, however it is presented much more briefly.
Gibbs G (1988). Learning by Doing: A guide to teaching and learning methods. Further Education Unit. Oxford Polytechnic: Oxford.
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Gibbs Reflective Cycle Example
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Critically reflect on an encounter with a service user in a health care setting
This essay aims to critically reflect on an encounter with a service user in a health care setting. The Gibbs’ Reflective Cycle will be used as this is a popular model of reflection. Reflection is associated with learning from experience. It is viewed as an important approach for professionals who embrace lifelong learning (Jasper, 2013). In general terms, reflective practice is the process of learning through and from an experience or activity to gain new understandings of self and/or practice (Bout et al., 1985; Jasper, 2013). This method is viewed as a way of promoting the personal and professional development of qualified and independent professionals, eventually stimulating both personal and professional growth (Jasper, 2013). Dating back to 1988, the Gibbs’ Reflective Cycle encompasses six stages of reflection which enable the reflector to think through all the phases of an activity or experience (Gibbs, 1998). The model is unique because it includes knowledge, actions, emotions and suggests that experiences are repeated, which is different from Kolb’s reflective model (Kolb, 1984) and thus, the model is wider and a more flexible approach in examining a situation in a critical light to enable future changes (Zeichner and Liston, 1996).
The incident I will be reflecting on occurred whilst I was placed on the oncology ward during my first year of qualified nursing. We had an elderly service user on the ward, who had been admitted due to stomach cancer. Upon his arrival, we read his notes which highlighted that he had significant learning difficulties, meaning that he also had problems with verbal communication. The main areas of reflection are how both myself and the other nurses used communication to calm the patient and show compassion, as well as how we adapted our care to address their individual needs. A nurse came onto the ward with three members of the public, who were viewing the ward as part of a job advertising process. When the nurse entered the patients bay, she informed the members of the public that the service users in that bay were currently receiving radiotherapy treatment. Upon hearing the nurse’s words, the service user became overtly distressed and began crying, shrieking and hitting his head backwards against his pillow –it took time; however, another nurse managed to calm him down by talking in a soothing manner.
Prior to the incident occurring, I was mindful that the nurse was showing the three members of the public around the oncology ward, as part of a job advertising process. At the time of the incident, I had only been working on the oncology ward for six months so still felt slightly unsure of my position within the team. Ultimately, I did not feel confident or experienced enough to deal with this situation independently. I think that my increased level of anxiety meant that I struggled to intervene, however it is still clear that both my colleagues and myself should have intervened more quickly to ensure that the patient was dealt with effectively. Moreover, I was very surprised when the nurse failed to take into consideration the individual needs of the service user during the visit of the ward, as the distress caused to both the service user and the members of the public was very unnecessary.
In hindsight, the experience had both good and bad elements which have led to an increased understanding of the service user experience and my role as a nurse practitioner within the oncology team. My role was to give physical examinations and evaluate the service user’s health, prescribe and administer medication, recommend diagnostic and laboratory tests/read the results, manage treatment side effects, and provide support to patients – this includes acting in their best interests. I feel that I did not fulfil the latter responsibility completely. This duty to protect service user’s full confidentiality and ensuring that the nurse who was showing the members of the public around the ward was aware of the service user’s communication difficulties and resulting anxiety was not fulfilled. Our failure to act as a team, by sharing information and stepping in before a situation escalated, shows that there was a low level of group cohesiveness (Rutkowski, Gruder and Romer, 1983).
