difference between critical thinking and reflective learning

Critical Thinking vs. Reflective Thinking

What's the difference.

Critical thinking and reflective thinking are both important cognitive processes that involve analyzing and evaluating information. However, critical thinking tends to focus more on questioning and challenging assumptions, beliefs, and arguments, while reflective thinking involves looking back on past experiences and considering how they have shaped one's beliefs and actions. Critical thinking is often used to solve problems and make decisions, while reflective thinking is more about self-awareness and personal growth. Both types of thinking are essential for developing a deeper understanding of complex issues and making informed choices.

Further Detail

Introduction.

Critical thinking and reflective thinking are two important cognitive processes that play a crucial role in problem-solving, decision-making, and learning. While they share some similarities, they also have distinct attributes that set them apart. In this article, we will explore the key characteristics of critical thinking and reflective thinking, and discuss how they differ in their approaches and outcomes.

Critical Thinking

Critical thinking is a systematic way of thinking that involves analyzing and evaluating information, arguments, and evidence in order to make informed decisions or judgments. It requires individuals to question assumptions, consider multiple perspectives, and apply logical reasoning to arrive at well-reasoned conclusions. Critical thinking is often associated with skills such as analysis, evaluation, interpretation, and inference.

• Critical thinking involves being open-minded and willing to consider alternative viewpoints.
• It requires individuals to be skeptical and not accept information at face value.
• Critical thinking involves asking probing questions to clarify and deepen understanding.
• It focuses on evidence-based reasoning and logical thinking.
• Critical thinking is essential for problem-solving and decision-making in complex situations.

Reflective Thinking

Reflective thinking, on the other hand, is a process of introspection and self-examination that involves looking back on past experiences, actions, or decisions in order to learn from them and improve future outcomes. It requires individuals to engage in self-awareness, self-assessment, and self-regulation to gain insights into their thoughts, feelings, and behaviors. Reflective thinking is often associated with skills such as self-reflection, self-awareness, self-evaluation, and self-improvement.

• Reflective thinking involves examining one's own beliefs, values, and assumptions.
• It requires individuals to consider how their actions and decisions impact themselves and others.
• Reflective thinking involves identifying strengths and weaknesses in one's thinking and behavior.
• It focuses on personal growth, learning, and development.
• Reflective thinking is essential for self-improvement and continuous learning.

While critical thinking and reflective thinking share the common goal of improving cognitive processes and decision-making, they differ in their approaches and outcomes. Critical thinking is more focused on analyzing and evaluating external information and arguments, while reflective thinking is more focused on examining internal thoughts and experiences. Critical thinking emphasizes logical reasoning and evidence-based thinking, while reflective thinking emphasizes self-awareness and personal growth.

Both critical thinking and reflective thinking are essential skills that can complement each other in the learning process. Critical thinking can help individuals make informed decisions based on evidence and reasoning, while reflective thinking can help individuals gain insights into their own thoughts and behaviors to improve their decision-making processes. By combining critical thinking and reflective thinking, individuals can enhance their problem-solving abilities and make more effective decisions in various contexts.

In conclusion, critical thinking and reflective thinking are two important cognitive processes that play a crucial role in problem-solving, decision-making, and learning. While critical thinking focuses on analyzing and evaluating external information and arguments, reflective thinking focuses on examining internal thoughts and experiences. Both critical thinking and reflective thinking are essential skills that can complement each other in the learning process and help individuals improve their decision-making processes. By developing both critical thinking and reflective thinking skills, individuals can enhance their cognitive abilities and make more informed and effective decisions in various contexts.

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Home » General » What is the Difference Between Critical Thinking and Reflective Thinking

What is the Difference Between Critical Thinking and Reflective Thinking

The main difference between critical thinking and reflective thinking is that critical thinking is the ability to think in an organized and rational manner , understanding the logical connection between ideas or facts, whereas reflective thinking is the process of reflecting on one’s emotions, feelings , experiences, reactions, and knowledge, creating connections between them.

Critical thinking and reflective thinking are necessary for analyzing facts and investigating a matter rationally. These two terms are often used interchangeably. However, reflective thinking is a part of critical thinking.

Key Areas Covered

1.  What is Reflective Thinking      – Definition, Features 2.  What is Critical Thinking       – Definition, Features 3.  Difference Between Critical Thinking and Reflective Thinking      – Comparison of Key Differences

What is Reflective Thinking

Reflective thinking is the process of reflecting on one’s emotions, feelings, experiences, reactions, and knowledge, creating connections between them, which leads to learning. In reflective thinking, you have to consciously think about and analyze what you are doing now, what you have done previously, what you have experienced, what you have learned, and how you have learned it.  We can also describe reflective thinking as awareness our awareness of our knowledge, assumptions, and past experiences. It’s our past experiences and learning that make the context of our thoughts. Therefore, these are unique to us. Furthermore, reflective learning is an active and dynamic process that keeps on developing and evolving as we learn and respond to new experiences, situations, and information.

In reflective thinking, we interpret and evaluate our experiences, derive meaning from them, and use them for problem-solving. It also involves analyzing and critiquing. In this context, analyzing involves breaking complex topics into smaller sections to understand them better, while critiquing involves questioning our assumptions and understanding.

What is Critical Thinking

Critical thinking is our ability to think in an organized and rational manner, understanding the logical connection between ideas or facts. This involves rational and unbiased analysis or evaluation of factual evidence. It’s also important to note that a person with critical thinking skills will always engage in reflective and independent thinking. They will always question ideas and assumptions and analyze them critically without accepting them at face value. They also identify, analyze, solve problems systematically, instead of by instinct or intuition .

Critical thinking involves a process with several steps. The first step is identifying the problem or question. Once you narrow it down, it’s easier to find solutions. Then find sources that give different ideas and points of view relevant to this issue. Next, analyze and evaluate the data you have found. Now it’s important to determine whether these sources are reliable, unbiased and whether they are based on strong data. After a good analysis, you can establish what sources are most important. Then you can make a decision or reach a conclusion based on this data.

Difference Between Critical Thinking and Reflective Thinking

Critical thinking is the ability to think in an organized and rational manner, understanding the logical connection between ideas or facts, whereas reflective thinking is the process of reflecting on one’s emotions, feelings, experiences, reactions, and knowledge, creating connections between them.

Moreover, critical thinking involves a wide range of thinking skills, and reflective thinking is a part of critical thinking.

In brief, critical thinking involves thinking in an organized and rational manner, understanding the logical connection between ideas or facts. Reflective thinking, on the other hand, involves reflecting on one’s emotions, feelings, experiences, reactions, and knowledge, creating connections between them. Thus, this is the main difference between critical thinking and reflective thinking. Moreover, critical thinking involves a wide range of thinking skills, and reflective thinking is a part of critical thinking.

1.“ What Is Reflective Thinking? ” OpenLearn.

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Reflective Thinking vs. Critical Thinking - What's the Difference?

March 28, 2013

Sometimes a simple internet search of a term that I am using repeatedly in my work can lead to new insights. During a lively conversation with friends analyzing the challenges of teaching and learning a language, we talked about the need to shift from memorizing and rote learning to reflective thinking and critical thinking. In the dialogue, the question came up of whether reflective thinking in the U.S. culture manifests differently than reflecting thinking in Asia, and we started questioning our own definitions of reflective and critical thinking. So I looked up some definitions. Below is my favorite posted on the University of Hawaii website, and including some classroom tips. I think the definitions are a great resource in themselves. Gets you thinking! What is reflective thinking?

• The description of reflective thinking: Critical thinking and reflective thinking are often used synonymously. Critical thinking is used to describe: "... the use of those cognitive skills or strategies that increase the probability of a desirable outcome...thinking that is purposeful, reasoned and goal directed - the kind of thinking involved in solving problems, formulating inferences, calculating likelihoods, and making decisions when the thinker is using skills that are thoughtful and effective for the particular context and type of thinking task. Critical thinking is sometimes called directed thinking because it focuses on a desired outcome." Halpern (1996).

Reflective thinking, on the other hand, is a part of the critical thinking process referring specifically to the processes of analyzing and making judgments about what has happened. Dewey (1933) suggests that reflective thinking is an active, persistent, and careful consideration of a belief or supposed form of knowledge, of the grounds that support that knowledge, and the further conclusions to which that knowledge leads. Learners are aware of and control their learning by actively participating in reflective thinking – assessing what they know, what they need to know, and how they bridge that gap – during learning situations.

In summary, critical thinking involves a wide range of thinking skills leading toward desirable outcomes and reflective thinking focuses on the process of making judgments about what has happened. However, reflective thinking is most important in prompting learning during complex problem-solving situations because it provides students with an opportunity to step back and think about how they actually solve problems and how a particular set of problem solving strategies is appropriated for achieving their goal. Characteristics of environments and activities that prompt and support reflective thinking:

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Critical Thinking and Reflective Thinking

Critical and Reflective Thinking encompasses a set of abilities that students use to examine their own thinking and that of others. This involves making judgments based on reasoning, where students consider options, analyze options using specific criteria, and draw conclusions.

People who think critically and reflectively are analytical and investigative, willing to question and challenge their own thoughts, ideas, and assumptions and challenge those of others. They reflect on the information they receive through observation, experience, and other forms of communication to solve problems, design products, understand events, and address issues. A critical thinker uses their ideas, experiences, and reflections to set goals, make judgments, and refine their thinking.

• Back to Thinking

• Connections
• Illustrations

Analyzing and critiquing

Students learn to analyze and make judgments about a work, a position, a process, a performance, or another product or act. They reflect to consider purpose and perspectives, pinpoint evidence, use explicit or implicit criteria, make defensible judgments or assessments, and draw conclusions. Students have opportunities for analysis and critique through engagement in formal tasks, informal tasks, and ongoing activities.

