Module 3 How to reflect on your practice / reviewing reflections 40 minutes

Objectives – 4 Modules

This presentation consists of 4 modules designed to promote your awareness, define the different roles and answer your questions on the process of revalidation as defined by the Nursing and Midwifery Council (NMC).

On completion of this session you will:

• Understand the roles and responsibilities

• Be able to demonstrate you meet the requirements and how this should be recorded in your portfolio

• Understand the requirements for clear reflection and discussion of your practice

• Appreciate the importance of the professional development discussion and obtaining confirmation

Module 3

Understand the requirement for clear reflection of your practice and how this links to The Code by:-

• Considering models of reflection and applying these to their own practise

• Working through a reflection on Feedback and CPD to discuss whether sufficient information has been included

• Discussing how the reflections link to The Code and what feedback you would provide to a nurse/midwife

How to reflect on your practice

“Reflection is part of learning and thinking. We reflect in order to learn something, or we learn as a result of reflecting, and the term ‘reflective learning’ emphasises the intention to learn from current or prior experience.” (Moon, 2004)

Reflection is about ‘reviewing an experience of practice in order to describe, analyse and so inform learning about practice’ (Reid 1993)

Many of you would agree with Reid that ‘we are doing it already!’ but others find in busy clinical practice it is hard to produce written reflections.

Reflection and Discussion Gather and reflect on feedback from a variety of sources, using it to improve your practice and performance.

1. Requirement: 5 written reflections on the Code in total,

over the 3 years, prior to the renewal of your registration

2. CPD or Feedback (or combination of each)

3. Reflective Account:

- Explain what you learnt from the CPD activity or feedback

- How you changed or improved your work as a result?

- How it is relevant to the Code?

Linking reflection to the NMC Code

Confidentiality and Data Protection The Code - Prioritise people

Respect people’s right to privacy and confidentiality

Always make certain that patients or colleagues cannot be identified when writing a reflection or noting feedback.

Recording reflections in the portfolio

Using the NMC Template (or alternative model) select a CPD activity or feedback you’ve received.

• What did you learn from the CPD activity and/or feedback?

• How did you change or improve your work as a result?

• How is this relevant to the Code?

Model of Reflection ‘We learn through critical reflection by putting ourselves into the experience and exploring personal and theoretical knowledge to understand it and view it in different ways.’

Tate, S. & Sills, M. (eds) (2004) p 126 The Development of Critical Reflection in the Health Professions. London; Higher Education Authority.

Informal Reflection

• Involves self-questioning

• Develops our awareness of our own assumptions

Formal Reflection

• Draws on research and theory

• Provides guidance and frameworks for practice

Models of Reflection • Many models of reflection – NMC template as a guide only

• Important – learning and reflection must be proactive and self-directed

• Select – a reflective model that suits you and your work

• Does not have to be academic

• Does have to be clear on reflection and learning

• Must link to the Code

In groups of 2 or 3 discuss your preferred reflection model

Remember to link to the Code

Barriers to Reflection

- Time

- Fear of judgement/criticism

- Do not see the value

- Apathy

- Defensiveness – the need to be right

- Professional arrogance

Reflection as an enabler

Reflection allows us to:

• Be conscious of our potential for bias and discrimination

• Make the best use of the knowledge available

• Challenge and develop the existing professional knowledge base

• Avoid past mistakes

• Maximise opportunities for learning

Outcomes

UNLESS WE MAKE CONSCIOUS EFFORTS TO REFLECT ON OUR OWN PRACTICE

• Our skills will stagnate rather then develop

• We will continue to repeat the same mistakes

Effective reflection will allow us to build on best practice and have the confidence to demonstrate best practice

Reflective account

Group Exercise:

Using the reflective account:

1. Discuss the strengths and any weaknesses of the reflective piece

2. Could it be improved?

3. What, would you consider, is/are the learning outcome(s)?

Reflective account

Group Exercise:

Using the reflective account:-

1. Discuss the strengths and any weaknesses of the reflective piece

2. Could it be improved?

3. What, would you consider, is/are the learning outcome(s)?

Activity

In groups, discuss each reflection:-

1. How is this relevant to the Code?

“Prioritise people – Practice effectively – Preserve safety – Promote professionalism”

2. What feedback would you give?

3. Refer to website for examples