reflective account essay health and social care

What is a Reflective Account?

A reflective account is a key activity in health and social care that encourages professionals to think deeply about their work and experiences. This helps them improve their skills and increase personal knowledge.

This practice is essential for practitioners because it meets the ongoing professional development rules set by bodies like the Nursing and Midwifery Council (NMC) and the Health and Care Professions Council (HCPC) .

Purpose of a Reflective Account

Reflective accounts are essential for several reasons:

• Professional Development : They help deepen your understanding of your duties.
• Improving Practice : They allow you to recognise what you do well and where you can improve.
• Compliance : They ensure you meet the standards required by regulatory bodies for revalidation.
• Learning From Experiences : They enable you to learn from both successes and failures to better your future practices.

Types of Reflective Accounts

There are various types of reflective accounts, including:

• Descriptive Reflection : This is a basic type that simply describes events without analysing their impact.
• Critical Reflection : This type goes deeper, questioning underlying theories and challenging personal assumptions.
• Transformative Reflection : Builds on essential reflection to create significant changes in understanding or methods.

Choosing the Right Model for Reflective Practice

There are various models to structure reflective accounts. Your choice might depend on personal preference or organisational guidelines.

In health and social care, some of the most commonly used models include:

Gibbs’ Reflective Cycle (1988):

• Description
• Action Plan

Driscoll’s Model of Reflection (1994, based on Borton’s 1970 developmental model):

• What? (Description)
• So What? (Analysis)
• Now What? (Planning for future actions)

Schön’s Reflective Practice Theory (1983):

• Reflecting-on-action (after the event)
• Reflecting-in-action (during the event)

Reflective Account vs Reflective Essay

• Reflective Account: Documentation of specific events/practice for competency demonstration.
• Reflective Essay: Critical analysis and deeper reflection on personal and professional development.
• Reflective Account: Narrative, often chronological.
• Reflective Essay: Structured with introduction, body, conclusion; includes theoretical frameworks.
• Reflective Account: Description, actions, learning, feedback.
• Reflective Essay: In-depth analysis, linking experiences with theory and literature.

Application:

• Reflective Account: Portfolios, professional standards, CPD.
• Reflective Essay: Academic coursework, personal development, advanced applications.
• Understanding these differences helps health and social care professionals appropriately choose and apply the reflective method that best serves their learning and professional needs.

Writing a Reflective Account: A Step-by-Step Guide

To craft an effective reflective account, follow these steps:

• Choose an Experience Pick a specific event from your work that was particularly insightful, challenging, or rewarding.
• Apply a Reflective Model Use a model you are comfortable with or one recommended by your workplace.
• Describe the Event Detail what happened, who was involved, and where and when it took place. Stick to the facts and skip any unnecessary information.
• Analyse the Situation Talk about what went well and what didn’t. Connect your experiences to your professional knowledge or relevant research. Consider any ethical or social factors involved.
• Reflect on Your Feelings Examine emotions or thoughts you experienced during and after the event to understand its impact on you and others.
• Evaluate and Make Conclusions Combine all insights from this process of reflection. Assess what you’ve learned and how it can shape your future work approach.
• Develop an Action Plan Create clear steps based on this reflection aimed at improving both your professional skills and personal growth.

Examples of Reflective Account in Health and Social Care

Here are several examples of reflective accounts that feature common scenarios and how social care workers and other health care professionals might approach them.

These examples are based on hypothetical situations and use different reflective models to illustrate the reflection process.

Example 1: Reflection on an Interaction with a Difficult Client

Model Used: Gibbs’ Reflective Cycle

• Description: During a routine visit, I needed to assess the living conditions of client with dementia. The client was visibly agitated and refused to speak with me, expressing distrust.
• Feelings: I felt frustrated and worried. I was concerned about the client’s wellbeing but also felt inadequate because I could not engage them effectively.
• Evaluation: The situation was challenging because of the client’s hostile demeanour. However, my persistence in staying calm was positive.
• Analysis: On reflection, I realise the client’s agitation could be linked to dementia symptoms. I also considered that my approach might have been too direct for a client with such vulnerabilities.
• Conclusion: It’s clear that I need to adapt my communication methods to better accommodate clients with cognitive impairments.
• Action Plan: I plan to attend a training session on dementia care. I will also schedule visits at times the client is most at ease, after consulting with their caregiver.