Questioning and investigating

Students learn to engage in inquiry when they identify and investigate questions, challenges, key issues, or problematic situations in their studies, lives, and communities and in the media. They develop and refine questions; create and carry out plans; gather, interpret, and synthesize information and evidence; and reflect to draw reasoned conclusions. Critical thinking activities may focus on one part of the process, such as questioning, and reach a simple conclusion, while others may involve more complex inquiry requiring extensive thought and reflection.

Designing and developing

Students think critically to develop ideas. Their ideas may lead to the designing of products or methods or the development of performances and representations in response to problems, events, issues, and needs. They work with clear purpose and consider the potential uses or audiences of their work. They explore possibilities, develop and reflect on processes, monitor progress, and adjust procedures in light of criteria and feedback.

Reflecting and assessing

Students apply critical, metacognitive, and reflective thinking in given situations, and relate this thinking to other experiences, using this process to identify ways to improve or adapt their approach to learning. They reflect on and assess their experiences, thinking, learning processes, work, and progress in relation to their purposes. Students give, receive, and act on feedback and set goals individually and collaboratively. They determine the extent to which they have met their goals and can set new ones.

I can explore.

I can explore materials and actions. I can show whether I like something or not.

I can use evidence to make simple judgments.

I can ask questions, make predictions, and use my senses to gather information. I can explore with a purpose in mind and use what I learn. I can tell or show others something about my thinking. I can contribute to and use simple criteria. I can find some evidence and make judgments. I can reflect on my work and experiences and tell others about something I learned.

I can ask questions and consider options. I can use my observations, experience, and imagination to draw conclusions and make judgments.

I can ask open-ended questions, explore, and gather information. I experiment purposefully to develop options. I can contribute to and use criteria. I use observation, experience, and imagination to draw conclusions, make judgments, and ask new questions. I can describe my thinking and how it is changing. I can establish goals individually and with others. I can connect my learning with my experiences, efforts, and goals. I give and receive constructive feedback.

I can gather and combine new evidence with what I already know to develop reasoned conclusions, judgments, or plans.

I can use what I know and observe to identify problems and ask questions. I explore and engage with materials and sources. I can develop or adapt criteria, check information, assess my thinking, and develop reasoned conclusions, judgments, or plans. I consider more than one way to proceed and make choices based on my reasoning and what I am trying to do. I can assess my own efforts and experiences and identify new goals. I give, receive, and act on constructive feedback.

I can evaluate and use well-chosen evidence to develop interpretations; identify alternatives, perspectives, and implications; and make judgments. I can examine and adjust my thinking.

I can ask questions and offer judgments, conclusions, and interpretations supported by evidence I or others have gathered. I am flexible and open-minded; I can explain more than one perspective and consider implications. I can gather, select, evaluate, and synthesize information. I consider alternative approaches and make strategic choices. I take risks and recognize that I may not be immediately successful. I examine my thinking, seek feedback, reassess my work, and adjust. I represent my learning and my goals and connect these with my previous experiences. I accept constructive feedback and use it to move forward.

I can examine evidence from various perspectives to analyze and make well-supported judgments about and interpretations of complex issues.

I can determine my own framework and criteria for tasks that involve critical thinking. I can compile evidence and draw reasoned conclusions. I consider perspectives that do not fit with my understandings. I am open-minded and patient, taking the time to explore, discover, and understand. I make choices that will help me create my intended impact on an audience or situation. I can place my work and that of others in a broader context. I can connect the results of my inquiries and analyses with action. I can articulate a keen awareness of my strengths, my aspirations and how my experiences and contexts affect my frameworks and criteria. I can offer detailed analysis, using specific terminology, of my progress, work, and goals.

The Core Competencies relate to each other and with every aspect of learning.

Connections among Core Competencies

The Core Competencies are interrelated and interdependent. Taken together, the competencies are foundational to every aspect of learning. Communicating is intertwined with the other Core Competencies.

Critical and Reflective Thinking is one of the Thinking Core Competency’s two interrelated sub-competencies, Creative Thinking and Critical and Reflective Thinking.

Critical and Reflective Thinking and Creative Thinking overlap. For example:

• Students use creative thinking to generate new ideas when solving problems and addressing constraints that arise as they question and investigate, and design and develop
• Students use critical thinking to analyze and reflect on creative ideas to determine whether they have value and should be developed, engaging in ongoing reflection as they develop their creative ideas

Communication

Critical and Reflective Thinking is closely related to the two Communication sub-competencies: Communicating and Collaborating. For example:

• Students apply critical thinking to acquire and interpret information, and to make choices about how to communicate their ideas
• Students often collaborate as they work in groups to analyze and critique, and design and develop

Personal and Social

Critical and Reflective Thinking is closely related to the three Personal and Social sub-competencies, Personal Awareness and Responsibility, Social Awareness and Responsibility, and Positive Personal and Cultural Identity. For example:

• Students think critically to determine their personal and social responsibilities
• Students apply their personal awareness as they reflect on their efforts and goals

Connections with areas of learning

Critical and Reflective Thinking is embedded within the curricular competencies of the concept-based, competency-driven curriculum. Curricular competencies are focused on the “doing” within the area of learning and include skills, processes, and habits of mind required by the discipline. For example, the Critical and Reflective Thinking sub-competency can be seen in the sample inquiry questions that elaborate on the following Big Ideas in Science:

• Light and sound can be produced and their properties can be changed: How can you explore the properties of light and sound? What discoveries did you make? (Science 1)
• Matter has mass, takes up space, and can change phase: How can you explore the phases of matter? How does matter change phases? How does heating and cooling affect phase changes? (Science 4)
• Elements consist of one type of atom, and compounds consist of atoms of different elements chemically combined: What are the similarities and differences elements and compounds? How can you investigate the properties of elements and compounds? (Science 7)
• The formation of the universe can be explained by the big bang theory: How could you model the formation of the universe? (Science 10)

Critical Thinking and Evaluating Information

• Introduction
• What Is Critical Thinking?
• Words Of Wisdom

Critical Thinking and Reflective Judgment

Stages of reflective judgment.

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• Use the CRAAP Test
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What is Reflective Judgment?

Critical thinking is "thinking about thinking." To apply critical thinking skills, skills to a particular problem implies a reflective sensibility and the capacity for reflective judgment (King & Kitchener, 1994). The simplest description of reflective judgment is that of ‘taking a step back.’ ( Dwyer, 2017)

Reflective judgment is the ability to evaluate and process information in order to draw plausible conclusions. 

It can be defined more concisely in the video below:

Video Source and Credit: Bill Garris, Ph.D

Source: King, P.M. & Kitchener, K.S. (1994). Developing Reflective Judgment. San Francisco: Jossey-Bass Publishers, pp. 14-16. Source hosted by Univerity of Michigan

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• URL: https://libguides.coastalpines.edu/thinkcritically

Module 5: Thinking and Analysis

Critical thinking, learning objectives.

• Define critical thinking

Thinking comes naturally. You don’t have to make it happen—it just does. But you can make it happen in different ways. For example, you can think positively or negatively. You can think with your heart and you can think with rational judgment. You can also think strategically and analytically, and mathematically and scientifically. These are a few of multiple ways in which the mind can process thought.

What are some forms of thinking you use? When do you use them and why?

As a college student, you are tasked with engaging and expanding your thinking skills. One of the most important thinking skills is critical thinking. Critical thinking is important because it relates to nearly all tasks, situations, topics, careers, environments, challenges, and opportunities. It’s a “domain-general” thinking skill—not a thinking skill that’s reserved for a one subject alone or restricted to a particular subject area. Critical thinking is used in every domain, from physics to auto mechanics. It is often employed to problem solve when we are puzzled by something or to reveal that there is an error in common ways of thinking about things. Thus, critical thinking is essential for revealing biases.

For example, Galileo used a common form of reasoning called reductio ad absurdum  (Latin for “reduce to absurdity) to show that the physics of his day was mistaken. People at that time believed that the heavier something was, the faster it would fall. Galileo knew this common conception was mistaken and he proved it both empirically and conceptually. Here is how he proved it conceptually. Suppose you have two objects, one heavier (call it B) than the other (call it A). Suppose the heavier object falls faster. When you put the lighter object under the heavier object (c), the lighter object should slow down the heavier object. On the other hand gluing together both objects results in a heavier object (c), which should fall even faster than (b). See diagram here . The contradiction proves by reductio ad absurdum that the assumption must be false. This is just one example, but the form of reasoning (reductio ad absurdum) is the same across every domain—from science to religion to auto mechanics. The form of reasoning is just this: assume for the sake of the argument that A is true. If we can then show that A leads to a contradiction (literally where two statements are asserted that cannot possibly be true), then we prove that A is false.

Great leaders have highly attuned critical thinking skills, and you can too. In fact, you probably have a lot of these skills already. Of all your thinking skills, critical thinking may have the greatest value.

What Is Critical Thinking?

Critical thinking is clear, reasonable, reflective thinking focused on deciding what to believe or do. It means asking probing questions like, “How do we know?” or “Is this true in every case or just in this instance?” It involves being skeptical and challenging assumptions, rather than simply memorizing facts or blindly accepting what you hear or read.

Imagine, for example, that you’re reading a history textbook. You wonder who wrote it and why because you detect certain biases in the writing. You find that the author has a limited scope of research focused only on a particular group within a population. In this case, your critical thinking reveals that there are other sides to the story.

