Reflective models are really useful in helping people to reflect on experiences, whether positive or negative, to build a view of what happened and how they felt, what they took from it and what they will do next.
I believe that reflection is important as it provides an opportunity to look back and what happened and identify what went well, what could be improved and what actions to take next. I am doing so here, with my reflections on my core skills module completed in semester 1. The RCOT Professional standards for occupational therapy practice, conduct and ethics states in section 4.6.8 'You use the information you collect, with other national, local and professional guidance and research evidence, to improve the quality, value and effectiveness of the service/s you provide.'
I have decided to use the Gibbs Reflective Cycle for my reflections because it is more detailed and I find it easier to follow that other models. I talk about other models on this page after reflections.
Description - I learnt how to make a thumb post and wrist orthosis, using a heat bath and thermoplastic which we heated in the hot water to be able to shape around the clients hand or wrist. After a demonstration from the lecturers, I worked with a partner in my class and we were provided with the materials and instructions on how to make them ourselves.
Feelings - I felt excited as I love doing practical work and working with tools or equipment. The process was a little awkward as the plastic sometimes stuck together once it was wet and this made me feel frustrated and a little bad that I'd ruined some of the materials.
Evaluation - The experience was good because the task was something that I enjoyed doing. The only bad part was that I didn't get to try making a thumb post as we ran out of time.
Analysis - I worked really well with my partner, when pretending they were my client I ensured they were comfortable. It was a little awkward though so we couldn't take it very seriously.
Conclusion - I could have tried to be more professional when practicing actually pretending to be the OT as I found it quite awkward doing it with class mates and therefore we ended up laughing quite a lot.
Action plan - Make sure to write down all the points of the orthosis that could be potential sore spots for a client and practice looking for those areas, especially when it comes to doing my OSCE if I get orthotics.
Description - The class was split into two groups and we played different games and in each game a different person took the leadership role.
Feelings - I felt anxious as don't like speaking in front of groups but as the setting was relaxed and we were in small groups, it was easier to perform the leadership role.
Evaluation - The good thing about the experience was that I got to know my classmates better. If I had to pick something that was bad about the experience it would be my feeling of being a little anxious.
Analysis - I tried to ensure that everyone was in involved in conversation so they didn't feel left out. I could sense that some people enjoyed the session more than others and I think that was perhaps due to some people big personalities and others being a little shy in front of others like I am.
Conclusion - I could have perhaps got more involved with the session.
Action plan - Perhaps choose a different game to lead as we all had to choose one so this would give me to opportunity to try a different one.
Description - I was given instructions on how to perform one handed dressing of the upper and lower body.
Feelings - I felt a bit awkward getting undressed in front of classmates but we had shorts and t-shirts on under our uniforms.
Evaluation - It was good to put myself in the situation of only being able to use one arm as it gave me a little insight into what a lot of people who truly have use of only one arm go through on a daily basis. If I had to choose something bad about the experience it would be that my glasses kept getting in the way so I had to take them off and therefore I couldn't see very well.
Analysis - The lecturers showed videos of really people and how they manage day to day with limited use of some of their body so that was quite interesting to see the different processes people have.
Conclusion - I could have actually used the sink to try and brush my teeth properly but my group decided to pretend we were doing it as there was only one sink and therefore we didn't get the full experience.
Action plan - I would try a few different ways to perform the task and I would try and swap the arm that is the weaker of the two and access how I get on with the same task.
Description - I learnt about wheelchairs and how to fit a client for one. Our lecturer showed us the many different types of wheelchair and how to measure a client by taking measurements of their hips and legs. We went through how to measure someone for a wheelchair, and through all of functionalities on a wheelchair. We then got to ride in the wheelchairs and push each other around. We went outside the building, we did curb drops and also practiced going up and down ramps on our own and doing stationary turns.
Feelings - It was very enjoyable to ride around in the wheelchairs but also a good experience to see how it is for someone who uses a wheelchair as part of their daily life. It was a little strange having to practice on each other when measuring and saying "Hello, I am Liz your OT and I will be measuring your for your wheelchair today". I also felt a little anxious when being pushed around in the wheelchair as I had to put a lot of trust in someone I don't know that well.
Evaluation - It was a good opportunity to learn the measurements we would need to take and to practice asking for permission to approach the client and touch them to take the measurements as this would be needed for OSCE practice.
Analysis - Doing the measurements on each other gave us a practice in approaching a client, asking for permission to touch parts of their legs to take the measurements and so this was a good opportunity to build on those skills.
Conclusion - I could have been a bit more gentle when doing the curb drop as the person in the chair screamed as I dropped her off the curb as it was quite sudden so I need to take that into account next time.
Action plan - I would choose a different type of wheelchair to access and use as this would give me insight into other types of wheelchair.
Description - I walked into the exam room and saw my examiner who explained how the session would work and where the information I needed was. The client was already in the room sitting on a chair, there were also two wheelchairs nearby and then the examiners desk and then the desk with my information on it.
Feelings - I was really anxious. I didn't sleep well the night before and I just felt really nervous. I was really hoping for wheelchairs and that what I got so once I realised that, I relaxed a bit as I felt like I knew what I had to do, I just didn't want to forget anything or rush.
Evaluation - I think the good thing for me is that it was wheelchairs as I felt most comfortable doing this out of all the possible options. I felt confident that talked about a few of the safety features. The bad part about the experience was the pressure of being watched and knowing I was being timed
Analysis - The volunteer playing the client appeared anxious as well and I couldn't tell if that was part of the role of the client or just because of the conditions we were in.
Conclusion - I forgot to mention that I would remove 4cm from the back of the leg to bottom measurement so that the fabric of the seat doesn't rub against the clients legs.
Action plan - I would make sure that I take my time and just breath. As I was anxious I found that I wasn't breathing properly and words were just spilling out. I would also perhaps put the client in a chair that doesn't have arms on it as this made it a bit more difficult to access the clients legs for the measurements. I could have perhaps put my chair on the other side of the client as the camera was behind me.
Terry Borton (1970) developed this model based on three questions. What? So what? and Now what? It is a simple model and very easy to remember therefore making it one of the simplest frameworks for reflection. (The University of Edinburgh, 2020).