Becoming a Reflective Practitioner, 6th Edition

Becoming a Reflective Practitioner, 6th Edition

by Christopher Johns
Released February 2022
Publisher(s): Wiley-Blackwell
ISBN: 9781119764748

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Book description

BECOMING A REFLECTIVE PRACTITIONER

In the newly revised sixth edition of Becoming a Reflective Practitioner, expert researcher and nurse Christopher Johns delivers a rich and incisive resource on reflective practice in healthcare that offers readers a diverse and expansive range of contributions. It explores the value of using models of reflection, with a focus on John’s own model of structured reflection, to inform and enhance the practice of professional nursing.

This book is an essential guide for everyone using reflection in everyday clinical practice or required to demonstrate reflection for professional registration. Students will acquire new insights into how they interact with their colleagues and their environment, and how those things shape their own behaviours, both positively and negatively. Readers will learn to “look in” on their thoughts and emotions and “look out” at the situations they experience to inform how they understand the circumstances they find themselves in.

Readers will also benefit from:

  • Thorough introductions to reflective practice, writing the Self and engaging in the reflective spiral
  • Comprehensive explorations of how to frame and deepen insights, weave and perform narratives
  • Practical discussions of how to move towards more poetic form of expression and reflecting through art and storyboard
  • In-depth examinations of the reflective curriculum, touch and the environment and reflective teaching as ethical practice

Perfect for nurses in clinical practice, conducting research or developing their practice, the latest edition of Becoming a Reflective Practitioner is also an indispensable resource for mentors and clinical supervisors, post-registration nursing and healthcare students and other healthcare practitioners.