Who are critical thinkers, and what characteristics do they have in common? Critical thinkers are usually curious and reflective people. They like to explore and probe new areas and seek knowledge, clarification, and new solutions. They ask pertinent questions, evaluate statements and arguments, and they distinguish between facts and opinion. They are also willing to examine their own beliefs, possessing a manner of humility that allows them to admit lack of knowledge or understanding when needed. They are open to changing their mind. Perhaps most of all, they actively enjoy learning and seeking new knowledge is a lifelong pursuit.

This description may well be you!

No matter where you are on the road to being a critical thinker, you can always more fully develop and finely tune your skills. Doing so will help you develop more balanced arguments, express yourself clearly, read critically, and glean important information efficiently. Critical thinking skills will help you in any profession or any circumstance of life, from science to art to business to teaching. With critical thinking, you become a clearer thinker and problem solver.

The following video from Lawrence Bland presents the major concepts and benefits of critical thinking.

You can view the transcript for “Critical Thinking.wmv” here (opens in new window) .

Supporting Claims with Evidence

Thinking and constructing analyses based on your thinking will bring you in contact with a great deal of information. Some of that information will be factual, and some will not be. You need to be able to distinguish between facts and opinions so you know how to support your arguments. Begin with the following basic definitions:

• Fact: a statement that can be supported by objective evidence such as observation, argument, or research.
• Opinion: a statement whose truth depends on someone’s desire(s) rather than objective evidence. Opinions that cannot be supported by objective evidence are at most subjectively true.

Of course, the tricky part is that most people do not label statements as fact and opinion, so you need to be aware and recognize the difference as you go about honing your critical thinking skills.

You probably have heard the old saying “Everyone is entitled to their own opinions,” which may be true, but conversely not everyone is entitled to their own facts. Facts are true for everyone, not just those who want to believe in them. For example, “mice are mammals”  is a fact since it has been established by scientific research. In contrast, “mice make the best pets” is an opinion (since best means whatever one likes the best—and that is a matter of one’s subjective desires).

Facts vs. opinion

Determine if the following statements are facts or opinions based on just the information provided here, referring to the basic definitions above. Some people consider scientific findings to be opinions even when they are convincingly backed by reputable evidence and experimentation. However, remember the definition of fact—verifiable by research or observation. Think about what other research you may have to conduct to make an informed decision.

• Oregon is a state in the United States. (How would this be proven?)
• Beef is made from cattle. (See current legislation concerning vegetarian “burgers.”)
• Increased street lighting decreases criminal behavior. (What information would you need to validate this claim?)
• In 1952, Elizabeth became Queen of England. (What documents could validate this statement?)
• Oatmeal tastes plain. (What factors might play into this claim?)
• Acne is an embarrassing skin condition. (Who might verify this claim?)
• Kindergarten decreases student dropout rates. (Think of different interest groups that may take sides on this issue.)
• Carbohydrates promote weight gain. (Can you determine if this is a valid statement?)
• Cell phones cause brain tumors. (What research considers this claim?)
• Immigration is good for the US economy. (What research would help you make an informed decision on this topic?)

Defending against Bias

Once you have all your information gathered and you have checked your sources for currency and validity, you need to direct your attention to how you’re going to present your now well-informed analysis. Be careful on this step to recognize your own possible biases (metacognition). Facts are verifiable statements; opinions are statements without supporting evidence. Stating an opinion is just that. You could say, “Blue is the best color,” and that would be your opinion. In contrast, suppose you were to conduct research and find the use of blue paint in mental hospitals reduces patients’ heart rates by twenty-five percent and contributes to fewer angry outbursts from patients. In that case, the statement “blue paint in mental hospitals reduces patients’ heart rate by twenty-five percent” would be a fact supported by objective evidence.

Not everyone will accept your analysis, which can be frustrating. Most people resist change and have firm beliefs on both important issues and less significant preferences. With all the competing information surfacing online, on the news, and in general conversation, you can understand how confusing it can be to make any decisions. Look at all the reliable, valid sources that claim different approaches to be the best diet for healthy living: ketogenic, low-carb, vegan, vegetarian, low fat, raw foods, paleo, Mediterranean, etc. All you can do in this sort of situation is conduct your own serious research, check your sources, and write clearly and concisely to provide your analysis of the information for consideration. You cannot force others to accept your stance, but you can show your evidence in support of your thinking, being as persuasive as possible without lapsing into your own personal biases.

critical thinking:  clear, reasonable, reflective thinking focused on deciding what to believe or do, often as a result of challenging assumptions

opinions:  statements offered without supporting evidence

• College Success. Authored by : Matthew Van Cleave. Provided by : Lumen Learning. License : CC BY: Attribution
• Critical Thinking. Provided by : Critical and Creative Thinking Program. Located at : http://cct.wikispaces.umb.edu/Critical+Thinking . License : CC BY: Attribution
• Thinking Critically. Authored by : UBC Learning Commons. Provided by : The University of British Columbia, Vancouver Campus. Located at : https://learningcommons.ubc.ca/student-toolkits/thinking-critically/ . License : CC BY: Attribution
• College Success. Authored by : Amy Baldwin; Modified by Lumen Learning. Provided by : OpenStax. Located at : https://openstax.org/books/college-success/pages/7-4-critical-thinking . License : CC BY: Attribution
• Thought-experiment-free-falling-bodies. Provided by : Wikimedia Commons. Located at : https://commons.wikimedia.org/wiki/File:Thought-experiment-free-falling-bodies.svg . License : CC BY: Attribution
• Critical Thinking.wmv. Authored by : Lawrence Bland. Located at : https://youtu.be/WiSklIGUblo . License : All Rights Reserved

Reflective Learning, Reflective Teaching

• First Online: 10 October 2018

Cite this chapter

• Yasser El Miedany 2 , 3  

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Reflection is an active and aware process that can occur anytime and anywhere. It functions to help us, or our students, to recapture, relive, make sense of, think about, contextualize and evaluate an experience in order to make decisions and choices about what we have experienced, how we have experienced and what we will or will not do next. Engaging in self-reflection should involve a move from this semiconscious, informal approach to a more explicit, intentional formal approach. At the educational level, formal reflection draws on research and theory and provides guidance as well as frameworks for practice, which enables the teacher to learn from and potentially enhance their career (and consequently their awareness of the reflection process) which can be applied to any aspect of teaching. This chapter will discuss the art and science of reflection, characters of reflective learning, reflecting on one’s own practice, reflective teaching and how to become a reflective learner.

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El Miedany, Y. (2019). Reflective Learning, Reflective Teaching. In: Rheumatology Teaching. Springer, Cham. https://doi.org/10.1007/978-3-319-98213-7_12

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Levels of Reflective Thought 

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by Michelle Head, CETL Scholarly Teaching Fellow for Reflective Practices

This article is part of the larger, Reflective Practices for Teaching .

The literature often differentiates between three levels of reflection, as shown in the figure below.  

Critical reflection is the highest level of reflection and often the most difficult for students to achieve. As the learner composes a critical reflection, they will often engage in a description of the event, and reason through the experience before extending their understanding of the experience to consider how it aligns or conflicts with the learner already knows.  

Critical reflection parallels very well the design process. At the start, the learner may be mulling over a number of thoughts related to the experience. They then begin to observe common themes that emerge from their experiences that allow the learner to articulate what they have learned from the experience. As a result, it is helpful to think of ways to scaffold the student's reflection process to move them toward this level of reflection. See the section on Constructing Reflection Prompts to Promote Critical Reflection .

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Reflective Practice: A Critical Thinking Study Method

In the ever-evolving landscape of education and self-improvement, the quest for effective study techniques is unceasing. One such technique that has gained substantial recognition is reflective practice. Rooted in the realms of experiential learning and critical thinking, reflective practice goes beyond pure memorisation and aims to foster a deeper understanding of concepts.

In this article, we’ll explore the essence of reflective practice as a study technique and how it can be harnessed to elevate the learning experience.

What is Reflective Learning?

The concept of reflective practice has been explored by many researchers , including John Dewey. His work states that reflective learning is more than just a simple review of study material. It's an intentional process that encourages students to examine their experiences, thoughts, and actions. This process aims to uncover insights and connections that lead to enhanced comprehension. The essence of reflective practice lies in its ability to turn information consumption into an active cognitive exercise that leads to the understanding and retention of information.

At its core, reflective learning involves several key steps:

• Experience : the first step to reflective learning is to engage with the material, whether it's a lecture, a reading, a discussion, or any other learning experience.
• Reflection : after engaging with the material to be understood it’s important to take time to ponder and evaluate the experience. This involves questioning what was learnt, why it was learnt, and how it fits into the larger context of the subject matter.
• Analysis : once the information has been questioned, it’s important to dive deeper into the experience by analysing the components, concepts, and connections. Explore how the new information relates to what you already know.
• Synthesis : it’s then time to integrate the new knowledge with your existing understanding, creating a cohesive mental framework that bridges the gaps between concepts.
• Application : it’s then important to consider how this newly acquired knowledge can be applied in real-life scenarios or to solve problems, thus enhancing its practical relevance.
• Feedback and adjustment : the final step is to reflect on the effectiveness of the learning process. What worked well? What could be improved? This step encourages continuous refinement of your study techniques.

The Benefits of Reflective Practice

There are a variety of benefits that reflective practice can offer students as they attempt to understand and retain new information, making the studying process much more effective. 

Deeper Understanding

Reflective practice prompts students to go beyond surface-level comprehension. By dissecting and analysing the material, students are able to gain a more profound understanding of the subject matter. When engaging in reflective practice, you're not just skimming the surface of the information; you're actively delving into the core concepts, identifying underlying relationships, and unravelling the intricacies of the topic.

