Impact of reflective thinking intervention on improving pediatric nursing care
Keywords:
reflective, thinking, pediatric, nursing, careAbstract
Background: Reflection is a recent trend in medical and nursing education whether in teaching or treating. Reflecting on experiences allowed connections to be made between thoughts, beliefs, and actions. Aim: This study was aimed to evaluate the impact of reflective thinking intervention on improving nursing care given by nurses in pediatric critical care units. Setting: The study was conducted at pediatric critical care units affiliated to Ain shams university hospitals. Subject and methods: The subjects of the study composed of 55 nurses and all available children at the previously mentioned setting. Three types of tools were used to collect data; an interviewing questionnaire sheet, nursing core competencies clinical evaluation tool & nurses’ achievements tests. Results: Nearly one quarter of the studied nurses had competent level of nursing core competencies through nurses′ reflection pre intervention compared to more than three quarters post intervention. Conclusion: There was a positive impact of reflective thinking intervention on improving pediatric nursing care. Recommendation: Encouraging linkage of nurses’ performance appraisal to the extent of their use of reflective thinking in order to increase their core competencies during care of the pediatric patient at critical care unites.
Downloads
References
Abou Zed SA & Mohammed AA.(2019): Impact of nursing guidelines on nurses’ knowledge and performance regarding to prevention of ventilator associated pneumonia in neonates. Journal of Nursing Education and Practice 2019, Vol. 9, No. 10; 1-14.
Aday, L.U. & Cornelius, L. J. (2006). Designing and Conducting Health Surveys: A Comprehensive Guide (3rd ed.). San Francisco, CA: Josey-Bass. pp 30-45.
Ahmed MK ,Refat NH , Zaki NA &Sayed EH. (2020): Impact of an Educational Program on Improving Nurses Knowledge and Practice Concerning Caring for Neonates with Respiratory Distress Syndrome. Assiut Scientific Nursing Journal.Vol , (8) No, (22), pp ( 145-152 ).
American Nurses Association (2015); nursing: Scope and standards of practice (3rd Ed.). Silver Spring, MD: American Nurses Association. (GI)
American Organization of Nurse Executives (2015);AONE nurse executive competencies. Retrieved from www.aone.org/resources/nec.pdf
Anderson, B. (2019). Reflecting on the communication process in health care. Part 1: clinical practice—breaking bad news. British Journal of Nursing, 28(13), 858– 863.
Barksby, J., Butcher, N., &Whysall, A. (2015).A new model of reflection for clinical practice. Nursing times, 111(34/35), 21-23.
Bayoumi MH & Mahmoud NF.(2017): Effect of education program on nurses’ knowledge and practice regarding care of central venous line in pediatric hemodialysis : evidence-based practice guidelines. Egyptian Nursing Journal, Vol. 14 No. 2, PP16-17.
Bowles, J. R., Batcheller, J., Adams, J. M., Zimmermann, D., & Pappas, S. (2019).Nursing's leadership role in advancing professional practice/work environments as part of the quadruple aim. Nursing administration quarterly, 43(2), 157-163.
Bradley P., Jerry J, Washington Joseph A. Carcillo, Robert S.B. Clark, Monica Relvas, Alexandre T. Rotta, Indiana Ann E. Thompson, Joseph D. Tobias, (2011): Pediatric Critical Care. Fourth Edition.
Cheng, C., Tsai, H., Chang, C., &Liou, S. (2014);new graduate nurses’ clinical competence, clinical stress, and intention to leave: A longitudinal study in Taiwan. Scientific World Journal, 748389. doi:10.1155/2014/748389 (R)
Chisholm M, Conlln G, Costello E, Cullnance J, Hagoplan A, Hanley D, Kennedy M et al.(2016):Nurse of the Future. Nursing Core Competencies.Massachusetts Department of Higher Education Nursing Initiative.3rd edition.pp 51-62.
Coats H, Bourget E, Starks H, Lindhorst T, Saiki-Craighill S, Curtis JR, Hays R &Doorenbos A.(2018): Nurses’ Reflections on Benefits and Challenges of Implementing Family-Centered Care in Pediatric Intensive Care Units. Am J Crit Care; 27(1): 52–58. doi:10.4037/ajcc2018353.
