Reflection

1.Reflexivity involves becoming more self-aware. (Finlay, 2008) 2.The ability to Identify our own influence on the past events or experience according to our own values, beliefs, biases, assumptions and prejudices. (Fook & Gardner, 2007)
Critical reflection
Critical reflection (CR) is a process by which one may identify the assumptions governing one’s actions, question them and develop alternative behaviors. (Savaya & Gardner, 2012)
Constrain my change
Personal: Inadequate professional knowledge and skills Lack of good communication ability
Transforming my practice
Self-awareness: The cognitive ability to think, feel, sense and know the past experience or what I am doing. (Eby, 2000 cited in Finlay, 2008) In my practice, I need keep a positive self-awareness always. When I feel powerless, I should reflect on myself at first, is my action rational? Is my idea or opinion serve the most people or just myself? Does my knowledge and skills reach a high level? Then, I need to tell myself to analysis this situation from a broader perspective.
What is reflection?
Reflection is a way to reach awareness of how and why things have occurred. (Johns,2002) Reflection means making the familiar unfamiliar, or looking at it within fresh eyes.(Abrandt Dahlgren et al., 2004) Reflection can help to affirm as well as to correct actions. (Howatson-J, 2010) Reflection in Chinese culture: “Look before you leap” means you need to think it from different perspectives before doing it. (Chinese ancient people)
It can:
1.provides both theory and process to enable this making and remaking of knowledge to happen. 2.provides a framework that enable practitioners to manage issues more effectively. 3.provides a way of “standing back” and seeing the issues from a different perspective. (Fook and Gardner, 2007)
Reflection: Constraints
Power: Doctors have more power than me, patients give more trust to them hierarchy : Leaders stand in a, higher position than me, I must do what they required
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Reflection: What is my values?
Text
Doctor and nurse are equal
My values
Leaders should consult my opinion
Text
The relationship between patient and nurse should be harmonious and trust is bond linking them together
Reflexivity
Theories of reflection
1.a critical review of work practice and what hinders effective and desired practice. 2.a positive way to raise awareness of work related power dynamics and their effects on oneself and practice. 3.help free us from constraints within practice, including: personal, political, social and cultural ,historical, and economic. 4.empower us to make relevant changes to benefit personal wellbeing and professional work practice. 5.Free us to develop an awareness of a sense of personal power, autonomy and agency. (Taylor, 2010)
Transforming my practice
Empowerment: means give power to others, as well as receiving power from them in return, it also involves helping individuals to help themselves. Empowerment can be seen as part of our emphasis on critically reflective practice, in the sense that uncritical, mindless practice based on habit and routine will fail to address the significant personal, social and political obstacles to progress that block the way of people gaining greater control over their lives. (Thompson & Thompson, 2008)
What is reflection?
Reflection means throw back of thoughts and memories, in cognitive acts such as thinking, contemplation, meditation and any other form of attentive consideration, in order to make sense of them, and to make contextually appropriate changes if they are required. (Taylor, 2000 cited in Taylor, 2010) Reflection is a way in which professionals can bridge the theory-practice gap, based on the potential of reflection to uncover knowledge in and on action. (Schon,1983)
Reflection: What resist me?
I want to change this abnormal situation, but I find I am so tiny and weak. There are many constraints stand in the way of change.
Reflection: How have I obtained my values?
Family: Blood is thicker than water, every family member should take care of each other Culture: Every person is a member of this big family of country show your respect to others and you will receFra Baidu bibliotekve their respect in return
VALUES
Nursing subject: The nurse must be compassionate and willing to work with hands
--(Florence Nightingale)
My country’s value: men and women are equal Everyone is the master of this country and himself/herself
1
Doctors are the dominant group in medical decisionmaking
2
Leaders often make decision on behalf of you
3
Patients don’t trust you, when coming across problems
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Emancipatory reflection
Interpretation of my issue
During my professional practice process, I always have a sense of Powerlessness
educational: Everyone should become a useful person to the society, and contribute to the country
My hospital’s value: patients’ interest is prior to everything Patients-centered must be every facilitator’s aim
Reflective practice
Reflective practice means making link between theory and practice through the practitioner consciously thinking through the experience. (Jasper, 2003)
Three components of Reflective practice
Self-awareness
Reflective practice
Reflection Text
Critical thinking
(Eby, 2000 cited in Finlay, 2008)
Theories of reflection
Transforming Practice Through Reflection LOGO
Outline
1 2 3 4 Overview of Reflection Theories Interpretation of my issue My values and reflection
Transforming practice & Question