According to the Nursing Times Clinical (2004), people with learning difficulties often have a struggle with adapting to new situations, which means that there is a potential for problematic behaviour when dealing with something outside of their comfort zone. Nevertheless, as suggested by the Nursing Times Clinical (2004), healthcare staff should be aware of how to effectively interact with people who have a learning disability and this can be aided through regular and valuable reflection. Prior to admission into the hospital, it is advised that professionals find out about the patient's communication and their likes and dislikes; address any potential fears either through discussion or by allowing the patient to visit the ward to meet the nursing staff (Nursing Times Clinical, 2004). Moreover, the day to day communication towards patients with learning difficulties should involve patient-centred/holistic care in addressing patient needs, which incorporates both verbal and non-verbal forms of communication. Therefore, professionals should make eye contact, look and listen, allocate more time for the patient, be interactive and communicative, remain patient and in some cases, enable any professionals who may have had experience with people with a learning difficulty to care for the patient (Nursing Times Clinical, 2004).
If you need assistance with writing your reflective practice, our professional Reflective Practice is here to help!
MENCAP states that one of the most common problems when accessing healthcare for people with learning disabilities is poor communication (n.d). This can be aided by offering the service user an advocate to communicate on their behalf and by providing information in a variety of ways including visual. They further this with the notion that healthcare professionals should equally value all people, adapt their service so that it meets different needs and understand that each individual will have different needs (MENCAP, n.d). The Nursing and Midwifery Council (NMC) (2015) further this in 'The Code', which states that all registered nurses and midwives must abide by the professional standards which are to: prioritise people, practise effectively, preserve safety and promote professionalism and trust. Therefore, the incident whereby another nurse did not take into consideration the individual needs of the patient does not abide by the professional code of conduct; ultimately, they did not recognise when the patient was anxious or in distress and respond compassionately, paying attention to promoting the wellbeing of the service user and making use of a range of verbal and non-verbal communication methods (NMC, 2015). Compassion is one of the '6cs' introduced in 2012 - which are the values and behaviours that are viewed as the quality markers of a health and care service - these being: care, compassion, competence, communication, courage and commitment (Department of Health, 2012). The 6Cs carry equal weight and should be a part of all service delivery - ensuring that patients are always placed at the heart of the provision (DoH, 2012).
From this experience, I am now more mindful of the importance of being assertive and exert professionalism in practice (and not feel as though I cannot do something because of my position within the team or length of experience) if similar situations were to arise in the future. The insight I have gained from this experience means that I am now more aware of the implications of not acting immediately and the importance of acting in the best interests of the patient, even when this may take courage. Strong working relationships between healthcare professionals should also be given a greater emphasis within the oncology ward, so to increase levels of group cohesiveness (Rutkowski, Gruder and Romer, 1983).
In the future, I aim to be more proactive in dealing with a situation face on regardless of my role within the team or level of experience; this includes dealing with a stressed service user, ensuring that information is passed on to the relevant staff and intervening when I believe that is a risk to a service user’s health or mental wellbeing. Moreover, I will address the needs and alter how I approach a patient with learning difficulties in the future by ensuring that I use the different methods of communication and undertake some independent research on their specific needs; the information of which I can use in my nursing practice.
I will not assume that other members of staff will always be aware or mindful of the individual needs and/or triggers of a service user, and I will not presume that other members of staff will always act in a wholly professional way. I will continue to undertake regular professional reflective practice, using the on-going model proposed by Gibbs (1988). I also aim to consistently and confidently implement the principles and values as set out by the National League for Nursing, relating to the individual needs of service users, these being:
- To respect the dignity and moral wholeness of every person without conditions or limitation.
- To affirm the uniqueness of and differences among people, their ideas, values and ethnicities. (National League for Nursing, 2017, n.d).
These are furthered by the National Health Service (NHS), which was created out of the ideal that quality healthcare should be available to all and should meet the individual needs of everyone.
Boud, D., Keogh, R. and Walker, D. (1985) Promoting reflection in learning: a model. In D. Boud, R. Keogh and D. Walker (eds.) Reflection: turning experience into learning. London: Kogan Page.
Department of Health (DoH). (2012) Compassion in Practice. London: Department of Health.
Gibbs G (1988) Learning by Doing: A guide to teaching and learning methods. Further Education Unit. Oxford Polytechnic: Oxford.
