Journaling: a quasi-experimental study of student nurses' reflective learning ability

The use of journaling or journal writing in clinical education is one of the strategies used to develop critical thinking. Reflective journal writing, as it is commonly known, can nurture many qualities of a critical thinker and promote thoughtful nursing practice. Using a quasi-experimental design in this study, reflective journaling was introduced to a sample of first year Bridging Course student nurses at a Private Nursing Education Institution, to assess its effectiveness in reflective learning. The study design enabled comparisons between two groups: one group of students assigned to do journaling (experimental group) and another group of students (control group) who did not journal. The students in the experimental group were given a period of eight weeks to journal their clinical experiences. At the end of this period, both groups were given an exercise, based on a clinical situation, to analyse reflectively and a comparison made on their performance. Descriptive statistics were used to analyse data and Fisher's Exact Test was used to determine the significance of differences observed within and between groups. The results showed that students in the experimental group performed better in exploring alternatives of action (p < 0.10) and formulating responses in similar future situations (p < 0.05) during the process of reflection. There was no significant difference between the groups' scores with regard to their ability to describe the clinical experience, to explore their related feelings, to evaluate the experience and to interpret/create meaning for themselves. Recommendations are made for continued student support and guidance during clinical education if reflection is considered to enhance reflective, thoughtful nursing practice.