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Reflecting
Reflecting
Reflection
"Reviewing your thinking and its effectiveness encourages deeper understanding of your ability to think, supports self-evaluation, and, with honest reflection, fosters your ability to use critical thinking and clinical judgment."
(Caputi, 2018, p. 84)
Types of Reflection
In Action: Occurs while providing care or addressing issue
On Action: Occurs upon completion of the action
Reflection Thinking Skills
Thinking Skills
1. Evaluating Data
2. Evaluating and Correcting Thinking
Evaluating Data
Evaluating
Data
- Assessment after an action
- Determines effectiveness of interventions
- Determines next action
- Used continuously in daily life
- Examples??
Questions to Guide Thinking While Evaluating Data:
1
Have you collected all necessary data to determine the effectiveness of your intervention?
2
Do you need to collect additional data?
Questions to Ask
3
Does the data collected indicate the problem has been solved?
4
Is the problem remaining constant so you will continue to implement the same strategies?
5
Has a new problem arisen?
Reflection Activity 1
Activity
1
Consider the care for Ms. Garcia last week, that you delegated to the LPN/LVN and the CNA. Determine what data you will collect after the nursing interventions have been provided to evaluate the effectiveness of the care that has been delegated. What should you do if you determine the care provided by the LPN/LVN and the CNA was unacceptable?
Evaluating and Correcting Thinking
Evaluating Thinking
Reflect on:
- What just happened...
- How the situation was handled...
- What lessons can be learned...
- Was the thinking correct...
Evaluating thinking = critical for safe patient care and growth as a nurse
This is the step you must be intentional and think about your thinking!
Questions to Evaluate Thinking
Questions to evaluate thinking
What thinking skills were used? Were they effective?
Were the outcomes what was expected?
If not, were the outcomes acceptable or perhaps better than expected?
If the outcomes were not acceptable, what might be done differently in the future?
How did the thinking impact all the people affected (pt, significant other, other healthcare providers, etc)?
Was the impact positive or negative?
Reflection Activity 2
Activity 2
Think about a clinical experience where you have had to make a decision about patient care. If you do not have an experience, think about previous class scenarios. Refer to the word document posted for this week's in class activity to answer the questions regarding your experience.
Review of Thinking Skills
Review
1. Noticing
2. Interpreting
3. Responding
4. Reflecting