Reflective Practice for Enhancing Competency in Healthcare

published on 26 September 2024

Reflective practice is a powerful tool for healthcare professionals to improve their skills and patient care. Here's what you need to know:

  • It's a structured way to learn from experiences, not just thinking about work

  • Regular reflection helps identify strengths and weaknesses

  • It improves decision-making, communication, and emotional intelligence

Key benefits of reflective practice:

Benefit Description
Better clinical decisions Helps analyze past actions to improve future choices
Improved patient communication Enhances ability to understand and respond to patient needs
Emotional resilience Aids in handling challenging situations and reducing burnout
Continuous improvement Promotes ongoing skill development and learning

To make reflection a habit:

  1. Set aside time daily (even 5 minutes can help)

  2. Use tools like journaling or peer discussions

  3. Apply frameworks such as Gibbs Reflective Cycle

  4. Put insights into action to improve your practice

  5. Weave reflections into journaling (Learner+ does this!)

Remember: Reflection is valuable for all healthcare professionals, from newcomers to seasoned experts.

Check out this resource

Healthcare Competency Standards

Healthcare competency standards aren't just rules. They're the foundation of good patient care.

Key Competency Standards

The National Academy of Medicine says all healthcare workers need these five skills:

  1. Patient-centered care: Put patients first

  2. Teamwork: Work well with others

  3. Evidence-based practice: Use research to guide decisions

  4. Quality improvement: Always try to do better

  5. Informatics: Use tech to manage info

These aren't optional. They're MUST-HAVES in today's complex healthcare world.

How Reflection Builds Competency

Reflection isn't just thinking. It's a tool to boost your skills. Here's how:

  • Finds weak spots

  • Sharpens decisions

  • Smooths teamwork

  • Improves patient care

A study found reflection helped medical residents tackle tough topics and build professional values.

Dr. Quynh Nguyen's team says reflection has five parts:

  1. Thoughts

  2. Actions

  3. Being attentive

  4. Being critical

  5. Exploring and repeating

Use these, and you can turn daily work into learning chances.

Basics of Reflective Practice

Reflective practice in healthcare isn't just daydreaming. It's a structured approach to learn from experiences and boost your skills.

Main Theories

Here are three key models:

1. Gibbs' Reflective Cycle (1988)

Six stages to work through:

Stage Question
Description What happened?
Feelings What were you thinking and feeling?
Evaluation Good and bad about the experience?
Analysis What sense can you make of it?
Conclusion What else could you have done?
Action Plan What would you do next time?

2. Johns' Model of Reflection (1994)

Focuses on:

  • Grasping main issues

  • Reflecting on actions and outcomes

  • Weighing internal and external factors

  • Learning from the experience

3. Kolb's Experiential Learning Cycle

Four stages:

  • Concrete experience

  • Reflective observation

  • Abstract conceptualization

  • Active experimentation

Why Reflection Helps

Reflection isn't busywork. It's a growth tool that:

  • Spots weak areas

  • Sharpens decision-making

  • Improves teamwork

  • Boosts patient care

Research shows medical residents using reflection handle tough topics better and build stronger professional values.

Dr. Quynh Nguyen's team identified five key parts of reflection:

  1. Thoughts

  2. Actions

  3. Being attentive

  4. Being critical

  5. Exploring and repeating

"With a bit of thought reflections can be a very useful tool in learning." - Kiron Koshy, BSc, MBBS

How to Use Reflective Techniques

Healthcare workers can make reflection a daily habit. Here are three ways to do it:

Writing in a Journal

Journaling is a simple but powerful reflection tool. Here's how:

  • Spend 10-15 minutes daily

  • Write about notable events or cases

  • Focus on your thoughts, feelings, and actions

  • Use prompts to guide you

Talking with Coworkers

Group reflection can give you new insights. Try these:

1. Regular team meetings

Have short, focused talks about recent cases or challenges.

2. Peer-to-peer sessions

Team up with a colleague to share experiences and give feedback.

3. Multidisciplinary reviews

Bring different specialists together to look at complex cases.

