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Part 1 Basic structures.
1 Exploring reflection.
The significance of reflective practices for professional life.
A typology of reflective practices.
Setting out my stall.
Prerequisites of reflection.
Being in place.
2 A reflective framework for clinical practice.
Peter and Sam.
The Burford NDU model: caring in practice.
From vision to reality.
A structural view of a reflective framework for clinical practice.
The Burford model’s explicit assumptions.
3 Becoming reflective.
Tom and Joan.
The first dialogical movement: doodles in my journal.
The second dialogical movement: surfing the reflective spiral.
Dwelling with the text and gaining insight.
4 The third and fourth dialogical movements.
The third dialogical movement: the dance with Sophia.
The fourth dialogical movement: dialogue with peers and guides.
The nature of guidance.
5 The fifth and sixth dialogical movements.
Reflection as art.
Being playful, being disciplined.
6 Being available.
Holding and intending to realise a vision.
The extent to which the practitioner knows the other.
The extent to which the practitioner is concerned for the other.
The extent to which the practitioner can grasp and interpret the clinical
moment and respond with appropriate skilful action (the aesthetic
Poise – the extent to which the practitioner knows and manages self
7 Creating an environment where being available is possible.
Cathy and the GPs.
Realising our power.
Therapeutic benefits of disclosure.
8 Therapeutic journalling for patients.
Moira Vass – living with motor neurone disease.
Listening to the patient’s story.
Part 2 Narratives of being available.
9 Jill Jarvis: reflection on touch and the environment.
Touch (Jill Jarvis).
Environment (Jill Jarvis).
10 Simon Lee: reflection on caring.
11 Clare Coward: life begins at 40.
12 Jim Jones: balancing the wind or a lot of hot air.
Part 3 Creating the reflective environment.
13 Reflective communication.
14 Ensuring quality.
A narrative of a quality initiative to improve midwifery care to postnatal
women in the community.
15 Transformational leadership.
Sally writes: a little voice in a big arena.
Susan writes: liberating to care.
16 Clinical supervision and nurturing the learning organisation.
The learning organisation.
Four variables of clinical supervision.
Emancipatory or technical supervision.
Qualities of the ideal supervisor.
Heron’s six-category intervention analysis.
Modes of supervision.
The nine step model.
17 Reflection as chaos theory.
18 The reflective curriculum.
Running in place.
Teaching through reflective practice.
Judging reflective writing.
19 The performance turn.
The performance turn.
How might performance be judged as valid? First a warning!
Authenticity/speaking your truth.
Appendix Clinical supervision evaluation tool.