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Developing and Testing a Reflection Method for Implementation of a Professional Reporting Guideline in Community
Nicole Vullings1, Maud Heinen1, Marian Adriaansen2
1Radboud Institute of Health Sciences, Scientific Institute for Quality of Healthcare, Radboud University Medical Centre, Nijmegen, The Netherlands.
A new reflection method helps community nurses and certified nursing assistants improve daily care reporting. This collaborative approach enhances learning and critical assessment, aligning with professional guidelines.
Area of Science:
- Nursing Practice
- Healthcare Professional Development
- Quality Improvement in Healthcare
Background:
- Implementing professional reporting guidelines in daily care presents challenges for nurses and nursing assistants.
- A need exists for structured methods to support healthcare professionals in adopting new reporting standards.
- Bridging the gap between research-based guidelines and clinical practice is crucial for effective patient care.
Purpose of the Study:
- To develop and identify key features of a reflection method for community nurses and certified nursing assistants.
- To support the implementation of a professional reporting guideline in daily nursing and caring practices.
- To enhance collaborative learning and critical assessment among healthcare professionals.
Main Methods:
- Design-based research methodology was employed in the Netherlands from February 2021 to April 2022.
- A design group, including nurses, certified nursing assistants, and a patient representative, developed the method.
- Thematic analysis of video recordings and observational notes from test groups refined the method and identified key features.
Main Results:
- A final reflection method was developed, featuring three main themes: impact on behavior change, group learning, and conditional factors for critical reflection.
- Seven essential key features were identified, including focusing on critical reflection, allocating sufficient time, diverse participant inclusion, appropriate group size, simplicity, and promoting transfer to clinical practice.
- The method involves two 2-hour meetings with up to six participants and a coach.
Conclusions:
- The developed reflection method facilitates collaborative learning for community nurses and certified nursing assistants.
- Participants improved reporting quality and critical assessment of daily practices through reflection and peer feedback.
- This method effectively aligns with the 'Nursing and Caring Reporting' guideline, bridging research and clinical practice.
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