Reflection & Action Learning Flashcards
Describe reflection
- A cognitive process in which new info is integrated into existing knowledge/mental models, resulting in meaningful learning
How does reflection help us
- Helps us continually build new neuronal connections by linking to prior learning
- The more we link new knowledge or new experiences to what we already know, the more sense it makes & the easier it is to learn & retain
How does reflection contrast to technical rationalism
- Latter focuses on knowledge, skills
- Development of critical thinking may be displaced
What does the reflection process involve
- Involves slowing down & considering a situation form multiple perspectives
Why is the reflection process important
- Without reflection there is no feedback, no growth, no continuing education, no quality improvement
How do we facilitate the reflection process
- Slow down
- Ask questions
What are some challenges to reflection
- Can be difficult to apply the “dual processing” model
- Newly practicing therapists may not yet be on “auto pilot” with mundane procedural responsibilities
- Reflection can also feel like more work
Describe reflection in action
- Functions on 2 levels simultaneously
- Attending to the task of interacting with the patient
- Continually questioning, observing, assessing, & adjusting our thoughts & actions throughout the session
Describe reflection on action
- Reflect on what you just did
- Occurs after the action/encounter
Describe reflection for action
- Reflect on what you would/wouldn’t change
- The learner begins to anticipate situations & begins to plan for the future to improve the present situation/outcome
What are the elements of Schon’s reflection
- Reflection in action: real-time ongoing feedback loop
- Reflection on action: what/why did it happen, what else, & what was I feeling
- Reflection for action: what might I do differently next time, what plan can I put in place so this doesn’t happen again
- All 3 types of reflection are essential to quality clinical practice
- All 3 required before change occurs
Describe Kahneman’s concepts of fast & slow thinking
- Fast/system 1: rely on knowing in action, mental models, “scripts”; relies on brain’s ability to see patterns & put pieces together quickly
- Slow/system 2: more mindful, comparative, reflective form of thinking; may be triggered when something doesn’t fit a known pattern
- Must be able to quickly “notice” when not going as planned
- The inability to quickly notice & being the analytical reflective process that often leads to errors
Describe Mezirow’s transformative learning theory
- How we reflect on the content of the problem, the process of problem solving, or the premise of the problem
- Through this reflection we are able to understand ourselves more & then understand our learning better
- Continually question, ask what we know, ask how we know it
What Mezirow’s perspective on reflection
- A reflective practitioner continually questions own experiences, what is known, & how it is known
- Reflection includes: content, process, and premise
Describe Mezirow’s perspective of reflection as content, process, and premise
- Content: analysis of the problem from the perspectives of everyone involved in the situation (stakeholders) to develop an effective POC
- Process: weighing pos. & neg. of potential strategies to address a problem
- Premise: identifying & questioning the assumptions that led you to your current position
Describe reflective process dynamics
- The reflective process won’t always emerge
- It requires a trigger: noticing and/or script violation; something that supersedes the autopilot; & the inciting incident
- After the trigger it’s up to the reflector how far to take it
Define critical thinking
- The use of cognitive skills or strategies that increase the probability of a desirable outcome
Describe Bloom’s taxonomy
- Used to facilitate the reflective process
- Hierarchy as framework to facilitate higher order thinking through the reflective process
What is the order of Bloom’s taxonomy
- Remembering
- Understanding
- Applying
- Analyzing
- Evaluating
- Creating
Describe critical thinking & Bloom’s taxonomy
- For critical thinking we want to get to the higher levels of the taxonomy:analyze, create, evaluate
- The pathway to these. higher levels is the reflective process
- The key to the reflective process is continuous questioning
What are the prerequisites to asking questions to others
- Comfort, safety, privacy
- Patient must be comfortable with the practitioner
- Must not feel judged
- Must not be at risk of divulging information to unintended parties
- Time
Describe closed question type
- Singular answer
- Fact gathering
- Tend to be impersonal, may feel like a quiz or an interrogation
Describe open ended question type
- Exploratory
- Probing
- “Expand on that…”, “Tell me more…”
- “Why do you think that happened?”
- These questions allow patients to talk about what’s important to them, give them time to respond, paints a “whole person” picture
How to guide your question types (closed vs open-ended)
- As you narrow-in on a working hypothesis, “funnel” the questions to get more specific information needed to do your job