REFLECTIVE
WRITING
Sources of reflection.
• Everyday events
• Positive experiences
• Negative experiences
• Eventful incidents
• Unusual incidents
• Routine activities
• Important events
• Meaningful events
What might you reflect upon in
day to day life?
• ‘’I’m always late for work’’
• ‘’That was a great holiday’’
• ‘’My car has turned out to be an old banger’’
• ‘’I’ve had a very productive weekend’’
• ‘’I keep running out of money before the end of the month’’
So why is it important in EBP
Reflection is seen as helping to
bridge the theory practice gap
reduce practices based on custom and
practice
develop and understand your practice,
decisions made, lessons learnt and
implication of these for future practice
ensure that care remains patient
centred and based in the patient
experience
Skills / attitudes for reflection
• Willing to learn from experience and
change things
• Able to make time for reflection
• Being open and honest
• Willing to share and discuss your
experiences
• Being motivated to replay / describe /
analyse experiences
• Able to make an action plan
Starting reflective writing
• Have a pen and paper available at all
times
• Be spontaneous
• Write down ideas as they come to you
• Don’t worry about structure, order,
spelling, grammar
• Be imaginative
• Make sense later with the help of a
more formalised structure
Choose an incident / experience
from the course so far
• Make notes on the following:
• Describe the experience - who?
where? what was happening?
• What were your thoughts and feelings?
• What was positive?
• What was negative?
• What have you learned?
• Discuss with a colleague
‘’Putting your thoughts on paper’’
• Discuss in your pairs the experience of
putting pen to paper - transferring
your thoughts into writing
• How easy was it?
• Did it change your views in any way?
• What is it like to see your thoughts
written down?
Gibbs’s Reflective Cycle (1988)
• Description
• Feelings
• Evaluation
• Analysis
• Conclusion
• Action Plan
Description
• Where was I?
• Who else was there?
• Why was I there?
• What was I doing?
• What happened?
Feelings
• How was I feeling at the beginning?
• What was I thinking about?
• What did other people’s actions make me think / feel?
• How did I feel about the outcome?
• What do I think about it now?
Evaluation
• What was good about the experience for me, the patient, others?
• What was bad about the experience for me, the patient, for
others?
Analysis
• ‘Breaking it down’
• What did I do well / not so well?
• What did others do well?
• Did it go as expected?
• Why / why not?
• What theory / research helps me understand the experience?
Conclusion
• Could I have done anything differently?
• What are the key things I have learned from this incident - about
me, my performance, others and their performance?
• Can this be evidence of achievement of placement outcomes /
competencies?
Action Plan
• What would I do in a similar situation
in the future?
• What aspects of my knowledge / skills
could I develop?
• How will I do this?
• What goals can I set myself for the
future?
• What outcomes / competencies do I
need to focus on now?
The What? Model of structured
reflection (Driscoll 2000)
•What….
• ..is the purpose of returning to this situation?
• ..happened?
• ..did I see / do?
• ..was my reaction?
• ..did other people do?
So What?
• How did I feel?
• How did these compare with other
people’s feelings?
• Do I still feel the same?
• What were the effects of my actions?
• What are the positive aspects?
• What have I noticed about my practice?
• What have other people noticed about
my practice?
Now what?
• What are the implications of this analysis –
for me and others?
• What if I do nothing?
• What information / skills would I need to
cope with similar experiences?
• What help would I need to acquire these?
• What is the main learning from this
experience and reflection?
• Is this evidence of achievement of placement
outcomes / competencies?
Basic things to put in place to be
successful
• Experiment with different approaches until
you find one that ‘fits’
• Commit to giving time to reflection in
whatever form you choose. See it as an
essential aspect to your practice rather than
an ‘add on’.
• Start small and work up to the big issues
• Be open to new ideas and new ways of
thinking
• Be willing to challenge your assumptions and
practices
Reflective writing
• Helps you learn from experience
• Helps you build on your expertise
• Developing your expertise is an important
aspect of evidence based practice
• Reflectivewriting can be used as evidence to
include in your portfolio to help you achieve
your placement outcomes
References
• Driscoll J (2000) Practising Clinical Supervision. Balliere Tindall,
London
• Driscoll J and Teh B (2001) The potential of reflective practice to
develop individual orthopaedic nurse practitioners and their practice
Journal of Orthopaedic Nursing, 5, 95-103
• Gibbs G (1988) Learning by Doing. A Guide to Teaching and
Learning Methods. Further Education Unit, Oxford Polytechnic.
Oxford cited in Jasper M (2003) Foundations in Nursing and Health
Care. Beginning Reflective Practice. Nelson Thornes. Cheltenham