Jasper, M. (2013) Beginning Reflective Practice. 2nd edition. Andover: Cengage.
Kolb, D. (1984). Experiential learning: experience as the source of learning and development. New Jersey: Prentice Hall.
MENCAP. (n.d) Communicating with people with a learning disability. Online. Available at: https://www.mencap.org.uk/sites/default/files/2016-12/Communicating%20with%20people_updated%20(1).pdf
National Health Service (NHS). (2015) Principles and values that guide the NHS. Online. Available at: http://www.nhs.uk/NHSEngland/thenhs/about/Pages/nhscoreprinciples.aspx
National League for Nursing. (2017) Core Values. Online. Available at: http://www.nln.org/about/core-values
Nursing and Midwifery Council (NMC). (2015) The Code. London: Nursing and Midwifery Council.
Nursing Times Clinical. (2004) Managing the needs of people who have a learning disability, Nursing Times 100 (10) pp. 28-29.
Oxford Brookes University. (2017) Reflective writing: About Gibbs reflective cycle. Online. Available at: https://www.brookes.ac.uk/students/upgrade/study-skills/reflective-writing-gibbs/
Rutkowski, G. K., Gruder, C. L., & Romer, D. (1983). Group cohesiveness, social norms, and bystander intervention, Journal of Personality and Social Psychology, 44(3), pp.545-552.
Zeichner, K. and Liston, D. (1996) Reflective Teaching: an introduction. New Jersey: Lawrence Erlbaum Associates.
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Nurses and Midwives Reflection Process
Nurses and Midwives in the UK are formally required to record 5 pieces of reflection on either continuing professional development (CPD) or practice related feedback to improve their nursing practice.
Here I start with the theory of reflection (see Framework image) and then give an example from my own nursing history of an awful incident – one I will never forget.
If you don’t want the theory (and let’s face it who does?); scroll down to my real-life example and see how I have applied the Gibbs theory model to a terrible incident which almost made me give up nursing.
Let’s Get Started
To see if Gibbs reflective cycle can help you reflect on aspects of your practice, recall a nursing situation that didn’t turn out as you expected or go to plan.
Look at the Gibbs Model flow chart above –
Stage 1 – Description (Pure Facts)
The first step is to describe what you know. Ask yourself the following questions:
- What are the brief facts of the situation?
- What occurred? Who was involved?
- What did you do? What did others do?
Stage 2 – Description – (Feelings)
- How were you feeling at the time?
- Were there influences affecting others actions/behaviour?
- Were there any known or perceived difficulties with the activity, timing, location, information or resources etc.?
Stage 3 – Evaluation
- What was good and bad about the experience
- How might the facts and feelings (from stage 1 and 2 above) have affected your actions/behaviour
- What other circumstances may have affected your actions or thoughts?
- How issues might influence the activity or practice related feedback?
Stage 4 – Analysis
- Why you picked this incident to reflect on?
- What sense can you make of it? Does it make sense given the preceding 3 stages?
- What is the main area of concern or focus on the future?
Stage 5 – Conclusions
- What have you discovered?
- What have you learned from this incident and circumstances?
- What questions remain?
Stage 6 – Now What? (Action)
You have analysed the incident and want to make sure you improve your practice for next time, so need to move into the action planning stage:
- What will I do differently from now on or the next time this arises?
- What resources/help will you need?
Gibbs, (1988) Learning by Doing: A Guide to Teaching and Learning Methods Further Education Unit, Oxford Brookes University, Oxford.
Example Reflection – Sadly, a real story!
Night duty drug round.
I am a third-year student nurse ‘in charge’ on night duty, in a London hospital, with a junior nurse to deal with 23 pretty sick people in this medical ward. A doctor asked me to give a patient (Mrs X,) 0.1 mg of Digoxin (a heart stimulant – steady, slows and strengthens the heartbeat) to relieve symptoms of severe congestive cardiac failure and difficulty breathing. I had never given such a high dose of Digoxin before and measured 4 tabs from the 0.25 mg bottle. I checked the script and the tablets with both the doctor, who nodded, and my junior nurse. We were all in agreement. I checked Mrs X’s pulse rate (standard practice for Digoxin), which was in the OK range, before giving the tablets. I kept Mrs X on hourly observations after.
