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Biomedical subjects

T Durgahee

Publications and source records attributed to T Durgahee.

6 recordsLinked to original sources

Facilitating reflection: from a sage on stage to a guide on the side.

Reflection as a teaching and learning method has been well-established in nursing education. In this study, the aim is to discover the educational concepts which could be used by teachers of nursing in order to facilitate reflection. Participant observation and interviews were used to collect data. The study concludes that (1) purposefulness, (2) activity, (3) collaboration, (4) critical thinking and (5) confrontation and support are all key concepts which should be used by teachers in the operationalization of reflection. These concepts can also be easily remembered as a mnemonic--'PACTS'. Facilitation is about forming a PACTS with students enabling them to assume responsibilities for their learning, taking centre stage and the teacher moving aside to function as a guide. The role of the teacher in facilitation is thus moving a sage on stage to a guide on the side.

Attitude of Health Personnel

Reflective practice: nursing ethics through story telling.

Reflection is a method of learning and teaching professional maturity through the critical analysis of experience. An illuminative research approach was used over a period of five years in collaboration with students on a palliative care course to investigate the effects of learning moral and ethical reasoning by reliving clinical experiences through story telling. This study concludes that: self-concept is enhanced; communication skills are increased; and insight development is part of learning to reason fairly and ethically, and is achieved through a cathartic process, leading to the conceptualization and discovery of theories of nursing through reflective practice.

Communication

Reflective practice: decoding ethical knowledge.

This article analyses reflective practice by exploring ethical knowledge-in-use and the influence of context on professional nursing practice. Is ethical knowledge used in an appropriate context? The author identifies and discusses the theoretical underpinnings of reflective practice and offers an alternative paradigm to the generation and use of ethical knowledge in practice. The message to teachers and practitioners is decoded to facilitate teaching and learning. This article is an extension of the work done by the author and described by him in Nursing Ethics.

Education, Nursing

Promoting reflection in postgraduate nursing: a theoretical model.

Reflection is a method of learning and teaching professional maturity through critical analysis of experience. Illuminative research approach is used in collaboration with students on a palliative care course to investigate the effects of reflective learning 1 year after the course. Questionnaire and interview methods were used to collect data. This study concludes that (1) critical thinking is notably augmented, (2) listening and observation skills are enhanced and (3) gaining insight into clinical situations and personal nursing philosophy and approaches are essential for discovery of theories of nursing.

Clinical Competence

Discharge of psychiatric patients into the community: how many more must die?

Since the advent of community care, mental health services are increasingly coming under scrutiny, particularly the management of people with mental health problems in the community. Several murders committed by psychiatric patients in the community have fuelled public debate. This article reports on a study examining the recommendations of the Department of Health regarding the discharge of psychiatric patients from hospital to community care. It describes the background to events such as the Clunis report and guidance from the Department of Health on the management of mental health services. Semi-structured interviews, questionnaires and document analysis were used to ascertain the views of community psychiatric nurses and managers regarding the discharge of patients into the community. The findings identify areas of good practice and the need for nurses to improve their knowledge of the care-programming approach, risk assessment and inter-agency collaboration.

Attitude of Health Personnel