Reflective Essay A reflection of my overall experience of the work placement In this essay I will give an overview of my experience of the work placement mentioning how I managed to obtain the specific learning outcomes of the module. For me, this placement was mainly about getting vital legal work experience, which I could list on my curriculum 7/28/ · PhD Essay work Work Placement Reflective. Get help from a subject expert in 3 hours It’s fast! Hire verified expert Last Updated 28 Jul Work Placement Reflective. Category work. Essay type Research. Words (6 pages) Views Introduction. This is a sample of the reflective diary kept during my work placement with Viridian Housing 4/26/ · Level 3 Award in Preparing to Teach in the Lifelong Learning Sector (PTLLS)() REFLECTING LEARNING JOURNAL UNIT The purpose of this essay is to reflect upon an aspect on my role and responsabilities as a teacher in lifelong learning,responsability for maintaining a safe and supportive learning environment (PTLLS /L&D Academy /Barchester/page 4 }For the purpose of reflection the essay
Reflection on placement practice Example | Graduateway
Nicolas Bellot is a French physiotherapist working in Brussels, placement reflective essay, Belgium in a MSK private practice and teaches Musculoskeletal post-graduate courses in France with a company named IAMPT. He is a part time student of the MSK MSc at the University of Brighton.
He completed his first clinical placement in October-November and here is his self-reflective essay about his experience:. In OctoberI completed my first clinical placement. Thanks to my tutors, it has been a highly enriching experience. It raised my awareness about my strengths and especially my weaknesses within my clinical practice. This reflective essay is an opportunity to look back and analyze an incident that happened with a patient. To reflect on this experience, I will use Gibbs reflective cycle, described by Gibbs in It emphasizes the importance of self-reflection on a failed experience to gain a deeper understanding on the reasons it went wrong.
With proper analysis, it is also a chance to convert this event into a learning to avoid making the same mistakes if a similar situation reoccurs, placement reflective essay.
This essay is divided by chapters corresponding to the phases described by Gibbs in his cycle:. The last paragraph explains how this reflection allowed me to recognize a similar situation and to change my behaviour accordingly to avoid repeating the same mistakes.
During the formative exam of my placement in NovemberI saw a patient placement reflective essay John pseudonymfor his first session. I was under supervision of 2 tutors who stayed in one side of the cubicle while observing the consultation. John sat in front of me and I started my subjective examination. John is a 56 years old male who works as a self-employed stage installer for theaters.
In Novemberhe has had an intense low back and right anterior thigh pain episode. During this period, he saw his GP who referred him for a MRI that he only obtained in February He was then referred in physiotherapy and obtained an appointment with me 9 months later.
He wanted to know if it was normal or not, placement reflective essay if I could show him exercises he could do. I have missed a lot of verbal and non-verbal cues that could have led me to a more holistic and accurate comprehension of his problem.
I failed to deliver a patient-centered care placement reflective essay my assessment was centered on my own perception of what he had and needed, and not on the patient himself which led to a mismatch in the interaction. It impacted his quality of life and I reckon it must have been a tough experience. I felt stressed out because I was taking an exam, but also nervous because Placement reflective essay was being observed by my tutors.
I also felt overwhelmed by the almost infinite number of criteria that must be accounted for during a session. I put myself under too much pressure during this session and I sometimes struggle to keep up with my expectations.
Retrospectively, placement reflective essay, I feel both ashamed and angry because I know I could have done better, placement reflective essay, which left me quite bitter and remorseful immediately after the session. Although disappointed in a way, I also felt relieved and grateful to my tutors who helped me to identify short-comings of my practice that I would have struggled to pinpoint on my own otherwise.
It will take time, but I now feel excited and renewed to set up new goals to evolve my practice. Goal-setting fosters the development of patient-centered physiotherapy Stevens et al Thirdly, placement reflective essay, some communication elements were satisfying.
This opening sentence studied by Chester et al has many benefits. I also paid attention to use non-verbal cues such as the proximity of our chairs, keeping my posture opened and slightly leaning forward as advised by Hall et al to favor a patient-centered behaviour.
One of the main problems was my lack of active listening. He also clearly stated his goals early in the interaction Knowing if stiffness was normal or not, placement reflective essay, and if some exercises could help. However, I kept asking questions and doing physical tests and treatments unrelated with his legitimate interrogations and personal goals. Secondly, although essential to build up trust Hall et alI also failed to communicate empathy and compassion towards his situation, placement reflective essay.
I clumsily tried placement reflective essay reassure him by saying that there was nothing to worry about, but I said it too early and it probably had an opposite effect. I asked several questions but they were not personalized enough, which prevented me to see how his problem impacted his personal life as recommended by Froud et al Moreover, my eye-contacts were limited as I was constantly shifting my eyes on my sheet to write down.
These non-verbal cues are important in the therapeutic relationship Testa and Rossetini Reflecting deeper on this incident helps to figure out why things went this way during the appointment.
Essentially, I struggled to listen to John actively for several reasons. Firstly, I was nervous because this session was in the context of an exam and I knew I was being watched, placement reflective essay. I spent more energy being self-conscious and focused on the placement reflective essay I performed, which decreased my capacity to listen to John actively. It is hypothesized that a higher level of self-consciousness during social interactions can lead to the decrease of potential interaction with other Tracy and Robbins Therefore, placement reflective essay, I had a lot of new elements to focus on, which is often described as difficult to handle by unexperienced physiotherapists.
