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Master of Child and Family Health: Reflective practice and journaling

What is reflective practice?

We reflect on current and past events to find meaning and make connections between experience and knowledge. By acknowledging new experiences and the learning opportunity they represent we are able to evolve our perception of what we know. This new learning can then be applied to our decisions, choices and actions.

There are many definitions of Reflective Practice. One that suits the application for this course well is:

“a generic term for those intellectual and affective activities in which individuals engage to explore their experiences in order to lead to a new understanding and appreciation” 

(Boud, 1985 in Mann, et al. 2009)

For example, you may walk out of a clinic feeling that something went ‘bad’ in the interaction with the patient or during treatment. Using reflective practice, you can think and critically analyse the situation and events to discover a deeper understanding as to why you were left feeling this way.

You will be asked to reflect on your practice in a variety of different ways. You will be asked to reflect on how your past experiences may influence the way that you practise and the impact that this may have on the decisions that you make. Understanding the reasons behind your choices can help lead to greater understanding of the unconscious factors influencing your decisions.

Writing a reflection

There are many types of reflection and models that can be followed. They can roughly be broken up into two categories:

Reflecting IN action

Reflection ON action

Reflecting IN action

Reflection in action occurs during an experience or activity. Here are some examples:

  1. A team brainstorms a new idea. Each member then returns to their own station to reflect on what has been raised. The team then meets again to discuss the idea with the benefits of the time reflecting. 
  2. A student doing an online course completes a quiz at the end of the module to reflect on their understanding of the material.
  3. A teacher determining if students are engaged in the activity set and reflecting whether it is evolving as planned or not.
  4. A nurse communicating with the relatives of a terminally ill patient, and reflecting if the approach they are taking is being well received.

Reflection in action often leads to immediate research to discover answers or to provide additional information on a current area of growth or investigation.

Reflecting ON action

Reflection on action occurs at the end of an experience or activity, and can help us to incorporate new understanding into our broader knowledge base. Reflections of this type often lead us to question our own thoughts and behaviours and to make decisions regarding our future course of action.

Reflection involves asking very personal questions of ourselves to explore the reasons behind our choices and rationale for our actions. Ask yourself:

  •  How did I feel about that experience?
  •  What was I thinking at the time?
  •  What were my actions?
  • What is the reasoning behind why I felt/thought/acted the way I did?
  • What in my previous experiences or knowledge led me to choose that course of action, choice of words or feelings at the time?
  • What does this mean for my past, current and future practices?

One method for making useful reflections is to maintain a reflective journal.

Reflective practice for nursing enhancement

Within nursing, conducting reflective practices is often used as an ongoing way to identify issues and enhance practice.

We reflect on current and past events to find meaning and make connections between experience and knowledge. By acknowledging new experiences and the learning opportunity they represent we are able to evolve our perception of what we know. This new learning can then be applied to our decisions, choices and actions.

The experienced teachers in the following video each use reflective practice to monitor their performance and growth in their chosen field. Whilst the video is a couple of years old (note the University of Ballarat logo!) you will still gain some insights.

Reflective journaling as an assessment

Each unit that uses a journal for reflection assessments may have a different format for you to consider. The submission method may also be very different.

Many journals will create an on-going dialogue between the student and their tutor. Comments from the tutor on the first week's entry are considered in the second week, etc.

A critical incident journal may ask a student to focus on the analysis of one particular event from that week. Integration of learned theories and discussion of implications and alternative solutions is expected.

A journal submission could be a hard-copy of notes taken in the field with commentary, an online web page journal through ePortfolios, or an entry within the Moodle shell itself.

Some other ways or capturing reflection activities include:

  • Oral reflection within a group.
  • Reflective essay
  • Written response to a question based on your experience
  • Written analysis of an experience
  • Video reflection
  • Audio reflection

Reflective tools

There are a number of reflective tools used in various professions.  One of the more common tools is Gibbs's Reflective Cycle and is a common framework for reflecting on critical incidences.

 

Rolfe, Freshwater and Jasper (2001) created a simple model based on three question: What? So what? Now what?

Image based on Rolfe, G., Freshwater, D., Jasper, M. (2001) Critical reflection in nursing and the helping professions: a user’s guide. Basingstoke: Palgrave Macmillan.

More information on using this model can be found here in the following video.