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Question: Discuss about theProfessional Development for Nurses. Answer: Introduction Organization functions with varied people with variety of experiences especially in the scope of healthcare practices(HORTON?DEUTSCH, 2008). The scope of the current reflective analysis deals with issues that are faced in a healthcare organization by nurses for handling their complex responsibilities. Nurses needs to execute the complex responsibilities to cater to their patients by way of following instructions from doctors, departmental heads and so on. It becomes difficult for nurses to abide by and adhere to such responsibilities especially while dealing with palliative patients, with diligence and carry on instructions as there is often clash of interests between what a patient desires and what doctors or leaders within the healthcare framework specifies. The scope of the current essay is a reflective step by step analysis by making use of Gibbs cycle(Timmins, 2009). Reflection planning using Gibbs cycle allows evaluation of the conditions prevailing and the implements of an act ion plan according to desired goals. In the initial stages of the Gibbs cycle as illustrated in the essay the key issue has to be diagnosed such that course of action can be taken accordingly. In the end there are certain recommendations that can be applied for overcoming the current situation(Beam, 2010). Literature Review Gibbss reflection cycle is a prominent tool that is used around the world for arriving at suitable solution that an individual is facing in connection to professional or personal area. The Gibbs cycle initiates by way of description of the problem, where a detailed understanding regarding the situation is made(Jack, 2007). Then feelings regarding to the situation is understood. The cycle provides that relevant and necessary action has to be taken in case there is a negative feeling attached to the purview of a particular challenge. Post a feeling has been described regarding a particular situation then the feeling is evaluated to understand the positive and negative aspects regarding it. Figure 1: Gibbs Reflective Cycle Analysis of the problem is relevant as it helps connect to theories and concepts and understanding the relevancy of the topic. Once the relevancy of a particular process has been established then it requires a conclusion and action plan to be made for the particular course(Staun, 2010). Analysis While dealing with patients who are in need of palliative care there needs to be utmost care rendered(Bailey, 2007). Nurses while working in this scope experiences clash of interests as patient and patient parties might have certain requirements whereas doctors and leaders within the healthcare organization have some other issues. Describing according to the initial stage of the Gibbs cycle reflects that there is an immense amount of bullying that is associated in the field of nursing practice that is faced by nurses from doctors, senior members of the healthcare organization, leaders and doctors. Bullying is a complex issue while dealing with nurses often leads to challenges while dealing with complex situations experienced by patients(Paterson, 2013). It hampers steady flow of communications and also in providing relief to patient while handling their challenges. Palliative care is concerned often with end of life care, hence it is pertinent that an organizational practice is imple mented and ensured such that safety of all staffs especially those relating to nurses are present. Gibbs cycle is relevant to be incorporated in the understanding of aspects related to reflection as it allows to follow a procedure whereby first a description of a situation is made, then feelings regarding the same can be established, further an evaluation and analysis pertaining to such issues provides development of an action plan. Thus, each and every step is adhered to while incorporating a Gibbs cycle and an action plan is made accordingly to ensure that all steps and processes have been followed to prepare the same(Ekebergh, 2007). In this current case of reflection it can easily be understood that bullying has an impact on the psychology as well as on performance of an individual. I feel extremely hurt when I try to give my very best to each patient such as to provide a relief to their pain and I am unable to convince my seniors or doctors for the same. The process for non-communication builds a gap resulting in inappropriate services rendered that often causes patients to suffer from serious pain and other issues in the healthcare system. While our organization is large and aims to cater to each and every individual with lots of efforts but this issues is hindering the process in totality(Finlay, 2008). A structured approach to render care to patients by means of taking effective feedback from various internal stakeholders of the organization is relevant as well as necessary. Such relevant inputs allows for handling complex issues that nurses and other staffs face in order to provide care to palliative care patients. A well-structured organization that follows step by step procedure for handling responsibilities is better as it functions by taking in inputs a nd then decides on a course of action by finalizing from heads or leaders. Taking relevant input is the key to achieving success for any organization especially in healthcare who are dealing with complex challenges and issues(Huseb, 2015). Upon evaluation of the issues within the scope of the organization it was further found that there was a clash in allocation of duties and handling leadership. There was no anti-bullying or harassment team within the healthcare organization that can handle in an efficient ways such bullying faced by employees of an organization. Leaders were not interested to cater to the employees and the issues they were facing this made all the more difficult to provide services to various patients. As each patient has their individualistic needs and such are only communicated to nurses as they deal with patients throughout their time periods(Wilding, 2008). Nurses have maximum understanding regarding patients and their needs; therefore an organization needs to have a well-structured framework that allows to diagnose any challenges that are faced by the internal stakeholders especially nurses. Once the issue has been evaluated then it was found that most healthcare institutes in the country was fa cing such pertinent challenge that resulted in low performance of theirs and customer dissatisfaction levels(McCarthy, 2008). Nurse bullying is a prevent and widespread issue in the