Coats H, Bourget E, Starks H, Lindhorst T, Saiki-Craighill S, Curtis JR, Hays R, Doorenbos A. 2018 ; Nurses' Reflections on Benefits and Challenges of Implementing Family-Centered Care in Pediatric Intensive Care Units. Am J CritCare ;27(1):52-58. doi: 10.4037/ajcc2018353. PMID: 29292276; PMCID: PMC5959722.
Day, L., & Smith, E. (2007).Integrating quality and safety into clinical teaching in the acute care setting.Nursing Outlook, 55, 138-143.
Dimitroff, L. (April, 2011). Comparing and contrasting nursing research, evidence-based practice, and quality improvement: a differential diagnosis. Capital District Nursing Research Alliance, 7th Annual Conference http://www.capitaldistrictnursingresearchalliance.com/images/Microsoft_Lyn da_D_PPCom paring_and_contrasting.pdf
Dotson, B. J., & Lewis, L. (2013).Teaching the quality improvement process to nursing students. J NursEduc, 52(7), 398-400. doi: 10.3928/01484834- 20130613-01
Dusaj, T. K. (2014); Become a successful preceptor. American Nurse Today. Retrieved March 13, 2017, from https://www.questia.com/read/1G1- 382084653/become-a-successful-preceptor (GI)
Edwards S (2017).Reflecting differently. New dimensions: reflection-before-action and reflection-beyond-action. International Practice Development Journal, 7(1)
EL-Shafey SA, El-Dakhakhny AM& Mohammed BM.(2019): Effect of an Educational Training Program for Nurses about Infection Control Precautions in Their Practice in the Pediatric Critical Care. Afro-Egypt J Infect Endem Dis; 9(1):20-30 https://aeji.journals.ekb.eg.
El-Ziady SM, Ouda WE, Hassan RE and Waly ME.(2017): Effect of Implementing an Educational Program about Family Centered Developmental Care on Neonatal Nurses' Knowledge and Practices at Neonatal Intensive Care UNITS. Mansoura Nursing Journal (MNJ).vol.4 No.2; 172-190.
Enyuma C, Moolla M, Motara F, Olorunfemi G, Geduld H&Laher A. 2020: Paediatric Emergency Department preparedness in Nigeria: A prospective cross- sectional study. African Journal of Emergency Medicine, Volume 10, Issue 3,Pages 152-158. https://doi.org/10.1016/j.afjem..05.010.
Eva. H. Peisachovich (2016). Reflection-Beyond-Action: A Modified Version of the Reflecting Phase of Tanner’s Clinical Judgment Model. International Journal of Nursing and Health Science.Vol. 3, No. 2, 2016, pp. 8-14.
Faheim SS, Ahmed SA ,Aly EF &Hegazy SM.(2019): Effect of Triage Education on Nurses’ Performance in Diverse Emergency Departments. Evidence-Based Nursing Research Vol.1 No. 2.1-11.
Falcó‐Pegueroles, A., Rodríguez‐Martín, D., Ramos‐Pozón, S., &Zuriguel‐Pérez,
E. (2021). Critical thinking in nursing clinical practice, education and research: From attitudes to virtue. Nursing Philosophy, 22(1), e12332.
Fater, K.H. & Ready R. (2011) An Education-Service Partnership to Achieve Safety and Quality Improvement Competencies in Nursing, Journal of Nursing Education, 50 (9).
Fawaz, M. A., Hamdan-Mansour, A. M., &Tassi, A. (2018).Challenges facing nursing education in the advanced healthcare environment. International journal of Africa nursing sciences, 9, 105-110.
Flinkman, M., Leino-Kilpi, H., Numminen, O., Jeon, Y., Kuokkanen, L., &Meretoja, R. (2017); Nurse Competence Scale: A systematic and psychometric review. Journal of Advanced Nursing, 73(5), 1035-1050. doi:10.1111/jan.13183 (SR)
Galal, Y. S., Labib, J. R., &Abouelhamd, W. A. (2014).Impact of an infection- control program on nurses’ knowledge and attitude in pediatric intensive care units at Cairo University hospitals. The Journal Of The Egyptian Public Health Association, 89(1), 22-28.