Using Reflection Models

Structured models can guide your thinking. Here's a look at three popular ones:

Model Key Steps Best For
Gibbs' Cycle 6 stages: Description, Feelings, Evaluation, Analysis, Conclusion, Action Plan Analyzing specific events
Rolfe's Framework 3 questions: What? So what? Now what? Quick, everyday reflection
Johns' Model 5 cues: Description, Reflection, Influencing Factors, Alternative Strategies, Learning Deep dives into complex situations

To start:

  1. Pick a model that fits your style

  2. Use it on a recent work situation

  3. Be honest about what went well and what didn't

  4. Focus on learning, not self-criticism

Making Reflection a Daily Habit

Want to make reflection a daily thing? Here's how healthcare workers can do it:

Finding Time to Reflect

Busy? No problem. Try these:

  • Use your commute for reflection

  • Take 5 minutes between patients

  • Set aside 30 minutes weekly, maybe during lunch

Building a Reflection Habit

Make it stick:

1. Schedule it: Put it in your calendar.

2. Create a trigger: Link it to something you already do. Coffee time? Reflection time.

3. Start small: 5 minutes a day. Build up from there.

4. Use prompts: Ask yourself:

  • What went well?

  • What would I change?

  • How did I impact patient care?

5. Find a buddy: Team up with a colleague.

Dealing with Obstacles

Roadblocks? Here's how to bust through:

Obstacle Solution
No time Use "dead time" (elevator rides, between meetings)
Feeling swamped Focus on one thing per session
Can't start Use a framework (Gibbs' Cycle, Rolfe's Model)
Privacy worries Keep it general, no patient details
Negative self-talk Balance critiques with wins

Remember: Reflection gets easier with practice. Be patient with yourself.

"To care for and be compassionate to others, we first need to be compassionate to, look after, and be kind to ourselves." - Dr Lesley Morrison, Author

Improving Specific Skills Through Reflection

Reflection can boost key healthcare skills. Here's how:

Better Clinical Decisions

Reflection sharpens clinical judgment, especially in high-pressure settings like ICUs.

A study in "Nurse Education Today" (July 2018) found that ICU nurses' clinical decision-making scores jumped from 73.66 to 80.5 after using Tanner's reflection method. That's a 9.3% boost (P < 0.05).

Tanner's method is simple:

  1. Notice: What stood out?

  2. Respond: What did you do?

  3. Reflect-in-action: What were you thinking?

  4. Reflect-on-action: What would you change?

"Nurses' reflection is linked to work engagement and self-efficacy." - Leila Zarrin, Researcher

Better Communication

Reflection helps healthcare workers talk more clearly with patients and coworkers.

After patient talks, ask yourself:

Question Purpose
What went well? Build on strengths
What could improve? Spot growth areas
How did the patient react? Gauge effectiveness
What will I do differently? Plan for improvement

Dr. Bradley Block, a healthcare communication expert, says being thoughtful about how we talk to patients can lead to more trust and better care.

Stronger Ethics

Reflection helps tackle tough ethical issues in healthcare.

Take this example: A nurse faced a patient who refused care due to religious beliefs. By reflecting, she understood the patient's viewpoint better, found a way to respect beliefs while ensuring safety, and improved her approach for future cases.

"Reflection appears to change attitudes, values, beliefs, and assumptions of individual participants." - Konstantinos C. Fragkos, Researcher

Don't just reflect on tough times. Think about good experiences too. It builds confidence and helps you repeat successes.

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Conclusion

In today’s fast-paced healthcare environment, practitioners are under immense pressure. Time is scarce, attention is constantly pulled in multiple directions, and burnout is at an all-time high. The weight of clinical responsibilities, the emotional toll of patient care, and the demand for rapid decision-making all contribute to overwhelming stress. Amidst this whirlwind, reflection often gets pushed aside, even though it’s a critical tool for growth and resilience.

This is exactly why reflective practice must be woven into the daily fabric of healthcare work. Reflection isn’t a luxury—it’s essential for managing the complexities of modern practice. By regularly pausing to assess their experiences, healthcare professionals can better process the challenges they face, make more informed decisions, and prevent burnout.

Learner+ understands this reality.

It brings reflection into those micro-moments during the day—whether after a patient interaction or while commuting between shifts—offering guided prompts that fit seamlessly into busy schedules. With its easy-to-use interface and real-time reflection features, Learner+ helps practitioners build a sustainable habit of reflection without adding extra burden. It’s not just a tool—it’s a critical resource that supports clinicians in navigating their demanding roles while fostering continuous professional development. In a world where time and attention are in short supply, Learner+ ensures that reflective practice becomes a part of daily healthcare work, driving better outcomes for both professionals and their patients.

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