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Reflective practice.

Abstract

Christine Nash exemplifies reflective practice as a frequently used but infrequently defined concept in nursing (Jarvis 1992), with intuition seldom granted legitimacy as a sound approach to clinical judgement (Benner and Tanner 1987). She follows with a personal account of how she used reflective practice and intuitive skills in reassessing an A&E attender.

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BibTeXRIS

C Nash. 1999. Reflective practice.. https://doi.org/10.7748/en1999.03.6.10.14.c1230

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Skepticism: a lost clinical art.

Under the contemporary avalanche of new biomedical discoveries, most physicians find themselves in a losing battle to keep up to date. An underappreciated but important consequence of this struggle has been an abdication of the traditional responsibility of clinicians to critically review novel findings. We appear as a group to prefer our data predigested. Understandably, but unfortunately, we have become too accepting of formal guidelines and trusting of expert advice. Imprecision in our thinking and misapplication of cutting edge technologies have resulted, often to the detriment of the individual patient and the society at large. This essay illustrates some specific examples that demonstrate how superficial knowledge and blind faith can promote suboptimal care and inappropriate use of resources. Reflexive approaches to problems erode the individuality of diagnostic and treatment plans. Accordingly, I challenge my colleagues to be more skeptical about the validity and utility of how they are directed to practice medicine.

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