Cirocco Maria
St. Michael's Hospital, Toronto, Ontario, Canada.
Gastroenterol Nurs. 2007 Nov-Dec;30(6):405-13. doi: 10.1097/01.SGA.0000305221.78403.e9.
Purposeful reflection is consistent with adult learning theory. It is known to lead to a deeper understanding of issues and to develop judgment and skill. Required by law to ensure members' competence in their professional practice, the College of Nurses of Ontario recommends and has developed a tool for evaluating reflective practice. The tool focuses on key attributes said to be demonstrated by competent practitioners, including critical thinking (CT) and job knowledge. This study aimed to determine whether nurses engage in reflective practice and whether they perceive that it enhances their CT ability. Surveys were sent to 60 gastroenterology nurses at a large teaching hospital; 34 surveys were anonymously returned. All respondents engaged in reflective practice, and 24 reported using the college's tool. Nineteen respondents strongly agreed that their nursing practice had improved as a result. Critical thinking is difficult to assess because of a lack of clear-cut performance criteria. Improvement of CT was difficult to evaluate from the responses, even though all respondents participated in reflective practice. Both CT and reflective practice need to be better defined in order to examine and explain their relationship.
有目的的反思与成人学习理论相一致。众所周知，它能使人对问题有更深入的理解，并培养判断力和技能。安大略省护士学院依法要求确保成员在专业实践中的能力，推荐并开发了一种评估反思性实践的工具。该工具侧重于称职从业者应具备的关键属性，包括批判性思维（CT）和工作知识。本研究旨在确定护士是否进行反思性实践，以及他们是否认为这能提高他们的CT能力。向一家大型教学医院的60名胃肠病学护士发放了调查问卷；34份问卷被匿名返回。所有受访者都进行了反思性实践，24人报告使用了该学院的工具。19名受访者强烈同意他们的护理实践因此得到了改善。由于缺乏明确的绩效标准，批判性思维难以评估。即使所有受访者都参与了反思性实践，从回复中也很难评估CT的改善情况。为了研究和解释它们之间的关系，CT和反思性实践都需要得到更好的定义。
