Senior Education Coordinator, Beaumont Hospital, Dublin, Ireland.
Honorary Research Associate, Faculty of Nursing and Midwifery, RCSI, Dublin; MSc Supervisor/Facilitator, Institute of Leadership, RCSI, Dublin.
Br J Nurs. 2020 Jul 9;29(13):777-783. doi: 10.12968/bjon.2020.29.13.777.
Reflective practice is a common feature of nurse education. Indeed, the development of nursing practice is associated with being a 'reflective practitioner'. However, how we see ourselves or interpret past events is often influenced by our own unconscious biases. While it is reasonable to hold favourable views of one's ability, biased or lack of self-insight might mean that one is actually unskilled and unaware of it. In the ambiguous clinical context where an act or omission can have potentially devastating consequences, the implications of this are significant. The questions of whether and how reflection addresses unconscious biases are relatively unexplored in the nursing literature. Given that accurate self-assessment is integral to reflective practice, this article attempts to explore the potential impact of unconscious bias on reflection. The authors conclude that while biases may limit our ability to learn from reflection, this is not a reason to dispense with reflective practice, but rather, is even more reason to critically engage with the process. Nurses of all levels must be encouraged to reflect on both their practice, and their reflection.
反思实践是护士教育的一个共同特征。事实上，护理实践的发展与成为“反思实践者”有关。然而，我们如何看待自己或解释过去的事件往往受到我们自己无意识偏见的影响。虽然对自己的能力持有有利的看法是合理的，但有偏见或缺乏自我意识可能意味着一个人实际上没有技能并且对此一无所知。在行为或疏忽可能产生潜在破坏性后果的模糊临床环境中，这具有重要意义。在护理文献中，关于反思是否以及如何解决无意识偏见的问题相对较少被探讨。鉴于准确的自我评估是反思实践的重要组成部分，本文试图探讨无意识偏见对反思的潜在影响。作者得出结论，尽管偏见可能会限制我们从反思中学习的能力，但这并不是放弃反思实践的理由，而是更有理由批判性地参与该过程。必须鼓励各级护士反思自己的实践和反思。
