A faculty development workshop in teaching reflection

Division of Geriatrics, University of California, San Francisco, San Francisco, CA 94118 USA.
Medical Education (Impact Factor: 3.2). 06/2009; 43(5):499. DOI: 10.1111/j.1365-2923.2009.03346.x
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Available from: Patricia S O'Sullivan, Oct 16, 2014
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    • "One area where reflection and reflective thinking are broadly researched topics is in the health care sector [3,17-20]. A special focus of previous research has been on the education of nurses [17-21] and physicians [1,22-26]. In hospitals, reflection helps the staff combine theory and practice [3,20] and enables them to turn experiences into learning opportunities [27]. "
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    ABSTRACT: Reflection is an important cognitive process in workplace learning; however, it occurs only rarely on its own and therefore needs additional support. In this study, we investigated the effect of software applications (apps) that aim to support reflection on hospital staff's actual reflection behavior. In doing so, we also analyzed the relationship between reflection and the job satisfaction of health care professionals. Reflective learning was introduced in the ward of a neurological hospital by providing apps that aimed to foster particular aspects of individual and collaborative reflection. Data were collected repeatedly: once before the introduction of the apps and again 2 years after the initial measure. We used a questionnaire with subjective ratings of reflection and job satisfaction. Response rates were 34.4% (167/485) for the first and 40.6% (210/517) for the second measure. Collaborative reflection was increased (P=.047) after the provision of the apps (2010: mean 2.84, SD 0.72; 2012: mean 3.06, SD 0.63) in contrast to a control group of other wards of the same hospital (2010: mean 2.68, SD 0.67; 2012: mean 2.63, SD 0.68). In addition, we revealed a positive correlation between collaborative reflection and job satisfaction (r=.61, P<.001). The findings provide evidence for an effect of the apps on hospital employees' reflection behavior. Apps that foster reflective learning can increase health care professionals' reflection about work experiences and support them in discussing experiences in teams or with their supervisors. The relationship between collaborative reflection and job satisfaction suggests that opportunities for joint reflection on work experiences in a hospital have further impact over and above fostering reflective learning per se. We discuss the limitations of our study and provide suggestions for both future research and the development of Web-based apps.
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