title: Changes resulting from reflection dialogues on nursing practice.
abstract: BACKGROUND
  Reflection is defined here as a process by which, through self-conversation, one's self and one's behavior acquire meaning. However, people have limitations in terms of what they can express and be aware of during reflection. This finding points to the importance of facilitators. The purpose of this study was to determine what changes can be brought about through reflection dialogues on nursing practice.
  
  
  METHODS
  The Participants were 9 nurses who worked at three institutions in City A, each with about 200 beds. Workplace topics were examined through self-reflections and reflection dialogues. The depth of reflection was assessed using the three levels of reflection described by Mezirow-{reflecting on the content}, {reflecting on the process} and {reflecting on the assumptions}.
  
  
  RESULTS
  In reflecting on nursing practice, the participants were also divided into those who had already reached the highest level, {reflecting on assumptions}, via self-reflection, and those who remained at the level of {reflecting on processes}, despite the use of reflection dialogues.
  
  
  CONCLUSIONS
  The development of reflective thinking on nursing practice was connected not only to the participants' desire to explore ways of accepting their individual experiences, but may also be connected to whether or not they are able to question themselves about their thoughts and preconceptions about nursing work.
authors: Department of Fundamental Nursing, School of Health Science, Tottori University Faculty of Medicine, Yonago 683-8503, Japan.
authors: Reiko
authors: R
authors: Okuda
authors: Department of Fundamental Nursing, School of Health Science, Tottori University Faculty of Medicine, Yonago 683-8503, Japan.
authors: Mika
authors: M
authors: Fukada
keywords: dialogue; nursing; practice; reflection; reflection dialogue