Gallagher, L., Lawler, D., Brady, V., OBoyle, C., Deasy, A., & Muldoon, K. (2017).An evaluation of the appropriateness and effectiveness of structured reflection for midwifery students in Ireland. Nurse education in practice, 22, 7-14.
Galutira, G. D. (2018). Theory of reflective practice in nursing. International Journal of Nursing Science, 8(3), 51-56.
Ghanizadeh, A. (2017).The interplay between reflective thinking, critical thinking, self-monitoring, and academic achievement in higher education. Higher Education, 74(1), 101-114.
Gibbs, G. (1988); Learning by Doing: A Guide to Teaching and Learning Methods.
London: Further Education Unit.
Harfitt, G., & Chow, J. M. L. (2020).Designing and Facilitating ‘Reflection-on- Action’and ‘Reflection-in-Action’in Community-Based EL.In Employing Community-Based Experiential Learning in Teacher Education (pp. 149-167). Springer, Singapore.
Hickey PA, Pasquali SK, Gaynor JW, MD, He X, Hill KD , Connor JA, Gauvreau K, Jacobs ML, Jacobs JP, and Hirsch-Romano JC.(2016): Critical Care Nursing’s Impact on Pediatric Patient Outcomes. The Annals of Thoracic Surgery; 6 (1); 1-6. http://dx.doi.org/10.1016/j.athoracsur.2016.03.019.
Hussein S &Rada A.(2016): Effectiveness of an Educational Program on Nurses' Knowledge Concerning Preoperative Care of Children Undergoing Intestinal Obstruction Surgery at Pediatric Teaching Hospitals in Baghdad City. International Journal of Scientific and Research Publications, Volume 6, Issue 11.486-494.
Ixer, G. (2016). The concept of reflection: is it skill based or values?. Social Work Education, 35(7), 809-824.
Jakubec, S.L., Astle, B.J. (2013). Students connecting critical appraisal to evidence based practice: A teaching learning Activity for Research Literacy. Journal of Nursing Education, 52 (1), p.56-58.doi:10.3928/0148434-20121121- 03
Jennings, B. A., Scalzi, C. C., Rodgers, J. D., & Keane, A. (2007).Differentiating nursing leadership and management competencies.Nursing Outlook, 55, 169- 175.
Jensen, R, Guedes.E.D.S, &leite, M.M.J. (2016): informatics competencies essential to decision making in nursing management. Revista de Enfermagem da USP, 50(1), 109-117.
Jiménez-Gómez, M. A., Cárdenas-Becerril, L., Velásquez-Oyola, M. B., Carrillo- Pineda, M., &Barón-Díaz, L. Y. (2019).Reflective and critical thinking in nursing curriculum. Revistalatino-americana de enfermagem, 27.
Judd, M. (2013). Broken communication in nursing can kill: Teaching communication is vital. Creative Nursing, 19(2), 101-104.
KeykhaR ,Mazlum S , Varasteh S &Arbabisarjou A.(2016): Clinical competency and its related factors in nurses. International Journal of Pharmacy & Technology.Vol. 8; Issue 3; PP18368-18377.
Khalil AA, Abed-Ellah NH, Mohamed NR &El-Husseiny HS.(2019): Impact of Educational Program on Pediatric Nurses’ Practice Regarding Non- Pharmacological Pain Management in Neonatal Intensive Care Unit. Port Said Scientific Journal of Nursing; vol (6); No 3; PP 93.
Kim YH , Min J, Kim SH and Shin S.(2018): Effects of a work-based critical reflection program for novice nurses. Medical Education (1) 18:30 https://doi.org/ 10.1186/s12909-018-1135-0.
Lavoie. P, Michaud. C, Belisle. M, Boyer. L, Gosselin. E, Grondin. M,& Pepin. J (2018): learning theories and tools for the nursing assessment of core nursing competencies in simulation: A theoretical review. Journal of advanced nursing. 74(2), 239-250.
Lousberg, L., Rooij, R., Jansen, S., van Dooren, E., Heintz, J., & van der Zaag,
E. (2020).Reflection in design education. International Journal of Technology and Design Education, 30(5), 885-897.
Macho P.(2018): Nurses' Knowledge, Attitudes, and Perceived Self-competency Regarding Individualized Developmental in the Neonatal Intensive Care Unit. Faculty in Nursing. University of New York; Unpublished doctoral thesis; 1; 45- 47 .
