Reflection on diagnosing as a nurse in ITU.

Area of Science:

• Nursing
• Medical Education
• Healthcare Ethics

Background:

• Critical reflection is essential for professional development in nursing.
• Navigating complex clinical situations requires advanced cognitive skills.
• Interprofessional disagreements can impact patient care and nurse well-being.

Purpose of the Study:

• To adapt Brookfield's four critically reflective lenses for nursing practice.
• To explore a nurse's emotional and cognitive responses during a critical incident involving interprofessional conflict.
• To examine the distinctions between medical and nursing roles in high-stakes environments.

Main Methods:

• Application of Brookfield's (1995) four critically reflective lenses.
• Utilizing Wellington and Austin's (1996) five orientations to reflection for metacognitive analysis.
• A critical commentary format to communicate the reflective process.

Main Results:

• The reflective lenses provided a framework for analyzing a challenging intensive care scenario.
• Metacognitive exploration revealed insights into the nurse's thought processes during conflict.
• The study highlighted the importance of understanding the boundaries and overlaps between medicine and nursing.

Conclusions:

• Brookfield's reflective lenses are valuable tools for nursing education and practice.
• Critical reflection and metacognition enhance a nurse's ability to manage complex situations and interprofessional dynamics.
• Further exploration of nursing's unique contributions within interdisciplinary healthcare is warranted.