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Reflective frameworks

As a registered health practitioner you are now reflecting to build your capability and confidence in delivering the best possible healthcare to patients and clients.  Try to stay open to other frameworks as you may find one that you actually prefer to the current one that you use. In some circumstances.

Reflective Activity

 In his most recent book, Johns (2005) explains how personal knowledge and therapeutic use of self and tied together in being available to others. He provides a Being Available template which is worthy of some time to read and think through, regardless of your role in the health and social care team.

The Being Available template (adapted from Johns 2004)

The ability of the practitioner to be available is determined by the extent the practitioner:

  • has a strong valid vision of practice (the more the practitioner has a focused intent, the more likely it will be realised)
  • is concerned for the other (the more concerned the practitioner, then the more attention given to the patient)
  • appreciates the pattern of the patient (the practitioner can only nurse what he or she knows about the patient's life)
  • can make expert clinical decisions, respond with skilful action and reflect on the efficacy of action
  • knows and manages self within relationship with equanimity
  • can create and sustain a practice environment where being available is possible

Consider your strengths and needs as a practitioner against this template.

Refreshing reflection

One model to consider using for your Flying Start NHS portfolio is John's model, however this is only one of many models and you should try different approached to find out which works best for you as a registered health practitioner.

John's model of structured reflection - 14th edition (2004)

Reflective cue

Way of knowing

Bring the mind home

Focus on a description of an experience that seems significant in some way


What particular issues seem significant enough to demand attention?


How were others feeling and what made them feel that way


How was I feeling and what made me feel that way?


What was I trying to achieve, and did I respond effectively?


What were the consequences of my actions on the patient, others and myself?


What factors influenced the way I was feeling, thinking or responding?


What knowledge informed or might have informed me?


To what extent did I act for the best and in tune with my values


How does this situation connect with previous experiences?


How might I respond more effectively given this situation again?


What would be the consequences of alternative actions for the patient, others, and myself?


How do I NOW feel about this experience?


Am I more able to support myself and others as a consequence?


Am I more able to realise desirable practice monitored using appropriate frameworks such as framing perspectives, Carper's fundamental ways of knowing, and other maps?