School of Physiotherapy and Exercise Science, Griffith University, Gold Coast campus, Australia.
Physiotherapy. 2013 Mar;99(1):49-55. doi: 10.1016/j.physio.2011.12.002. Epub 2012 Mar 10.
This study evaluated physiotherapy students' perception of a reflective journal in developing reflective thinking and practice and identified the main concepts recorded by students in the journal.
A mixed methods study with qualitative content analysis of student journals and quantitative analysis of questionnaire responses.
131 (74 female, 57 male) physiotherapy students undergoing their first clinical placement.
On completion of their placement, students submitted a reflective journal electronically and completed a questionnaire of closed and open ended questions.
Questionnaires were analysed using frequencies for the responses of the closed questions and thematic analysis of the open ended questions. Journals were de-indentified and underwent a content analysis using Leximancer software to obtain a concept map and frequencies of the main concepts identified in the journals, with specific examples.
The majority (88%, 79/90) of respondents found the journal useful in assisting them to learn from their experiences, and to develop reflective thinking and practice. 54% (49/90) indicated they would continue to use the journals. The most frequently identified concepts were residents, time and exercises; representing more than 5000 of the total concepts identified in the journals. Analysis of the reflective journals indicated that students demonstrated improvements in the three stages of reflective practice: awareness of thoughts and feelings, critical analysis of situation, and development of new perspectives.
Guided journal writing may be a useful tool in facilitating reflective thinking and practice during clinical placements of physiotherapy students.
本研究评估了理疗学生对反思日志在培养反思思维和实践中的看法，并确定了学生在日志中记录的主要概念。
一项混合方法研究，对学生日志进行定性内容分析，并对问卷回答进行定量分析。
131 名（74 名女性，57 名男性）正在进行第一次临床实习的理疗学生。
在实习结束时，学生以电子方式提交反思日志，并完成了一份封闭式和开放式问题的问卷。
使用封闭式问题的回答频率和开放式问题的主题分析对问卷进行分析。日志被去识别，并使用 Leximancer 软件进行内容分析，以获得概念图和日志中主要概念的频率，并提供具体示例。
大多数（88%，79/90）的受访者认为日志有助于他们从经验中学习，并培养反思思维和实践。54%（49/90）的受访者表示他们将继续使用日志。最常被识别的概念是居民、时间和锻炼；占日志中总概念的 5000 多个。对反思日志的分析表明，学生在反思实践的三个阶段都有了提高：对思想和感受的认识、对情况的批判性分析以及新观点的发展。
指导式日志写作可能是促进理疗学生临床实习中反思思维和实践的有用工具。
