Implementing reflection: Insights from pre-registration mental health students

O'Donovan, M. (2007) Implementing reflection: Insights from pre-registration mental health students. Nurse Education Today, 27 (6). pp. 610-616. ISSN 02606917 (ISSN)

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Reflection and reflective practice continues to be contentious issues in nursing. The focus of this article is the use of reflection by pre-registration mental health students. The broad aim of this preliminary study was to discover student mental health nurses' perceptions of reflection as a learning strategy during clinical placement. Using a constructivist grounded theory methodology [Charmaz, K., 2000. Grounded theory: Objectivist and Constructivist Methods. In: Denzin, N., Lincoln, Y. (Eds.), Handbook of Qualitative Research, second ed. Sage, Thousand Oaks, California], five students were interviewed individually in their clinical placements. Data analysis revealed three major categories: understanding the process of reflection, using reflection in clinical practice, and needing support and guidance. Findings indicated that students were primarily using reflection-on-action, but to varying extents. Overall, students felt that reflection facilitated their learning. Factors were discovered that both helped and hindered students' use of reflection. These included level of preparation to reflect, a limited culture of reflection and the level of support from preceptors, clinical staff, clinical placement co-ordinators, and lecturers. In conclusion, it appears that a collaborative approach between students, Health Service Providers and institutes of nursing is vital for the successful development and implementation of reflective learning strategies in clinical placement. Suggestions are made as to how a collaborative approach may be developed to enhance this process. © 2006 Elsevier Ltd. All rights reserved.

Item Type: Article
Additional Information: Cited By :10; Export Date: 23 February 2015; Correspondence Address: O Donovan, M.; Catherine McAuley School of Nursing and Midwifery, Brookfield Health Sciences Complex, University College Cork, Cork, Ireland; email:; References: An Bord Altranais, (2000) Requirements and Standards for Nurse Registration Education Programmes. second ed., , An Bord Altranais, Dublin; Ashmore, R., Carver, N., Clinical supervision in mental health nursing courses (2000) British Journal of Nursing, 9 (3), pp. 171-176; Atkins, S., Murphy, K., Reflection: a review of the literature (1993) Journal of Advanced Nursing, 18, pp. 1188-1192; Barker, P., The tidal model: developing an empowering, Person-Centred approach to recovery within psychiatric and mental health nursing (2001) Journal of Psychiatric and Mental Health Nursing, 8, pp. 233-240; Bengtsson, J., What is reflection? 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Uncontrolled Keywords: Mental health nursing; Nursing education; Reflection; article; attitude to health; clinical competence; cooperation; education; health personnel attitude; human; Ireland; needs assessment; nurse attitude; nursing methodology research; nursing process; nursing student; organization; organization and management; psychiatric nursing; psychological aspect; public relations; qualitative research; questionnaire; self concept; social support; thinking; trust; Attitude of Health Personnel; Cooperative Behavior; Education, Nursing, Baccalaureate; Health Knowledge, Attitudes, Practice; Humans; Interprofessional Relations; Nurse's Role; Nursing Education Research; Organizational Culture; Preceptorship; Questionnaires; Self Efficacy; Students, Nursing
Depositing User: National Forum
Date Deposited: 06 Dec 2015 07:32
Last Modified: 10 Dec 2015 08:51

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