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Critically reflective practice and its sources: A qualitative exploration
Stella L Ng1,2, Maria Mylopoulos2, Emilia Kangasjarvi1
1Centre for Faculty Development, St Michael's Hospital, Toronto, Ontario, Canada.
Medical Education
|January 9, 2020
Summary
Critical reflection, crucial for health professionals in complex practice, is learned through personal experiences and relationships, not an innate trait. This learnable skill enhances collaborative care and advocacy for children with chronic conditions.
Area of Science:
- Healthcare Education
- Professional Development
- Interprofessional Collaboration
Background:
- Critical reflection enhances health professionals' performance in ambiguous practice settings.
- Understanding the development of critical reflection is essential for improving care.
- The study focuses on indeterminate zones of practice, characterized by ambiguity and value conflicts.
Purpose of the Study:
- To explore the nature of critical reflection in practice.
- To identify sources of critically reflective insights and approaches.
- To investigate critical reflection at the intersection of healthcare and education for children with chronic conditions.
Main Methods:
- Secondary analysis of 42 interview transcripts from an institutional ethnographic study.
- Involved health professionals, school-based educators, and parents.
- Transcripts were coded for critical reflection, potential critical reflection moments, and attributed sources.
Main Results:
- Critically reflective practice includes understanding others, valuing diverse knowledge, identifying workarounds, recognizing inequities, and advocating collaboratively.
- Participants attributed critical reflection insights to personal experiences, such as prior careers or close relationships.
- Critically reflective practice is not a fixed trait but a learnable skill.
Conclusions:
- Personal experiences and connections are key drivers of critically reflective views.
- Critical reflection is a learnable skill, fostered by personally meaningful experiences.
- Health professions education should integrate personal experiences and evidence-informed methods to cultivate critical reflection.
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