Example 2: Reflecting on a Team Conflict

Model Used: Driscoll’s Model of Reflection

• What? There was a misunderstanding among team members about the roles each should play in a complex child protection case, leading to a heated team meeting.
• So what? This conflict revealed deeper issues in team communication. It hindered our effectiveness, potentially impacting the quality of care provided.
• Now what? I will propose regular team-building exercises and clearer protocol guidelines. I also suggest facilitated sessions on conflict resolution to prevent such situations in the future.

Example 3: Reflection on a Home Visit Observation

Model Used: Schön’s Reflective Practice Theory

• Reflecting-in-action: During the visit, I noticed the caregiver appeared overwhelmed, and the environment seemed cluttered and unsafe. I immediately addressed these observations by gently questioning the caregiver about these issues and noting them for follow-up.
• Reflecting-on-action: Looking back, I realise I could have prepared better by bringing resources for stress management and occupational therapy contacts to offer the caregiver immediately.

Example 4: Reflection on Handling a Case of Suspected Abuse

• Description: I received a report about a potential case of child abuse in a family I am familiar with through previous engagements.
• Feelings: I felt a mix of dread and urgency, knowing the delicate balance needed to handle the situation sensitively but swiftly.
• Evaluation: The immediate steps were effectively taken, including reaching out to the necessary authorities and ensuring the child’s safety.
• Analysis: Reflecting on my actions, I appreciate the need for a calm yet decisive approach. However, I question if I could have engaged more supportively with the parents.
• Conclusion: Engagement with all family members should always be empathetic and non-accusatory, regardless of the concerns.
• Action Plan: For future similar incidents, plan a protocol that includes immediate protective measures for the child and a simultaneous supportive approach for the parents.

These reflective accounts showcase typical scenarios encountered in social care settings, emphasising continuous learning and improvement. Each account offers practical steps that could be implemented to enhance personal skills and overall care standards.

By engaging in such reflective practices regularly, social care professionals can develop a more thoughtful, responsive, and proactive approach in their work.

Implementing continuous reflective practice in health and social care settings fosters a deeper engagement with everyday professional encounters. It not only aids in meeting professional standards and compliance but also significantly contributes to personal growth and improved patient care.

Remember, effective reflection requires honesty, openness, and a commitment to ongoing learning.

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Answers for the Care Certificate and Levels 2, 3, 4 & 5 Diploma/NVQ

Learn, Do Not Copy! ALL DSDWEB RESOURCES ARE FREE. Please do pay for anything purporting to be from DSDWEB.

Write a reflective account detailing an example of how you have, or could have, used a person centred approach in a sensitive or complex situation.

The account must contain a description of how person centred values were or could be  put into practice in the situation.

I was supporting a young adult with a learning disability in his home. His girlfriend was visiting and they were watching a movie in his lounge and had been asked to be left alone together, so I respected their wishes and went to bring the laundry in from outside. The client’s lounge is joined to the conservatory via a pair of french doors and many windows and when I came back inside, I saw that he and his girlfriend were both topless and kissing in his lounge.

This was a sensitive situation because although I respected my client and his girlfriend had the right to intimacy, there was a problem with privacy because the conservatory was a thoroughfare for both staff and my client’s housemate as well as his housemate’s friends. The windows also meant that they could potentially be viewed by neighbours. This could lead to future embarrassment, complaints by neighbours or even a complaint to the police, which would all heighten the anxiety of both individuals. It was also the first time that they had displayed sexual intimacy towards each other so it came as a surprise.

I went around to the other door (that didn’t have windows), knocked and apologised for disturbing them but explained that I needed to come in and talk to them before they went any further and to put their tops back on. When they were dressed I entered the room and explained my concerns. My client was upset at first because he thought he’d done something wrong but I told him that it was not my place to stop consenting adults from being intimate (and then I checked that they were both consensual) but it was my job to ensure that they were protected from the potential implications of them having sex where others could see them. I then suggested that they go up to his bedroom and reminded them that he had condoms in his bedside drawer and that he should use one. They went upstairs to continue in private.

In this situation, I took into account my client’s right to privacy, despite me having to disturb him to ensure he had privacy from others. I respected my client and his girlfriend’s right to choose to have sexual intercourse (knowing that they both had capacity to make the decision) and tried to behave with dignity and respect in a sensitive situation.

