Reflection on diagnosing as a nurse in ITU.
Brookfield's (1995) four critically reflective lenses are adapted from teaching and applied to nursing within this article. The lenses are used as a framework for exploring the author's feelings associated with diagnosing a life-threatening problem in intensive care in the presence of a disagreeing doctor. The issues surrounding the distinctions between medicine and nursing are explored. Wellington and Austin's (1996) five orientations to reflection provide the framework for the author's 'metacognition'--his thoughts about his thoughts. These are communicated by way of a critical commentary.
Cutler
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University of Sheffield/Rotherham Intensive Therapy Unit.
D001291:Attitude of Health Personnel; D001318:Authoritarianism; D003220:Conflict, Psychological; D003422:Critical Care / Q000379:methods*; D006801:Humans; D008505:Medical Staff, Hospital / Q000523:psychology*; D009736:Nursing Process; D009741:Nursing Staff, Hospital / Q000523:psychology*; D019555:Physician-Nurse Relations; D011030:Pneumothorax / Q000175:diagnosis* / Q000209:etiology / Q000451:nursing*; D017009:Professional Autonomy