Reflective Journal: teaching and learning

please read the power point + WEEKLY REFLECTIVE JOURNAL - Write an individual reflective journal entry about a significant event related to practical nursing this semester. Use the LEARN format from class to complete your entry. STEPS IN REFLECTIVE JOURNAL WRITING - Engaging in reflection is individualized. There are several different ways to utilize reflection as a component of reflective practice. - CNO suggests using the LEARN acronym as a useful tool when engaging in reflection as a component of reflective practice. - The following steps are an adaptation of the CNO LEARN acronym & cycle and John's Model of Structured Reflection. - Use this tool as you engage in reflective journal writing throughout your nursing education at Niagara College. As a graduate nurse, you will have the skill and proficiency to complete several steps in the Reflective Practice component required for the CNO Quality Assurance Program. - The CNO LEARN format for reflective journal writing consists of 5 steps:  L – Look Back  E – Elaborate and Describe  A – Analyse Outcomes  R – Revise Approach  N – New Trial - These five steps should be used to guide the nurse through reflection journaling. STEP 1: LOOK BACK: - Recall the experience as accurately as possible. Reflecting soon after the event will assist with accurate recall. Try to see the “Big Picture”. - Describe what happened and what you did. - The following questions may help to clarify this step. You are not required to answer EACH question – the questions are meant to stimulate and organize your thoughts regarding the experience:  What happened? Describe the experience.  Who was involved in the experience? Who was there - client, family members, peers, other staff, physicians? STEP 2: ELABORATE & CLARIFY THE EXPERIENCE: - What factors contributed to the experience (Include subjective and objective data): - Elaborate using the following questions. You are not required to answer EACH question – the questions are meant to stimulate and organize your thoughts regarding the experience: -  How did I act?  What did I say or do? What actions did I take?  How did others respond to my actions? (Client, peers, family members, bystanders). - Clarify the experience:  What bothers me about this experience?  What doesn't feel right?  Why do I think I should reflect on this experience? STEP 3: ANALYSE THE OUTCOME: - Was this experience a positive or negative experience for me and why? - The following questions may help to clarify this step. You are not required to answer EACH question – the questions are meant to stimulate and organize your thoughts regarding the experience:  What assumptions did I make about the experience?  What was I trying to achieve?  Why did I intervene as I did?  What internal factors influenced my actions?  What external factors influenced my actions?  What sources of knowledge should/could have influenced my actions?  What other choices did I have?  What happened as a result of my actions for: myself, my client, my peers STEP 4: REVISE THE APPROACH: - As a result of reflection, identify what you will continue to use in practice, and what you were not satisfied with and could/should have done differently. - The following questions may help to clarify this step. You are not required to answer EACH question – the questions are meant to stimulate and organize your thoughts regarding the experience:  Could I have dealt better with the situation?  What other choices did I have?  What do I need to learn or do better?  What do I know now that I did not know before? STEP 5: NEW TRIAL: - Try it out! - Consciously plan to use new knowledge and insight gained from reflection in practice. - You may need to change your practice, seek more knowledge, or you may decide that your practice is safe and ethical and requires no change. - Answer the following questions:  What did I learn from this experience?  What will I be able to do now that I could not do before?  What will I change in my practice to support the learning that has occurred?  How will I find opportunities to incorporate this new learning into my clinical practice?  How will I evaluate the effectiveness of this new learning?