This essay will discuss my experience of having undertaken the Objective Structured Clinical Examination (OSCE) where I was asked to write and carry out particular clinical skills testing my competence and knowledge. It has also been noted that the use of cleansing with an alcohol wipe can cause skin hardening (Mallet & Dougherty 2000). It shall broadly discuss a reflection of the OSCE undertaken based on Gibbs Reflective Cycle outlining the key factors of the model, importance and the application of the Gibbs Reflective Model to OSCE (Gibbs, 2103). Being watched made me feel very nervous and under pressure to get it correct. There were times when the funnel did not flow and became disjointed, causing a disruption in the alliance [04:30, 06:25]. The head rotates externally and with this there is internal rotation of the shoulders. MIDTERM OSCE REFLECTION Name: Course title: Professor: Institution: Date Due: MIDTERM OSCE REFLECTION LEARN GUIDING QUESTIONS L Look back, play back your experience in your head (as a movie) and think about every detail from your experience with the Midterm OSCE. The importance of showing you have listened is detrimental to the therapeutic relationship as it shows therapist competence in being able to reanalyse, re-evaluate and find new meanings in thoughts, behaviours and feelings (Bennett-Levy, 2003). Throughout my OSCE assessment, I can be seen to use effective mirroring [01:46, 02:07, 04:10, 09:08, 18:38] which allowed for the assessment to flow. Using this reflective model has helped me to realise that my learning is something which I must be proactive in. These action points are discussed further in my action plan below. VAT Registration No: 842417633. Gibbs model of reflection includes: description, feelings, evaluation, analysis, conclusion and an action plan (Gibbs 1988). Ask in patient review questionnaires how they found the assessment. Registered Data Controller No: Z1821391. This resulted in me having poorer reflection skills and having an impact on the alliance. I was aware that research by Workman (1999) suggests that the use of skin cleansing wipes is inconsistent and not necessary in IM injections if the patient appears to be physically clean and an aseptic technique is adopted, along with stringent hand washing by the nurse. I feel as though these moments helped to bind the therapist-patient alliance and that these are moments that went well within the OSCE and helped to form a positive relationship, which is important within CBT (IAPT, 2010). As well as this, there were times when I adequately paraphrased the patient [03:45, 05:37, 06:18, 08:52, 19:14, 20:38]. *You can also browse our support articles here >. Understanding the mechanism of labour has direct implications for midwifery practice (midwifery.org, 2001), so therefore is very important for me to understand and implement in my own practice. Evans-Jones, Peters and Barker, (2009) Suggest that empathy at assessment is crucial for good outcomes in treatment. They were developed in order to help address the unreliability and lack of authenticity of the traditional … I have detailed in my action plan how I will develop this skill (See Appendix 1). All work is written to order. Supervisor will be able to give feedback on my technique. In this scenario I have learnt from experience and through experience (Burnard 2002). This essay will discuss my experience of having undertaken the Objective Structured Clinical Examination (OSCE) where I was asked to write and carry out particular clinical skills testing my competence and knowledge. Then stated that fetal axis pressure and cervical dilatation increases causing the fetus to enter the pelvic cavity and head rotates 1/8 of a circle to lie in the oblique of the pelvis putting the doll in a right occipitoposterior position. On my clinical placement, an orthopaedic outpatient centre, IM injections were administered on an almost daily basis. Even though this assessment was formative, I was aware that it would show my lecturers as well as myself the level of my competence I had in understanding the mechanism of labour. Free resources to assist you with your nursing studies! PWP’s use assessments to gain an understanding of disorder-specific information to decide whether they are suitable for treatment within the Improving Access to Psychological Therapies initiative (IAPT) (Richards and Whyte, 2011). Placement, an orthopaedic outpatient centre, IM injections and became disjointed causing... 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