Home⇛International Journal of Multidisciplinary Educational Research and Innovation⇛vol. 2 no. 1 (2024)

Embracing Reflection and Reflective Practices by Medical Professionals: A Narrative Inquiry

Priska Bastola | Bal Chandra Luitel | Binod Prasad Pant

Discipline: Education

 

Abstract:

Reflection is widely acknowledged to play a crucial role in enhancing the competence of medical professionals. Developed countries have given importance to implementing reflective practices for professional development. In developing countries, reflective practices are not given much importance as a tool for professional growth. This article aims to uncover the existing practices of reflection and the challenges faced by medical professionals working at a government hospital in Nepal. It also promotes the practice of reflection to improve daily professional practice. This article aims to uncover the existing practices of reflection and the challenges faced by medical professionals working at a government hospital in Nepal. This qualitative study utilized Narrative Inquiry as the research method and conducted semi-structured, in-depth interviews with two medical professionals selected through purposive sampling followed by content analysis of the collected data. The study was based on the theories of social constructivism and transformative learning. After analyzing the data, three significant themes emerged: empathizing through reflection, change in practice through reflection, and barriers to reflective practices. The study identified several barriers to reflective practices, including a negative attitude, sociocultural contexts, and a lack of support from the medical community. It is crucial to encourage self-reflection for medical professionals to enhance their professional growth and promote lifelong learning. This study provides valuable insights into the significance of reflective practices in the professional development of medical personnel, particularly in developing countries.



References:

