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'Do not ask who I am...': confession, emancipation and (self)-management through reflection
1School of Health Sciences, University of Wales, Swansea, UK. g.rolfe@swan.ac.uk
Journal of Nursing Management
|October 24, 2006
Summary
This study examines Foucauldian critiques of nursing reflection, distinguishing between potentially oppressive ontological reflection and emancipatory epistemological reflection for healthcare professionals.
Area of Science:
- Nursing
- Philosophy of Healthcare
- Sociology of Professions
Background:
- Reflection in nursing is often uncritically accepted.
- Critiques suggest reflection may function as a management tool for workforce control.
- This control is achieved through self-monitoring and self-regulation by practitioners.
Purpose of the Study:
- To explore and extend Foucauldian critiques of reflection and clinical supervision in nursing.
- To evaluate existing critiques using Foucault's later writings on the 'care of self'.
- To differentiate between distinct projects of reflection within professional practice.
Main Methods:
- Critical analysis of existing literature on Foucauldian critiques.
- Extension of these critiques through engagement with Foucault's concept of 'care of self'.
- Conceptual distinction between two models of reflection: ontological and epistemological.
Main Results:
- Identified two projects of reflection: ontological and epistemological.
- The ontological project aims for personal growth under guidance, risking power dynamics.
- The epistemological project involves practitioners exploring their own thinking, offering emancipatory potential.
Conclusions:
- The ontological approach to reflection in nursing may lead to subtle power exercises.
- The epistemological approach, focusing on self-exploration of practice, holds potential for professional emancipation.
- Distinguishing these projects is crucial for understanding the role and impact of reflection in nursing.
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