Facilitating perception and imagination in generating change through reflective practice groups

This paper describes the process of facilitating groups of registered nurses to generate change in themselves and their practice through guided reflection. The concept of perception is explored in respect of individual interpretations of personal experiences where perception becomes reality for that individual. Such perception is subject to bias and without supported guidance in the reflective process inappropriate conclusions are easily generated. Through facilitating group deconstruction of the perceived experience the individual is able to identify the elements of bias emerging and subsequently reaches valid conclusions by reconstructing the experience with reduced elements of subjectivity which are more appropriate to personal and practice development. Within the reconstruction process, imagination is stimulated by steering individuals within the group towards visualising outcomes of planned actions. Use of imagination allows internal acting out of events and the identification of consequences of following a particular course of action. This process enables generation of appropriate actions to take place through development of insight and deeper awareness of influences on personal change. Through appropriate developments in personal approaches the ensuing changes generated in practice take place through considered strategies, which will enhance nursing and care provision.