Reflective practice and its relationship to mindfulness, situation/movement awareness and person-centredness during mobility care in nursing homes: a discussion paper

This paper highlights the relationship between reflective practice and staff mindfulness, situation and movement awareness, and person-centredness during mobility care in nursing homes. An overview of relevant decision-making theory is followed by discussion of the place of reflective practice in optimizing mobility care. Two contrasting case scenarios, derived from observations of mobility care during a previous qualitative study, are used to illustrate and contrast how mindfulness, situation awareness and reflection-in-action may enable person-centredness. Implications for training designed to improve person-centredness during mobility care are considered. Training in situation and movement awareness, combined with observations and collaborative reflective practice, may provide a format for coaches and peer leaders to develop mindfulness and person-centredness of care staff during mobility care.

本文强调了养老院移动护理过程中反思性实践与员工的专注力、情境和动作意识以及以患者为中心之间的关系。在对相关决策理论进行综述之后，讨论了反思性实践在优化移动护理中的作用。通过之前一项定性研究中对移动护理的观察得出两个截然不同的案例情景，用于说明和对比专注力、情境意识和行动中的反思如何实现以患者为中心。文中还考虑了旨在提高移动护理过程中以患者为中心程度的培训所带来的影响。情境和动作意识培训，结合观察和协作性反思实践，可能为指导者和同行领导者提供一种模式，以培养移动护理过程中护理人员的专注力和以患者为中心的意识。