Redescribing reflective practice and evidence‐based practice discourses

Mantzoukas, Stefanos; Watkinson, Sue

doi:10.1111/j.1440-172x.2008.00676.x

Cited by 15 publications

(13 citation statements)

References 43 publications

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“…The lack of empirical research and dominance of descriptive approaches may reflect the view of reflective practice as intangible, difficult to define and therefore difficult to measure (Gillmer & Marckus ). This reinforces the polarized discourses of reflection versus ‘science’ and evidence‐based practice (Mantzoukas & Watkinson ). It is argued in this paper that mixed‐methods approaches help to close this divide by combining empirical and descriptive methodologies.…”

Section: Introductionsupporting

confidence: 66%

Clinical Psychologists' Experiences of Reflective Staff Groups in Inpatient Psychiatric Settings: A Mixed Methods Study

Heneghan

Wright²,

Watson

2013

Clin Psychology and Psychoth

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The term 'reflective practice group' encompasses a range of practices, but a typical group structure was found with common aims, outcomes and challenges. Reflective staff groups are regularly facilitated by clinical psychologists in inpatient psychiatric settings in the UK and are influenced by practitioner experience as well as psychodynamic, systemic and group process theories. The safety required for reflective groups to function is influenced by the organizational context, and groups can contribute to shifts in culture toward including psychosocial perspectives. Reflective staff groups represent one type of contribution to an inpatient psychiatric service and team relationships; other processes to encourage alternative professional perspectives and values might also support change. More research is recommended to explore facilitator characteristics, the views of staff teams on reflective staff groups and the impact of these groups on patients.

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Section: Introductionsupporting

confidence: 66%

Clinical Psychologists' Experiences of Reflective Staff Groups in Inpatient Psychiatric Settings: A Mixed Methods Study

Heneghan

Wright²,

Watson

2013

Clin Psychology and Psychoth

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“…; Johns ). A large proportion of nursing RP research has concentrated on the theoretical debate (Heath ; Mantzoukas & Watkinson ). More recent studies, however, have explored practicalities and practice related to RP for nurses, and in the process, they have addressed a number of previous concerns with an expanding body of evidence now supporting the potential benefits of RP for nurses (Graham ; Paget ; Teekman ).…”

Section: Literature Reviewmentioning

confidence: 99%

Reflective practice groups for nurses: A consultation liaison psychiatry nursing initiative: Part 1 – the model

Dawber

2012

Int J Mental Health Nurs

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In the present study, we outline the evolution of a process-focused reflective practice group (RPG) model for nurses working in clinical settings. The groups were initiated at Redcliffe and Caboolture hospitals by the consultation liaison psychiatry nurse and author. An associated article provides an evaluation of these RPG. The literature review identifies the key themes and theories on which the model is based, and the article outlines the process and practicalities of facilitating RPG in critical care, midwifery, and oncology specialties over a 3-year period. The model proposes that the effectiveness and sustainability of RPG arises from adequate preparation and engagement with prospective participants. Group rules, based on principles of confidentially, supportiveness, and diversity, were collaboratively developed for each group. Facilitation utilized a group-as-a-whole approach to manage process and stimulate reflection. While the purpose of RPG was a reflection on interpersonal aspects of nursing, contextual workplace issues were frequently raised in groups. Acknowledgement and containment of such issues were necessary to maintain clinical focus. The literature highlights facilitator credibility and style as crucial factors in the overall success of RPG, and it is proposed that reflective practice as a process-focused model for groups succeeds when nurse facilitators are trained in group process and receive concurrent supervision.

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“…Within the procedure of conceptual analysis, there is often a requirement for the investigator to elucidate the concept further by presenting an exemplar of a contrary or illegitimate case (Wilson 1969). This is a typical structuralist approach to language, placing terms in binary opposition to one another as if to polarise (and to legitimise) their relationship to one another (Sarup 1993), and to place terms in a hierarchical relationship with one being privileged over the other (Mantzoukas and Watkinson 2008). However, this becomes problematic with a concept of caring.…”

Section: Discussionmentioning

confidence: 99%

Reframing caring as discursive practice: a critical review of conceptual analyses of caring in nursing

Sargent¹

2011

Nursing Inquiry

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This study critically examines the way in which the concept of caring is presented in the nursing literature through conceptual analytic approaches. A critical reflection on the potential consequences of representing a concept of caring as vague and ambiguous, yet central to ontology and epistemology in professional nursing is presented drawing on comparisons between the conceptual analyses of caring, and of structuralist perspectives of language, and how this potentially limits scholarship in this area. A search of the literature revealed nine conceptual papers. These papers highlight the self-referential characteristics of the concept of caring, and of analytical methods in general. It is proposed that this is the result of a systematic adherence to a rigid, structuralist view of language, whereby stable relationships between words and their meanings are assumed. An alternative perspective is offered by viewing caring as a discursive practice rather than a fixed conceptual entity, calling into question the role that the concept plays in nursing practice. A poststructuralist perspective requires caring to be perceived as a discourse of nursing that is fluid and contingent, rather than a central and guiding concept, opening up a new orientation for nursing scholarship in caring research.

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Redescribing reflective practice and evidence‐based practice discourses

Cited by 15 publications

References 43 publications

Clinical Psychologists' Experiences of Reflective Staff Groups in Inpatient Psychiatric Settings: A Mixed Methods Study

Clinical Psychologists' Experiences of Reflective Staff Groups in Inpatient Psychiatric Settings: A Mixed Methods Study

Reflective practice groups for nurses: A consultation liaison psychiatry nursing initiative: Part 1 – the model

Reframing caring as discursive practice: a critical review of conceptual analyses of caring in nursing

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