The use of structured reflective journal questions to promote fundamental development of clinical decision-making abilities of the first-semester nursing student
Eileen Croke
Associate Professor of Nursing, Department of Nursing, California State University, Long Beach CA, United States of America
PP: 125 - 136
Abstract
The ability to reflect is becoming a core competency in many nursing educational programs. A clinical journal assignment was developed for first-semester (novice) nursing students. The aim was to see if the process of reflection-on-action through the medium of journal writing promoted fundamental clinical decision-making abilities of the first semester nursing student.
This author discusses components of the clinical decision-making process used to structure six clinical journal questions for use by the first semester nursing students during their clinical rotation. Exemplars of students' self-reported reflections are included.
Keywords
reflective thinking; decision-making; nursing education; nursing student; critical thinking; journal; action research
References
Alfaro-LeFevre R (2004): Critical Thinking and Clinical Judgment (3rd ed). Saunders, St. Louis, Mo.
Atkins S & Murphy K (1993): Reflection: A review of the literature. Journal of Advanced Nursing 18: 1188-1192.
Benner P (1984): From Novice to Expert. Addison-Wesley Publishing Company Nursing Division, Menlo Park, CA.
Boud D, Keogh R, Walker D. (1985): Promoting reflection in learning: A model. In Boud D, Keogh R & Walker D (eds.) Reflection: Turning Experience Into Learning, pp. 18-40. Kogan Page, London.
Carper B (1978): Fundamental patterns of knowing in nursing. Advances in Nursing Science 1(1): 13-23.
Charalambous A (2003): Reflective practice as a facilitator for learning. ICUs and Nursing Web Journal 1 (13): 27-34.
Colucciello M (1997): Critical thinking skills and dispositions of baccalaureate nursing students - A conceptual model. Journal of Professional Nursing 13 (4): 236-245.
Ertmer P & Newby T (1996): The expert learner: Strategic, self-regulated, and reflective. Instructional Science 24 (1): 1-24.
Facione N (1995, June): Critical Thinking and Clinical Judgment: Goals 2000 for Nursing Science. Paper presented at the meeting of the Western Institute of Nursing, San Diego, CA. [On-line].Available http://206.127.198.21/nurse2000.html
Facione N, Facione P & Sanchez C (1994a): Critical thinking dispositions as a measure of competent clinical judgment: The development of the California critical thinking disposition inventory. Journal of Nursing Education 33 (8): 345-350.
Facione P & Facione N (1994,Aug): Externalizing the Critical Thinking in Knowledge Development and Clinical Judgment. Paper presented at the meeting of the 14th Annual International Conference on Critical Thinking and Educational Reform, Sonoma, Ca.
Facione P, Sanchez C & Facione N (1994b, July): Are College Students Disposed to Think? Paper presented at the meeting of the Sixth International Conference on Thinking. Massachusetts Institute of Technology, Boston, Ma.
Fitzgerald L & Weidner, H (1995): The Use of Personal Narratives, Literature and Journals to Foster Caring in Nursing Students. (ERIC Document Reproduction Service No. ED 386727).
Hancock P (1999): Reflective practice: Using a learning journal. Nursing Standard 13: 37-40.
Heath H (1998): Keeping a reflective practice diary: A practical guide. Nurse Education Today 17 (5): 381-385.
Heinrich K (1992): The intimate dialogue: Journal writing by students. Nurse Educator 17 (6): 17-21.
Hopkins D (1985): A Teacher's Guide to Classroom Research. Open University Press, Philadelphia, Pa.
Johns C (1995): The value of reflective practice for nursing. Journal of Clinical Nursing 4: 23-30.
Kozier B, Erb G, Berman A & Burke, K (2000): Fundamentals of Nursing: Concepts, Process, and Practice (6th ed.). Addison-Wesley Longman, Menlo Park, Ca.
Loke A,Wong F & Wong M (1997):Arranging journal writing and dialogue in developing reflective thinking in nursing education. Educational Research Journal 12 (10): 51-59.
Mackintosh C (1998): Reflection: A flawed strategy for the nursing profession. Nurse Education Today 18 (7): 551-557.
Mallik M (1998): The role of nurse educators in the development of reflective practitioners. Nurse Education Today 18 (1): 52-63.
McGovern, M (1995): The Effects of Developmental Instruction Strategies on the Cognitive Development of Sophomore Nursing Students; Relationship of Cognitive development Scores to Measures of critical Thinking and Moral Development [Dissertation]: Temple University, Philadelphia, Pa.
Mezirow J (1991): Transformative Dimensions of Adult Learning. Jossey-Bass Publication, San Francisco.
Paris S & Newman R (1990): Developmental aspects of self-regulated learning. Educational Psychologist 25: 87-102.
Paterson B (1995): Developing and maintaining reflection in clinical journals. Nursing Education Today 15 (3): 211-220.
Patton J, Wood S & Agarenzo T (1997): Enhancing the clinical practicum through journal writing. Journal of Nursing Education 36: 238-240.
Paul R, Nosich G & Fischer A (1992, June): Epistemic Structure, Not Psychological Structures, Are at the Core of Assessment of Higher Order Thinking. Paper prepared for the National Center for Education Statistics Workshop on the Assessment of Higher Order Thinking and Communication Skills of College Graduates. Washington, D.C.
Perry W (1970): Forms of Intellectual and Ethical Development in the College Years: A Scheme. Holt, Rinehart and Winston, New York.
Platzer H, Blake D & Snelling J (1997): A review of research into the use of groups and discussion to promote reflective practice in nursing. Research in Post-Compulsory Education 2 (2): 193-204.
Robinson, D (2002): Clinical Decision Making: A Case Study Approach. Lippincott, Philadelphia, Pa.
Schon D (1983): The Reflective Practitioner: How Professionals Think in Action. Basic Books, NY.
Schon D (1987): Educating the Reflective Practitioner. Jossey-Bass, San Francisco, CA.
Tang C (2002): Reflective Diaries as a Means of Facilitating and Assessing Reflection. Paper presented at 2002 HERDSA Conference. [Online]. Available http://www.ecu.edu.au/conferences/herdsa/papers
Tomey A & Alligood M (1998): Nursing Theorists and Their Work. Mosby, St. Louis, MO.
Tyler R (1949): Basic Principles of Curriculum and Instruction. University of Chicago Press, Chicago, IL.
Webster J (2002): Using reflective writing to gain insight into practice with older people. Nursing Older People 14 (9): 18-21.
Wilkinson, J (2001): Nursing Process & Critical Thinking (3rd ed). Prentice Hall, Upper Saddle River, NJ.
Wong F, Kember D, Chung L & Yan L (1995): Assessing the level of student reflection from reflective journals. Journal of Advanced Nursing 22: 48-57.
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