Imagine you're reading a challenging chapter in your history textbook.Rather than quickly flipping through the pages, using reflective practice would mean taking a moment to think about why this historical event is important. You might wonder how it connects to events you've learnt about before, and how it might have shaped the world we live in today. By taking the time to really think about these things, you'll start to see patterns and connections that make the topic much more interesting and understandable. 

Critical Thinking

This technique nurtures critical thinking skills by encouraging individuals to evaluate and question information, enhancing their ability to think logically and make informed judgements. Critical thinking involves analysing information, assessing its validity and reliability, and discerning its relevance. Reflective practice compels you to question the material, explore its underlying assumptions, and consider different perspectives.

If we once again use history as an example, a reflective practice will prompt you to question the biases of the sources, evaluate the motivations of the individuals involved, and critically assess the long-term impact of the event. These analytical skills extend beyond academia, enriching your ability to evaluate information in everyday situations and make informed decisions.

Long-Tern Retention

Engaging with material on a reflective level enhances memory retention. When you actively connect new information to existing knowledge, it becomes more ingrained in your memory. This process is often referred to as ‘elaborative rehearsal’, where you link new information to what you already know, creating meaningful connections that make the material easier to recall in the future.

For example, when learning a new language, reflecting on how certain words or phrases relate to your native language or personal experiences can help you remember them more effectively.

Personalisation

Reflective practice is adaptable to various learning styles. It allows students to tailor their approach to fit their strengths, preferences, and pace. This is because reflective practice is a self-directed process, allowing you to shape it in ways that align with your individual learning style .

For instance, if you're a visual learner, you might create concept maps or diagrams during your reflective sessions to visually represent the connections between ideas. However, if you're an auditory learner, you might prefer recording your reflections as spoken thoughts.

Real-Life Application

By encouraging students to consider how knowledge can be applied practically, reflective practice bridges the gap between theoretical learning and real-world scenarios. This benefit is especially valuable as you are preparing to tackle challenges beyond the classroom .

For example, if you're studying economics, reflective practice prompts you to think about how the principles you're learning can be applied to analyse current economic issues or make informed personal financial decisions.

Self-Awareness

Reflective practice cultivates self-awareness, as students learn about their thought processes, learning preferences, and areas of growth. As you reflect on your learning experiences, you become attuned to how you absorb information, what strategies work best for you, and where you might encounter challenges.

How to Apply Reflective Learning

Reflective learning can easily be integrated into your study routine, all it takes is a bit of planning, time and patience in order to get used to it. 

Set Aside Time

Dedicate specific time slots for reflective practice in your study routine. This could be after a lecture, reading a chapter, or completing an assignment.

Allocating dedicated time for reflective practice ensures that you prioritise this valuable technique in your learning process. After engaging with new material, take a few moments to step back and contemplate what you've learnt. This practice prevents information overload and provides an opportunity for your brain to process and make connections. 

For example, if you've just attended a lecture, set aside 10–15 minutes afterwards, or as soon as you can, to reflect on the main points, key takeaways, and any questions that arose during the session.

Create a Reflection Space

Creating a conducive environment for reflection is crucial. Find a quiet and comfortable space where you can concentrate without interruptions. Having a designated journal or digital note-taking app allows you to capture your thoughts systematically. 

A voice recorder can be particularly helpful for those who prefer verbalising their reflections. 

The act of recording your reflections also adds a layer of accountability, making it easier to track your progress over time.

Ask Thoughtful Questions

Asking insightful questions is at the heart of reflective practice. Challenge yourself to go beyond the superficial understanding of a concept by posing thought-provoking inquiries. 

For instance, if you've just read a chapter in a textbook, consider why the concepts covered are significant in the larger context of the subject. Reflect on how these ideas relate to your prior knowledge and experiences. Additionally, explore real-world scenarios where you could apply the newfound knowledge. This will enhance your comprehension and problem-solving skills.

Review Regularly

Revisiting your reflections is akin to reviewing your study notes. Regularly returning to your reflections reinforces your understanding of the material. Over time, you might notice patterns in your thinking, areas where you consistently struggle, or subjects that spark your curiosity. 

This insight can guide your future study sessions and help you allocate more time to topics that need a little more attention.

Engage in Dialogue

Sharing your reflections with others opens the door to valuable discussions. Conversations with peers, parents, teachers, or mentors offer different viewpoints and insights you might not have considered on your own. Explaining your thoughts aloud also helps consolidate your understanding, as articulating concepts requires a deeper level of comprehension. 

Ultimately, engaging in dialogue enriches your learning experience and enables you to refine your thoughts through constructive feedback.

A Reflective Learner is A Life Long Learner

Reflective learning has the remarkable ability to cultivate a love for learning and foster a lifelong learner mindset. 

This method will encourage you to actively engage with your learning experiences, critically examine your knowledge, and apply insights to real-life situations. This process of examination, questioning, and application will nurture intrinsic motivation , curiosity, and ownership of learning. 

This will also empower you to view challenges as opportunities for growth and to embrace a mindset of continuous improvement. This joy of discovery, combined with collaborative interactions, can also strengthen your sense of community and amplify the satisfaction you derive from the learning process. 

Ultimately, reflective practice instils a belief in the value of lifelong learning, encouraging you to seek out new knowledge, explore diverse fields, and continuously evolve intellectually and personally.

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Critical reflection for assessments and practice

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Critical reflection for assessments and practice: Reflective practice

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What is reflective practice?

"In general, reflective practice is understood as the process of learning through and from experience towards gaining new insights of self and/or practice. This often involves examining assumptions of everyday practice."

Linda Finlay - Reflecting on 'Reflective practice' (2008)

Reflection is critical to being a conscious, effective practitioner in any discipline. The important thing to keep in mind is that reflecting by itself is not reflective practice. Practice is tied into active, impactful change that emerges from deep reflective learning . 

Thinking and doing

Reflective practice is the act of thinking about your experiences in order to learn from them to shape what you do in the future. It therefore includes all aspects of your practice (e.g. relationships, interactions, learning, assessments, behaviours, and environments). It also includes examining how your practice is influenced by your own world views and gaining insights and other perspectives to inform future decision making.

Why reflect?

Reflective practice benefits you on both professional and personal levels. Using critical reflection as a tool can give you insight and positively impact your study, your wellbeing and your worklife.  Click the plus icons (+)  to view some benefits of reflective practice.     

Text version

Activity overview

This interactive hotspot activity outlines 6 benefits of reflective practice. The hotspots are displayed as plus (+) icons that can be clicked to reveal the benefits, as follows

Benefit 1: Creativity

Reflective practice sparks creativity. By engaging in critical reflection to change practice you are making time and space for innovation. It enables new ways of thinking, feeling and doing.

Benefit 2: Develops your skills and knowledges

Engaging with critical reflection processes as part of reflective practice is a key learning tool. Continual development of skills and knowledges is part of student, work and personal life. Reflective practice helps you identify areas to improve on or strengthen.

Benefit 3: Emotional intelligence

Reflection is at the heart of understanding our emotions and their impact on our behaviours. It also underpins our ability to contextualise the behaviours of others. Reflective practice builds your emotional intelligence which is a critical skill for working with others and for our own wellbeing.

Benefit 4: Self-awareness

Reflective practice fosters new ways of thinking, feeling and behaving. As part of that it helps you step back and reflect on assumptions and biases. Challenging set ways of thinking about people, situations or information can stimulate you to open up your perspective.

Benefit 5: Wellbeing

Reflective practice uses critical reflection tools and strategies that support wellbeing. Having defined and familiar processes for thinking through experiences and practices helps maintain perspective. It also helps you move forward into change or action rather than remaining negatively focused an experience. Critical reflection gives you a way to learn and to move forward.

Benefit 6: Problem solving

Reflective practice considers all aspects of experiences, it looks to evidence base, it questions your assumptions and biases, it examines perspectives, and it prompts changes in thinking, feeling and doing. It builds valuable insights to inform decision making and develop deeper understanding. This is what makes it such an amazing vehicle for problem solving.

When to critically reflect?

Critical reflection connects to past, current and future action. Click on each of the flip cards to learn the time-related actions you need to do as part of reflective practice.

Reflective practice and critical reflection

Reflective practice is part of your mindset and everyday doing for both uni and the workplace. The process also relies on using critical reflection as a tool to analyse your reflections and which allows you to evaluate, inform and continually change your practice.

Explore the infographic below for a visual depiction of the reflective practice and critical reflection relationship. 

• Reflective practice infographic

Critical reflection and areas of your practice

Reflective practice relies on your ability to be open to change and to consider relevant evidence that can challenge or inform decision making. Critical reflection is what allows you to deeply understand your study or work practice and then to take actions to improve it.    

You should critically reflect on all aspects of your practice including:

Reflective practice and you

How would you define reflective practice for yourself? There's no right or wrong answer to this question because it's so contextual. The way you enact reflective practice is tied to you and how you think, feel and do. We know that writing down or verbalising your thinking can help you better understand what something means to you. With that in mind...

Take a few moments to think about how you define reflective practice. You can then  record yourself using the interactive audio activity below and download the soundbyte. Any recording you make is only available to you.  Keep this definition in mind as you move through this critical reflection guide.

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Critical Thinking: Steps 1 & 2: Reflection and Analysis

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Identify, Reflect, and Analyze

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Step 1: Reflecting on the Issue, Problem, or Task

Reflection is an important early step in critical thinking. There are various kinds of reflection that promote deeper levels of critical thinking (click on the table to view larger):

Brockbank, A., & McGill, I. (2007).  Facilitating Reflective Learning in Higher Education . Maidenhead, England: McGraw-Hill Education.