At about 2 am I suddenly realised I had given 10 times the amount of Digoxin as stated on the Doctors script. In horror, I called the night sister who agreed with me. We filled in an incident form, informed the doctor and Mrs X’s relatives of what happened. Petrified, I was told to go see the hospital matron in the morning.
Mrs X did not seem to suffer any ill effects from the Digoxin during the night and went on to make a full recovery.
I had been on nights for a long stretch. It was a very busy ward with only two-night staff and I was “in charge”. Mrs X was very ill and needed constant monitoring.
I had only ever seen 0.25mgs of Digoxin tablets and did not know there was a paediatric blue table of 0.1 mg made. I was very reluctant to give such a big dose which is why I checked the four tablets of .25 with the doctor who looked at the tablets and said OK. I was nervous about the dosage being so high and took Mrs X’s pulse for much longer than the customary 15 seconds.
The doctor too was under tremendous strain, his beeper kept going off and he was rushing about all over the place. I had never met him before. He had recently come from a paediatric ward.
Nobody ever blamed me for the incident, neither did they reassure me. Mrs X went on to make a full recovery and the relatives were very understanding about the situation which was a relief. Matron was kind to me and impressed I had owned up to the error – nobody would have ever known, she said.
I felt absolutely terrified about the error though and watched Mrs X all night for signs of overdose. I didn’t sleep all the next day and returned to my next night shift to find Mrs X better.
This incident really frightened me because I had done everything right – I had checked the dosage with both the Doctor and the junior nurse. I had not known that you could get a 0.1 mg of Digoxin or it was blue. I have no idea what prompted me to think about the overdose later on that night except that I had been very reluctant to give it. The Doctor agreed I had shown him 4 white tablets who said “I thought you knew what you were doing” Which isn’t any sort of answer really. Yet he didn’t get in trouble (like me) at all for overseeing and agreeing my mistake.
I also realised how dependant patients are on the care and insights of the medical profession and the trust they put in us; I’d let Mrs X down.
I believe that this incident was down to a series of incidents linked to overwork, tiredness and misunderstandings. Plus if I’d known the Doctor better I might have had a conversation about the dose.
I was so relieved that Mrs X survived the overdose and the relatives were understanding but, if she had a serious reaction or even died, I’m not sure I could have carried on nursing.
I have learnt to be more careful with drugs and to really understand the dosage. If necessary now I will look up the drug in the reference books before I give them because it is my responsibility if I do it wrong.
I will always be ultra-careful with new drug scripts in the future and if I am nervous, then to go with my gut feeling and check and check again. Although, as I said to Matron, at the time I’d felt as if I done as much as I could have.
Also, if nurses in my team are involved in incidents where they have made a clinical mistake, I am always on hand to offer support and give them an opportunity to talk to me.
I never want another nurse to go through what I went through alone and I definitely do not want to harm anyone in my care.
Linked to NMC Code of Practice 14 – “Preserving Safety”
- British National Formulary (BNF) the drugs’ bible in the UK, available online with a subscription
Other of my real stories here:
- For a second applied reflection example, see my blog about My Infographic Mistake
- For a third reflection see Dog Walking
I have also published a workbook for nurses where you can see the model and have space to add your own private stories. Available on Amazon. Thanks for reading and good luck in your career. J
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Communication in Nursing Practice: Gibbs’ Reflective Cycle Essay
Introduction, description, action plan, reflective conclusion.
