I have written about this in a number of Blogs. It may have been useful to have spoken to the sister in charge to ask for what progress had been made to feed back to the patient. Educators assert that the emergence of reflective practice is part of a change that acknowledges the need for students to act and to think professionally as an integral part of learning throughout their courses of study, integrating theory and practice from the outset. Once again, a range of options exist to address the needs for reflective practice among these staff groups. Reflective adaptive process meetings were audio-recorded and digitally stored on a computer.
There are in fact many models to choose from and the one you work with is really down to your own personal preference. However, a structure to guide the process of reflection on the content and the process of learning would be deemed useful. For example after tasting a food you do not like, you remember that experience, think about it, and when you next see that same food you know to avoid it. After each, there always is a follow-up question: what implications does this have for your practice? Sharing the incident and the information, and comparing notes with what you did and could have done, helps to cement what happened in your own head. I was happy I had explained everything to her and continued with my other jobs.
Although these claims cannot yet be substantiated by robust quantitative evidence, some encouraging data is emerging on the benefits of fostering reflective work among staff teams. The group, which decides together how to use and organize its time, may discuss work-related issues, share learning journal excerpts or try out a form of collective reflective practice. Documents published between 1970 and 2011 were included. Do not only think about what you would do differently in that specific situation, but think whether you have thought of any transferable knowledge or skills you can utilize elsewhere. Why did it happen—making sense of the situation Now you have thought about the situation in greater detail, and probably recognized things that would have otherwise gone unnoticed, think about why things happened as they did. As a former Midwife, Anne has a natural passion for writing about fertility, pregnancy, birthing and baby care.
Programme delivery is often longer term, should be population focused and policy led. The reflector would need to analyse feelings and knowledge relevant to the situation—identifying knowledge, challenging assumptions, imagining and exploring alternatives. P2 had been experiencing tension among practice personnel and poor communication. What to reflect on This can be anything. Course Medicine Teekman Qualitative content analysis Senior practitioners New Zealand 10 Explored reflective thinking in actual nursing practice. Elsewhere, I have proposed a model of effective reflection and how this could be implemented on an individual or small group basis for professionals at all levels of seniority across the health and social care field.
The cycle of learning comprises four elements—a concrete experience, an observation and reflection, formation of abstract concepts and testing in new situations. Further work is needed to strengthen the evidence base for reflection, particularly, where possible, comparative studies which observe changes in knowledge and abilities directly. Several approaches to reflection were found. How did the situation, yourself, and others interact at the time. Without it, learning and self-growth become harder, and job satisfaction can suffer. What are you trying to accomplish? Exclusion criteria Articles that included reflection as by-product rather than the main focus were excluded. Reflective work needs facilitation within a context of systems thinking Effective reflection in organisations tends to be possible when the process is formalised and facilitated in some way, perhaps through facilitated group work.
Reflection, when critically oriented, is designed to press into—and not deny—the stress and messiness of practice. To what extent does this match your idea of a successful or productive use of your time? The practitioner could then experience surprise, puzzlement or confusion associated with the situation. More development professionals could benefit from adapting creative and innovative approaches to reflective practice — many of which are already used in fields of qualitative research, education, health care, social work, psychology and management. Is that still the case or do you want to remain as one team and discuss as one whole process? If the focus of reflection is improvement in patient care, it helps to expand and develop clinical knowledge and skills. Lying about mistakes is a very bad idea.
You can read more about her work at www. Implementing reflective practice across large healthcare organisations But how might you implement such a reflective approach in large, modern healthcare organisations where time is precious and budgets tight? Many structures are available so choose one what works for you. They encourage you to problematize structures, processes, and practices as do , accepting current arrangements not as given or natural but as politically and historically situated as point out. Be honest at all times Honesty is incredibly important. During the session he was seen anxious. Why do you think this is? Yet points out the variation in what reflective practice means, and how it is facilitated and assessed, in medical education.
For example: if you reflect on a postprocedural complication do not only think of how you would manage this again but also how you would prevent it happening if you performed the procedure yourself! Q1 — In order to ensure that Bob is cared for in the residential care home, explain how principles of support are applicable to his care. First, the small sample limits our ability to generalize to other primary care practices or health care organizations. All names of practices and individuals have been changed to protect confidentiality. Unfortunately she required a package of care and so could not be discharged. In addition, whether the act of reflection should be done alone or as part of a team or both will need to be established.
Professionals reflect in classes, in continuing education, or in communities of practice; alone, in dyads, or in small groups. Therefore, its merits may be overlooked. In essence, Gibbs describes a cycle of description, feelings, evaluation, analysis, conclusion and action plan. What will you do differently in the future I think that the route problem in this situation was our explanation on the morning ward round. This would need to include salient events and key features identified by the reflector. The model fitted the data sufficiently. In his work, Donald Schon concludes that the possible objects for reflection can be as varied as the situations faced and the systems in which they occur.