Table of contents

  1. Cover
  2. Title Page
  3. Copyright Page
  4. Preface
    1. Chapters
    2. Part 1
    3. Part 2
    4. References
  5. CHAPTER 1: Envisaging Reflective Practice
    1. Professional Artistry
    2. Reflection
    3. A Brief View of Reflective Theories
    4. Boyd and Fales (1983)
    5. Boud et al. (1985)
    6. Gibbs (1988)
    7. Mezirow (1981)
    8. Balancing the Winds
    9. Spectrum of Reflective Practices
    10. Reflection‐on‐experience
    11. Reflection‐in‐action
    12. The Internal Supervisor
    13. Reflection‐within‐the‐moment
    14. Christopher Johns Conception of Reflective Practice
    15. Creative Tension
    16. Vision
    17. Mandy Reflects on Having a Vision for Practice
    18. Barriers
    19. Tradition
    20. Authority and Power
    21. Embodiment
    22. Empowerment
    23. Finding Voice
    24. The Silent Voice
    25. The Received Voice
    26. The Subjective Voice
    27. The Procedural Voice
    28. The Constructed Voice
    29. Transformation and Reflexivity
    30. An Encouraging Note
    31. Summary
    32. References
  6. CHAPTER 2: The Six Dialogical Movements
    1. The Hermeneutic Spiral
    2. Dialogue
    3. Six Rules of Dialogue
    4. Developing the Reflective Attitude
    5. Commitment
    6. Curiosity
    7. Intelligence
    8. Bringing the Mind Home
    9. References
  7. CHAPTER 3: Writing Self; the First Dialogical Movement
    1. Keeping a Reflective Journal
    2. Journal Entry 1
    3. Journal Entry 2
    4. Triggers
    5. Tapping the Tacit
    6. Being Creative
    7. The Value and Therapeutic Benefit of Writing
    8. Summary
    9. References
  8. CHAPTER 4: Engaging the Reflective Spiral
    1. The Model for Structured Reflection
    2. The Reflective Cues
    3. What is Significant to Reflect On?
    4. Why Did I Respond as I Did?
    5. Did I Respond in Tune With My Vision?
    6. Did I Respond Effectively in Terms of Consequences?
    7. Did My Feelings and Attitudes Influence Me?
    8. Did Past Experiences Influence Me?
    9. Did I Respond Ethically for the Best?
    10. Autonomy
    11. Benevolence and Non‐malevolence
    12. Utilitarianism
    13. Confidentiality
    14. The Ethical Demand (Justice, Equality, and Cultural Safety)
    15. Different Perspectives
    16. Ethical Mapping
    17. Anticipatory Reflection
    18. Am I Able to Respond as Envisaged?
    19. Am I Skilful and Knowledgeable Enough to Respond Differently?
    20. Do I Have the Right Attitude?
    21. Am I Powerful Enough to Respond Differently?
    22. Am I Poised Enough to Respond Differently?
    23. How Do I Now Feel About the Situation?
    24. Summary
    25. References
  9. CHAPTER 5: Framing Insights
    1. Introduction
    2. Single Lines
    3. Framing Insights
    4. Carper’s Fundamental Ways of Knowing (1978)
    5. The Framing Perspectives
    6. Philosophical Framing
    7. Aesthetic Framing
    8. Ethical Framing
    9. Reality Perspective Framing
    10. Role Framing
    11. Theoretical Framing
    12. Reflexive Framing
    13. Parallel Process Framing
    14. Developmental Framing
    15. Being Available Template
    16. Summary
    17. References
  10. CHAPTER 6: Deepening Insights:
    1. Third Dialogical Movement
    2. Theoretical Mapping
    3. Guiding Reflection: The Fourth Dialogical Movement
    4. Why Guidance is Beneficial
    5. Co‐creation of Insights
    6. Revealing Woozles
    7. Planting Seeds
    8. Dialogue
    9. Guidance Attitude
    10. Balance of Challenge and Support
    11. The Challenge/Support Grid
    12. Journal Entry 1
    13. Journal Entry 2
    14. Finding Voice (revisited)
    15. Facing the Reality Wall
    16. Picking Up Issues
    17. Opening Up the Guidance Space
    18. Inputting and Exploring Theory
    19. Finding Your Own Way
    20. Journal Entry 3
    21. Journal Entry – Realising Our Power
    22. Parallel Process Framing
    23. Role Play
    24. Game Playing
    25. Contracting
    26. What Issues Need to be Contracted?
    27. Summary
    28. References
  11. CHAPTER 7: Weaving and Performing Narrative:
    1. Introduction
    2. Weaving
    3. ‘Life Begins at 40’ Introduction
    4. Life Begins at 40
    5. Deepening Insight
    6. Trigger
    7. Transitional Moments
    8. Show or Tell?
    9. Narrative Form
    10. Giving Voice to Others
    11. Coherence
    12. Summary
    13. References
  12. CHAPTER 8: Applying the MSR
    1. Bringing the Mind Home
    2. Writing Self
    3. What is Significant to Reflect On?
    4. Why Did I Respond as I Did?
    5. Did I Respond Effectively in Terms of Consequences?
    6. Did My Feelings Influence Me?
    7. Did Past Experiences Influence Me?
    8. Did I Respond Ethically for the Best?
    9. Did I Respond in Tune with My Vision?
    10. Given a Similar Situation, How Could I Respond More Effectively, for the Best and in Tune with My Vision?
    11. What Would Be the Consequences of Alternative Actions for the Patient, Others and Myself?
    12. Am I Able to Respond as Envisaged?
    13. Am I Skilful and Knowledgeable Enough to Respond Differently?
    14. Am I Powerful Enough to Respond Differently?
    15. Do I Have the Right Attitude?
    16. Am I Poised Enough to Respond Differently?
    17. What Tentative Insights Do I Draw?
    18. How Has Extant Theory/Ideas Inform and Deepen My Insights? (Dialogical Level 3)
    19. How has Guidance Deepen My Insights? [Dialogical Movement 4]
    20. What Insights Do I Draw from This Experience?
    21. ‘How Do I Now Feel About the Situation’?
    22. References
  13. CHAPTER 9: ‘Reflections on Not Giving a Therapy’:
    1. Reflections on Not Giving a Therapy
    2. Alfie Boundary
    3. Naomi
    4. Dora Franke
    5. Mrs Wells
    6. Belinda
    7. George Keeler
    8. Frank Seymour
    9. Bernard Barker
    10. Rita Pike
    11. Summary
    12. References
