types of reflection
DESCRIPTION
This slideshow briefly describes three types of reflection that can be used, especially in nursing and midwifery.TRANSCRIPT
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Types of reflection
Sarah Stewart [email protected]
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Each way of reflecting is important and a combination may be used to make sense of practice, “and imagine and/or bring about changes” (Taylor, 2000)
Image: 'It's breathtaking!'
www.flickr.com/photos/90667736@N00/1362473050
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Technical Reflection
Accompanies empirical knowledge & scientific reasoning (very factual) to look at clinical
practices and procedures
Image: 'test tubes 2'
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• Can you think of any clinical procedures that have no benefit?
• How up to date are your hospital/facility policies?
• What do you do as a matter of routine that you wonder may be of no value?
• When was the last time you looked at evidence about an element of practice?
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Mary notices a problem withdehydration in the women
in her care
Mary explores the issue of fasting in labour
Mary decides to try allowing women to eat and drink in labour
Mary reflects on the consequences of her new
practice approach
Assess & Plan
Implementation
Evaluation
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Technical reflection gives you no sense of social, cultural, political, emotional or
spiritual influences on practice
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Practical Reflection
Making sense & meaning of human experiences
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• How do I feel about being a midwife?
• How am I affected by the women I work with?
• What makes communication so difficult at times?
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Susan ‘made’ a woman have an epidural
Susan thinks about her attitudes to pain in labour and how she
supports women
Realizes that she finds it hard to see women in pain
Decides she must work on her own confidence in being a
midwife
Experiencing
Interpreting
Learning
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Doesn’t help the understanding of power
relationships or influences
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Emancipatory Reflection
Regards power relationships between people in the workplace
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• What are the power relationships that constrain my practice?
• How can I improve my practice in the light of those constraints?
• How does my perceptions of me and my practice constrain me?
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Lisa (midwife) shouts at Ann (student) for encouraging a
woman to birth standing
Thinks about student/midwife relationship
Ann considers Lisa’s feelings about being midwife responsible
Ann talk to Lisa about birth positions, show her evidence
& plans for future births
Construct
Deconstruct
Confront
Reconstruct
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Makes small changes slowly
Who dares wins!Image: 'MPIX-NT08-T1103-Q034621' www.flickr.com/photos/13704260@N07/2608178590
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Reference
• Taylor, B. (2000). Reflective practice: a guide for nurses and midwives. St Leonards, Allen and Unwin.