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Communication is a fundamental element in nursing practice. This element can possibly determine patients’ satisfaction and even the outcomes of their treatment (2). The situation described in the paper will exemplify the potential role of communication. Gibbs’ Reflective Cycle will help to assess the situation and extract lessons from it. The model is a widely-recognized and crucial learning instrument, allowing individuals to extract lessons from life experiences. The pattern helps one to consider previous experiences, reevaluate them in the light of new knowledge, and implement the freshly obtained insight to improve future practice (1). The cycle is composed of six stages (description, feelings, evaluation, analysis, conclusion, and action plan), on which the reflection regarding the personal experience will be based (1). The paper’s principal objective is to outline a challenging situation from personal practice using Gibbs’ Reflective Cycle. The problematic situation is an encounter with a patient suffering from an infected diabetic foot ulcer and in need of amputation. Overall, the paper aims to critically analyze the situation and transform it into a learning opportunity useful in improving my future practice as a wound care specialist.
The situation concerns a 40-year-old patient with diabetes and an infected foot ulcer who was admitted to the hospital where I was working at the moment. The patient had a long history of diabetes from which he suffered since he was 10 years old. A multidisciplinary team examined the patient and established that he needed an amputation. As I approached the patient to get a consent form, I noticed that he looked upset. Given the described situation, it might be suggested that a communication dilemma here is of ethical character, in particular – it is the delivery of the bad news. By applying Gibbs’ Reflective Cycle, the discussion below will demonstrate what actions were undertaken to resolve the mentioned dilemma.
The incident that will be analyzed happened several years ago when I began working as a wound care nurse. A 40 years old diabetic patient with an infected diabetic foot ulcer was admitted to the hospital. He had a long history of diabetes, suffering from the condition for three decades. A multidisciplinary team examined and communicated with the patient; it was established that he needed a below-knee amputation. The group stated their decision and left, and I had to retrieve the consent form. While retrieving the record, I perceived that the patient looked exceedingly sorrowful and depressed. Nevertheless, I did not know whether I needed to intervene in the situation and left.
Although I worked for many years in nursing before the incident, I became a certified wound care nurse relatively recently before it succeeded. At the moment, I saw the situation as irreparable, so I was not sure whether I should have tried to console the patient. I felt anxious and, to an extent, powerless when faced with the man’s grief. I thought that words or an empathic response would not be able to mitigate his sadness. Additionally, I was also somewhat startled that the multidisciplinary team did not handle the conversation more delicately and left rather abruptly. Overall, I did not feel confident enough to handle the situation and was unsure whether my intervention would be appropriate.
I frequently returned to the incident in my thoughts, trying to understand what should have been done instead. Retrospectively, I believe that it helped me to reevaluate the role of therapeutic communication in my profession. Prior to the incident, I did not perceive preoccupation with patients’ emotional well-being as my duty as a nurse. I believed that administering medications and treatment, performing tests, recording medical history, educating patients, et cetera was all that was required of me. Nevertheless, in the described situation, I did not fulfill another vital function. To understand that a holistic approach to care presupposes therapeutic communication, I had to experience the case (2). As a nurse, showing empathy and consoling patients is also a critical function that sometimes is overlooked. Furthermore, the incident demonstrates a lack of cooperation between the nursing staff and the team since communication was needed to ensure that the emotional impact of amputation on the patient was alleviated.
Some medical professionals find the process of delivering bad news challenging and feel psychologically unprepared (3). A lack of skills in this aspect can negatively affect patients: they might undergo extra stress, have lower psychological adjustment, and have worse health outcomes (4,5). Furthermore, the way the news is handled can impact patients’ understanding of the situation and adherence to treatment (6). Given the adverse effects, multiple protocols, approaches to communicating bad news, and dealing with its consequences were developed. In the patient- and family-centered approach, the process occurs based on the patient’s needs as well as their cultural and religious beliefs (7). Upon communicating the information, a medical professional is supposed to assess their understanding and show empathy (7). In an emotion-centered approach, a medical professional is supposed to embrace the sadness of the situation and build the patient-medical professional interaction on empathy and sympathy (7). Yet, the patient- and family-centered approach seems more effective since excessive empathy can be counter-productive and impede information exchange.
