Guided Reflection : Advancing Practice

by Christopher Johns (Reader in Advanced Nursing Practice at the University of Luton); Contributions by: Aileen Joiner; Contributions by: Alexia Stenning; Contributions by: Yvonne Latchford; Contributions by: Bella Madden; Contributions by: Jane Gr

• ISBN13: 9780632059751
• ISBN10: 0632059753
• Format: Paperback
• Copyright: 2002-06-01
• Publisher: Wiley-Blackwell

Summary

Reflection is widely recognised as an invaluable tool in health care, providing fresh insights which enable practitioners to develop their own practice and improve the quality of their care. This book introduces the practitioner to the concept of 'Guided reflection', an innovative research process in which the practitioner is assisted by a mentor (or 'guide') in a process of self-enquiry, development, and learning through reflection, in order to become fully effective.Guided reflection is grounded in individual practice, and can provide deeply meaningful insights into self-development and professional care. The process results in a relexive narrative, which highlights key issues for enhancing health care practice and professional care. This book uses a collection of such narratives from everyday clinical practice in nursing, health visiting and midwifery to demonstrate the theory and practicalities of guided reflection and narrative construction. These narratives portray the values inherent in caring, highlight key issues in clinical practice, reveal the factors that constrain the quest to realise practice, and examine the ways practitioners work towards overcoming these constraints.

Table of Contents

List of contributors	viii
Preface	ix
PART 1 INTRODUCTION	1	(70)
Revealing the Nature of Reflection	3	(26)
Beginnings	3	(2)
Influences on guided reflection methodology	5	(3)
Defining reflection	8	(1)
Structured reflection	9	(1)
Commentary on the MSR	10	(10)
The need for guidance from another	20	(7)
References	27	(2)
Collaboration, Dialogue and the Emergence of Voice	29	(20)
Contracting the guided reflection relationship	29	(3)
Dialogue	32	(2)
Tradition	34	(2)
Reflection as empowerment	36	(1)
Critical social science	36	(2)
Voice as metaphor	38	(2)
A feminist slant	40	(4)
An evolutionary slant	44	(1)
Managing chaos	45	(1)
Taking notes	46	(1)
References	47	(2)
Unfolding the Reflexive Narrative	49	(22)
Narrative	49	(1)
Reflexivity	50	(1)
Framing effective practice	51	(1)
Agency and victimicy	52	(1)
Narrative thread	53	(3)
Narrative style	56	(2)
Academic presentation	58	(1)
Ethics	58	(3)
Congruence and validity	61	(3)
`Validity' themes	64	(4)
References	68	(3)
PART 2 NARRATIVES	71	(142)
Awakenings	73	(10)
Introduction	73	(1)
Narrative	73	(8)
References	81	(2)
Striving to Realise Clinical Leadership	83	(24)
Introduction	83	(1)
Narrative	83	(23)
References	106	(1)
Becoming Available within the Hustle of a Medical Ward	107	(15)
Introduction	107	(1)
Narrative	107	(14)
References	121	(1)
Realising the Therapeutic Relationship with Head and Neck Cancer Patients and Families	122	(22)
Developing the therapeutic relationship	122	(21)
References	143	(1)
Finding a New Way in Health Visiting	144	(25)
Research process	146	(19)
Conclusion	165	(1)
References	166	(3)
Working with Deliberate Self Harm Patients in A&E	169	(18)
Background	169	(1)
Narrative	169	(16)
References	185	(2)
Working with Women Following Traumatic Childbirth	187	(26)
Background	187	(2)
The data and data analysis	189	(1)
The journal entries and analysis	190	(1)
Ruth, Sarah and Jane	191	(2)
Dawn, Flo and Wilma	193	(4)
Anne, Alice and Lynda	197	(4)
Ursula and Kate	201	(4)
The form of the intervention	205	(3)
Normalising - the medical model in midwifery practice	208	(3)
References	211	(2)
PART 3 REFLECTIONS	213	(26)
Reflections	215	(10)
Value of narratives	215	(2)
Becoming an effective practitioner through guided reflection	217	(1)
Individual narratives	218	(5)
Post-script	223	(1)
References	223	(2)
Guided Reflection in the Context of Post-Modern Practice	225	(14)
Introduction	225	(1)
The self in guided reflection	225	(3)
Guided reflection as research	228	(1)
Reflexivity	229	(1)
Transforming professional practice through narrative	230	(1)
Narrative, story and plot	231	(2)
Narrative inquiry	233	(1)
Guided reflection as emancipation: agency v. victim	234	(2)
Summary	236	(1)
References	237	(2)
Index	239