Implementation of a Practice-based Reflection Training Programme in Undergraduate Nursing Interns for Reflective
Dong-Lan Ling1, Ka Yan Ho2, Jing-Da Pan3
1Nursing Administration Department, The Second Affiliated Hospital, Guangzhou Medical University, Guangzhou, Guangdong Province, China.
Purpose:
To examine the effectiveness of a practice-based reflection training programme in enhancing reflective practice competency and humanistic caring ability among undergraduate nursing interns.
Methods:
A convenience sample of 95 undergraduate nursing interns from a tertiary hospital was recruited to join a quasi-experimental study. Participants in the control group (n = 48) underwent a traditional training programme between September 2021 and April 2022. Those in the intervention group (n = 47) participated in a practice-based reflection training programme that contained 8 sessions between September 2022 and April 2023. The two groups were compared in terms of their levels of reflective practice competency measured by the Nursing Reflective Practice Questionnaire (NRPQ) and humanistic caring ability measured by the Nursing Humanistic Caring Assessment Tool (NHCAT). Additionally, each intern in the intervention group submitted a reflective essay on humanistic caring which was analyzed by content analysis.
Results:
After the intervention, the intervention group showed statistically significantly higher mean scores compared to the control group for reflective practice competency (160.94 ± 11.02 vs 147.60 ± 13.95, p < .001) and humanistic caring ability (124.02 ± 7.35 vs 115.52 ± 8.31, p < .001). By content analysis of 45 reflective essays, the most commonly reported theme related to humanistic care was "responsibility" (present in 38 essays, mentioned 153 times), followed by "empathy" (present in 36 essays, mentioned 149 times) and "communication skills/competence" (present in 32 essays, mentioned 125 times).
Conclusions:
The practice-based reflection training programme was shown to be effective to enhance reflective practice competency and humanistic caring ability among undergraduate nursing interns in China. Further studies are needed to examine its long-term impacts on nursing interns.
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