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The use of reflection in a palliative care programme: a quantitative study of the development of reflective skills over an academic year

The use of reflection in a palliative care programme: a quantitative study of the development of reflective skills over an academic year
The use of reflection in a palliative care programme: a quantitative study of the development of reflective skills over an academic year
Reflection has gained a reputation for encouraging the integration between theory and practice within professional education. However, this reputation is based on an evidence base that mostly consists of theoretical debate. The aim of this study was to test our experience that the ability to reflect is developmental and that some reflective skills are harder to achieve than others. The research was undertaken by assessing the degree to which registered nurses achieved reflective criteria within assignments submitted for a variety of palliative care undergraduate modules. A total of 160 assignments were analysed using a marking grid constructed from a literature review and the results were compared between students and across academic terms. The results suggest that students are able to describe their practice but find it harder to analyse knowledge, the context of care and to action plan. Nevertheless, reflective abilities developed over time with significant developments made between each term. However, the development of skills indicative of critical reflection was less evident and confined to the ability to raise implications for future learning. The lack of multivariate analysis limits the study. However, the findings build on previous research and prompt questions for future work, particularly with respect to the process of reflection and how this can be supported in order to encourage the development of critical reflective skills.
reflection, reflective practice, critical reflection, graduate nursing education, palliative care
0309-2402
1557-1568
Duke, Sue
f0dc024d-f940-4f43-b5f9-adab34833ce7
Appleton, Jane
cc077e6e-6157-480f-b11d-468dd141a7c3
Duke, Sue
f0dc024d-f940-4f43-b5f9-adab34833ce7
Appleton, Jane
cc077e6e-6157-480f-b11d-468dd141a7c3

Duke, Sue and Appleton, Jane (2000) The use of reflection in a palliative care programme: a quantitative study of the development of reflective skills over an academic year. Journal of Advanced Nursing, 32 (6), 1557-1568. (doi:10.1111/j.1365-2648.2000.01604.x).

Record type: Article

Abstract

Reflection has gained a reputation for encouraging the integration between theory and practice within professional education. However, this reputation is based on an evidence base that mostly consists of theoretical debate. The aim of this study was to test our experience that the ability to reflect is developmental and that some reflective skills are harder to achieve than others. The research was undertaken by assessing the degree to which registered nurses achieved reflective criteria within assignments submitted for a variety of palliative care undergraduate modules. A total of 160 assignments were analysed using a marking grid constructed from a literature review and the results were compared between students and across academic terms. The results suggest that students are able to describe their practice but find it harder to analyse knowledge, the context of care and to action plan. Nevertheless, reflective abilities developed over time with significant developments made between each term. However, the development of skills indicative of critical reflection was less evident and confined to the ability to raise implications for future learning. The lack of multivariate analysis limits the study. However, the findings build on previous research and prompt questions for future work, particularly with respect to the process of reflection and how this can be supported in order to encourage the development of critical reflective skills.

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More information

Published date: 25 July 2000
Keywords: reflection, reflective practice, critical reflection, graduate nursing education, palliative care

Identifiers

Local EPrints ID: 66996
URI: http://eprints.soton.ac.uk/id/eprint/66996
ISSN: 0309-2402
PURE UUID: 7e2bc23f-1f92-4c23-86f8-6d0d1306dc2e
ORCID for Sue Duke: ORCID iD orcid.org/0000-0002-4058-8086

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Date deposited: 03 Aug 2009
Last modified: 13 Mar 2024 18:43

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Author: Sue Duke ORCID iD
Author: Jane Appleton

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