  1. Adams, P. (2006). Exploring social constructivism: Theories and practicalities. Education, 34(3), 243-257.  https://doi.org/10.1080/03004270600898893
  2. Alt, D., Raichel, N., & Naamati-Schneider, L. (2022). Higher education students’ reflective journal writing and lifelong learning skills: insights from an exploratory sequential study. Frontiers in Psychology, 12, 1-17. https://doi.org/10.3389/fpsyg.2021.707168
  3. Burgoyne, M. B., & Chuppa-Cornell, K. (2018). If I tried this idea again: Developing faculty professional growth through reflective practice. Reflective Practice, 19(6), 818- 831. https://doi.org/10.1080/14623943.2018.1539656
  4. Davis, A. O. (2020). Art and science: Utilizing STEAM education to promote empathetic scientific literacy and global citizenship. https://scholarworks.umb.edu/cct_capstone/383/
  5. Dewey, J. (1938). Experience and education. Macmillan.
  6. Fook, J. (2015). Reflective practice and critical reflection. In J. Lishman (Ed.), Handbook for practice learning in social work and social care: Knowledge and theory (2nd ed., pp. 363-375). Jessica Kingsley Publishers.
  7. Fox, R. (2001). Constructivism examined. Oxford review of education, 27(1), 23-35. https://doi.org/10.1080/3054980020030583
  8. Gostelow, N., & Gishen, F. (2017). Enabling honest reflection: A review. The Clinical Teacher, 14(6), 390-396. https://doi.org/10.1111/tct.12703
  9. Greenberger, S. W. (2020). Creating a guide for reflective practice: Applying Dewey’s reflective thinking to document faculty scholarly engagement. Reflective Practice, 21(4), 458-472. https://doi.org/10.1080/14623943.2020.1773422
  10. Grobbel, C. C. (2013). The importance of reflective practice in nursing. International Journal of Caring Sciences, 6(3), 319-326. http://www.internationaljournalofcaringsciences.org/docs/4.%20us%20La.Caldwell.pdf
  11. Hardy, C. (2017). Empathizing with patients: The role of interaction and narratives in providing better patient care. Medicine, Health Care and Philosophy, 20, 237-248. https://link.springer.com/article/10.1007/s11019-016-9746-x
  12. Haydon, G., Browne, G., & van der Riet, P. (2017). Narrative inquiry as a research methodology exploring person centred care in nursing. Collegian, 25(1), 125-129. https://doi.org/10.1016/j.colegn.2017.03.001
  13. Herrick-Reynolds, K., Sewanan, L. R., Zheng, D. J., Wang, P., Encandela, J., Shahu, A., & Reisman, A. (2019). A novel near peer reflective writing workshop. The Clinical Teacher, 16(4), 339-344. https://doi.org/10.1111/tct.13057
  14. Kitchenham, A. (2008). The evolution of John Mezirow’s transformative learning theory. Journal of transformative education, 6(2), 104-123. https://doi.org/10.1177/1541344608322678
  15. Kuit, J. A., Reay, G., & Freeman, R. (2001). Experiences of reflective teaching. Active Learning in Higher Education, 2(2), 128-142. https://doi.org/10.1177/1469787401002002004
  16. Larrivee, B. (2000). Transforming teaching practice: Becoming the critically reflective teacher. Reflective Practice, 1(3), 293-307. https://doi.org/10.1080/713693162
  17. Lincoln, Y. S., & Guba, E. G. (1988). Criteria for assessing naturalistic inquiries as reports. https://eric.ed.gov/?id=ED297007
  18. Lindsay, G. M., & Schwind, J. K. (2016). Narrative inquiry: Experience matters. Canadian Journal of Nursing Research, 48(1), 14-20. https://doi.org/10.1177/0844562116652230
  19. Mamede, S., Rikers, R., & Schmidt, H. G. (2013). The role of reflection in medical practice: Continuing professional development in medicine. In A. M. Kee, & M. Eraut (Eds.), Learning trajectories, innovation and identity for professional development (pp. 163-174). Springer. 
  20. Marahatta, K., Pant, S. B., Basnet, M., Sharma, P., Risal, A., & Ojha, S. P. (2021). Mental health education in undergraduate medical curricula across Nepalese universities. BMC Medical Education, 21(304), 1-9. https://link.springer.com/article/10.1186/s12909-021-02743-3
  21. McAllister, M. (2011). STAR: A transformative learning framework for nurse educators. Journal of Transformative Education, 9(1), 42-58. https://doi.org/10.1177/1541344611426010
  22. Mertova, P., & Webster, L. (2019). Using narrative inquiry as a research method: An introduction to critical event narrative analysis in research, teaching, and professional practice. Routledge.
  23. Mezirow J. (2000). Learning as transformation: Critical perspectives on a theory in progress. Jossey-Bass Publishers.
  24. Ng, S. L., Wright, S. R., & Kuper, A. (2019). The divergence and convergence of critical reflection and critical reflexivity: implications for health professions education. Academic Medicine, 94(8), 1122-1128. https://doi.org/10.1097/ACM.0000000000002724
  25. Pant, B. P. (2019). An integral perspective on research: Methodological and theoretical journey of a teacher educator. In P. C. Taylor & B. C. Luitel (Eds.), Research as transformative learning for sustainable futures: Global voices and visions (pp.75-87). Brill Sense.   https://doi.org/10.1163/9789004393349_005
  26. Read, J. (2015). Reflecting on reflection. The Clinical Teacher, 13(5), 376–377. https://doi.org/10.1111/tct.12388   
  27. Rushton, I., & Suter, M. (2012). Reflective practice for teaching in lifelong learningMcGraw-Hill Education.
  28. Saldaña, J. (2013). The coding manual for qualitative researchers. Sage.
  29. Sandars J. (2009). The use of reflection in medical education: AMEE Guide No. 44. Med Teach, 31(8), 685-695. https://doi.org10.1080/01421590903050374 .
  30. Schön, D. (1983). The reflective practitioner: How professionals think in action. Basic Books
  31. Shankar, P. R. (2011). Undergraduate medical education in Nepal: one size fits all? Journal of Educational Evaluation for Health Professions, 8. https://doi.org/10.3352/jeehp.2011.8.9.
  32. Vygotsky, L. (1962). Thought and language. MIT Press

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