  14. CHAPTER 10: The Sixth Dialogical Movement:
    1. Narrative Performance
    2. Introduction to the Performance Narrative ‘Passing People By’
    3. Activity
    4. References
  15. CHAPTER 11: Performance Narrativeas Play:
    1. Introduction to Musical Chairs1
    2. Performing Musical Chairs
    3. Audience Response
    4. References
  16. CHAPTER 12: ‘People are Not Numbers to Crunch’:
    1. Introduction
    2. People are Not Numbers to Crunch
    3. People are Not Numbers to Crunch
    4. References
  17. CHAPTER 13: Narrative Art and Storyboard
    1. Narrative Art Workshops
    2. Storyboard
    3. ‘People are Not Numbers to Crunch’ Storyboard
    4. References
  18. CHAPTER 14: The Reflective Curriculum
    1. Radical Shift
    2. Journal Entry 1
    3. Roots
    4. Format of the Reflective Curriculum
    5. Professional Identity
    6. Clinical Practice
    7. Clinical Skills
    8. Theory
    9. Responsibility for Learning
    10. Clinical Credibility
    11. Potential Constraints to the Reflective Curriculum
    12. Summary
    13. References
  19. CHAPTER 15: Grading Reflective Assignments
    1. Journal Entry
    2. Reflection on Touch and the Environment
    3. Environment
    4. Commentary
    5. Activity
    6. References
  20. CHAPTER 16: Guiding First Year NursingStudents
    1. Introduction
    2. Guiding Reflection with First Year Nursing Students
    3. Michelle’s Experience
    4. Lucy’s Reflection
    5. Summary
    6. References
  21. CHAPTER 17: Guiding Third Year Nursing Students
    1. Introduction
    2. Karen’s Experience
    3. Next Session
    4. Next Session
    5. Summary
    6. References
  22. CHAPTER 18: Guiding Trudy
    1. Session 1
    2. Session 2
    3. Session 3
    4. Session 4
    5. Session 5
    6. Session 6
    7. Skill Box
    8. Summary
    9. References
  23. CHAPTER 19: Becoming a Leader: A Little Voice in a Big Arena
    1. Introduction
    2. A Little Voice in a Big Arena
    3. Drawing Insight
    4. Commentary
    5. References
  24. CHAPTER 20: The Learning Organization Exemplified by the Burford NDU Model
    1. The Learning Organisation
    2. Vision
    3. Personal Mastery
    4. Mental Models
    5. Team Learning
    6. Systems Thinking
    7. Leadership
    8. Reflective Journal Entry
    9. The Burford Nursing Development Unit (NDU): Caring in Practice Model
    10. Vision for Clinical Practice
    11. The Three Cornerstones of a Valid Vision
    12. The Nature of Caring
    13. The Internal Environment of Practice
    14. Social Utility
    15. A System of Working with Patients in Tune with the Hospital’s Person‐centred Vision
    16. The Nine Reflective Cues
    17. Applying the Reflective Cues
    18. What Meaning Does This Health Event Have for the Person?
    19. How is This Person Feeling?
    20. How Do I Feel About This Person?
    21. How has This Event Affected Their Usual Life Pattern and Roles?
    22. How Can I Help This Person?
    23. What is Important for This Person to Make Their Stay in the Hospice Comfortable?
    24. What Support Does This Person Have in Life?
    25. How Does This Person View the Future?
    26. A System to Ensure Effective Communication
    27. Narrative Notes
    28. Bedside Handover
    29. De‐briefing
    30. Summary
    31. References
  25. CHAPTER 21: A System to Enable Practitioners to Live and Ensure Quality
    1. Clinical Audit
    2. It Works Like This
    3. Standards of Care
    4. Triggers for Standards
    5. What is a Standard of Care?
    6. Confidentiality
    7. Constructing a Standard of Care Concerned with Communication with Relatives
    8. Relatives Feel Informed and Involved in Care
    9. The Value of Standards of Care
    10. NOTES
    11. References
  26. CHAPTER 22: A System to Enable Practitioners to Develop Personal Mastery Towards Realising Their Vision of Practice
    1. Bumping Heads
    2. Susan Writes3
    3. Commentary
    4. Contracting – The Bottom Line
    5. Variables of Clinical Supervision/Guided Reflection
    6. Who Should the Guide/Supervisor Be?
    7. Peer Guidance
    8. Voluntary or Mandatory
    9. Group versus Individual Supervision
    10. Single or Multi‐professional
    11. Summary
    12. References
  27. CHAPTER 23: Awakenings: Guided Reflection as ‘Reality Shock’
    1. Prologue
    2. The First Assignment
    3. The Second Assignment
    4. My Third Assignment
    5. Commentary
    6. References
  28. CHAPTER 24: Holding Creative Tension
    1. In the Beginning
    2. Was I not a Philistine!
    3. My Leadership Despair
    4. Five Smooth Stones
    5. Psalm of Victory
    6. Four Years On, What is the Condition of My Harp?
    7. Detecting the Sheep from the Wolves
    8. Wolf: Abandon Your Wicked Ways
    9. Taking Off My Armour
    10. The Future
    11. References
  29. CHAPTER 25: The Complexity of Teaching
    1. Narrative: PGCE Science at the Beginning of the Academic Year
    2. Transforming
    3. The New Story
    4. Teacher Education
    5. Reflections on the Introductory PGCE Science Workshops
    6. Understanding the Classroom Environment
    7. Narrative: Work with Student Teachers, at the Beginning of the Academic Year
    8. Undergraduate Workshop on Water
    9. Reflection
    10. Summary
    11. References
  30. CHAPTER 26: Guiding Nursing Students’ Reflection on a Simulated Patient Experience
    1. Preparatory Phase‐bring the Mind Home
    2. Reflective Phase
    3. Anticipatory Phase
    4. Insight Phase
    5. References
  31. APPENDIX 1: Guided Reflection Evaluation Tool
    1. Introduction
    2. Guided Reflection Evaluation Tool
  32. APPENDIX 2
  33. Index
  34. End User License Agreement

Product information

  • Title: Becoming a Reflective Practitioner, 6th Edition
  • Author(s): Christopher Johns
  • Release date: February 2022
  • Publisher(s): Wiley-Blackwell
  • ISBN: 9781119764748