Reflections on Reflective Practice among Pre-Hospital Emergency Care Practitioners in Ireland.

Chris O'Connor, Joe O'Hara

DOI: http://dx.doi.org/10.32378/ijp.v3i2.155

Abstract

Background

This paper examines the level of engagement of Irish pre-hospital emergency care practitioners with reflection and reflective practice.  It also explores the attitudes of practitioners to reflection and to methodologies designed to support reflective practice such as reflective discussion and video-assisted structured reflection.  Finally it outlines the main barriers to reflection, both individually and collaboratively, and reflective practice gaining widespread acceptance as key learning strategies among pre-hospital emergency care practitioners and educators in Ireland.

Methodologies

This paper is part of a larger project which consisted of three cycles of action research.  Data was collected via an online survey questionnaire, and by conducting a series of semi-structured interviews with various stakeholders.  These included all three clinical levels of pre-hospital emergency care practitioners and educators from emergency service providers, private ambulance services, and voluntary organisations.

Findings

Many practitioners consider themselves to be reflective practitioners.  However, very few of them use a structured model of reflection. Reflection, and reflective practice are not part of the education standards for practitioners in Ireland, and consequently receive very little attention in most education programmes. Practitioners within voluntary organisations perceived that reflective practice was encouraged by their organisation in greater numbers than those from other organisations. Collaborative forums were perceived to be beneficial, although concerns were raised about their potential for abuse and misuse.  These concerns appear to emanate from a lack of trust within certain organisations.

Recommendations

Reflective practice to be included in the education standards for all levels of practitioners in Ireland. Develop and roll-out an education programme for existing practitioners regarding reflection, reflective learning, reflective practice, and structured models of reflection, as part of their CPC requirements. Provide education for all EMS course faculty regarding reflection, reflective learning, reflective practice, and structured models of reflection. A learning contract for all participants and faculty, including a confidentiality agreement, must be in place prior to the establishment of any collaborative forums. Further research to explore the reasons for lack of trust within organisations should be undertaken. Further research is recommended to explore the reasons for the disparity of opinion between volunteer and professional organisations regarding the encouragement of reflective practice.


Keywords

Pre-hospital Care; Education; Reflective practice.

References

References:

Denzin, N. K., and Lincoln, Y. S. 2017a. The Discipline and Practice of Qualitative Research. IN: Denzin, N. K., and Lincoln, Y. S. (eds.). The Sage Handbook of Qualitative Research. 5th ed. Thousand Oaks, California: Sage Publications.

Finlay, L. 2008. Reflecting on ‘Reflective Practice’. [Online] Available from: https://pdfs.semanticscholar.org/c128/691f2615de873dfe544fcb5dc902fe812675.pdf [Accessed 13 May 2017].

Gibbs, G. 1988. Learning by Doing: A Guide to Teaching and Learning Methods. Oxford: Oxford Further Education Unit.

McNiff, J. and Whitehead, J. 2006. All you need to know about Action Research. London: Sage Publications.

Schön, D. A. 1983. The Reflective Practitioner. How Professionals Think in Action. New York: Basic Books.



DOI: http://dx.doi.org/10.32378/ijp.v3i2.155

Refbacks

  • There are currently no refbacks.




Copyright (c) 2018 Chris O'Connor, Joe O'Hara

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.


IJP is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Article copyright remains with individual authors. Authors grant unrestricted copyright license to the IJP. Readers may copy, distribute, build upon, reproduce, and display the work for non-commercial purposes with the proper citation of the original work in this publication. DPLA Rights statement: http://rightsstatements.org/page/InC-NC/1.0/?language=en. The IJP supports the National Principles for Open Access Policy Statement.

Electronic ISSN: 2009-938X.

We deposit a copy of all Irish healthcare related articles with Lenus, the Irish Health Repository and eDepositIreland, ensuring a full-text copy is always available and securely stored. The IJP is also listed with DOAJGoogle ScholarScienceOpenWorldCat, Index Copernicus, OAJI and JournalTOCs.