title: Exploring reflection as a process embedded in experienced nurses' practice: a qualitative study.
abstract: OBJECTIVE
  This article is a report of a study aimed at obtaining an in-depth description of how experienced acute care staff nurses perceive and use reflection in clinical practice.
  
  
  BACKGROUND
  Reflection is viewed as a critical component of professional practice. The basic assumption is that reflection involves a deliberate process of thinking about a clinical situation which leads to insight and a subsequent change in practice. Several prescriptive models for reflection exist to provide a guide for reflection, however, few are grounded from an empirical examination of reflection in practice. There is a dearth of empirical data on what is actually happening in practice.
  
  
  METHODS
  Descriptive, qualitative.
  
  
  METHODS
  In-depth interviews with 12 experienced acute care staff nurses in a community hospital in Northeastern USA was used to address the study aims. Data were collected between November 2009-May 2010.
  
  
  RESULTS
  Examples of reflection were embedded in patient situations needing immediate nursing intervention. Reflection was a process involving four phases: Framing of the Situation, Pausing, Engaging in Reflection, and Emerging Intentions.
  
  
  CONCLUSIONS
  Experienced nurses used a process of reflection-on-action in practice. They gained insight and formulated intentions for change in nursing practice. Structured facilitated reflection might assist nurses in achieving a depth of reflection necessary to move from their intentions to changes in practice.
authors: College of Nursing, University of Massachusetts Dartmouth, North Dartmouth, Massachusetts, USA. masselin@umassd.edu
authors: Marilyn E
authors: ME
authors: Asselin
authors: Donna
authors: D
authors: Schwartz-Barcott
authors: Paulette A
authors: PA
authors: Osterman
mesh_terms: D009726:Nurses; D036301:Qualitative Research