Developing reflective competence between simulation and clinical practice through a learning transference model: a qualitative study

Objective This study sought to understand the effects of a pedagogical resource combining a multi-moment debriefing model with reflective journaling that is designed to develop reflective competence. Design A qualitative educational study was used with an instrumental case study design. Participatin...

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Bibliographic Details
Authors: Roca Llobet, Judith, Reguant Alvarez, Mercedes, Tort Nasarre, Glòria, Canet Vélez, Olga
Format: article
Publication Date:2020
Country:España
Institution:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repository:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:20.500.14342/4746
Online Access:http://hdl.handle.net/20.500.14342/4746
https://doi.org/10.1016/j.nedt.2020.104520
Access Level:Open access
Keyword:Infermeria -- Ensenyament
Simulació, Mètode de
Ensenyament reflexiu
Pràctica reflexiva
Infermeria -- Pràctica professional
Description
Summary:Objective This study sought to understand the effects of a pedagogical resource combining a multi-moment debriefing model with reflective journaling that is designed to develop reflective competence. Design A qualitative educational study was used with an instrumental case study design. Participating in the study were 32 nursing students who wrote 96 individual reflective journals in accordance with each moment (M1, M2, M3) of the proposed reflective practice resource. The journaling was conducted during both the clinical simulation activity and the period of clinical practice. Methods The reflective journals resulting from the high-fidelity clinical simulation process were used to explore three moments of learning: debriefing immediately after simulation, post-scenario debriefing, and clinical practice. The typology of content analysis used was classical content analysis, which followed a deductive logic, since to assess reflection levels the 5Rs Reflective Writing Scale was used. Results In the post simulation moment (M1), students produced a greater number of meaningful units associated with a level of strategic narrative reflection. During clinical practice however reflection was more analytical, with the highest level of reflection. Conclusion Nursing students developed reflective competence through an iterative process of reflective practice establishing a continuum between simulation experience and clinical.