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Emotion as reflexive practice: A new discourse for feedback practice and research.
Rola Ajjawi1, Rebecca E Olson2, Nancy McNaughton3
1Centre for Research in Assessment and Digital Learning, Deakin University, Melbourne, Victoria, Australia.
Emotions are integral to health care feedback, not an impediment. Understanding emotion discourses reveals how they shape learning and professional development in health education.
Area of Science:
- Health Professions Education
- Medical Education
- Healthcare Feedback
Background:
- Feedback in healthcare is often emotionally charged, impacting identity and status.
- The emotional dimension of feedback is frequently viewed as an obstacle to learning.
- Emotions are fundamentally intertwined with the learning process in healthcare.
Purpose of the Study:
- To critically review the discourses of emotion within the feedback literature.
- To analyze the 'work' or impact of these emotion discourses on feedback practices.
Main Methods:
- Conducted a critical literature review of 32 papers from top journals in health sciences education.
- Employed a Foucauldian critical discourse analysis approach.
Main Results:
- Identified four overlapping discourses of emotion: physiological, skill, reflexive practice, and socio-cultural.
- Emotion as physiological: internal, biological, immutable, often problematic.
- Emotion as socio-cultural: circulating as a political force within learning environments.
Conclusions:
- Recommends viewing emotions as inevitable, potentially paralyzing yet motivating, and situated within healthcare hierarchies.
- Advocates for future research to recognize the connection between discourse, theory, and practice regarding emotion in health professional education.
- Suggests drawing from reflexive and socio-cultural emotion discourses for enhanced feedback practices.
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