Ask yourself questions to identify the nature and essence of the issue, problem, or task. Why are you examining this subject? Why is it important that you solve this problem? 

Reflective Thinking

Game:   There is 1 random word below.  Use it as inspiration to think of something it would be interesting if we never had in this world.

Challenge:   For extra challenge, reply to someone else’s suggestion and predict how life would be different if it never was.  Try and think big.  Think about profound and extreme ways in which the world may be different.

Strategy: We often think about how life would be better if only we had X (X being something we would quite like).  It can be a fun way to pass the time but it tends to involve adding something new to our lives.  Let's go the other way around and subtract something instead.  But instead of something desirable it will be something that we take for granted, something simple.  Then trying to predict how it would have a profound effect changing the world around us becomes an act in following a chain reaction of influences.  Creativity often involves having keen insights into how everything influences and affects everything around it in often unobvious ways.  This little game is a good way to practice that thinking.

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Reflective and critical thinking in nursing curriculum

O pensamento crítico-reflexivo nos currículos de enfermagem, el pensamiento reflexivo y crítico en los currículos de enfermería, maría antonia jiménez-gómez.

1 Universidad Nacional de Colombia, Facultad de Enfermería, Bogotá, Colombia.

Lucila Cárdenas-Becerril

2 Universidad Autónoma del Estado de México, Facultad de Enfermería, Toluca, México.

Margarita Betzabé Velásquez-Oyola

3 Universidad Nacional José Faustino Sánchez Carrión, Facultad de Medicina Humana, Huacho, Lima, Peru.

Marcela Carrillo-Pineda

4 Universidad de Antioquia, Facultad de Enfermería, Medellín, Colombia.

Leyvi Yamile Barón-Díaz

5 Universidad Nacional de Colombia, Facultad de Medicina, Bogotá, Colombia.

to evaluate the teaching of transversal competence of the Reflective and Critical Thinking that is fundamental in the decision-making and solution of nursing problems, in degree programs of public and private institutions in the Andean region.

multi-center, cross-sectional, exploratory-descriptive study, with mixed approach in 5 countries.

76 nursing programs participated in the study. The Reflective and Critical Thinking was found as a subject, subject content and didactic strategies. Of the 562 subjects reviewed, this type of thinking is found in 46% of the humanities area and 42% in the area of research and professional discipline. It is important to train teachers to achieve coherence between the pedagogical model approach, teaching strategies and evaluations.

Conclusion:

nursing programs in the Andean region contemplate the critical thinking as cognitive and personals skills of communication. They also use real situations analysis, supervised practice, simulation labs and specifically learning based in problems to develop the capacity to solve them, decision-making and develop communication skills, including analysis, synthesis and evaluation.

avaliar o ensino da competência transversal do pensamento crítico-reflexivo, fundamental na tomada de decisões e solução de problemas de enfermagem, nos programas de graduação de instituições públicas e privadas da região Andina.

Método:

estudo multicêntrico, transversal, exploratório-descritivo, com abordagem mista em cinco países.

Resultados:

76 programas de Enfermagem participaram do estudo. O pensamento crítico-reflexivo foi constatado como disciplina, conteúdo de disciplina e estratégias didáticas. Das 562 disciplinas revisadas, este tipo de pensamento se encontra em 46% da área de humanidades e 42% na área de pesquisa e profissional-disciplinar. Existe a necessidade de capacitar os docentes para obter coerência entre a proposta do modelo pedagógico, as estratégias didáticas e a avaliação.

Conclusão:

os programas de enfermagem da região Andina contemplam o pensamento crítico como habilidades cognitivas, de comunicação e pessoais. Da mesma forma, utilizam a análise de situações reais, estágio supervisionado, laboratórios de simulação e, principalmente, a aprendizagem baseada em problemas, com a finalidade de desenvolver a capacidade para solucionar problemas, tomar decisões e desenvolver habilidades comunicativas, incluindo análise, síntese e avaliação.

evaluar la enseñanza de la competencia transversal del Pensamiento Reflexivo y Crítico, fundamental en la toma de decisiones y en la solución de problemas de enfermería, en los programas de grado de instituciones públicas y privadas de la región Andina.

estudio multicéntrico, transversal, exploratorio-descriptivo, con abordaje mixto en 5 países.

76 programas de Enfermería participaron en el estudio. El Pensamiento Reflexivo y Crítico se encontró como asignatura, contenido de asignatura y estrategias didácticas. De las 562 asignaturas que han sido revisadas, este tipo de pensamiento se encuentra en el 46% del área de humanidades y el 42% en el área de investigación y profesional disciplinar. Está la necesidad de capacitar a los docentes para lograr coherencia entre el planteamiento del modelo pedagógico, las estrategias didácticas y la evaluación.

Conclusión:

los programas de enfermería de la región Andina contemplan el pensamiento crítico como habilidades cognitivas, de comunicación y personales. Asimismo, utilizan el análisis de situaciones reales, la práctica supervisada, los laboratorios de simulación y, principalmente, el aprendizaje basado en problemas, con la finalidad de desarrollar la capacidad para solucionar los problemas, tomar decisiones y desarrollar habilidades comunicativas, incluyendo el análisis, la síntesis y la evaluación.

Introduction

Globalization brought with it changes in all aspects of life: social, political, economic and cultural. Moreover, the nursing profession is evolving, so that it is increasingly moving away from the biomedical model of care, focused on the instrumental, to focus on people’s health care, with primacy of dialogue and agreements between the professional and the person under care. As part of a multiprofessional team, this requires changes in the curricular proposal and, in turn, a qualifying teacher for a new profile of graduate, whereby reflection, self-criticism and professional responsibility are developed ( 1 ) .

Therefore, it is necessary to work intensely to reduce the dichotomies that are present in nursing programs, namely: between theory-practice; training and the reality of professional practice; and the student as a passive part of the teaching-learning process and the professional who is required, active, proactive, creative, analytical, with contextual perspective, flexible, with logical thinking, able to carry out a permanent and continuous search for information, able to contribute with his profession to the solution of health problems.

The General Conference of the United Nations Educational, Scientific and Cultural Organization (UNESCO), at its 38th session, held in Paris from 3 to 18 November 2015, “Recommendation about Adult Learning and Education” states in one of its objectives the need to develop people’s capacity to think critically and to act with autonomy and a sense of responsibility ( 2 ) .

Critical thinking (CT) is a process and a learning outcome ( 3 - 4 ) and the clinical judgment is the result of this process. The development of the clinical judgment (clinical reasoning skills) is one of the most important and challenging tasks of being a nurse. Clinical reasoning precedes clinical judgment and the decision-making that is important in professional and personal life.

In order to achieve professionals with reflective and critical thinking (RACT), it is necessary to make deep changes in the educational dynamics, in the teaching and student roles, in the use of pedagogy and didactics to transmit knowledge, the curricular structure, the strategies of teaching-learning. These changes are expected to be centered on the student, who must actively participate in the learning process in order to achieve greater development of his or her capacities for reasoning, self-learning, self-evaluation, self-management and self-regulation. Likewise, it is expected that teachers to be critical and creative, attending to individual ways of learning, encouraging the development of good thinking in the student ( 3 ) .

Literature points out that critical thinking is the “essential foundation for education, since it is the basis for adaptation to the individual, social and professional demands of daily life in the 21st century and beyond” ( 4 ) . The world changes fast and new realities arise, so there is a fundamental need of people to develop capabilities that allow them to respond and adapt themselves to these changes.

Critical thinking is “the process of seeking, obtaining, evaluating, analyzing, synthesizing and conceptualizing information as a guide, to develop self-conscious thinking and the ability to use this information by adding creativity and taking risks” ( 4 ) .

Authors pointed out one of the first definitions of critical thinking: “knowledge, skills and attitudes” ( 5 ) and, since the end of 1980, various strategies for its teaching have been discussed at all school levels ( 4 ) . On the other hand, authors point out the importance of generating opportunities to develop RACT in students. Therefore, some authors emphasize the importance of developing it in all health situations in favor of the patient ( 4 , 6 - 7 ) . The nursing professional developing RACT will know where, when and how to use their knowledge, skills, values and attitudes.

The motivation for nurse training in the Andean region became evident in the 1960s. In particular, Colombia generated the first degree program in 1958, which was approved in 1961. In the same period, Venezuela, Ecuador, and Peru initiated undergraduate programs; in the case of Bolivia, it happened only until 1970 ( 8 ) .

The 1980s were marked by the rise of postgraduate programs, increased development of research and the generation of knowledge. The 1990s saw a boom in graduate, specialization, masters, and doctoral programs, the latter especially in education. However, there were also more options for the qualification of nursing professionals for the teaching role. On the other hand, the Higher Education Quality Assurance System ( Sistema de Aseguramiento de la Calidad de la Educación Superior ) was implemented, as well as the Accreditation of the programs and the own regulations or nursing law emerged in each country of the region.

The first decade of the 21st century brought the development of the highest level of nursing education, the doctorate, and, with it, the generation of nursing knowledge in the region and its progress towards consolidation as a discipline ( 8 ) .

Throughout this journey, there was a permanent motivation for balance and congruence between the graduation profiles and the reality of the job, based on the permanent motivation for the adaptation of the curriculum, the teaching-learning strategies, the evaluation processes, and the teacher qualification to respond to this constantly changing context.

The literature ( 9 - 11 ) shows the need to expand the research in the area of education, to achieve greater development of research and to work in education and nursing policies and practices. On the other hand, the latter shows the need to implement and evaluate pedagogical and didactic strategies that help the student to develop a critical judgment, justified decision making, comprehensive memory and communicative competence ( 11 ) .

