Video Vignettes

One way to develop communication skills is to compare and contrast similarities and differences in your skills to those observed in others. To successfully complete this assessment task, you are required to watch the short video provided on pregnant stroke scenarios on http://med.monash.edu.au/cehpp/altc-empathy/video/pregnant-stroke/ choose one and complete an 800 word written reflective response to the following question:
What can I take away from the experience of observing this video that will help me build knowledge and self-awareness in one of the following areas: therapeutic communication; or inter-professional communication?

This assessment task is to be structured using the “5 R’s” of reflection (shown below).Use this model to identify in your response the qualities you currently see in yourself relevant to either therapeutic communication or inter-professional communication as well as the qualities you observed in the video that you would like to develop.

Facilitating Reflection on Practice using the 5 Rs
Active reflection is an essential element of learning. Learning experiences are as much about our construction of what has happened, as they are about our engagement in them. Thinking back on experience, and carefully re-evaluating it, is an essential part of ongoing personal and professional development.

Reflective practice is a process of reconstructing one’s experiences and identifying possibilities for action within a context of professional practice. Donald Schön, an influential thinker in the area of reflective practice, has described his own reflective practice as ‘a dialogue of thinking and doing through which I become more skilled’ (1987, p.31). Thus learning to be a reflective practitioner includes not only acquiring
technical expertise, but also the ability to establish meaningful connections between theory and practice, providing a rationale for action. In this sense, reflective practice can be likened to a ‘bridge’ between theory and practice and a powerful means of using theory to inform practice.

Reflective practice and critical thinking (Price 2004)

‘Reflective practice is an approach to learning and practice development which is patient- centred and which acknowledges the untidiness and confusion of the practice environment (Burns & Bulman 2000; Johns 2000). That which seems straightforward in the science laboratory or textbook is not so clear at the bedside (Benner et al 1996). Practitioners deal with illness rather than disease – they work with the perceptions of others and the ways in which they ascribe meanings to signs, symptoms, treatment and health promotion. Even normal events such as childbirth offer a range of different definitions of the situation that might prompt practitioners to recommend different actions (Cioffi 1997).

The 5Rs

The 5Rs are modified from a body of work that has been undertaken in Queensland by Bain et al. (2002). The 5Rs are Reporting, Responding, Relating, Reasoning and Reconstructing. More about each of the Rs is shown below.

What are the 5Rs?
Questions to prompt your thinking

Reporting ? What happened, what did the situation / issue involve?
? What was I doing/involved? Where? When?
? Who was involved? How was I involved?
? What seems significant to pay attention to?
Responding ? How well did it go (or not)? How well did I perform? How do I know it worked (or didn’t work)?
? What specifically worked well? How do I know it worked well?
? What specifically worked least well? Why do I think that?
? How did I feel, and what made me feel that way? How were others feeling, and what made them feel that way?
? How did you respond emotionally / personally / behaviourally to the situation / issue etc.?
Relating ? Which theories / bodies of knowledge are relevant to the situation / issue – and in what ways?
? How does it connect with other personal / professional experiences you have had – and in what way/s?
Reasoning ? What is your explanation for what happened?
? How does the relevant theory and/or research inform your thinking about this?
? What is the impact of different perspectives, eg. a personal perspective? patients’
perspectives? peers / colleagues’ perspectives?
Reconstructing ? In summary, what do you think about this situation / issue?
? What conclusions can you draw? How do you justify these?
? With hindsight, would you do something differently next time and why?
? What has this taught you about professional practice? about yourself?
? How will you use this experience to further improve your practice in the future?
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