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What is a Reflective Account?

What is a reflective account.

The word reflective or reflection is derived from the word reflect. The Oxford dictionary meaning of reflect is “to think carefully and deeply about something”. The word “reflective” is an adjective used to describe the kind of report or writing you are required to submit for your Diploma. Therefore a reflective account can be understood as a real or true story of how you have carried out an activity at work or an action you took in the past and why you took the action.

For example if you were to go a tennis match and we asked you to write a reflective account about it, you would consider the following:

What was the day like? When did the day start and finish? How did you get to the match? What did you do at the match?

You would write something like “I went to a tennis match on Sunday. I went to watch it with a couple of friends. We all went in my car as it was raining all day. “

The style of writing is past tense. This is the same way you need to write your reflective account for your Diploma, care certificate or other learning. It is though very important you ensure you understand exactly what your assessor wants you to include in your reflective account. If you are unsure, ask them.

Reflective accounts usually are about:

• What you did
• How you did it
• How you felt
• Why you did it
• When you did it
• What was a success
• What didnt work so well
• What you could change
• Who you did it with

Reflective Account Examples

There are lots of different example of reflective accounts they  can be produced online or in handwritten form.

We recommended the following steps to take when writing a reflective account:

• ‘Title’ – Starting point for most types of work
• ‘Date’ – Using the date helps put into perspective the Reflective account
• ‘What was the nature of the activity/practice-related account?’ – You can use this to set the scene and explain what happened or what you attended etc.
• ‘What did you learn from the activity and/or feedback?’ – Explain in first-person terms what you learnt and how you reflect on what you learnt.
• ‘Did you change or improve your work as a result?’ – Use both positive and negative reflective account examples to who how your work has changed, improved as a result – try to avoid emotion.
• ‘How is this relevant to the Code?’ – Explain how your experience relates to the Code. Prioritise people, practice effectively, preserve safety, promote professionalism and trust. This doesn’t need to be an essay. Your reflective account could relate to all four or just the one, but it’s important to explain how. 

Recognising that you could improve:

Observing a positive action of your own:

Keep the outcome in form of you when you write your account Introduce the date of the event and related evidence Introduce your reflective account by giving a brief description and set the scene

Finally, these tips will help you with your reflective account:

Always use the first person e,g, I …………, as the account is about what you did. And always remember to sign and date your reflective account. Dont forget that the the event you are writing about must be current, as your assessor might decide to ask to see relevant documentation to – check dates etc. Refer to laws, legislation, minimum care standards, policies and procedures that effect the way in which you work

Wikipedia has some great insight into writing in this style. Find out more her e

If you need some help with writing for Health and Social Care you could take our short course free here

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I have never really focused on the issues that our economy is facing; therefore, I find reading articles like these rather interesting. They provide me with material and questions I would not have looked up before. My favorite quote from the article was, “Monetary policy has been keeping the patient alive, creating the possibility of a lasting cure through fiscal and structural operations,” as stated by BoE Chief. I thought this line to be very funny and blunt. The comparison of the nation to a patient really put into perspective the how tragic our economic system is doing. Also, I have come to belief that people are okay with the monetary policy because it has been providing some relief to our problems, but people must find an actually solution,

Reflective Practices and Health Care Essay

In recent years, reflection and reflective practice have become well-known term with in the health care arena. They are words that have been debated and discussed with in the health care setting (Tony and Sue 2006). Reflective practice is essential for nurses, as nurses are responsible for providing care to the best of their ability to patients and their families (NMC, 2008). Reid (1993) states reflection is a process of reviewing an experience of practice in order to describe, analyse, evaluate and so inform learning about practice. Johns (1995) notes that reflection enables practitioners to assess, understand and learn through their experience. Reflective practice, therefore, offers nurses an opportunity to review their decisions and

Reflection On Health And Wellness

What health and wellness mean to me may be different than what the textbook would state health and wellness is. Health means to me the condition in which your body is, which could be poor or good health. The mind,spirit,physicality would pertain all to the state of one's body. Wellness is the consistent goal towards being in wellness meaning that one strives to be in good personal health. The book describes wellness as; “ wellness is the physical-well being , emotional-well being ,and spiritual- well being.” (Robert T. Harper) According to Merriam Webster the definition of health is “the condition of being sound in mind,body,and spirit.”(...) There is not much difference between what I perceive as health and

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