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Updated: Jul 16, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
Using cooperative inquiry and clinical supervision to improve practice
1Centre for Philosophy, Humanities and Law in Health Care, School of Health Science, University of Wales, Swansea. e.r.jenkins@swansea.ac.uk
District nurses and a nurse lecturer found that collaborative reflection, using supportive challenge and critical dialogue, enhances professional practice. Sharing authentic experiences fosters holistic understanding and improves nursing and education work.
Area of Science:
- Nursing Practice
- Professional Development
- Qualitative Research
Background:
- Critical reflection is vital for developing nursing practice.
- Existing approaches to reflection may be limited in fostering authentic engagement.
Purpose of the Study:
- To explore the value of regular, critical reflection in enhancing district nursing and nurse lecturer practice.
- To investigate the effectiveness of co-operative inquiry as a method for professional development.
Main Methods:
- Co-operative inquiry, involving shared stories and metaphors.
- Supportive challenge and critically informed dialogue were used for appraisal.
- Methods were informed by clinical supervision and action research literature.
Main Results:
- The co-inquiry process revealed the benefits of authentic sharing and vulnerability.
- Collaborative reflection fostered a more holistic appreciation of experiences compared to solitary reflection.
- Engaging personally and socially improved nursing and education work.
Conclusions:
- Regular, critical, and social reflection is essential for advancing nursing and education practice.
- Co-operative inquiry offers a valuable framework for personal and professional growth in healthcare settings.
- Moving beyond a 'we know best' attitude through authentic engagement enhances professional development.
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