Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
Deneyimin Bilgiye Dönüşmesi: Ebelik Öğrencilerinin Yansıtma Raporlarının İncelenmesi: Nitel Araştırma
Transformation of Experience Into Knowledge: Analyzing the Reflection Reports of Midwifery Students: Qualitative Research
Ayşegül UNUTKANa, Emel ELEMa, Ayşegül DURMAZa
aKütahya Sağlık Bilimleri Üniversitesi Sağlık Bilimleri Fakültesi, Ebelik Bölümü, Kütahya, TÜRKİYE
Turkiye Klinikleri J Health Sci. 2022;7(1):112-8
doi: 10.5336/healthsci.2021-83001
Article Language: TR
Full Text
ÖZET
 Amaç: Yansıtma, ebelik öğrencilerinin daha yetkin olarak mezun olabilmeleri için gerekli becerilerden biri olarak kabul edilmektedir. Bu çalışmada, yansıtmaya dayalı öğrenme deneyimi sonrasında öğrencilerin kazanımlarına ilişkin görüşlerini belirlemek amaçlanmıştır. Gereç ve Yöntemler: Tanımlayıcı yaklaşım benimsenen ve tipik durum örneklemesi kullanılan bu çalışma Kütahya Sağlık Bilimleri Üniversitesi Sağlık Bilimleri Fakültesi ebelik bölümünde yürütüldü. 2018-2019 öğretim yılı bahar döneminde çalışmaya katılmaya gönüllü 59 ebelik 4. sınıf öğrencisi çalışmaya katıldı. Araştırma verilerini, öğrencilerin klinik uygulama sırasında 'Gibbs'in Yansıtıcı Döngüsü' doğrultusunda yazdıkları yansıtma raporları oluşturdu. Veriler içerik analizi yöntemi ile değerlendirildi. Araştırmada, Consolidated Criteria for Reporting Qualitative Studies (COREQ) yönergeleri rehber olarak kullanıldı. Bulgular: Öğrencilerin yansıtma deneyimine ilişkin görüşleri incelendiğinde; 4 temanın öne çıktığı saptanmıştır. Bu temalar; deneyimlerden öğrenme, problem çözme ve olaylara farklı açılardan bakabilme, empati ve iletişim becerisi ve kendini tanımadır. Sonuç: Bu çalışma sonucunda klinik uygulama eğitiminde yansıtıcı düşünme yönteminin kullanılmasının; öğrencilerin kendini tanımasına, eleştirel düşünme becerilerinin artmasına, ayrıca öğrencilerin klinik ortamda yaşadıkları sorunları fark etmelerine ve bu sorunları nasıl çözümleyeceklerine yönelik deneyimlerini açıklamasına olumlu katkı sağlamıştır. Bu sonuçlar doğrultusunda, yansıtmanın ebelik öğretiminde daha yaygın kullanılması önerilmektedir.

Anahtar Kelimeler: Yansıtma; eğitim modelleri; nitel araştırma; ebelik
ABSTRACT
 Objective: Reflection is recognized as one of the necessary skills for midwifery students to graduate more competently. The aim of this study was to determine the views of students on their attainments following the reflection-based learning experience. Material and Methods: This study, in which a descriptive qualitative approach was adopted and typical case sampling was used, was conducted in the midwifery department of Kütahya Health Sciences University in Turkey. A total of 59 midwifery students, from year 4, who volunteered, participated in the study con ducted in the spring term of the 2018-2019 academic year. The reflec tion reports, written by the students during the clinical practice in line with the 'Gibbs' Reflective Cycle', created the study data. Data were evaluated by using the content analysis method. In the research, the Consolidated Criteria for Reporting Qualitative Studies (COREQ) guidelines were used as a guide. Results: Four themes were identified in the analysis of students' reflection reports. These themes are the transformation of experience into knowledge, the abil ity to develop different ways of solving problems, acquiring empathy-communication skills and self-knowledge. Conclusion: Reflection in clinical practice has been determined to contribute positively to the stu dents' self-knowledge, to increase their critical thinking skills, to the students' awareness of the problems experienced in the clinical envi ronment, and to produce solutions for these problems. Reflection is rec ommended to be used in midwifery teaching.