For its part, the Ibero-American Network for Research in Nursing Education ( Red Iberoamericana de Investigación en Educación en Enfermería - RIIEE), in 2011, identified as a research priority, “The development of RACT in nursing students”, within the tree of the problems detected in its research line Higher Education and Nursing. For the development of this research purpose, the Network suggested a multicenter macroproject with the theme “Strategies to develop the RACT in nursing students: situation in Latin America”. In fact, the conceptual paradigm refers to “critical theory and constructivism, since RACT is an analytical, cyclical, broad and systematic process, but not rigid; its analysis and interpretation allows to have elements for decision-making, as well as to make informed choices” ( 8 - 12 ) .

The project involves five of the six regions that make up the RIIEE: the Andean region (Bolivia, Colombia, Ecuador, Peru and Venezuela), Brazil, the Southern Cone, Europe, and Mexico and the Caribbean. The investigation is planned in three stages: 1. Diagnose; 2. Planning and implementation of interventions; and 3. Evaluation. The diagnostic stage includes: 1. The state of the art on scientific production in RACT and teaching strategies for its development; 2. Characterization of educational strategies for teaching the RACT collected in nursing literature; 3. To determine the development of the RACT competence in the different nursing curriculum; 4. To identify the educational strategies used by teachers to develop the competence of reflective critical thinking in nursing students; 5. To identify levels of critical thinking in nursing students according to the classification of Paul and Elder (unreflective thinker - master thinker). Objectives 4 and 5 are currently being developed.

The analysis of the “Scientific Production in RACT in Nursing in 1990-2012 in Ibero-America” produced among others the following conclusion: the formation of a critical reader and the investigative process are strategies that help university students to be critical and autonomous and to access more critically to the knowledge of the disciplinary area. For this, teachers are required to make of each moment and situation in the teaching-learning relationship an open forum for reflection, debate, questioning and contrasting of the different perspectives around the area of professional training and society’s problems ( 8 ) .

After reviewing the literature on the web of science by using the descriptors critical thinking and nursing, education and curriculum, it was not possible to find studies that analyzed the presence of RACT in the curriculum of nursing degree programs. However, it is very striking the motivation to analyze the importance of its development and studies that demonstrate its value, as well as the use of different and combined teaching-learning strategies to achieve the formation of RACT in nursing students.

This study was done with the purpose of to evaluate the teaching of transversal competence of the Reflective and Critical Thinking that is fundamental in the decision-making and solution of nursing problems, in degree programs of public and private institutions in the Andean region.

The coordinating group of RIIEE developed the research project from which the research groups of each country and region of the Network were made up, integrated by members of the Network and researchers in education and nursing, who are also teachers in Higher Education Institutions (HEI), and mostly with PhD academic level. The HEI in Nursing (HEIN) were identified through the Ministries of Education, the Associations of Schools and Universities of Nursing of each country and the Latin American Association of Schools and Universities of Nursing ( Asociación Latinoamericana de Escuelas y Facultades de Enfermería - ALADEFE).

The project was benefited from the Declaration of Helsinki (Ethical principles for medical research on human subjects) and the current ethics legislation in each country, was approved by the Ethics Committee of the University of Antioquia, Colombia, by Act No. CEI-FE 2015-25 on July 31, 2015. The respect for privacy and confidentiality were ensured to each Program Director, with the informed consent signed by each participant. The project was also sent to them and their understanding was guaranteed. In turn, we conceded the right to choose what information they wanted to share. Confidentiality was maintained by institutional coding. Finally, was given a deadline of 15 days to obtain the response of acceptance to participate.

The target population of this research were 187 undergraduate nursing programs in the Andean region: Bolivia (47), Colombia (47), Ecuador (21), Peru (62) and Venezuela (10). We considered only the nursing curriculum of the HEI, recognized by the Associations of Schools and Colleges of Nursing of each country or its counterpart, regardless of whether they were public or private. Resulting in the nursing curriculum of 76 Institutions that correspond to the 40.64% HEIN that teach undergraduate nursing in the Andean region: Bolivia (7), Colombia (38), Ecuador (11), Peru (14), and Venezuela (6). Due to the difficulty in obtaining the information, we checked web pages, contacted HEIN members, made contacts by telephone, in some cases, we made personal visits and, finally, the complete program was requested in PDF format for the complete the instrument of the research group. In addition, the HEIN did not refused to participate, but some institutions did not respond to the invitation. The result of this process: 30 institutions accepted to participate and provided the complete information, and out of 46 partial results were obtained. An HEIN database of the names, telephone numbers and e-mail addresses of the authorities in charge of managing the programs was created in order to follow up on their responses.

After identifying, during 2011 and 2012, the theoretical and conceptual framework of RACT from different authors and different perspectives (education, pedagogy, psychology and nursing), despite the abundance of literature about the subject, we concluded that the concept is very unclear from a nursing point of view ( 13 - 14 ) .

However, it was necessary to establish a concept that was accepted by the research group of the Network, that allowed to determine a starting point or consensus to carry out this work and, without detriment to seek some level of fidelity to the multiple approaches of the scholars of this research object, that was understandable for the group and reflected what was intended to be done in its research phases and stages.

The Network took as a theoretical framework the approaches made by Paul ( 15 ) and Paul; Elder ( 16 ) , the elements of the CT and the attitudes of the Critical Thinker proposed by these authors. With the material analyzed, RIIEE constructed the following concept: “Reflective and critical thinking is a complex, systematic and deliberate process of reasoning, self-directed and action-oriented. It is primary purpose to choose, based on intellectual and affective processes (cognitive, experiential and intuitive), the best response options that favor the solution of nursing problems, in well-defined contexts and in accordance with the ethical postulates of the profession that allow it to act with rationality and professional autonomy” ( 8 ) .

The research process included the conceptual and theoretical analysis of the curriculum, the updating of the context of research development in nursing education in each country of the region, the characterization of the HEIN and, finally, the results of the state of the art on teaching strategies for the development of the RACT 1990-2012, Andean region.

Once the exhaustive bibliographic review was carried out, the instrument was designed based on the concept of Stenhouse ( 17 ) , the curriculum as a macro concept that encompasses the socializing function of the school is at the same time pedagogical ideas, structure of contents in a particular form, precision of them, reflection of educational aspirations more difficult to translate in concrete terms and skills to promote in the students ( 16 ) . In Posner ( 18 ) , who raised the great number of phenomena involved in the curriculum; Gimeno-Sacristán; Pérez-Gómez ( 19 ) , there is five categories in which the definitions of curriculum can be articulated: as an organized knowledge structure, production technology system, instructional plan, set of learning experiences and problems solution.

Based on the aforementioned, the specific instrument for this investigation was constructed with three parts. The first with 10 items, with general information from the HEI or University. Each University is subdivided into Centers that are parted into Colleges and these are divided into programs: name, geographic location, type of institution, accreditation data, mission, vision, objectives, curricular guidelines for degree programs, web page, and data about who completed the instrument. The second, 28 items, for the College, School, Department or Nursing Program (typology to identify HEIN in the region), with the following subsections: general aspects of the nursing program, character within the institution, number of sites where the program is offered, accreditation data (date, resolution, and time of accreditation), program justification, mission, vision and objectives of the program, evaluation process, graduation profile, pedagogical model, number of hours and credits, curricular structure (nursing program subjects that correspond to each area or component). Finally, the general characteristics of the teachers: kind of affiliation with the institution, time worked, and maximum educational level achieved. The third, 9 items, for specific information about each of the subjects: name, component or area to which it belongs, number of hours and credits, type of subject (theoretical, practical and theoretical-practical), contents, teaching-learning methodologies and evaluation process.

The members of the research group carried out an analysis of the validity of the content of the instrument. Afterwards, the pilot test was conducted, starting with its implementation in each of the HEI in which the researchers worked; the results were analyzed and the corresponding adjustments were made in its structure. Subsequently, the adjusted instrument was tested with five members from the region, one from each country, but different from the research group. Because of this test, we decided to design a guide to facilitate the completion of the instrument and ensure objectivity in the collection of information, because of the language differences. It is possible to obtain the final version of the instrument from the authors of the project.

Each participant received the letter of invitation, the project, the informed consent, the instrument to collect the information and the corresponding guide for its completion in hands and by e-mail.

The information obtained was reviewed and, in some cases, it was necessary to request the complementation of some aspects of the instrument. Then we proceeded to codify the HEI or Universities and the HEIN. The information was included in Excel tables designed with the predetermined categories and subcategories, which were later incorporated into the SPSS statistical analysis program, version 19. The information was processed using descriptive statistics, with frequency distributions and average analysis, and analyzed by institution, by country and as an Andean region, according to the categories and subcategories determined, allowing comparisons between countries and conclusions to be drawn as a region.

The analysis of the information was carried out using the deductive-inductive method, considering the objectives of the project and the revised conceptual theoretical framework, with the aim of determining the presence of the RACT, explicit and implicit, in each categories, the coherence of the approaches between University-College-Program, the coherence between the objectives, contents, teaching-learning strategies and the evaluation process in each subject. In this sense, we analyzed the linearity or coherence with respect to what was proposed, developed and evaluated in relation to the RACT and, finally, the contradictions and inconsistencies found in the aforementioned approaches were pointed out. We considered national and international studies about the subject for the analysis and discussion of the results obtained, in addition to the documents mentioned above.