Managing patients’ reactions is the final and particularly vital step of communicating bad news. Nurses are commonly involved in handling emotional responses, which entails several responsibilities:
- Additional emotional support should be given to those who cannot accept the information (8).
- Nurses can find more related information and share it with patients (8).
- Nurses are supposed to improve the situation if bad news has been delivered poorly (8).
In the case of amputation, heightened emotional attention should be given to the patient, as limb loss is a life-altering procedure. Such patients commonly undergo the six stages of grief (denial, anger, bargaining, depression, and acceptance) and are prone to developing anxiety, depression, and body image issues (9). Hence, upon delivering the news regarding amputation, it is vital to provide a patient with community resources for dealing with emotional and psychological implications.
Currently, I understand more in-depth that delivering and handling the consequences of bad news is an inescapable reality of the nursing profession. The incident allowed me to notice the aspects of my professional development that necessitate more attention and improvement. Hence, I strive to be more empathetic in my clinical practice and not undervalue the role of patient-nurse communication. I attempt to provide psychological and emotional support to patients and console them to the best of my ability and knowledge, especially if a patient has just received traumatic news. Due to the incident, I comprehended better that a patient’s emotional well-being can be dependent on my actions. I also stopped presuming that other medical professionals provide the necessary emotional support. Moreover, I understand that I am not powerless when faced with a patient’s sorrow.
Consequently, I will not neglect the importance of patient-nurse communication for patients’ health outcomes and mental well-being. I will offer hope where it is appropriate, encourage, and validate patients’ emotions to help them deal with traumatic information (10). In the future, I will use verbal and non-verbal communication clues to show that I care and, generally, be more empathetic (11). I will not prevent my insecurities from fulfilling my nursing duties, nor will I allow the feeling of hopelessness to affect my clinical practice. Furthermore, I will rely on evidence-based approaches to handle bad news effectively and facilitate its delivery to patients.
Additionally, I will be more mindful in my nursing practice. Gibb’s reflective cycle will assist me in attaining this objective. I will continue to apply it to the situations occurring at work in order to think systematically as well as analyze and evaluate them. Furthermore, Gibb’s reflective cycle will enhance my ability to learn from my experience. The model will help me to refine my communication skills and make patient-nurse interactions more intuitive and productive (1).
The situation allowed me to understand the actual value of therapeutic communication in nursing and the need to exercise it in my clinical practice. Learning to provide emotional support and manage the consequences of bad news is an essential quality for nurses, influencing health outcomes and satisfaction from a visit. Additionally, I become more conscious of my own emotions and the way they can prevent me from acting in a patient’s best interests. Overall, the proper tactics of delivering bad news and assisting patients in handling them became a higher priority in my clinical practice.
To conclude, this reflection featured an episode from my practice in which I analyzed a communication situation using Gibbs’ Reflective Cycle. It showed that I need to concentrate on my abilities to resolve the communication dilemma of the delivery of bad news. The above discussion also demonstrated how the implementation of an appropriate and significant evidence-based model – Gibbs’ Reflective Cycle – may result in better patient outcomes.
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IvyPanda. (2022, June 20). Communication in Nursing Practice: Gibbs' Reflective Cycle. https://ivypanda.com/essays/gibbs-reflective-cycle-essay-essay-examples/
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1. IvyPanda . "Communication in Nursing Practice: Gibbs' Reflective Cycle." June 20, 2022. https://ivypanda.com/essays/gibbs-reflective-cycle-essay-essay-examples/.
IvyPanda . "Communication in Nursing Practice: Gibbs' Reflective Cycle." June 20, 2022. https://ivypanda.com/essays/gibbs-reflective-cycle-essay-essay-examples/.
IvyPanda . 2022. "Communication in Nursing Practice: Gibbs' Reflective Cycle." June 20, 2022. https://ivypanda.com/essays/gibbs-reflective-cycle-essay-essay-examples/.
