Reflective practice in health care and how to reflect effectively

Koshy, Kiron; Limb, Christopher; Gundogan, Buket; Whitehurst, Katharine; Jafree, Daniyal J.

doi:10.1097/ij9.0000000000000020

Cited by 83 publications

(37 citation statements)

References 2 publications

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“…Peer reflections were stimulated in daily practice, and at the workshops, both values and common practice were revised. It can be argued that nurses engaged in this study created a reflective practice, which is suggested to be an important part of career progression as it can improve the skills of healthcare providers (Koshy, Limb, Gundogan, Whitehurst, & Jafree, ). Reflection is known to be important in learning processes (Schön, ).…”

Section: Discussionmentioning

confidence: 99%

Stimulated by insight: Exploration of critical care nurses' experience of research participation in a recovery programme for intensive care survivors

Lehmkuhl

Egerod

Overgaard

et al. 2020

Journal of Clinical Nursing

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Aims and objectives To explore critical care nurses' experiences of research participation during a one‐year recovery programme for intensive care survivors. Background Nurse‐led postintensive care follow‐up consultations have emerged to help patients to recover and overcome problems related to critical illness and admission at the intensive care unit (ICU). Previous research exploring post‐ICU follow‐up programmes have shown inconclusive evidence of their effectiveness on patient‐reported outcome measurements, and provider evaluation is scarce. The context of this study is the Recovery and Aftercare in Postintensive care Therapy (RAPIT) trial. Design A qualitative descriptive telephone interview study. Methods Data were collected after completion of the RAPIT trial. Participants (n = 14) were trained intensive care nurses, who delivered the post‐ICU recovery programme, representing nine out of ten sites from the RAPIT trial. Two focus group discussions were used to construct a semistructured interview guide. A thematic data analysis was performed using Braun and Clark's six‐step method. This study conforms to the COREQ Research Reporting Guidelines for qualitative studies. Results Our study indicated that nurses considered participation in research as a positive experience. The main finding “Stimulated by insight” described how nurses' engagement and professional growth was gained by reflection, patient feedback and research competencies acquired in the clinical setting. The research programmes stimulated to new knowledge, broaden their perspectives and enhanced critical reflection of ICU nursing practice. Conclusions The study indicates that nurses developed research competencies and enhanced their job satisfaction by using critical reflection and patient feedback. However, there is still a substantial need for support to strengthen nurses' competencies in collaboration with colleagues, managers and researchers. Relevance to Clinical Practice This study can contribute to the development of recommendations supporting nurses doing research and to optimise implementation of clinical research.

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Section: Discussionmentioning

confidence: 99%

Stimulated by insight: Exploration of critical care nurses' experience of research participation in a recovery programme for intensive care survivors

Lehmkuhl

Egerod

Overgaard

et al. 2020

Journal of Clinical Nursing

View full text Add to dashboard Cite

show abstract

“…Reflection is the process of thinking critically about one's practice, recognising strengths and weaknesses, providing a useful guide to on‐going learning . This may involve consideration of assumptions and alternative approaches, comparison to the practice of colleagues, considering the potential relevance and application to practice of new knowledge, acquired through reading, formal learning or other CPD activity.…”

Section: Reflective Practicementioning

confidence: 99%

Continuing Professional Development

2020

J of Medical Radiation Sci

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“…The portfolios were continuously amended and updated to document members' personal development, increased awareness and empowerment and attainment of transferable skills and knowledge acquisition. The use of portfolios is associated with the development of reflection [24,30]; however, it is widely acknowledged that developing one's reflective practice is challenging [31]. Public forum members were, therefore, provided with materials which detailed different approaches to and types of reflection, were supported individually to practice their reflective skills, and took part in an interactive presentation which showcased examples of how to develop reflective practice.…”

Section: Public Forum and Forum Membersmentioning

confidence: 99%

Realist Evaluation of Public Engagement and Involvement in Data-intensive Health Research

Hobbs¹,

Tully

2020

Preprint

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Abstract Background High quality public engagement and involvement (PEI) in data-intensive health research is seen as one way of ensuring that social legitimacy, i.e. a social license, is conferred through public acceptance of the need for research use of their data. This is a complex research area, and portfolios of involvement have been suggested, but not yet evaluated, to support the role of public contributors. The study aim was to evaluate if and how membership of a data-intensive research public forum that included the use of an involvement portfolio would act as a mechanism for enhancing members’ personal development. Our preliminary middle range theory was that the use of a portfolio as a framework for learning would facilitate forum members’ personal development. Method Qualitative data were collected from 15 current and previous forum members, via semi-structured interviews, notes from meetings, and consultations with and feedback from members. Data were critically compared, contrasted and reviewed until no new themes could be discerned and then condensed into context-mechanism-outcome (CMO) configurations. Realist evaluation was used to generate a theoretical and empirical appreciation of the contextual circumstances and mechanisms which help to explain the extent to which involvement with a public forum would enhance members’ personal development and, if so, how, why, and for whom. Results Three CMO configurations were identified. All of them showed that using the portfolio facilitated growth in forum members’ personal development, but only where the members valued using the portfolio. This was particularly so for female forum members. Members valued the portfolio in one or more of three ways: as a tool to record and evidence activities, to facilitate reflective practice or as a guiding framework. Conclusions Data analysis and consideration of the three CMO configurations suggests a refined middle range theory that ‘The use of a portfolio as a framework for learning in a public forum will facilitate forum members’ personal development if they value its use as a framework for learning’. Further work is needed to confirm these findings both elsewhere in data-intensive health research and in other complex research areas using public forums for PEI.

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Reflective practice in health care and how to reflect effectively

Cited by 83 publications

References 2 publications

Stimulated by insight: Exploration of critical care nurses' experience of research participation in a recovery programme for intensive care survivors

Stimulated by insight: Exploration of critical care nurses' experience of research participation in a recovery programme for intensive care survivors

Continuing Professional Development

Realist Evaluation of Public Engagement and Involvement in Data-intensive Health Research

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