Engaging Reflection

in Health Professional Education and Practice


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Conference Sub-themes

(a) Engaging Reflection through Reflective Practices

Reflective practice is defined by Schön (1983) as “a process of thinking and doing through which I become more skillful”.  Reflective practice  (Schön, 1983, 1987). has been advocated as an approach to personal and professional development (Fish, 1998; Ghaye & Lillyman, 2000; Higgs & Titchen, 2001; Kinsella, 2000; Moon, 1999). It has been described as a way to: link theory and practice, generate theory about practice, better understand the conditions under which practitioners work, develop professional knowledge and expertise, and improve actions in professional practice (Argyris & Schön, 1992; Bolton, 2005; Greenwood, 1998; Johns & Freshwater, 1998; Kinsella, 2001; Honour Society of Nursing, 2005).

(b) Engaging Reflection through Critically Reflective and Reflexive Practices

Engagement in critical reflection and reflexivity is an emerging area of interest for scholars and practitioners concerned with examining taken-for-granted dimensions of professional knowledge and practice in health care contexts. Critical reflection involves reflection on distortions and errors in the practitioner’s assumptions, values, and norms, and/or on ideological issues and the ways in which these influence the extra-individual dimensions of practice (Brookfield, 1998; 2000; Kemmis, 2005). Reflexivity places greater emphasis on examining language, power and relationships, and the ways in which these dimensions shape social meaning in professional practice (Taylor & White, 2000). 

(c) Engaging Reflection through Mentorship and Preceptorship

A number of scholars have noted that the process of reflection does not occur in a silo, but is optimized through relational processes of collaboration and dialogue (Frank, 2004 van der Linden, & Renshaw, 2004). Collaboration and dialogue have been identified as requisite skills for the advancement of interprofessional health care practice (Herbert et al. 2007), as well as essential to quality relationships with patients. Scholarship about mentorship and preceptorship frequently explores reflection in the context of collaboration and relationship. 

(d) Engaging Reflection through Narrative

Processes of reflection also underpin the use of narrative in health professional education. Narratives draw attention to the life world (Bruner, 2004; Frank, 1995; van Manen, 1990) of the patient and the practitioner, through attention to story and the patient’s attribution of meaning (Bruner, 1990; Bruner, 2004). Narrative conceptions admit particular, personal, situated and contextual information into the process of deliberation and discernment in practice (Brody, 1994; Frank, 1995; Mattingly, 1998; Mattingly & Garro, 2000). Attending to narratives in health care, may invite new possibilities for relationship, including enhanced mutuality (Frank, 2004) compassion (Nisker, 2004) and practitioner insight (Charon, 2004) into health care practices.

(e) Engaging Reflection through the Arts and Humanities

The arts and humanities have gained growing recognition in recent years as a means to foster reflection and to potentially promote positive social change (Clover & Stalker, 2007; Greene, 1995).  In the health professions, the arts and humanities have been used to facilitate practitioner reflection on the multiple and complex meanings associated with illness, disability, and healing, and to promote more compassionate approaches to health care practice.  In addition, the arts have been used to raise awareness of issues of social justice in health care. As an example, Jeff Nisker’s (2001) play Sarah's Daughters, has drawn public and policy maker’s attention to issues of justice with respect to genetic testing for breast cancer. 

(f) Engaging Reflection through Ethics Education and Practice

The field of ethics in the health professions has a long history of engagement with the relationship between reflective deliberation and the moral agency of professional practitioners.  In recent years, intersections between the scholarship of reflection and professional education and the scholarship of reflection in ethics education have begun to emerge. This stream advances dialogue and cross fertilization of ideas between these two fields.

 

 
   

May 13-15  2009                                                            London Ontario Canada

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