Critical Self-Reflection
Task Description
“Medication safety refers to the safe use of medicines to achieve therapeutic outcomes and
improve people’s quality of life, while minimising risks and responding to errors. Medication
safety is dependent upon the nurses’ ability to manage the human and systems factors that
have the potential to adversely impact the accuracy of medication prescribing, dispensing and
administration, and to educate patients to self-manage medications appropriately.”
(Patient Safety Competency Framework 2017)
From your clinical placement, reflect upon a medication safety knowledge interaction with a
patient, patient’s family or a staff member, a clinical skill or a patient outcome where you must
have been directly involved.
One (1) Medication Safety knowledge area must be chosen from the following Patient Safety Competency Framework (PSCF) Standards (2017) as the subject of your reflection. :
1. Outlines key principles of safe medication management
2. Identifies factors that have the potential to compromise safe medication practices
3. Defines and differentiates between a medication error, adverse drug reactions, drug
sensitivity, side effects and drug allergy
4. Describes the roles and responsibilities of members of the medication team
responsible for prescribing, dispensing and administering medications
5. Outlines legislative and organisational requirements for medication prescription,
storage, use and administration
6. Describes how to report medication incidents including adverse drug reactions,
medication errors and near misses
You will write a critical self-reflection on your interaction utilising the Johns’ Model (described
below)
Write to the headings and subheadings answering the questions as prompts to assist you to
reflect (see below for assessment layout).
Johns Model Reflection (Modified by Euler, 2019)
Description of the experience
● Describe the experience and the significant factors
Reflection
● What was I trying to achieve and what were the consequences?
Influencing Factors
● What factors (internal/external/knowledge) affected my decision making?
Could I have dealt with it better?
● What other choices did I have and what were th consequences of those choices?
Learning
● Empirics
● What knowledge did or could have informed me?
● Ethics
● Did I act for the best?
● What factors were influencing me?
● Personal
● Why did I feel the way I did in this situation?
● Aesthetics
● What was I trying to achieve? Why did I respond/react as I did?
● Reflexivity
● Does it connect with past experiences?
● How could I handle this situation better?
● What will change because of this experience?
● How did I feel about this experience?
● How has this experience changed my ways of knowing?
Reference: https://www.nursingmidwiferyboard.gov.au/Registration-Standards/Continuing-
professional-development.aspx
Word Limit 750
750 words
Referencing
● American Psychological Association (APA) 7th
● Apply patient safety and quality principles inclusive of diagnostic and therapeutic
procedures and the nursing process to deliver evidenced based, person centred nursing
care to individuals, families, carers and communities.
● Function within legal and ethical frameworks and scope of practice of a beginning
registered nurse in accordance with Nursing Midwifery Board of Australia (NMBA)
competencies.
Graduate Attributes
● Communication
● Problem Solving
● Critical Thinking
● Information Literacy
● Team Work
● Information Technology Competence
● Cross Cultural Competence
● Ethical practice
Reference
Australian Commission on Safety and Quality in Health Care (2017). National Safety and Quality Health Service Standards. Accessed 19/08/2020 at http://www.safetyandquality.gov.au/wp-content/uploads/2011/09/NSQHS-Standards-Sept-2012.pdf
Dirik, H., Samur, M., Seren Intepeler, S., & Hewison, A. (2019). Nurses’ identification and reporting of medication errors. Journal of Clinical Nursing, 28(5-6), 931-938. https://doi-org.ezproxy.cqu.edu.au/10.1111/jocn.14716
Levett-Jones, T. Dwyer, T., Reid-Searl, K., Heaton, L., Flenady, T., Applegarth, J., Guinea, S, Andersen, P. (2017). Patient Safety Competency Framework (PSCF) for Nursing Students.
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