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Reflective practice in hyper acute stroke nursing: integrating patterns of knowing and trauma theory
1Registered Nurse, Hyper Acute Stroke Unit, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
Journal of Research in Nursing : JRN
|June 29, 2026
Summary
Reflective practice in hyper acute stroke care integrates nursing knowledge and theory. This approach enhances patient safety, ethical considerations, and holistic care delivery in critical settings.
Area of Science:
- Nursing Science
- Clinical Psychology
- Trauma Studies
Background:
- Reflective practice is crucial in nursing but underexplored in hyper acute settings.
- Hyper acute stroke care involves time-critical interventions and significant patient trauma.
Purpose of the Study:
- To investigate how nursing knowledge and theory influence reflective practice in hyper acute stroke care.
Main Methods:
- Conceptual and reflective approach.
- Utilized Carper and Chinn and Kramer's patterns of knowing.
- Applied Judith Herman's three-stage trauma theory to clinical practice.
Main Results:
- Nurses integrate empirical urgency with ethical sensitivity, emotional awareness, and person-centered care.
- Herman's theory highlights psychological impacts of stroke, including safety, identity disruption, and recovery.
- Reflective practice informs clinical judgment, relationships, and care in complex environments.
Conclusions:
- Theoretical knowledge and diverse ways of knowing are vital for safe, ethical, and holistic stroke nursing.
- Reflective practice is an active process essential for effective care delivery in hyper acute settings.
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