IvyPanda . (2022) 'Communication in Nursing Practice: Gibbs' Reflective Cycle'. 20 June.
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Essay On Gibbs Reflection
The gibbs reflective cycle : reflection on the new medicines service.
This reflection was done using the Gibbs reflective cycle. It has six steps including Description, feelings, evaluation, analysis, conclusion and finally the action plan. The description section is an introduction to the contents of the reflection, ensuring the reader gets a foundational understanding of the materials. In the Feelings section, I can discuss how I felt about an incident/activity that occurred. The evaluation section allows me to assess the positives/negatives of the way I handled the situation. Then the analysis section is for me to consider steps I could take starting from now that allow me to improve. The conclusion section is for me to bring all the elements of the reflection together. Finally, the Action Plan section is there for me to decide what I would like to do in the future.
Infection Control Essay
I will structure this essay using Gibbs Model of Reflection (Gibbs 1988). Reflective learning helps practitioners analyse their experiences and how they think and feel about them before
Reflection And Views Of Anonymous Service Users And A Professional Nurse
The model of reflection chosen for this essay is Gibbs’ reflective cycle (1988). This model has been chosen as it has clear systematic headings; it allows the individual to reflect precisely and accurately, (Jasper, 2003). The Gibbs’ reflective cycle incorporates 6 stages of refection (figure 2), (Rolfe et al, 2011).
The Gibbs ' Model Of Reflection Essay
Reflection, criticism and self-evaluation in paramedic practice is paramount for educational and personal growth. This essay will be conducted using the Gibbs’ model of reflection (1988) reflecting on the description of the case, my feelings, evaluation, analysis, conclusion and an action plan surrounding a case in which I was personally involved.
Reflective Commentary On Use Of Gibbs Reflective Cycle
The first stage of Gibbs reflective cycle is to give a description of what happened which will now be discussed. My preparation for my taped interview began with my class on a Tuesday afternoon for five weeks. This
Gibbs Reflection Essay
This assignment will reflect on the effectiveness of my clinical and interpersonal skills in relation to my position as a nurse in a busy critical care unit. It will primarily focus on one particular patient and the care they received by myself in their immediate post operative period. In accordance with the NMC’s code of professional conduct names will not be used to protect the patient’s confidentiality. NMC (2008).
Reflection on the nursing process, using Gibbs 1988 model
In order to help me with my reflection I have chosen Gibbs (1988), as the model to help with my reflective process. This model comprises of a process that helps the individual look at a situation and think about their thoughts and feelings.
Reflective Practice in Teaching Essay
Gibbs Reflective Cycle (1988) encourages a clear description of the situation, analysis of feelings, evaluation of the experience, and analysis to make sense of the experience to examine what you would do if the situation arose again.
Essay On Gibbs Model Of Reflection
For the purpose of this essay, I have selected Gibbs (1988) Reflective Learning Cycle to reflect on an aspect of individual professional practice, which requires development in preparation for my role as a Registered Nurse. Gibbs (1988) Model of Reflection provides a clear description of a situation, analysis of feelings, evaluation of the experience, conclusion, and action plan to make sense of the experience to examine what you would do if the situation happens again.
