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Reflection: does it enhance professional nursing practice?

M Andrews1, J Gidman, A Humphreys

  • 1School of Health and Community Studies, North East Wales Institute (NEWI), Wrexham, Clwyd.

British Journal of Nursing (Mark Allen Publishing)
|July 21, 1998
PubMed
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Nurses are expected to use reflective practice for professional development. However, evidence is limited, and this article suggests nurses often do not engage purposefully in reflection.

Area of Science:

  • Nursing
  • Professional Development
  • Healthcare Education

Background:

  • Reflective practice is widely assumed to enhance nursing practice and patient care.
  • The UKCC mandates reflective activity and personal professional profiles for postregistration nurses.
  • Empirical evidence directly linking reflection to practice development is scarce.

Purpose of the Study:

  • To examine assumptions about the effectiveness of reflective practice in nursing.
  • To investigate the extent to which nurses engage in purposeful reflection.
  • To challenge the notion that reflective activity automatically leads to practice improvement.

Main Methods:

  • Critical analysis of existing literature and assumptions regarding reflective practice.
  • Examination of the UKCC's framework for postregistration education and its requirements for reflection.

Related Experiment Videos

  • Discussion of the practical application and perceived value of reflection among nurses.

    • Main Results:

    • Despite expectations, there is a lack of empirical data demonstrating that reflection directly improves nursing practice or patient outcomes.
    • Nurses may not consistently engage in reflection in a meaningful or purposeful manner.
    • The assumed benefits of reflective practice may not be realized in current nursing contexts.

    Conclusions:

    • The link between mandated reflective practice and demonstrable improvements in nursing care requires further empirical investigation.
    • Current approaches to reflective practice may not foster purposeful engagement among nurses.
    • Rethinking the implementation and evaluation of reflective practice is necessary to ensure its effectiveness in professional development.