Manoharan M, Ravindran V, Ranjini K, Jacob E, Johnson MA &Nayak A. 2018: "Knowledge on Triaging among Pediatric Nurses in Pediatric Emergency Services (PES).” IOSR Journal of Nursing and Health Science (IOSR-JNHS) , vol. 7, no.1, pp. 01-05. DOI: 10.9790/1959-0701050105.
Meleis A. (2015);Interprofessional Education: A summary of reports and barriers to recommendations. Journal of Nursing Scholarship 48(1), 106-11.
Mindtool.com (2014). Leadership styles-Leadership skills: Retrieved from http://www.mindtools.com/pages/main/newMN_LDR.htm
Nicol, J. S., & Dosser, I. (2016).Understanding reflective practice. Nursing Standard (2014+), 30(36), 34.
Nukpezah RN, Fuseini AT, Bawa F, Napari AA, Asumadu OD, Peprah W, Asare RO & Wuffele G.(2021). REFLECTIVE PRACTICE: ITS KNOWLEDGE, PRACTICE AND PERCEPTION DURING COVID-19 AMONG PAEDIATRIC NURSING
STUDENTS. American Journal of Health, Medicine and Nursing Practice. Vol.6, Issue 3, pp 39 - 52. ISSN 2520-4017.
Oliveira HM de, Silva CPR, Lacerda RA2018:. Infection control and prevention policies related to health care in Brazil. Conceptual analysis. Rev. Esc. Nursing. USP, São Paulo.;50(3):505-511.
Pangh B, Jouybari L, Vakili MA, Sanagoo A, Torik A.(2019): The effect of reflection on nurse-patient communication skills in emergency medical centers. J Caring Sci; 8 (2): 75-81. doi: 10.15171/jcs.2019.011.
Pour M &Kaber M. (2017).Learning and quality improvement : nursing in the pediatric intensive care unit (T). Faculty of experimental medicine.University of British Columbia.Published doctoral thesis. (24); 55 68.https://open.library.ubc.ca/collections/ubctheses/24/items/1.0355842.
Quick, J. (2016); from novice to expert: A surgical care practioner’s reflection on their role development. Journal of Perioperative Practice, 26(10), 225-228. Doi: 10.1177/175045891602601003 (GI).
Reed, P. G., & Shearer, N. B. C. (2017). Nursing knowledge and theory innovation: advancing the science of practice. Springer Publishing Company.
Rosen, M.A, DiazGranados, D, Dietz, A.S, Benishek, L.E. Thompason, D, pronovost, P.J & weaver, S.J. (2018): teamwork in healthcare: key discoveries enabling safer, high-qulitycare.erican psychologist, 73(4),433.
Rubenfeld, M. G., &Scheffer, B. (2014).Critical thinking tactics for nurses.Jones & Bartlett Publishers.
Samardzic MS, Doekhie KD and Wijngaarden JD.(2020): Interventions to improve team effectiveness within health care: a systematic review of the past decade. Human Resources for Health ; 18:2 ; 1-42. https://doi.org/10. 1186/s12960-019-0411-3.
sangkhamkul, chanakan, Ar-yuwat, S., Yodprong, S., &Suwannakit, S. (2020). The Effects of Reflective Thinking Technique use in Home visit Practice on Cognitive Skills among Nursing Students. Journal of Nursing and Health Sciences, 14(2), 115-125. Retrieved from https://he01.tci- thaijo.org/index.php/ NurseNu/ article/view/241686.
Saunders R, Arnold E, Seaman K, Green A&Gullick K. (2018): Graduate registered nurses’ reflections on implementing safety and quality improvement projects, Journal of Reflective Practice, 19:5, 678-689. DOI: 10.1080/14623943.2018.1538958.
Scheel LS, Peters MD &Møbjerg AC.(2017): Reflection in the training of nurses in clinical practice settings: a scoping review protocol. JBI Database System Rev Implement Rep; 15(12):2871–2880.