Keywords: Reflection; educational models; qualitative research; midwifery
REFERENCES:
  1. Austin D, Gilkison A, Clemons J. Turning reflection into learning: a practice development tool for midwifery students. Reflective Practice. 2020;21(3):301-15. [Crossref] 
  2. Wain A. Learning through reflection. Br J Midwifery. 2017;25(10):662-6. [Crossref] 
  3. Wald HS, Borkan JM, Taylor JS, Anthony D, Reis SP. Fostering and Evaluating Reflective Capacity in Medical Education: Developing the REFLECT Rubric for Assessing Reflective Writing, Academic Medicine. 2012;87(1): 41-50. [Crossref]  [PubMed] 
  4. Cherkis F, Rosciano A. Reflective practice: Implementation across curriculums. Int J Nurs Res Health Care: IJNHR. 2018;152. [Link] 
  5. Bass J, Fenwick J, Sidebotham M. Development of a Model of Holistic Reflection to facilitate transformative learning in student midwives. Women Birth. 2017;30(3):227-35. [Crossref]  [PubMed] 
  6. Bass J, Sidebotham M, Creedy D, Sweet L. Midwifery students' experiences and expectations of using a model of holistic reflection. Women Birth. 2020;33(4):383-92. [Crossref]  [PubMed] 
  7. Embo M, Driessen E, Valcke M, van der Vleuten CP. Relationship between reflection ability and clinical performance: a cross-sectional and retrospective-longitudinal correlational cohort study in midwifery. Midwifery. 2015;31(1):90-4. [Crossref]  [PubMed] 
  8. Chong MC. Is reflective practice a useful task for student nurses? Asian Nurs Res (Korean Soc Nurs Sci). 2009;3(3):111-20. [Crossref]  [PubMed] 
  9. Ashcraft T. Solving the critical thinking puzzle. Nurs Manage. 2010;41(1):8-10. [Crossref]  [PubMed] 
  10. Bass J, Walters C, Toohill J, Sidebotham M. Promoting retention, enabling success: Discovering the potential of student support circles. Nurse Educ Pract. 2016;20:109-16. [Crossref]  [PubMed] 
  11. Carter AG, Creedy DK, Sidebotham M. Critical thinking evaluation in reflective writing: Development and testing of Carter Assessment of Critical Thinking in Midwifery (Reflection). Midwifery. 2017;54:73-80. [Crossref]  [PubMed] 
  12. Payan-Carreira R, Cruz G, Papathanasiou IV, Fradelos E, Jiang L. The effectiveness of critical thinking instructional strategies in health professions education: a systematic review. Studies in Higher Education. 2019;44(5):829-43. [Crossref] 
  13. Ekelin M, Kvist LJ, Persson EK. Midwifery competence: Content in midwifery students' daily written reflections on clinical practice. Midwifery. 2016;32:7-13. [Crossref]  [PubMed] 
  14. Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007;19(6):349-57. [Crossref]  [PubMed] 
  15. Marshall C, Rossman GB. Designing Qualitative Research. 5th ed. New York: SAGE; 2014. [Link] 
  16. Creswell JW, ed. Bütün M, Demir SB, çeviri editörleri. Nitel Araştırma Yöntemleri: Beş Yaklaşıma Göre Nitel Araştırma ve Araştırma Deseni. 3. Baskı. Ankara: Siyasal Kitabevi; 2020.
  17. Yıldırım A, Şimşek H. Sosyal Bilimlerde Nitel Araştırma Yöntemleri. 6. Baskı. Ankara: Seçkin Yayıncılık; 2006.
  18. Miraglia R, Asselin ME. Reflection as an educational strategy in nursing professional development: an integrative review. J Nurses Prof Dev. 2015;31(2):62-72; quiz E6. [Crossref]  [PubMed] 
  19. Chaffey LJ, de Leeuw EJ, Finnigan GA. Facilitating students' reflective practice in a medical course: literature review. Educ Health (Abingdon). 2012;25(3):198-203. [Crossref]  [PubMed] 
  20. Persson EK, Kvist LJ, Ekelin M. Midwifery students' experiences of learning through the use of written reflections - An interview study. Nurse Educ Pract. 2018;30:73-8. [Crossref]  [PubMed] 
  21. Şen E, Amanak K, Akgün E, Karagöz D. Ebelik öğrencilerinde kontrol odağı ve problem çözme beceri düzeyleri ilişkisi [The relationship between locus of control and problem-solving skills on midwifery students]. Balıkesir Health Sciences Journal. 2014;3(2):94-101. [Crossref] 
  22. Ottenberg AL, Pasalic D, Bui GT, Pawlina W. An analysis of reflective writing early in the medical curriculum: The relationship between reflective capacity and academic achievement. Med Teach. 2016;38(7):724-9. [Crossref]  [PubMed] 
  23. Sweet L, Bass J, Sidebotham M, Fenwick J, Graham K. Developing reflective capacities in midwifery students: Enhancing learning through reflective writing. Women Birth. 2019;32(2):119-26. [Crossref]  [PubMed] 
  24. McCarthy B, McCarthy J, Trace A, Grace P. Addressing ethical concerns arising in nursing and midwifery students' reflective assignments. Nurs Ethics. 2018;25(6):773-85. [Crossref]  [PubMed] 
  25. Cooper LD, Trubanowa AW. A structured ap­proach to reflective critical thinking instruc­tional strategies in health professions education: a systematic review. 2017;11: 252-259. [Crossref] 
  26. Elcigil A, Yildirim Sari H. Determining problems experienced by student nurses in their work with clinical educators in Turkey. Nurse Educ Today. 2007;27(5):491-8. [Crossref]  [PubMed] 
  27. Karaöz S. Hemşirelik eğitiminde klinik değerlendirmeye genel bakış: güçlükler ve öneriler [General overwiew of clinical evaluation in nursing education: challanges and recommendations]. DEUHYO ED. 2013;6(3):149-58. [Link] 
  28. Suikkala A, Leino-Kilpi H, Katajisto J. Nursing student-patient relationships: a descriptive study of students' and patients' views. Int J Nurs Educ Scholarsh. 2008;5:Article15. [Crossref]  [PubMed] 
  29. Levett-Jones TL. Facilitating reflective practice and self-assessment of competence through the use of narratives. Nurse Educ Pract. 2007;7(2):112-9. [Crossref]  [PubMed] 
  30. Brunstad A, Giske T, Hjälmhult E. How midwifery students experience learning conditions in labor wards. Nurse Educ Pract. 2016; 6(4):136-44. [Crossref] 
  31. Edwards A. Relational agency: working with other practitioners. Being an Expert Professional Practitioner. 1st ed. Netherlands: Springer; 2010. p.61-79. [Crossref] 
  32. Hume A. Promoting higher levels of reflective writing in student journals. Higher Education Research & Development. 2009;28(3):247-60. [Crossref] 
  33. Loke AJ, Chow FL. Learning partnership--the experience of peer tutoring among nursing students: a qualitative study. Int J Nurs Stud. 2007;44(2):237-44. [Crossref]  [PubMed] 
  34. Mert H, Bilik Ö, Yıldırım Sarı H, Üstün B. Bir öğrenme deneyimi: Reflekşın (Reflection) [A learning experience: reflection]. DEUHYO ED. 2011;4(2):89-93.

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