Guided reflection in clinical nursing education for nurse educators in Malaysia : a module development

Abstract

Nurse educators are critical in developing students’ reflective practice in clinical nursing education. This study aimed to develop a reflective practice training module to educate and motivate nurse educators on their role as facilitators in students’ reflective practices. It was conducted in two phases: Phase one composed of a need analysis with a mixed method study design survey to assess the need for implementing reflective practice in clinical nursing education among nurse educators (n = 221) and propose possible solutions. Phase two was the module's design and Phase three was module development, which looked into the validity and improvement of the module. Seven (7) experts from various related fields were involved in reviewing the developed module. The need analysis indicates that the content required includes the importance of reflective practice, the concept of reflective practice, the appropriate reflective model (John's Model of Structured Reflection), and reflective practice methods in clinical nursing education. The module is offered as a single module to serve as guidance for running a 2-day workshop. It comprises eight interconnected activities that must be completed in the order: “Making sense of imagination”; “Getting to know”, “Starting your engine”, “Ten Cs of reflection”, “Journey to success”, “Writing your mind”, “Let’s do the talking”, and “Guided reflection”. The module was found to have good content validity (CVI=85.143%) based on the review by the experts. They also provided valuable suggestions, which were then incorporated into the module accordingly. It can be concluded that the module has good content validity and can be used to enhance reflective practices among nurse educators and develop their abilities to guide students’ reflective practices. By utilising reflective practices, the nursing education system can produce nurses who can recognise individual patient needs and provide safe and quality patient care.