Nursing Reflection Essay
I will use a reflective model to discuss how I have achieved the necessary level of competence in my nurse training programme. The reflective model I have chosen to use is Gibbs model (Gibbs 1988). Gibbs model of reflection incorporates the following: description, feelings, evaluation, analysis, conclusion and an action plan (Gibbs 1988). The model will be applied to the essay to facilitate critical thought, relating theory to practice where the model allows. Discussion will include the knowledge underpinning practice and the evidence base for the clinical skill. A conclusion to the essay will
Reflection Of A Reflection On Academic Skills
Gibbs Reflective Cycle (1988), a framework for students to resolve problems in assignments, step by step, I will reflect on my own problems, (UK Essays, 2013). My previous goal was to study in a university and now that I have accomplished that goal, my next goal is to complete the course with a good grade. But the reality of achieving the Foundation Degree is a much harder concept than what I first thought, having a writer 's
Gibbs Reflective Cycle (1988), a framework for students to resolve problems in assignments, step by step, I will reflect on my own problems, (UK Essays, 2013). My previous goal was to study in a university and now that I have accomplished that goal, my next goal is to complete the course with a strong grade. But the reality of achieving the Foundation Degree is a much harder concept than what I first thought, having
reflection on team work
In this essay I am going to reflect on my experience working as part of a team and the preparation on an oral presentation I had to do in class with people from different courses, as part of the Foundations for Practice in Health and Social Care module. Reflection is educational and is used as a means of self-knowledge and to develop using a process of feeling and learning by thinking about what happened and what could have been done differently. (Rolfe, 2011, p.8-12) I will be using the Gibbs (1988) Reflective Cycle to do this. In this model there are 6 different stages to look at to help structure reflection, the description of the event, your feelings, evaluation, analysis, conclusion and an action plan. There is more than one model
Reflection: Surgery and Reflective Practice
The assignment critically discusses a reflective practice with regards to a clinical placement I undertook. In the following critical incident that I encountered I will utilize the Gibbs Reflective Model. Gibbs reflective model is fairly straightforward and encourage a clear description of the situation. Analysis of feelings, evaluation of the experience, analysis to make sense of the experience, conclusion and action plan where other options are considered and reflection upon experience to examine what you would do if the situation arose again (Gibbs 1998). Unlike many other models (with the exception of Boud) Gibbs model takes in to account the realm of feelings and emotions, which played a part in a particular event. My rationale for
Reflective Writing on Team Work Essay
In this work I want to reflect the situation taken place during the last semester to develop and utilize my personal skills needed to maintain the relationships with other team members. Gibbs (1988) Reflective cycle is used to reflect in an effective way. I am using this model because it is a recognized framework for my reflection. Gibbs (1988) contains six stages to complete the cycle which improves my personal skills continuously and learning for the best practices in future. As Gibbs cycle moves forward the first stage describes the situation where the team members work together, next stage looks the feelings of members about the work and third stage involves the analysis of the feelings of team members. The fourth stage is the analysis to make the sense of experience, 5th stage includes the outcome of team work and the final stage involves the action plan for the situation if it arose again. This kind of reflection generated the practice knowledge which assisted me to work with my team members and adapt the new situation during the work. The team work generated a sense of satisfaction and developed professional practices. My team
- Higher education
Gibbs' Reflective Cycle ... One of the most famous cyclical models of reflection leading you through six stages exploring an experience:
The Gibbs' Reflective Cycle will be used as this is a popular model of reflection. Reflection is associated with learning from experience. It is viewed as an
Applying the Gibbs' Reflective Model. 'It is not sufficient simply to have an experience in order to learn. Without reflecting.
Nurses and Midwives Reflection Process · Let's Get Started · Stage 1 – Description (Pure Facts) · Stage 2 – Description – (Feelings) · Stage 3 – Evaluation · Stage 4
What sort of reflective essay might I have to do? ... Gibbs' model of reflection . ... reflective writing is quite different from other.
Gibbs' Reflective Cycle is a powerful model that encourages people to think critically and systematically about their experiences, specific
The cycle is composed of six stages (description, feelings, evaluation, analysis, conclusion, and action plan), on which the reflection
This reflection was done using the Gibbs reflective cycle. It has six steps including Description, feelings, evaluation, analysis, conclusion and finally the
Nursing Associates must be reflective practitioners (NMC, 2018b). I will use Gibb's reflective cycle (Gibbs, 1988), which has 6 stages – Description, Feelings
It was designed as a continuous cycle of improvement for a repeated experience but can ... Using Gibbs' reflective model in reflective writing.