According to the information obtained by the research group, the Andean region has 2,552 HEI; 410 with character of universities and 160 are public, 220 are private and 14 are in special regime. There are 167 universities with nursing programs, 146 affiliated and recognized by the respective Associations of Schools and Colleges of Nursing in each country. The number of accredited nursing programs in the Andean region is 43: Colombia (20), Peru (20) and Bolivia (3). Precisely, of the 20 accredited institutions in Colombia, 11 already have their certifications renewed, which are of 8, 6 and 4 years; 5 and 6 years for Ecuador and 3 years for Peru. Bolivia is just beginning the process and Venezuela has no information about it.

The total population of HEIN by country was Bolivia 47, Colombia 42, Ecuador 21, Peru 62 and Venezuela 10. A total of 76 HEIN answered: Bolivia 7; Colombia 38; Ecuador 11; Peru 14 and Venezuela, 6. These institutions constituted the sample of the study.

Twenty-one of these institutions are certified: in Colombia 20 and in Bolivia 1; 12 did not include this information and 41 were not yet certificated. Of the total number of institutions that provided the information, 47 are public, 26 private and three do not know the information. Administratively, 36 are programs; 22 Colleges; 21 Schools and one Department.

The number of hours and credits of the programs showed considerable heterogeneity: the average number of hours was 5,552.3, corresponding on average to 232.11 credits. Regarding the number of hours per credit, the lowest is in Peru, which has 13 hours per credit, and the highest is in Colombia, with 48 hours corresponding to one credit. There are institutions that do not work with credits, especially in Bolivia; others did not included this information, among them Ecuador and Venezuela.

The main characteristics of the 912 teachers developing nursing programs in the Andean region are: 501 (54.9%) with a Specialist degree; 634 (69.51%) with a Master’s degree and 58 (6.35%) with a PhD; 249 (27.3%) with a postgraduate degree in Education.

From a general perspective, it should be noted that of the five countries in the region only Venezuela and Peru explicitly present the RACT in their Organic Law (OL) or Higher Education Law in terms of integral and permanent formation of reflective critical citizens (LOE, 2009, or Organic Law of Education, in Venezuela) ( 20 ) and (Law 30220, 2014, or University Law, in Peru) ( 21 ) .

The results of RACT’s presence are presented below: Universities or HEI; in Colleges, Programs, Schools and Departments, that is, in HEIN; and in the subjects.

When analyzing the information of the Universities or HEI, we found the RACT as direct mention, indirect mention and evidence of traditional positions was found. Directly, it was found as a training purpose in Bolivia, Colombia and Peru: receptor and analytical constructor, with critical conscience; as methodology to achieve it, in Colombia and Peru: “ promoting reasoning, the CT and creative”; as a result of learning in Ecuador and Venezuela: capable of solving problems, CT promoter.

The indirect mention was found as result in the five countries of the Region, as a strategy in Bolivia, Ecuador, Peru and Venezuela: integral formation, relation practical theory; and as objective in Colombia: future graduates with ethical conscience, autonomy, democratic spirit and highly qualified.

There are still traditional postures: teaching, evaluation as a final product, training in instrumental action, the educational process as providing knowledge.

By going a little deeper into the HEI, we found that 88% (38) consider the RACT: 63% (27) in the mission; 7% (3) in the vision; 51% (22) in the objectives and 30% (13) in the curricular guidelines. Among these, three defining categories were identified. The first, as a training purpose: prepare professionals and leaders with CT and social conscience . The second, as a methodological strategy to achieve its development: to develop and implement pedagogical methods that encourage reasoning, CT and creativity, and that encourage habits of discipline and productive work . And the third, as a result of the formation process that includes the subject: Training of critical, self-managed, creative and proactive men and women; and, moreover, refers to the projection and utility: with the promotion of CT and the generation of knowledge, thanks to the strengthening of critical analysis, anticipation and vision of the future and development of viable alternatives to the problems.

At HEIN, RACT is expressed in the graduation profile, objectives, curricular guidelines and mission. Table 1 shows the data summarized in relation to the number and percentage in which the RACT is presented in the subcategories and with regard to the total. The information recovered allows us to identify that the RACT ranks first with 38.3% in the graduation profile, followed by 35% both in the curricular guidelines and in the objectives; thirdly, is in the mission, 26.7%, and finally, with 11.7% it is in the vision. Bolivia has the highest percentage of presence in its curricular guidelines, followed by Colombia in its graduation profile, objectives, and mission, while Venezuela is in one before the last place with a 28% of presence in its mission and is not present in the profile or in the curricular guidelines. Peru has the last place and presents it only in the objectives of the programs.

In a cross-sectional view of what is proposed by curricular programs, three categories were identified to be highlighted. The first, the development of cognitive and personal skills, expressed as the training of professionals with scientific, technical, critical, analytical and reflective knowledge, as well as communication, oral and written expression skills; and referred to a critical, creative, participative, supportive, innovative and sensitive attitude towards social change.

The second, the way in which its development could be achieved, among which the research stands out: promote and develop research, generating knowledge in the different areas of nursing that contribute to universal science and the solution of health problems; and the use of technologies: learns permanently developing the capacity of abstraction, analysis, synthesis and using information technologies . The third, its finality, related to the ability of individuals, families and community groups to interfere and make decisions in the solution of health problems, to provide comprehensive care with the capacity to solve health problems in changing and emerging environments.

Concerning the pedagogical models expressed in the HEIN, a variety was found in the denomination. First of all, the constructivist approaches are highlighted in eight (8) Institutions, with some connotations as the model social-critical-constructivist and second, the cognitive - humanistic in four (4). Other models or approaches were also identified, among them: dialectic, technological, psychological, the problematic schools, the Active, Reflective, Dialectic, Innovative and Critical . Finally one institution works with the model based on the pillars of education , in which learning to know, learning to do, learning to be and learning to live together, which includes, educating for life, educating for life, educating for work, educating in society and for society ( 22 ) .

The RACT in the subjects of the programs of Nursing in the Andean region

Only 29 of the 76 HEIN participants in the study were able to obtain information on subjects (38.15%), and 22 (75.86%) of these in nursing programs, RACT was present in different elements of the subjects. 562 subjects were reviewed, 159 (29%) of which have no information about teaching strategies or evaluation. Moreover, some programs record the same teaching and assessment strategies for all subjects in the program, 45 (8%).

Table 2 presents the results by subcategory and the total presence of RACT in the different groups of subjects, basic area or foundation subjects (which introduce and contextualize the student in the field of knowledge), Research, Humanities (the study of the behavior, conditions and performance of the human being), disciplinary professional area (gives the basic grammar of the profession and discipline) and those of the flexible area (the student chooses them according to personal interests, allow to the learner to approach, contextualize and study in depth aspects of the profession and discipline, allowing to learn tools and other kinds of knowledge, leading to develop interdisciplinarity, flexibility and diversity).

The information provided makes it possible to indicate RACT as a subject: Workshop of Critical Thinking and Introduction to CT ; second, as a subject content: CT in Nursing, and, third, RACT is evidenced in teaching-learning strategies.

The highest percentage of subjects in which RACT is evident correspond to the area of humanities, with 46% (55), in which analysis of real situations, group work, concept maps, role playing and seminars are predominant.

In second place, it is in the professional-disciplinary area with 42% (307) subjects with the predominance of the following strategies: supervised clinical practice, clinical case, problem-based learning, simulation laboratories, and the nursing process. The research is in the same place, 42% (41) subjects. The most commonly used strategies are: critical discussions of research reports and articles, project development, workshops, and problem-based learning.

In the last place, subjects from the basic or foundation area 144 (24%). Including discussion workshops, concept maps and case studies.

A great variety of strategies have been identified, among them are: presentation and discussion of clinical case, group work, clinical practice, flipchart, observation guides, debates, discussion about specific topics, resolution of case studies, support of the nursing care plan, investigative reports , workshop development.

What is evaluated: the development of competencies, the acquisition of skills, the development of superior cognitive processes, the professional spirit and the development of processes and independence.

Finally, in some of the subjects, the intentionality of the evaluation of the RACT is explicitly presented: written works about the topics of each seminar in which the proper handling of the bibliography is evidenced, the capacity for criticism, analysis and synthesis, evidence of problem solving, case analysis and Nursing Based in Evidences , didactic relationship analysis and fundamental elements of the RACT, conceptual knowledge, written and oral reflections, group work, practical reflections and group discussions.

It is evident that traditional evaluation techniques still exist: evaluating procedural aspects, dexterity, motivation and initiative in the procedures, memory evaluation, participation in class, oral and written interventions and, finally, the replication of the topics studied in classes.

Therefore, the analyzed programs show interest in including as an important element in their future graduates the development of the RACT. This aspect is vanishing in the development of the subjects. It is evident in the pedagogical strategies, but it is lost until disappearing in most of the evaluative processes.

The analysis results of the plans and programs of the HEI and HEIN allow to conclude that the proposes of the Law of Higher Education to develop the RACT in the students does not guarantee that it is included in the subjects and evaluations.

What is stated in HEI and HEIN allows us to infer that epistemological and theoretical contradictions are present in the Institutions and among them. It makes necessary an epistemological, theoretical and methodological consideration in order to achieve alignment and coherence between the purposes in the curricular guidelines and what is programmed in the curricular plans for the concrete work with the students. This matter goes against comprehensive training, since it is demonstrated that critical and reflective skills contribute to train professionals with greater ability to care for patients ( 23 ) .

It should be noted that it is the University or HEI that determines the philosophical bases that will guide the academic units that compose it, so that they, in turn, incorporate these principles into their academic programs. The results show that there is no linearity between the proposals of the university with respect to its mission, vision, objectives, graduation profile, curricular guidelines, and what is proposed in the nursing degree programs. There is more linearity in Institutions with a longer trajectory and development, private and public ones.

