A Preliminary Study for Construction of a Reflection Program Based on Mid-career Nurse’s Narratives

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  • 中堅看護師の能力開発における「ナラティブを用いた内省プログラム」の構築に関する基礎研究

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<p>While it is regarded as important, there is little research documenting effective methods of professional development for mid-career nurses. Reflection on action and writing narratives are considered to be effective methods but specific effects are not clear, especially in Japan. The purposes of this study were : 1) to describe nurses' experiences who participated in the Career Development Ladder Programs, which, included as a component, reflective practice as expressed in nurses' narratives, 2) to find the necessary conditions, that make reflective practice based on nurses' narratives an effective professional development program.</p><p>In this qualitative study, data were collected from a convenience sample of 14 nurses, from 2 hospitals, using semi-structured interviews. Grounded theory analysis produced 12 categories and 38 sub-categories.</p><p>Described in this paper are the 3 categories. The core category was [Expansion of self-image] and its sub-categories included :〈Increased feeling of self-affirmation〉,〈Broadened outlook〉and〈Revised self-image〉. The theoretical model suggests that [Consciousness of nursing practice] and [Learning experience] through writing narratives and interaction with others during peer review and similar experiences brought abou [t Expansion of self-image], which led to [Changes in action]. Despite these effects, several subjects felt it made little change on them because of insufficient revision of their assumptions, values and beliefs.</p><p>To make the reflective practice effective, subject's reflections about their assumptions, values and beliefs and conditions which promote mutual support and trust in the peer review are essential.</p>

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