Topic > Reflection as an essential element of clinical practice

In this essay I will describe reflection, reflection methods and the benefits of reflection in clinical practice. Everyone, from doctors to lawyers, from shop assistants to builders, reflects on their work. Reflection can be used to learn and develop as a clinician, professional and even as a person. Reflection is the examination of personal thoughts and actions. For professionals this could mean focusing on how they interact with colleagues, patients and their environment. For example, a doctor might reflect on an experience such as a treatment or a staff meeting. By reflecting on experiences like this a clinician can better understand his or her own behavior, Wilkinson (1996). Reflection is therefore a process through which professionals gain a better understanding of their strengths and areas for improvement. Schon (1991) names two forms of reflection used by clinicians; reflection on action and reflection in action. Reflection on action is the most commonly used form of reflection. This form involves replaying an event in your mind, such as the treatment of a patient. After reflecting on that experience, the doctor can highlight strengths and areas for improvement. An example of reflection on action might be that you are sitting in the staff room and thinking about the last patient you saw. The patient was a 40-year-old male who suffered from neck and right arm pain that prevented him from performing his job as a bricklayer. As a doctor, you complete a subjective and objective evaluation and provide the patient with some exercises and stretches to perform to improve their limited range of motion and pain. As you reflect on this session you realize that you were asking for a lot of closed things…half of the paper…an advantage over the previous theoretical or practical knowledge gained through previous reflection. Hallet (1997) sees reflection on clinical events as an expansion of cognitive learning. He goes on to state that through reflective learning and practice there is a shift from the biomedical model of scientific knowledge towards the human side of clinical care. Reflection is a vital tool for learning and development, both within and outside the healthcare profession. As healthcare providers we must develop and keep up to date with the latest treatments and technologies in order to provide the safest and most effective care available to our patients. Donald Schon has been leading the study on the effects of reflection in healthcare since 1987. And with the addition of Kolb and his learning styles, reflection is now critical in the development of healthcare professionals..