Reflection has its importance in clinical practice; we always seek to be successful and that can be achieved by learning every day of our life through experiences we encounter. In that way we can reconsider and rethink our previous knowledge and add new learning to our knowledge base so as to inform our practice. Learning new skills does not stop upon graduation; it must become second nature to all professionals as they continue their professional development throughout their careers (Jasper, 2006).
In keeping within current legislation on the protection and respect of an individuals’ right of anonymity, (Clamp, Gough and Land 2004; Polit and Beck 2007), and to confidentiality, (Burns and Grove 2003; Munhall 2007), any
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I should have asked him “what are your concerns”, or “what is important for you?” (Registered Nurses' Association of Ontario, 2006). By asking these questions, I could identify the patient’s real concern behind the issue. According to Messner (1993), waiting is a serious frustration for patients in hospitals. I have unintentionally put my patient in a prolonged waiting situation, which could increase the level of the patient’s anxiety. I should have answered “I will check it now” instead of “later on”. In (3), I switched the topic to informing the patient that I would perform the assessment. In the client centered care best practice guidelines, it is important for nurses to include patients’ goals in their care plans (RNAO, 2006). When the patient asked about his NG tube, which meant NG tube was his priority concern and more important than physical assessment at that time. However, I did not continue the conversation with the patient’s concern but switched to my next routine task. Even though I could obtain a series of values from physical assessment, I still could not make an appropriate care plan without the patient’s goal. In (4), I addressed the patient’s sleep problem only by “I am sorry to hear that”. Seeking to clarify is a way to facilitate the patient-centered care dialogue (Hollett, 2008). I should have asked “tell me more about that” in order to seek depth and clarity.
As I am assessing the