Gustafsson Christine, Asp Margareta, Fagerberg Ingegerd
Department of Neurobiology, Caring Science and Society, Karolinska Institute, Stockholm, Sweden.
Int J Nurs Pract. 2007 Jun;13(3):151-60. doi: 10.1111/j.1440-172X.2007.00620.x.
Qualitative nursing researchers have long recognized that reflective practice (RP) seems to be a valuable tool in nursing care. The aim of the present meta-study was to analyse current qualitative research on RP in nursing care, in order to create and synthesize the knowledge and the understanding of registered nurses' RP. Using a meta-study synthesis approach, embedded assumptions were identified in qualitative studies that have influenced the way researchers have interpreted and made sense of RP in nursing care. Despite empirical focus in research on RP in nursing care, it was found that assumptions about RP were predominantly based on theory. The reflective movement within the practice of nursing care has mainly a constructivist epistemology, based on learning from experience. The individual nurse's RP capability is essential in providing and improving ethical and holistic nursing care.
定性护理研究人员早就认识到，反思性实践（RP）似乎是护理工作中的一种宝贵工具。本元研究的目的是分析当前关于护理中RP的定性研究，以便创建和综合对注册护士RP的认识和理解。采用元研究综合方法，在定性研究中识别出一些内在假设，这些假设影响了研究人员解释和理解护理中RP的方式。尽管护理中RP的研究以实证为重点，但发现关于RP的假设主要基于理论。护理实践中的反思运动主要具有建构主义认识论，基于从经验中学习。个体护士的RP能力对于提供和改善符合伦理的整体护理至关重要。