Silva RS , Santana AG , Militão TO, de Oliveira LG , Fagundes LC , Pereira CM, Maciel LM , de Monteiro CC , Nascimento FS, de Lira TG , Ribeiro LM, Gaia SN and da Silva CM.(2020); Practices of Nurses for the Care of Premature in Neonatal Intensive Care Unit: A Literature Review. Archives of Current Research International (ACRI), 20(5): 24-30; Article no.ACRI.57969.
Smith, M. C. (2019). Nursing theories and nursing practice. FA Davis.
Stanton, K., Garfield, J. (2014).Team Building Essentials. Advance Healthcare Network for Nurses. Available at http://nursing.advanceweb.com/Continuing- Education/CEArticles/Team-Building-Essentials.aspx
Suwanbamrung, C. (2015). Learning experience of student nurses through reflection on clinical practice: A case study in pediatric nursing, Southern Thailand. Walailak Journal of Science and Technology (WJST), 12(7), 623-629.
Thomas, A, Crabtree, M.K, Delaney. K, Dumas, M.A, Kleinpell, R., Marfell, J., & Wolf, A. (2017): nurse practitioner core competencies content. The national organization of nurse practitioner faculties.
Tutticci NF.(2017):Measuring Reflective Thinking and Self-efficacy After High Fidelity Simulation to Optimize the Reflective Capacity of Final Year Nursing
Students.School of Nursing.Faculty of Health.Queensland University of Technology.Published doctoral thesis; (1); 95-97.
Verklan, M. T. & Walden, M. (2014).Core Curriculum for Neonatal Intensive Care Nursing (5th ed). St. Louis, Missouri: Elsevier, Saunders. (1st tool)
Wain, A. (2017).Learning through reflection. British Journal of Midwifery, 25(10), 662-666.
Walker-Reed, C. A. (2016); Clinical coaching: The means to achieving a legacy of leadership and professional development in nursing practice. Journal of Nursing Education &Practice, 6(6), 41-47. doi:10.5430/jnep.v6n6p41 (GI).
Wanda D, Fowler C, Wilson V. 2016: Using flash cards to engage Indonesian nursing students in reflection on their practice. J Nurs Educ;38:132–7.
Welp, A., Johnson, A., Nguyen, H., & Perry, L. (2018).The importance of reflecting on practice: How personal professional development activities affect perceived teamwork and performance. Journal of clinical nursing, 27(21-22), 3988-3999.
Zhang C, Fan H, Xia J, Guo H, Jiang X &Yan Y.2017: The Effects of Reflective Training on the Disposition of Critical Thinking for Nursing Students in China: A Controlled Trial, Asian Nursing Research, Volume 11, Issue 3, Pages 194-200, ISSN 1976-1317, https://doi.org/10.1016/j.anr.2017.07.002
Suryasa, W. (2019). Historical Religion Dynamics: Phenomenon in Bali Island. Journal of Advanced Research in Dynamical and Control Systems, 11(6), 1679-1685.
Suryasa, W., Sudipa, I. N., Puspani, I. A. M., & Netra, I. (2019). Towards a Change of Emotion in Translation of Kṛṣṇa Text. Journal of Advanced Research in Dynamical and Control Systems, 11(2), 1221-1231.
Eviasty, N., Daud, N. A., Hidayanty, H., Hadju, V., Maddeppungeng, M., & Bahar, B. (2021). The effect of personal coaching on increasing knowledge, attitudes, and actions about lactation nutrition, uterial involution, and lochea in public mothers. International Journal of Health & Medical Sciences, 4(1), 155-163. https://doi.org/10.31295/ijhms.v4n1.1669
Published
How to Cite
Issue
Section
Copyright (c) 2022 International journal of health sciences
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Articles published in the International Journal of Health Sciences (IJHS) are available under Creative Commons Attribution Non-Commercial No Derivatives Licence (CC BY-NC-ND 4.0). Authors retain copyright in their work and grant IJHS right of first publication under CC BY-NC-ND 4.0. Users have the right to read, download, copy, distribute, print, search, or link to the full texts of articles in this journal, and to use them for any other lawful purpose.
Articles published in IJHS can be copied, communicated and shared in their published form for non-commercial purposes provided full attribution is given to the author and the journal. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
This copyright notice applies to articles published in IJHS volumes 4 onwards. Please read about the copyright notices for previous volumes under Journal History.
