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Reflective Writing in Nursing

Page 1: Introduction

  • Presenter: Jackie Denison

  • Content Creator: Jackie Denison, original PowerPoint by Nicole de Bosch Kemper

Page 2: Learning Outcome

  • Develop fundamental scholarly writing skills in nursing, particularly in reflective writing and critical reflection.

Page 3: Professional Expectation

  • Reflective practice is an expectation and requirement set by BCCNM (British Columbia College of Nursing Professionals) for entry to practice.

  • Also a crucial expectation in the UBCO BSN (University of British Columbia Okanagan Bachelor of Science in Nursing) program.

Page 4: Reflection and Nursing Practice

  • Key Theorists:

    • John Dewey (1933): Views reflection as controlled, focused thought.

    • Critical reflection involves examining situations to discover new learning goals.

    • Aim for a deeper understanding of experiences.

Page 5: Engaging in Reflective Practice

  • Different methods to engage in reflective practice include:

    • Dialogue: Engage through discussion with peers.

    • Verbal Debriefing: Utilize post conferences to verbally debrief experiences.

    • Writing: Reflective writing serves as a vital way to engage in reflection.

Page 6: Literature Review on Reflective Practice

  • Reflective practice leads to:

    • Deeper understanding of nursing situations and knowledge.

    • Identification of information sources to enhance nursing practice.

Page 7: Sharing Reflections

  • Expectations for sharing reflections in Nursing 113:

    • Self-reflection duration: Over half a term.

    • Personal feelings: An encouragement to discuss thoughts, feelings, strengths, and vulnerabilities openly.

Page 8: Writing Reflections

  • Advise to avoid getting stuck on just feelings.

  • Importance of reflecting on perspectives, beliefs, and assumptions related to experiences.

Page 9: Reflective Writing vs Diary Writing

  • Distinction:

    • Diary Writing: Often subjective; fundamental recounting of daily events.

    • Reflective Writing: Involves analysis and critical thinking about experiences.

Page 10: Professional Nature of Reflective Writing

  • Required characteristics of reflective writing:

    • Professionalism and scholarly tone.

    • Emphasis on learning to learn, think critically, and question assumptions (citing Paul & Elder, 2004).

Page 11: Teacher Feedback on Reflections

  • Feedback should:

    • Respond sensitively to personal disclosures.

    • Acknowledge achievements and areas for improvement.

    • Pose questions for deeper exploration.

    • Encourage alternative perspectives and suggest further resources.

Page 12: Challenges in Thinking

  • Common issues with thinking:

    • Surface-level or unsubstantiated thoughts.

    • Potential biases and incomplete understanding of subjects.

Page 13: What is Critical Thinking?

  • Definition:

    • Self-directed and self-monitored thinking aimed at improvement.

    • Involves high standards of excellence and mindful application of those standards.

    • Quote by Richard Paul: "Critical thinking is thinking about your thinking...".

Page 14: Characteristics of a Critical Thinker

  • A critical thinker:

    • Formulates clear questions and problems.

    • Collects and interprets relevant information effectively.

    • Draws well-reasoned conclusions and solutions.

    • Engages in open-minded discussions, recognizing implications.

    • Communicates effectively for collaborative problem-solving.

Page 15: Structure in Reflective Writing

  • Importance of structure in reflective writing to enhance thought processes.

  • Suggested approaches:

    • Narrative followed by reflection.

    • Focus on significant topics, not just daily events.

    • Quote by Maya Angelou: "Now I know better, I do better."

Page 16: Models of Reflection

  • A variety of critical reflection models available:

    • Including frameworks by Dewey, Schon, and Gibbs.

Page 17: Gibbs' Reflective Cycle (1988)

  • Components of the cycle:

    • Description: What happened?

    • Feelings: What were you feeling?

    • Evaluation: What was good or bad about the experience?

    • Analysis: What sense can you make of the situation?

    • Conclusion: What else could you have done?

    • Action Plan: What will you do next time?

Page 18: Critical Reflection Questions

  • Critical reflection encourages:

    • Questioning judgments and exploring perspectives to enhance understanding of events.

Page 19: Further Analysis through Gibbs' Cycle

  • Analysis focuses on:

    • Judging why events unfolded as they did and exploring alternative actions.

Page 20: Reflection Process Overview

  • Repeat Gibbs' Reflective Cycle process to draw deeper insights from experiences.

Page 21: Reflective Writing Stages in BSN Program

  • Stage 1: Description - What happened?

  • Stage 2: Feelings - How did it make you feel?

  • Stage 3: Evaluation - Positive/negative aspects?

  • Stage 4: Analysis - Consequences?

  • Stage 5: Conclusion - Other possible actions?

  • Stage 6: Action Plan - Future plans.

Page 22: Nursing Reflection Frameworks

  • Summary of concepts and critical action raises:

    • Engage in reflection to evaluate experiences leading to growth in nursing practice.