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Reflection: possible strategies to improve its use by qualified staff
1Department of Neurosciences, University Hospital of Wales.
Summary
Nurses, midwives, and health visitors must reflect on their practice. This article explores why some practitioners are reluctant to formally reflect and suggests strategies to overcome barriers, promoting reflection as integral to nursing care.
Area of Science:
- Nursing Education
- Professional Development
- Healthcare Practice
Background:
- Reflection is a mandatory requirement for nurses, midwives, and health visitors in the UK.
- The UKCC (United Kingdom Central Council for Nursing, Midwifery and Health Visiting) endorses reflection for safe and knowledgeable practice.
- Qualified practitioners must maintain a professional profile with evidence of reflection.
Purpose of the Study:
- To investigate reasons for practitioners' reluctance towards formal reflection.
- To identify potential barriers hindering effective reflection in nursing practice.
- To propose strategies for promoting reflection as an integral component of nursing.
Main Methods:
- Examination of definitions and theories of reflection.
- Analysis of the perceived gap between academic/professional endorsement and 'grass roots' adoption of reflection.
- Speculation on barriers and proposal of strategies to overcome them.
Main Results:
- Formal reflection may not be as widely embraced by practitioners as by regulatory bodies and academia.
- Barriers exist that create a divide between practitioners and the professional hierarchy regarding reflection.
- Strategies are proposed to facilitate the positive integration of reflection into nursing practice.
Conclusions:
- A clear definition and concept analysis of reflection are crucial.
- Further research is needed to understand the impact of reflection on clinical practice and patient care.
- Long-term investment in research is necessary to support evidence-based promotion of reflection.