Integrating Practice Healthcare System

Gibbs Reflective Cycle (EXAMPLE) Description: This is your opportunity to introduce the situation or experience. You should describe the experience in detail. You describe what happened , where it happened and when the experience occurred., W hy were you were present , what was your role, who else was present what their roles was and what you did? What was the outcome of the situation or experience? (you should complete t he description section in approx. 100 words) During the first week of 2021, my family insisted that I learn to ride a bicycle. We live near the coast in an area that is not as hilly as some parts of Sydney. As a child I had ridden a bicycle but only on private land, never on public roads or pavements. My children wanted me to learn to cycle so that we could enjoy family bike riding outings and improve our health through exercise. Myself, three children and my husband all gathered in a local park with the appropriate equipment necessary for me to learn how to ride a bike. My husband demonstrated how to mount and dismount a bicycle safely. He instructed me on the most appropriate height for the seat and watched me practice how to apply the brakes on the bike. Once I was seated comfortably on the bicycle, I was able to glide along the path with both feet raised off the ground and not touching the pedals . Once I had mastered that, the next step was to use the pedals to move the bike forward. By the end of the afternoon I was able to ride my bicycle on the flat path and stop safely. Feelings: In this section you should express the thoughts that you had before, during and after the experience. Explore any feelings or emotions that were present and how those impacted the experience. (Complete the feelings section in approx. 100 words) I had reservations about riding a bicycle. As a child, I did ride a bike, but always in very quiet areas with no traffic. I felt nervous about having to ride a bike on public paths because of the amount of traffic and pedestrians in Sydney. Once I was riding the bike, I felt relieved that I didnt fall, and I also felt very vulnerable while riding. The park was busy with pedestrian traffic as well as dogs running off -leash . I was worried I would run into people or dogs. I was also worried the dogs might run into me. This caused me a great deal of anxiety . I remember feeling very tense during the whole experience, and very pleased once it was over. I was not sure I wanted to do this again. Evaluation: This is where you assess what went well and what did not go well. Was the experience good or bad, positive or challenging and why? You should review relevant literature to support your evaluation of the experience . https://libanswers.library.cqu.edu.au/faq/170178#:~:text=Reflective%20writing%20is%20still%20a,no%20re ferences%20would%20be%20needed. ( Complete the evaluation section in approx. 250- 300 words including citations ) What the experience gave me was a very enjoyable afternoon of fun and activity with my family. Th ere wer e several positive aspects of the experience. I had all the correct safety equipment necessary to ride a bicycle. I was surrounded by supportive people who spent time demonstrating the skill and allowing me adequate time to feel confident before pedalling the bicycle. I was taught to sit comfortabl y on the bike to ensure the correct seat height. I was shown and had the opportunity to practice the gears and the brakes before riding. I was encouraged and practiced scooting along on the bike to get my balance before I had to pedal the bike. This technique is endorsed by Giddings (2020) to build confidence prior to riding a bicycle, especially if the learner is an adult . Giddings further endorsed learning to ride initially on flat terrain in a quiet location (2020). What it highlighted for me was the fear I had about riding a bicycle in public. This feeling is not an uncommon one for adults according to Fishman, Washington, and Haworth (2012). They further report that many people find that along with fear, the other barriers to bicycle riding are traffic fumes and inclement weather (2012). Analysis: This is where you have the chance to make sense of the experience. Using relevant literature, discuss why the experience is important to your future practice. What knowledge or skills does the literature state as being relevant to be a competent practitioner? Are you able to better understand the importance of the specific skill because of this experience? ( Complete the analysis section in approx. 250 -300 words including citations ) Bicycle riding is regarded as an activity enjoyed predominantly by children and according to Unwin (1995) unsuitable for adults hoping to portray a sophisticated and attractive image. However, the literature highlights the many benefits of bicycle riding especially in terms of health (Carmont, 2012). Carmont (2012) further stated that as well as improvements in cardiovascular function, cycling has been demonstrated to have significant benefits for bone density, especially in women). This is supported by Scofield and Height (2012) who also claimed that active adults with higher bone mineral density have a lower risk of osteoporosis and reduced risk of fracture than those adults who are inactive. According to Oja et. al. (2011), i n adults who cycle regularly , there is strong evidence for lower risk of early death, heart disease, stroke, type 2 diabetes, high blood pressure. The research also demonstrates that bike riders have less incidence of adverse blood lipid profiles, metabolic syndrome, and colon and breast cancers. Additionally, helps to prevent weight gain supports weight loss when combined with diet and leads to improved cardiorespiratory and muscular fitness . In older adults it also helps to prevent falls; reduce depression; and support better cognitive function. Although the health benefits of regular cycling has been widely reported, the rate of regular cyclist in Australian cities is only approximately 1- 2%. The Australian Governments goal is to double the number of people who participate in cycling, to improve population health. The literature proposes the creation of low risk traffic environments to encourage more people to participate in regular cycling activities will help overcome one of the biggest barriers to cycling, that of fear. ( Fishman, Washington, & Haworth. 2012). In my e xperience I can understand how the creation of safe environments for bikers would reduce fear and I would be encouraged to ride in one of these areas. Conclusion: This section gives you the chance to summerise your learning and identify any changes that you feel would be appropriate to improve future outcomes. You ask yourself, what did I learn from this experience? What could I have done differently? How can I develop my skills or knowledge in this area for my future practice? (C omplete the conclusion section in approx. 100-150 words) What I learned from my experience is that it is necessary for me to practice any new skill in order to gain confidence and improve my ability to perform the skill. I recog nise from the literature that there are important and significant health benefits to cycling, not only for the individual cyclists but also for the environment. I believe that by ensuring the appropriate support and environment for learning to ride a bicycle, and by continuing to practice I will build my confidence and become competent to cycle independently on public roads and paths . Action Plan: At this stage, you need to state how you plan to develop the required knowledge or skills to be able to become a competent practitioner. What resources are available to you to achieve improved skills or knowledge? (Complete the action plan section in approx. 100- 150 words) I intend to continue to practice and develop my cycling skills. I have identified relevant literature which I shall review in order to deepen my understanding of the many health benefits of cyclin g. I will also peruse some of the bicycle riding skills videos available on- line which will provide a framework for me to critically analyse the techniques for skilful and safe bike riding. Importantly , I will practice the skill during weekends , ensuring that I select quiet times in a park that is has wide and flat pathways so that I feel confident to ride a bicycle safely and am able t o become a competent bike rider before the end of the year 2021. References (Need to be included using APA 7th ed. format) Carmont, M.R. (2012). Bike racing, recreational riding, impact sport and bone health. BMC Med 10, 169 https://doi.org/10.1186/1741- 7015-10-169 Fishman, E; Washington, S ., Haworth, N. ( 2012) Understanding the fear of bicycle riding in Australia [online]. Journal of the Australasian College of Road Safety , Vol. 23, No. 3, 19 -27. Oja, P., Titze, S.,Bauman, A., de Geus, B., Krenn, P., Reger -Nash, B.,Kohlberger, T (2011 ) Health benefits of cycling: a systematic review Scandinavian Journal of Medicine & Science in Sports https://doi.org/10.1111/j.1600- 0838.2011.01299.x Scofield KL, Heicht S: (2012) Bone health in endurance athletes, runners, cyclists and swimmers. Current Sports Med Reports. 11: 328- 334. Un win , C. (1995) Promoting the public health benefits of cycling. Public Health Volume 109, Issue 1 pp 41-46 https://doi.org/10.1016/S0033- 3506(95)80074-3