What is reflection? A conceptual analysis of major definitions and a proposal of a five-component model

Medical Education

Volumn 48, Issue 12, 2014, Pages 1176-1189

  Nguyen, Quoc Dinh ^a   Fernandez, Nicolas ^b   Karsenti, Thierry ^a   Charlin, Bernard ^c  

^a UNIVERSITÉ DE MONTRÉAL   (Canada)

^b UNIVERSITÉ DU QUÉBEC À MONTRÉAL   (Canada)

^c Centre for Applied Teaching of the Health Sciences (CPASS)   (Canada)

Author keywords

[No Author keywords available]

Indexed keywords

CLINICAL COMPETENCE; HUMAN; LEARNING; MEDICAL EDUCATION; THEORETICAL MODEL;

CLINICAL COMPETENCE; EDUCATION, MEDICAL; HUMANS; LEARNING; MODELS, THEORETICAL;

EID: 84912091068     PISSN: 03080110     EISSN: 13652923     Source Type: Journal    
DOI: 10.1111/medu.12583     Document Type: Article

References (59)

1. How DeweyJ, Think We. A Restatement of the Relation of Reflective Thinking to the Educative Process. Boston, MA: D C Heath & Co. 1933.
2. Roglio KDD, Light G. Executive MBA programmes: the development of the reflective executive. Acad Manage Learn Educ 2009;8:156-73.
3. Foster RD, Stines A. Experience, thinking and learning: an integrated definition and framework of reflection. Organ Dev J 2011;29:9-19.
4. Roberts A. Encouraging reflective practice in periods of professional workplace experience: the development of a conceptual model. Reflect Pract 2009;10:633-44.
5. Hickson H. Critical reflection: reflecting on learning to be reflective. Reflect Pract 2011;12:829-39.
6. Sandars J. The use of reflection in medical education: AMEE Guide No. 44. Med Teach 2009;31:685-95.
7. Mann K, Gordon J, MacLeod A. Reflection and reflective practice in health professions education: a systematic review. Adv Health Sci Educ Theory Pract 2009;14:595-621.
8. Bernard AW, Gorgas D, Greenberger S, Jacques A, Khandelwal S. The use of reflection in emergency medicine education. Acad Emerg Med 2012;19:978-82.
9. Atkins S, Murphy K. Reflection: a review of the literature. J Adv Nurs 1993;18:1188-92.
10. Burton A. Reflection: nursing's practice and education panacea? J Adv Nurs 2000;31:1009-17.
11. Nelson S. The lost path to emancipatory practice: towards a history of reflective practice in nursing. Nurs Philos 2012;13:202-13.
12. Ng SL. Reflection and reflective practice: creating knowledge through experience. Semin Hear 2012;33:117-34.
13. Frank JR, ed. The CanMEDS 2005 Physician Competency Framework. Better Standards. Better Physicians. Better Care. Ottawa, ON: Royal College of Physicians and Surgeons of Canada 2005.
14. Sox HC. Medical professionalism in the new millennium: a physician charter. Ann Intern Med 2002;136:243-6.
15. Gans R. Mentoring with a formative portfolio: a case for reflection as a separate competency role. Med Teach 2009;31:883-4.
16. Aukes LC, Geertsma J, Cohen-Schotanus J, Zwierstra RP, Slaets JP. The development of a scale to measure personal reflection in medical practice and education. Med Teach 2007;29:177-82.
17. Schön DA. The Reflective Practitioner: How Professionals Think in Action. New York, NY: Basic Books 1983.
18. Boud D, Keogh R, Walker D. Reflection: Turning Experience into Learning. London: Kogan Page 1985.
19. Brookfield S. Using critical incidents to explore learners' assumptions. In: Mezirow J, ed. Fostering Critical Reflection in Adulthood: A Guide to Transformative and Emancipatory Learning. San Francisco, CA: Jossey-Bass 1990;177-93.
20. Boyd EM, Fales AW. Reflective learning key to learning from experience. J Humanist Psychol 1983;23:99-117.
21. Eraut M. The practice of reflection. Learn Health Soc Care 2004;3:47-52.
22. Ixer G. There's no such thing as reflection. Br J Soc Work 1999;29:513-27.
23. Pitts J, ed. Portfolios, Personal Development and Reflective Practice. Edinburgh: Association for the Study of Medical Education 2007.
24. Eva KW, Regehr G. 'I'll never play professional football' and other fallacies of self-assessment. J Contin Educ Health Prof 2008;28:14-9.
25. Bengtsson J. What is reflection? On reflection in the teaching profession and teacher education. Teach Teach Theory Pract 1995;1:23-32.
26. Leung KH, Pluye P, Grad R, Weston C. A reflective learning framework to evaluate CME effects on practice reflection. J Contin Educ Health Prof 2010;30:78-88.
