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where does reflective practice come from, whose work did it come from?
Dewey and schon
it is the ongoing active process of critically examining experiences, thoughts feelings and actions to understand their impact learn from them and guide future professional practice and development
reflective practice has many
different definitions
healthcare working environments defined as
uncertain
continuous changing
messy
healthcare worker qualities include
autonomous
confident
self directed
ethical
flexible
collaborative
inclusive
organised
innovative
why use reflective practice in healthcare?
critical for professional development.
professional standards and credentialing to ensure healthcare workers are competent now require demonstrations of reflection, reflective practice
reflective writing goes beyond
a summary of what has hapepned
reflective writing should give insight on
how the experience makes a person feel
how does it connect to other things they experienced
what do they plan to do in response
reflective practice should focus on
interpretation and evaluation.
which takes planning.
helps draw connections and links that produce deeper and more meaningful reflections.
what are the processes of reflective practice
describe evaluate interpret and plan (DIEP)
Describe
begin with a brief and objective description of the situation, what you saw heard did etc
interpret
what happened what new insights do you have, how does this experience compare to any other experiences you have had before how did you feel in that moment?
evaluate
make a judgement on how useful the experience was for you
express your opinion and explain why you are thinking this
plan
comment on how this experience might inform your future actions and thoughts
what are the two reflective models used?
Gibbs Reflective Model and Schon Reflective Model
Gibbs model processes
description- explaining of situation
feelings- how you feel about it
evaluation- good or bad about it
analysis- make sense of it
conclusion- draw out learnings
action plan for future
pros and cons of using Gibbs reflection model
good structure for those who need it (pro)
might now allow organic and creative synthesis of themes and ideas (more complex settings) because of structure (con)
Schon reflective model
knowledge in action
reflection in action
reflection on action
schon reflective model differentiates
reflection during and after events
not circular
reflection in action
aids becoming more responsive when dealing with complex situations
reflection on action
spend time considering situation complexity and what could be done to more effectively deal with it
pros and cons of schon model
pros
encourages adaptability and clinical decision making
self awareness increased
cons
lacks structure like Gibbs
reflection in action hard to do when performing on a task, need to divide attention