Aim. This paper is a report of a study analysing reflection as discourse and a technology of confession which produces a certain desirable subjectivity within nursing practice. Background. Reflection and reflective practice are common themes in nursing practices and in the literature on nursing. These practices are often construed as positive and empowering, and more critical analyses of them are needed. Method. A Foucauldian-inspired discourse analysis based on the concepts of governmentality and technologies of the self was conducted. Interview transcripts from 42 managers, supervisors, teachers and participants in an in-service programme to prepare health care assistants to become Licensed Practice Nurses in the elder care sector were analysed. Findings. Reflection as confession operates as a governing technology within the nursing practice analysed. Programme participants are encouraged to reflect and scrutinize themselves about their work as a way to improve their competencies and practice. Through appraisals, they are invited to reflect about themselves as way to achieve their desires. In this way, active, responsible, problem-solving, self-governing practitioners are constructed. Conclusion. Through a Foucauldian reading of reflective practices it is possible to illustrate that reflection is not a neutral or apolitical practice. Instead, it is a governing practice that does something, in discursive terms, to nursing subjectivity -something that can create a space for reflection about what reflection discursively does to subjectivity.
Summary statement
What is already know about this topic• Reflection and reflective practices are common themes in nursing practices • Literature on reflection and reflective practice in nursing often construe such practices as positive and empowering • Some literature focuses on issues of power in relation to reflection and nursing, and the work of Foucault has been introduced more extensively during the last decade in research on nursing
What this paper adds• Reflection operates as a governing technology that shapes an active, responsible, problem-solving, self-governing nursing practitioner. • Reflection on the individual level is constructed as something desirable that makes it possible to work upon oneself to become a desirable nursing practitioner.• Reflection is not a neutral or apolitical practice, but is a governing practice that acts, in discursive terms, to produce a desirable nursing subjectivity.