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Updated: Jun 27, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Using reflective practice processes to identify practice change issues in an aged care service.

K Walsh¹, M McAllister, A Morgan

¹Department of Clinical Nursing, University of Adelaide and Practice Development Coordinator, Royal Adelaide Hospital, Glenside Campus, PO Box 17, Eastwood, SA 5063, Australia.

Nurse Education in Practice

|November 28, 2008

Summary

Clinicians identified practice changes through reflection, but structural support is crucial for implementing client-centered improvements in psychiatric hospitals. This study highlights the need for scaffolding to sustain practice development.

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Last Updated: Jun 27, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Area of Science:

Psychiatric Nursing
Healthcare Practice Development
Clinical Psychology

Background:

Practice development projects are essential for improving healthcare delivery.
Reflective processes are increasingly utilized to drive professional growth and change.
Metropolitan psychiatric hospitals face unique challenges in implementing practice changes.

Purpose of the Study:

To report on a reflective process for identifying practice change areas.
To evaluate the effectiveness of reflection in motivating clinicians for client-centered change.
To explore the role of structural support in sustaining practice changes.

Main Methods:

A stepwise process of group and individual reflection on clinical practice was employed.
The reflective process was part of a larger practice development initiative.
Implementation occurred within a large metropolitan psychiatric hospital setting.

Main Results:

The reflective process successfully helped clinicians identify specific areas for practice change.
Clinicians were motivated to plan and implement client-centered changes.
Reflection alone was insufficient; structural scaffolding was necessary to support identified changes.

Conclusions:

A structured reflective process can identify and motivate practice changes in psychiatric settings.
Effective practice development requires both clinician reflection and robust structural support.
Developing scaffolding is critical for the successful implementation and sustainability of client-centered changes.