Self Reflecction

Putting Self-reflection in Clinical Practice


Learning Outcomes
By the end of workshop, you should be able to:

1. State what is self-reflection (SR). 2. Explain why SR is important in clinical learning. 3. Practice SR guided by the John’s Structured Reflection Model in the coming summer clinical block 4. Understand the 4 levels of self-reflection 5. Write self-reflective diaries.

Self-Reflection: a process to inform learning from practice (Reid,1993) Review of a specific clinical situation

Describe, analyze & evaluate

New understanding / appreciation

Reflection is
• a ‘cognitive’ exploration of one-self or another’s experience, a comprehensive and in-depth review – making sense of it regarding
personal, social, cultural, psychological, and organizational issues, in order to achieve more effective & satisfying work

Values of Self-reflection
• Enabling nurses to become open, curious, and self-aware about context of practice – Why do I do this? • Monitoring performance over time and provide new insight with future practice – How else could I do that? • Understand the nature and boundaries of each others’ roles • Understand the conditions (context), barriers, and potential (alternative) of practice • Value self; relive painful experiences and work through them. • Achieve more effective & satisfying work.

A reflective learner needs
1. To be self-aware/conscious of your character. 2. To develop the quality and power of description. 3. To practice taking different ways of looking at the situation, 4. To understand & respect the values of others.

The reflective cycle
Description: What happened? Action plan: If it arose again what would you do? Conclusion: What else could you have done? Thinking & Feelings: What were you thinking & feeling? Evaluation: What was good & bad about the experience? Analysis: What sense could you make of the situation?
(personal, social, cultural, psychological, organizational)

(Gibbs, 1988)