Bailey Maria E, Graham Margaret M
Department of Nursing and Midwifery, University of Limerick (and formerly Milford Care Centre Castletroy, Limerick, Republic of Ireland).
Int J Palliat Nurs. 2007 Nov;13(11):555-60. doi: 10.12968/ijpn.2007.13.11.27591.
This paper describes the processes involved over one year in introducing, facilitating and evaluating a project of guided reflective practice for a group of eight palliative care nurses in Milford Care Centre, Republic of Ireland. While literature has tended to concentrate on critical discussion relating to reflection, less attention has been directed towards the organisation and facilitation of reflective processes in practice. In addressing this deficit, a detailed account of the collaborative processes and challenges involved in this project are presented. Group evaluation of the project is discussed under the following themes: understanding the process of reflective practice; the value of keeping a reflective diary; guided group reflection and moving forward. The introduction of guided reflection for palliative care nurses has afforded both the facilitators and the participants an opportunity to meet away from the clinical environment, and to work together, finding fresh insights to inform practice. The valuing and promotion of reflective processes by an organisation arguably provides a fundamental strategy to support nurses in a quality palliative care setting.
本文描述了在爱尔兰共和国米尔福德护理中心，为一组八名姑息治疗护士引入、推动并评估一个引导式反思实践项目的过程，该过程历时一年。虽然文献往往集中于与反思相关的批判性讨论，但较少关注实践中反思过程的组织和推动。为弥补这一不足，本文详细阐述了该项目所涉及的协作过程和挑战。项目的小组评估将围绕以下主题展开讨论：理解反思实践的过程；撰写反思日记的价值；引导式小组反思以及未来发展。为姑息治疗护士引入引导式反思，为推动者和参与者提供了一个在临床环境之外相聚并共同协作的机会，从而获得新的见解以指导实践。一个组织对反思过程的重视和推广，可以说是在优质姑息治疗环境中支持护士的一项基本策略。