27. Koole S, Dornan T, Aper L, Scherpbier A, Valcke M, Cohen-Schotanus J, Derese A. Factors confounding the assessment of reflection: a critical review. BMC Med Educ 2011;11:104.
28. Sobral D. An appraisal of medical students' reflection-in-learning. Med Educ 2000;34:182-7.
29. Plack MM, Driscoll M, Marquez M, Cuppernull L, Maring J, Greenberg L. Assessing reflective writing on a paediatric clerkship by using a modified Bloom's taxonomy. Ambul Pediatr 2007;7:285-91.
30. Boenink AD, Oderwald AJ, de Jonge P, van Tilburg W, Smal JA. Assessing student reflection in medical practice. The development of an observer-rated instrument: reliability, validity and initial experiences. Med Educ 2004;38:368-77.
31. Boud D, Walker D. Promoting reflection in professional courses: the challenge of context. Stud High Educ 1998;23:191-206.
32. Mezirow J. Fostering Critical Reflection in Adulthood: A Guide to Transformative and Emancipatory Learning. San Francisco, CA: Jossey-Bass 1990.
33. Collin S, Karsenti T, Komis V. Reflective practice in initial teacher training: critiques and perspectives. Reflect Pract 2013;14:104-17.
34. Rogers RR. Reflection in higher education: a concept analysis. Innovat High Educ 2001;26:37-57.
35. Rodgers C. Defining reflection: another look at John Dewey and reflective thinking. Teachers Coll Rec 2002;104:842-66.
36. Schön DA. Educating the Reflective Practitioner: Toward a New Design for Teaching and Learning in the Professions. San Francisco, CA: Jossey-Bass 1987.
37. Creswell JW. Research Design: Qualitative, Quantitative, and Mixed Methods Approaches. Thousand Oaks, CA: Sage Publications 2013.
38. Jay JK, Johnson KL. Capturing complexity: a typology of reflective practice for teacher education. Teach Educ 2002;18:73-85.
39. Hatton N, Smith D. Reflection in teacher education: towards definition and implementation. Teach Teach Educ 1995;11:33-49.
40. Mezirow J. Transformative Dimensions of Adult Learning. San Francisco: CA, Jossey-Bass 1991.
41. Argyris C, Schön DA. Theory in Practice: Increasing Professional Effectiveness. San Francisco, CA: Jossey-Bass 1974.
42. Argyris C, Schön DA. Organizational Learning: A Theory of Action Perspective. Reading, MA: Addison-Wesley 1978.
43. Kember D, Leung DY, Jones A et al. Development of a questionnaire to measure the level of reflective thinking. Assess Eval High Educ 2000;25:381-95.
44. Kember D, McKay J, Sinclair K, Wong FKY. A four-category scheme for coding and assessing the level of reflection in written work. Assess Eval High Educ 2008;33:369-79.
45. Korthagen FA. Reflective teaching and preservice teacher education in the Netherlands. J Teach Educ 1985;36:11-5.
46. Ross DD. First steps in developing a reflective approach. J Teach Educ 1989;40:22-30.
47. Eraut M. Schön shock: a case for reframing reflection-in-action? Teach Teach Theory Pract 1995;1:9-22.
48. Loughran JJ. Developing Reflective Practice: Learning about Teaching and Learning through Modelling. London: Falmer Press 1996.
49. Mamede S, Schmidt HG. The structure of reflective practice in medicine. Med Educ 2004;38:1302-8.
50. Epstein RM. Mindful practice. JAMA 1999;282:833-9.
51. Tremmel R. Zen and the art of reflective practice in teacher education. Harv Educ Rev 1993;63:434-59.
52. Cleary TJ. The use of reflection in medical education: guide supplement 44.1. Viewpoint. Med Teach 2011;33:500-1.
53. King PM. The reflective judgement model: transforming assumptions about knowing. J Coll Student Dev 1997;4:141.
54. Jarvis P. Reflective practice and nursing. Nurse Educ Today 1992;12:174-81.
55. Boyd LD. Development of reflective judgement in the pre-doctoral dental clinical curriculum. Eur J Dent Educ 2008;12:149-58.
56. Wald HS, Davis SW, Reis SP, Monroe AD, Borkan JM. Reflecting on reflections: enhancement of medical education curriculum with structured field notes and guided feedback. Acad Med 2009;84:830-7.
57. Kolb DA. Experiential Learning: Experience as the Source of Learning and Development. Englewood Cliffs, NJ: Prentice-Hall 1984.
58. Lewin K. Field Theory in Social Science: Selected Theoretical Papers. New York: Harper & Brothers 1951.
59. Moon JA. A Handbook of Reflective and Experiential Learning: Theory and Practice. London: Routledge 2004.