Reflective Reflection In Health Care

Introduction

In this reflection, I am going to use Gibbs (1988) Reflective Cycle to describe an interaction I had with a co-worker when I was working at a private outpatient clinic. I had a challenging interaction which I would classify as horizontal bullying. Horizontal bullying is defined as a demand by a nurse towards a co-worker, causing her to feel disregarded and denied of her basic human rights (Granstra, 2015). This reflection shows how horizontal bullying would affect the patient safety (Purpora & Blegen, 2012).

Description

I was running a high fever related to a severe case of upper respiratory chest infection (URTI). I told my colleagues that I would have to take a sick leave after lunch as I was having double vision. Most of them

However, it may not be professionally acceptable if we were to perform duty when we are sick. Adele may not have understood that staff safety is a prerequisite to patient safety (Sinnott & Shaban, 2011). According to Singapore Nursing Board (2011), I should only deliver care within my ability. Nursing and Midwifery Board of Australia (2008) also states that we should have a culture of safety in health care and we should avoid situations where our ability to deliver quality care may be impaired. On top of this, we could conscientiously object to participate in a procedure when we did not have the ability to carry out (Nursing and Midwifery Board of Australia,

These factors include trust, support, mutual respect and collaboration when a colleague is sick (Norris, 2012). This incident had prompted me to think about several important aspects of nursing for me. Nurses should apply human factors knowledge to clinical settings to enhance teamwork and workplace culture. Human factors application is important for patient safety. The underlying reasons for clinical errors are often associated with poor communication, teamwork, leadership, and assertiveness in the clinical settings. Understanding how human factors affect patient safety is relevant as it can help us be more aware of the prerequisites of clinical errors and minimise them (Hinshaw, 2016).

Upon reflection, I realised that patient safety is greatly affected by various personal and workplace cultural factors. I believe we should promote a self-assessment technique that was developed by the aviation industry. The acronym ‘IMSAFE’ (illness, medication, stress, alcohol, fatigue, and emotion) can be relevant for us before we commence our work each day to ensure a patient safety culture (Muglu & Navratnarajah,