ABSTRACT

Reflective Practice (RP) is considered a crucial component of personal and professional learning. RP is regarded as a way that professionals learn from experience to understand and enhance their practice by responding appropriately to self-reflection. Despite playing a crucial role in healthcare settings, there is little agreement on how to assess RP. This study aims to systematically review self-rating instruments that assess RP in healthcare professionals. Peer review articles assessing RP in healthcare professionals using a self-rating instrument, published in English between 1998 and 2018 from PubMed, CINAHL, and PsychInfo databases, were considered for inclusion. Eighteen papers were appraised, the strengths and weaknesses of the measures were discussed in accordance with an adapted critical appraisal checklist. In general, all self-report instruments included in this review were potentially generalisable to healthcare professionals or health science programmes with some adaptation. Given the limited evidence for other measurement scales, the Reflective Questionnaire and Self-Reflection and Insight Scale are recommended for measuring RP within healthcare settings. Future research developing a standardised tool for the review of mixed-method, heterogeneous, questionnaire studies is strongly recommended.

摘要

反思性练习（RP）被认为是个人和专业学习的重要组成部分。RP被认为是专业人员从经验中学习的一种方式，可以通过对自我反思做出适当的反应来理解和增强他们的实践。尽管在医疗机构中起着至关重要的作用，但在如何评估RP方面几乎没有共识。这项研究旨在系统地评估用于评估医疗保健专业人员中RP的自我评估工具。1998年至2018年间以英文发表于PubMed，CINAHL和PsychInfo数据库的同行评议文章使用自我评估工具评估医疗保健专业人员的RP，被认为包括在内。评价了18篇论文，并根据改编的关键评估清单讨论了这些措施的优缺点。一般来说，这篇综述中包含的所有自我报告工具都可能经过一些调整后适用于医疗保健专业人员或健康科学计划。鉴于其他测量量表的证据有限，建议在医疗机构中使用反射式问卷和自反射和洞察力量表来测量RP。强烈建议今后开展研究，以开发一种用于审查混合方法，异构调查表的标准化工具。