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Sample John’s Model Nursing Reflection Paper

John’s Model emphasizes the exploration of the cognitive and emotional aspects of an experience. It involves describing the experience, reflecting on the thoughts and feelings evoked, evaluating the experience, and identifying ways to improve future practice based on insights gained.

Review: Nursing Reflective Writing Guide

John’s Model Nursing Reflection Paper Outline

Topic: End-of-Life Care in Palliative Nursing: A Nursing Reflection

  1. Introduction:
    • Introduce the importance of end-of-life care in palliative nursing
    • State the focus of the reflection paper: Exploring the challenges and experiences in providing end-of-life care
  2. Description of the experience:
    • Provide an overview of the palliative nursing setting and the specific end-of-life care situation encountered
    • Describe the context, individuals involved, and any relevant background information
    • Explain the emotions and thoughts experienced during the end-of-life care experience
  3. Reflection on the experience:
    • Reflect on personal values, beliefs, and professional responsibilities related to end-of-life care
    • Explore the impact of the experience on your own emotional well-being and self-care
    • Discuss any ethical or emotional dilemmas faced during the end-of-life care process
  4. Analysis and exploration of personal insights:
    • Analyze the significance and meaning of the end-of-life care experience
    • Reflect on the influence of personal values and beliefs in decision-making
    • Explore how the experience has impacted your understanding of palliative care and the importance of compassionate support during end-of-life stages
  5. Lessons learned and future implications:
    • Discuss the key lessons and insights gained from the end-of-life care experience
    • Reflect on how the experience has influenced your professional growth and future practice
    • Identify areas for improvement and development in providing holistic end-of-life care
  6. Action plan and future goals:
    • Develop an action plan for enhancing your skills and knowledge in palliative nursing
    • Set goals for ongoing professional development in end-of-life care
    • Identify resources, education opportunities, or mentorship programs to support your growth in this area
  • Note: The outline provided follows John’s Model of Reflection and can be adjusted to your specific experience and challenges encountered in palliative nursing.

John’s Model Nursing Reflection Paper Example

I. Introduction:

End-of-life care in palliative nursing is a crucial aspect of healthcare, encompassing the compassionate and holistic support provided to patients and their families during their final stages of life (Johns, 2010; Ferrell et al., 2017). It is a deeply profound and challenging experience for nurses, requiring them to navigate complex emotional, ethical, and practical considerations while providing comfort and dignity to patients (Ferrell et al., 2017; Rushton, 2017). This reflection paper aims to explore the challenges and experiences encountered in providing end-of-life care within the realm of palliative nursing, using John’s Model of Reflection. By reflecting on specific encounters and examining personal values, beliefs, and professional responsibilities, this reflection will shed light on the multifaceted dimensions of end-of-life care and its impact on the nursing practice.

II. Description of the Experience:

Within the realm of palliative nursing, I encountered a deeply impactful end-of-life care situation that profoundly shaped my nursing practice. The specific experience involved caring for a terminally ill patient in the final stages of their life. The context was a hospice setting where the patient’s family was present and actively involved in the care process. The emotional intensity and complexity of providing care during this delicate time were evident, with a range of emotions and thoughts emerging. Witnessing the patient’s physical decline, supporting the family’s emotional journey, and being immersed in the multidimensional aspects of end-of-life care evoked profound empathy, compassion, and reflection (Ferrell et al., 2017; Rushton, 2017). This experience served as a poignant reminder of the importance of holistic care, effective communication, and the unique privilege nurses have in providing comfort and support to patients and their families during this vulnerable phase of life.

III. Reflection on the Experience:

Reflecting on the end-of-life care experience in palliative nursing evoked a deep exploration of personal values, beliefs, and professional responsibilities. The encounter with the patient and their family stirred a multitude of emotions, including empathy, sadness, and a profound sense of purpose (Ferrell et al., 2017; Rushton, 2017). It prompted a contemplation of the ethical and emotional dilemmas encountered in providing end-of-life care. The experience revealed the importance of self-awareness and self-care to navigate the emotional toll of working in such sensitive circumstances (Ferrell et al., 2017). Moreover, it underscored the significance of effective communication in establishing trust and fostering a therapeutic relationship with patients and their families during this profound transition. This reflection highlighted the profound impact that end-of-life care has on the nursing practice and the ethical responsibilities in delivering compassionate care during this vulnerable phase of life.

IV. Analysis and Exploration of Personal Insights:

Analyzing and reflecting on the end-of-life care experience in palliative nursing yielded valuable personal insights and deepened understanding of the complexities surrounding this specialized area of practice. The experience prompted a profound appreciation for the holistic nature of care, recognizing the physical, emotional, and spiritual dimensions that must be addressed to ensure optimal patient and family well-being (Ferrell et al., 2017; Rushton, 2017). Moreover, it underscored the importance of honoring patient autonomy and facilitating open and honest communication during end-of-life discussions (Rushton, 2017). The reflection further revealed the unique privilege nurses have in providing comfort, support, and dignity to patients and families during their final stages of life. It highlighted the role of palliative nursing in promoting quality of life and creating a peaceful environment for patients to transition with grace and dignity.

V. Lessons Learnt and Future Implications:

Reflecting on the end-of-life care experience in palliative nursing has yielded valuable lessons and implications for future practice. Firstly, it emphasized the importance of ongoing professional development and education in palliative care to enhance knowledge and skills in providing compassionate end-of-life care (Ferrell et al., 2017). It also highlighted the significance of self-reflection and self-care to mitigate emotional and psychological impact (Ferrell et al., 2017). Furthermore, the reflection deepened the understanding of the profound impact of effective communication and empathetic support on patients and their families during this vulnerable time (Rushton, 2017). This experience serves as a catalyst for continuous growth and improvement in palliative nursing, reinforcing the commitment to upholding the principles of dignity, compassion, and holistic care throughout the end-of-life journey.

VI. Action plan and Future Goals:

Based on the reflection and analysis of the end-of-life care experience in palliative nursing, several actionable steps and future goals can be identified to enhance practice and provide compassionate care. Firstly, continuous professional development opportunities will be pursued, such as attending conferences, workshops, and specialized training programs in palliative care (Ferrell et al., 2017). These initiatives will expand knowledge, skills, and evidence-based practices in end-of-life care. Additionally, a commitment to self-reflection and self-care will be prioritized to maintain emotional well-being and resilience in the face of challenging situations (Ferrell et al., 2017). Establishing regular reflective practices, seeking support from colleagues, and engaging in self-care activities will foster personal growth and enhance the ability to provide quality care. Lastly, collaboration with interdisciplinary teams and engaging in ethical discussions will be embraced to promote shared decision-making and ensure comprehensive care for patients and families (Rushton, 2017). By implementing this action plan, the goal is to continuously improve end-of-life care practice and contribute to the well-being and dignity of patients and families in the palliative care setting.


  • Ferrell, B., Malloy, P., Virani, R., & Mazanec, P. (2017). The end-of-life nursing education consortium–pediatric palliative care project. Journal of Hospice & Palliative Nursing, 19(4), 335-341.
  • Johns, C. (2010). Becoming a reflective practitioner (4th ed.). Wiley-Blackwell.
  • Rushton, C. H. (2017). A call for moral courage and resilience in nursing. American Journal of Nursing, 117(4), 53-55.

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