Reflective journal

Purpose The purpose of reflective journaling is to learn from your own practice through examination, reflection and critique. As you examine how your actual practice compares to the ideal practices, you develop clinical knowledge and insight that leads to improved clinical reasoning. The goal is to improve clinical judgment and to learn to ‘think like a nurse’. Your journal becomes a record of your learning as the skill of reflection becomes a life-long habit to improve nursing practice. Definition Reflective journaling is defined as a “conscious, dynamic process of thinking about, analyzing, and learning from an experience that gives you insights into self and practice” (Asselin & Cullen, 2011, p. 45). Reflection goes beyond just thinking about and describing a situation. It goes deeper than self-criticism and wishing things had gone differently. Reflection leads to awareness, which in turn leads to practice improvement, empowerment and emancipation (Kim, Burbank, Clabo, & Martins, 2010). Student Learning Outcomes 1. Reflect on clinical situations significant to nursing practice. 2. Attain insight into nursing practice and engage in self-corrective learning. 3. Analyze learning needs through self-reflection. 4. Gain insight and clinical knowledge that leads to improved clinical reasoning, judgment, and nursing practice. 5. Review evidence-based practice, to increase nursing knowledge. 6. Examine concepts of caring that are key to nursing practice. Directions Maintain a reflective journal by submitting two entries for each rotation of the Family-focused nursing course. Submit entries electronically through Moodle. Each entry should include three phases; descriptive, reflective, and clinical reasoning, as described below. Each entry needs to be 1-2 pages, double spaced, and references cited. 1. Descriptive Phase (the clinical narrative) Please select a different reflective journal topic for each entry: • Communication/Collegiality issues – with patients and/or members of the health care team • Family centered care • Challenges to setting priorities • Health promotion • Cultural competence • Transition of care • Teamwork and collaboration • Significant life event Describe the situation: • Circumstances and features of the situation • Your actions, thoughts and feelings 2. Reflective Phase – reflection and analysis a. Thoughtfully reflect on: • The situation • Standards of care • Outcome b. Consider the following questions: • What guided your actions? • What was the nature of your attitudes and feelings (i.e. anxiety, fear, biases, confidence or inadequacy)? • How might development of nursing knowledge improve intervention, approach and competency in this situation? c. Compare and contrast the narrative to: • Scientific knowledge and claims • Evidence-based practice • Ethical standards and values • Use references as needed 3. Clinical Reasoning Phase a. Critique your practice by considering some of the following questions: • Were my actions in this situation the best? Were they successful? Why or why not? • Were ethical values and standards applied? • What have I learned? • Do I need to revise my knowledge base? If so, how and why? • What factors got in the way of doing a better job? • How can my practice be improved? • When you are the RN how would you handle a similar situation? b. Initiate the change process • How could you act as a change agent in the situation? you will be writing about a 10month old baby that was born at 35 weeks that is at the hospital for bronchiolitis and I bought the mother how its important for baby to sleep on his back with out a pillow preventing sids