Lastly, patient-centeredness is still relatively new to me as it was first introduced placement reflective essay I started my master in It has transformed the perception of my role and I try to focus more on what patients say, show and feel, to tailor the assessment and treatments to their specific needs.
Recent studies show that patient-centered care is linked with a better satisfaction, outcome, and adherence to treatment Hurley et al As described before, the lack of perceived empathy and compassion towards John also had a negative effect on therapeutic alliance; key factor to patient-centeredness Pinto placement reflective essay al This placement was a fantastic opportunity; however, it was exhausting.
I did it 2 days a week and commuted every week. I invested a lot of energy in it and had to work more in my clinic the rest of the week to compensate the absence. Neumann et al showed that distress was the main cause of decrease of empathy in medical students, placement reflective essay. I used to see emotions as disturbances to neutrality and restraints to objective reality.
I under-developed my emotional intelligence to favor my rational intelligence. This false belief decreased my interpersonal sensitivity defined by Hall as the accuracy in perceiving other people. I therefore became quite inefficient at detecting and processing emotional experiences in others cognitive empathyand consequently in sharing emotions Affective empathy — Allen and Roberts However, being able to detect, process but also share and express emotions in response to patients would have helped to build up and to deepen the therapeutic relationship with John.
Additionally, other reasons limited the development of a therapeutic alliance. For example, I never acknowledged the difficulty of his experience. Acknowledgement is a simple, yet powerful tool, that I should have used.
My lack of personal implication created a disconnection between his complaints and wishes, and my questions and answers. Poor reassurance made me look detached as if I tried to diminish the impact of his problem, which increased the gap in our relationship even more.
It created a distance between us, hindered the therapeutic relationship, and decreased his trust in my role. I failed to make him feel as he was a real person which has been rated as crucial by patients in a physiotherapy interactions Kidd et al Reflecting back served to highlight what I should have done differently, placement reflective essay.
I should have listened to John actively by being attentive to his words, by exploring his beliefs but also by trying the understand his expectations from this appointment, placement reflective essay. I must have asked more questions to apprehend the impact of his problem on placement reflective essay personal life. I should have maximized the potential to placement reflective essay a therapeutic alliance by improving my verbal and non-verbal communication.
For example, by reusing his words and by doing a less scripted and more interactive subjective exam. Non-verbally, I must have adapted my facial expressions to his sayings to look more compassionate and involved. I also should have spent less time writing on my sheet which would have given more rhythm and smoothness to the interaction. This action plan, is elaborated around 2 main lines: gaining some additional knowledge and training my experience by practicing at the clinic.
To educate myself, placement reflective essay, I audio-record one interaction with a patient per week and analyze it placement reflective essay the weekends.
and listened to a free podcast by Mike Stewart on communication and pain education. In the future, I plan to keep increasing my knowledge on these topics.
Practically, I need to keep improving my fundamentals in musculoskeletal to be more patient-centered. It can be achieved by two main steps. The first step is to practice more active listening, and to try to be more focused on the patient by paying attention to words used, placement reflective essay, personal goals, expectations and non-verbal language.
The second step is to establish a therapeutic alliance with the patient as soon as possible. I work on my verbal communication by asking open questions, summarizing, and clarifying when needed. Non-verbally, I try to use more body language and to have a warmer behaviour. I try to be more enthusiastic, using more acknowledgment and reassurance. Initially, I noticed cues indicating anxiety about her situation.
Her face was worried, and she expressed her frustration about not improving, placement reflective essay. During the examination, I spent minimal time looking at my sheet to keep more eye contact and tried to behave in a more enthusiastic way. I think it was clearer and gave her the indication that I listened to what she told me during the anamnesis, placement reflective essay. This sentence was very powerful and her face changed almost immediately.
I think she felt relieved that I took her problem seriously. I continued by asking more placement reflective essay on her social history to determine more precisely the areas of her personal life impacted by her problem.
I feel like I had established a therapeutic bond within the first session. It sounded a bit artificial, and the terms used could have been less technical. The lessons learnt with the case of John helped me to avoid repeating the same mistakes with her and although I still lack consistency, placement reflective essay, I feel that I start to be on the right tracks.
Improving my listening and communication skills is a complex journey. It requires constant effort to prepare the second placement, and ultimately to become a better clinician.
This journey opens new ways to trigger a true philosophical shift to patient-centeredness to put patients back in the center of the interaction and to try to see their problem through their eyes. Gibbs, G.
How do you write a reflective essay?
, time: 2:56Work Placement Reflective – The WritePass Journal : The WritePass Journal
11/18/ · A reflective diary is a private record of experiences throughout work placement. It is very important to use this diary to report thoughts, feelings and opinions rather than reporting on the factual events of the day 3/5/ · End of Placement Reflections (Reflective Essay) 1. General learning experiences During my internship experience, one basic thing is to meet work objectives. What did I 2. Personal learning experiences There’s always a difference between expectations and the reality. Actually, my prior 3 7/28/ · PhD Essay work Work Placement Reflective. Get help from a subject expert in 3 hours It’s fast! Hire verified expert Last Updated 28 Jul Work Placement Reflective. Category work. Essay type Research. Words (6 pages) Views Introduction. This is a sample of the reflective diary kept during my work placement with Viridian Housing
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