country and if a step in the current organization is not taken then it will continue causing further problems in the future. Further evaluation of the impacts from this issue was found intensely related to patient care and hampering of nursing standards of work and practices. NMBA Registered Nurse Standards for Practice (2016) reflects that nurses needs to provide transparency in their practices towards patients and need to work on areas that hinders them of providing services(www.nursingmidwiferyboard.gov.au, Retrieved on 21st May 2017). The NMBAs board provides professional standards for conducted of nurses guiding them with proper codes of conduct, codes of ethics, professional boundaries and standards for practice. The NMBA board is also aware regarding the issue wants to design proper ways and means such that nurses working in the industry can benefit from such practices. From the analysis of prevailing codes of practices and professional standards it can be accepted that such can hamper the quality of rendering care to patients. In my situation I aim to report the same to higher authorities such that there are no obstacles in my delivery of services to the patients that deserve my utmost care. Bullying is a form of harassment and people doing the same must be communicated to the higher management levels and proper action must be taken against them. The recommendation and conclusion regarding the scenario will present a way out from the prevailing practices and wide ranged systems in healthcare. Recommendation Nurses while delivering their duties have utmost responsibilities to provide and cater to the needs of their patients. The scope of services catered to by nurses requires that they cater to ethical standards and professional care while delivering services. Thus, any sort of hindrances that are faced while rendering of such services needs to be highlighted and reported such that remedial actions can be taken. The NMBA along with healthcare providers of Australia works hand in hand to provide coordinated services and support to palliative care patients such that they can get best of end of life care. Generally catering to palliative requires critical care and covering all aspects of the patient requiring medicines, guidance, mental support, physical support and so on. In order to deliver high quality palliative care nurses need not only be well equipped but also be supported and provided motivation such that they can provide best services to the patients. However, in the current reflec tion analysis according to Gibbs provides analysis of a deeper problem that is facing such service. The issue is pertinent in nature and has scope to increase in size and nature and become a greater challenge for the future. Hence, the issue needs to be catered to. The issue can easily be tackled in case the nurses jointly reports regarding the bullying behavior and communication challenges to higher authorities. The higher authorizes will be able to implement a system that takes proper feedback from each and every stakeholder of the organization to provide support system to patients. Such feedback mechanism will help attend to the challenge in a broader way. Secondly, all organizational responsibilities are handled by way of capable and suitable leaders. The leader in this case is incapable of handling diverse professionals in the purview of the organization resulting in bullying behavior. The role and scope of a leader requires that they cater to employees needs and understands their perspectives but no action similar to such aspects have been attended to in this case. Thus, a proper leader needs to be appointed to can handle such roles and responsibilities in a better manner. Appointing of an appropriate leader will allow extensive communication within the organization and aversion of situation that may lead to rise in bullying or communication gaps. A leaders role and responsibility is to maintain a steady flow of communication between all participants of an organization. Conclusion Analysis of problems and pertinent challenges reflects that the bullying problem prevalent in the healthcare organization can easily be overcome. Literature review has provided immense ideas and ways to understanding specific challenges faced and ways in which such challenges needs to be overcome. Further in the analysis it can easily be understood that nursing professional can be associated with number of risks as it concerns connection with patient lives. Thus, the recommendations needs to be followed diligently to take pertinent action into the course such that there is a solution attended for the same. Though changing leader and reporting the problem is one aspect of the problem it can easily be overcome in other ways as well which includes communication strategies incorporated within the scope of the organization. References Lists Bailey, M. E. (2007). Introducing guided group reflective practice in an Irish palliative care unit. International journal of palliative nursing. Beam, R. J. (2010). Reflectiv Practice Enhances Public Health Nurse Implementation of Nurse?Family Partnership. Public Health Nursing, 131-139. Ekebergh, M. (2007). Lifeworld?based reflection and learning: a contribution to the reflective practice in nursing and nursing education. . Reflective practice, 331-343. Finlay, L. (2008). Reflecting on Reflective practice. . PBLB paper, 52. HORTON?DEUTSCH, S. A. (2008). Reflection: an educational strategy to develop emotionally?competent nurse leaders. . Journal of Nursing Management, 946-954. Huseb, S. E. (2015). Reflective practice and its role in simulation. . Clinical Simulation in Nursing, 368-375. Jack, K. . (2007). Promoting self-awareness in nurses to improve nursing practice. . Nursing standard, 47-52. McCarthy, B. . (2008). Assessing undergraduate nursing students in clinical practice: do preceptors use assessment strategies?. . Nurse Education Today, 301-313. Paterson, C. . (2013). Enhancing skills of critical reflection to evidence learning in professional practice. . Physical Therapy in Sport, 133-138. Staun, M. B. (2010). Evaluation of a PBL strategy in clinical supervision of nursing students: Patient-centred training in student-dedicated treatment rooms. Nurse Education Today, 631-637. Timmins, F. . (2009). An exploration of the current use and benefit of nursing student portfolios. Nurse Education Today, 330-341. Wilding, P. M. (2008). Reflective practice: a learning tool for student nurses. . British Journal of Nursing. www.nursingmidwiferyboard.gov.au. (Retrieved on 21st May 2017). NMBA's professional standards. https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards.aspx.