The analysis of the areas in which the subjects are grouped made it possible to identify that the subjects of the humanities area have the highest percentage of presence of the RACT. This result can be explained by the strategies used, but even more by the subjects under study, since it has been demonstrated that the teaching-learning strategies based on the humanities have a significant impact on the development of skills such as clinical reasoning ( 24 ) . The subjects in the professional area use strategies such as case study, supervised clinical practice and other relatively new ones as problem-based learning and simulation laboratories. Strategies that, by involving simulation or potential practical actions, contribute to enhance critical skills and make decisions that lead to the future professional committing fewer errors during the care of patients ( 25 - 26 ) .

By contrast, it is not the same with the subjects of the foundation or basic area in which it is necessary to return to some knowledge aspects that already exists, such as anatomy, physiology, anthropology, psychology, statistics, among many others. For some students these topics are very difficult and involve, on several occasions, an excellent dose of memory. However, the teaching strategies that develop the RACT are not so frequent. It is important doing more research on this point to sustain if it is true.

On the other hand, for the majority of HEIN, training is conceived as qualification and progress achieved by people and as a principle of theories, concepts, methods, models, strategies and courses of pedagogical action that aim to understand and qualify the teaching. In some cases, the transfer of knowledge is approached, but it still underlies the concept of learning as acquisition of knowledge built and finished; the teacher is the one who has the knowledge and the student is who learns what teacher knows.

The curricula of the Andean region include explicit elements that contribute to the development of the RACT, such as reading, writing and reasoning, allowing to the future professional to know how to learn, reason, think creatively, generate and evaluate ideas, make decisions and solve problems ( 24 ) . It includes as proposals the development of social skills, with emphasis on oral and written communication, cognitive skills including problem solving, establish different alternatives, understand the consequences of actions, make decisions and critical thinking ( 16 ) . Also, intend to achieve in the student some characteristics of the critical thinker like to be creative, innovative, proactive, analytical, participatory, entrepreneurial, self-critical, supportive, humanistic, ethical and scientific ( 27 ) .

Regarding the pedagogical models proposed by the HEIN, inconsistencies between the approach of constructivist approach and meaningful learning are evident. The axis is the student and the repetitive approach in the subjects with master class methodology, reading guides and analysis made by teacher, but not by the student. It shows a traditional model centered on the teacher, with an emphasis on memory, comprehension and the application of concepts. Some subjects focus learning on the acquisition of concepts, despite using the integrating project as a teaching-learning strategy, workshops and practice as evaluation. The pretense for the development of the RACT is not in line with the evaluation, with the examination, in the application of contents, since it is centralized in aspects of memory and knowledge, in an asymmetric theory-practice relationship.

Although significant learning is intended and the importance of integrating it into the formation of learning approaches with the intention of promoting critical thinking, added with successful learning experiences ( 28 ) , it is not really concrete how it could be achieved. Strategies such as simple repetition and teaching for the acquisition of concepts show the persistence of the traditional educational models.

This study found there is no a clear structure to operationalize the theories of the proposed pedagogical models, even though there are expressions that point to RACT. Thus, the elements important for its development are presented in the teaching and learning strategies in a more remarkable way.

The curricular guidelines express the intention to transcend technical rationality and behavioral objectives ( 29 ) , from the positivist, rationalist or empirical analyst paradigm, to the humanist and critical curriculum ( 30 ) to the socio-critical paradigm and critical thinking based on hermeneutic processes ( 31 ) . The social and contextual (political, economic and cultural) aspects that influence and determine the health behaviors of the people are still incipient in the curricula ( 32 ) .

According to what has been demonstrated, it is possible to state that there is no predominance of a pedagogical model, but a mixture of several models in the same program with varied influences. The presence of the following models was identified: Traditional Pedagogical, Behavioral, Cognitive, and Social Pedagogical, the latter being very tenuous ( 33 ) .

There are four fundamental elements to forming critical thinkers: first, the question; second, the creation of continuous opportunities to participate in dialogue, debate, research, and critique; third, self-evaluation and hetero-evaluation; and fourth, teachers as models of critical thinkers ( 32 ) . Considering these elements, we can assure that the creation of opportunities is present with more intensity in some curricula, and self-evaluation and hetero-evaluation have begun to be implemented especially in public institutions.

Mentioning the subjects, it is not evident that the thought is motivated by complex kind of questions that encourage exploration, generate evaluation, create concepts and knowledge ( 33 ) .

The literature points out that the Socratic questions stimulate the student to use existing knowledge, since they promote a greater understanding and integration of new knowledge, they foment the habit of thinking critically ( 8 , 34 ) . Other authors suggest, for the reports, questions about the purpose, information, concepts, assumptions, implications, points of view and the questions, as elements that favor analysis, the evaluation of ideas and reasoning ( 24 , 35 ) .

Like other researches, this study found that the most used strategies in the progress of the professional area that promote the development of RACT are the case study ( 24 , 36 ) , problem-based learning ( 24 ) , supervised clinical practice ( 37 ) , the nursing process ( 4 , 38 ) and simulation laboratories ( 34 , 37 - 38 ) . In this article, we only refer to two of these strategies, which were selected because of the great advance of information and communications technologies. The growing need to access this kind of infrastructure as a fundamental part in the training of future professionals and as an example of a single teaching and learning strategy is not sufficient to achieve the RACT, rather, the use of different techniques enhance its development, as we will see below.

We agree with the conclusion of authors who suggest that Problem-Based Learning and simulation labs are active strategies that develop RACT in nursing students ( 37 ) .

The case study, moreover, promotes active learning, helps to solve clinical problems, promotes the development of critical thinking skills ( 34 - 35 ) , in addition, it allows to integrate knowledge, to think as a professional, to analyze individual situations in specific contexts from different angles, to use theoretical concepts in the delimitation of a concrete problem ( 36 ) . It also stimulates collaborative and team work, the work with different points of view. The question-problem is the motivator in the search for alternative solutions, is useful in simple and complex situations, allows to apply theory in practice, promotes the exchange of ideas, teaches students to learn to control their own thinking and promote the exchange of ideas and intellect ( 37 ) . In addition, it helps to incorporate time management and take responsibility. It also facilitates the integration of the four elements of the Nursing metaparadigm: the person receiving the care, health as purpose, the nature of the nursing and the context or environment.

The case study allows the simultaneous implementation of other strategies that further enhance the development of RACT, such as concept maps, the analysis and selection of scientific evidence, the nursing process, nursing history, role-playing, argued discussion and debate.

In contradiction to all the positive aspects of the case study in the development of RACT, the dichotomy between theory and practice in a large number of the curricula reviewed is an obstacle to achieving all the benefits pointed out. Since some teachers are in charge of the development of the theoretical subject in the classroom, others are in charge of their practical part in other spaces that require this care.

Regarding the practice based on simulation models, a study ( 38 ) shows how the promotion of RACT is relevant. In this connection, it highlights the importance of including simulation as a key element in curricula, because it ensures skills in this kind of thinking ( 38 ) and gives students the opportunity to show their ability in decision-making, critical thinking and other skills ( 39 ) . Other authors emphasize its importance when students reflect it on their thinking process and show how it guided their actions ( 34 ) .

There is efficiency of simulation laboratories when accompanied by active strategies, such as the conceptual map before each laboratory session, a visual aid that allows the concepts, objectives, justification, expected results and possible complications to be described in a logical manner if the procedure is not carried out in the appropriate manner ( 34 ) . The same author suggests the use of high-level questions to stimulate reason more than memory. He also suggests assigning an observer, who will ensure analysis and reflection on patient safety, communication, teamwork and leadership, among others ( 34 ) . The reflection of the group around the whole process carried out will be the end of the laboratory ( 15 , 34 ) .

Another study concluded that simulation as a pedagogical method allows students to recognize, interpret and integrate new information with previous knowledge in order to make decisions about the best direction to follow. The authors state that simulation, as an educational method, provides an opportunity to systematically structure learning to help students acquire deep content knowledge and to facilitate the development of thought processes; that simulation experiences stimulate students’ RACT skills and help them become more competent in caring for patients in complex conditions ( 37 ) .

We agree with what has been found in other studies emphasizing that simulation laboratories by themselves do not guarantee the development of RACT skills, but if combined with other strategies and implemented with adequate pedagogy, the results will be much more effective in terms of CT skills ( 34 , 37 - 38 ) .

It is also possible to find correspondence with that was discovered in the State of the Art of scientific production in RACT in the Andean region. The students perceive that “Clinical simulation is a valuable strategy for the acquisition, complementation and integration of the theoretical part with the practical part, because it seeks to make decisions according to the CT” ( 38 ) .

The evaluation of the subjects is cumulative and formative. In some cases, a diagnosis of the level of the student’s participation in the subject is made; it is evaluated in the intermediate and at the end with the objective of promotion to another level. In other cases, a teaching-learning balance is done to verify the fulfillment of the objectives and competences. Self-evaluation and heteroevaluation are increasingly used, implying a process of reflection, analysis and self-criticism.

Precisely, evaluation appears as one of the weakest points when analyzing the presence of RACT in curricula. Therefore, we agree that the “best teaching practice begins by establishing learning outcomes and continues with a focus on helping the student to achieve satisfactory results”. If the proposal is to achieve a higher order thinking, the evaluation will be oriented towards the synthesis, analysis and evaluation of knowledge ( 40 ) .

Overall, the strong approaches to RACT training formulated at HEI, HEIN, as evidenced by some of the teaching and learning strategies presented in the subjects, become much weaker in the evaluation process, with predominance of traditional evaluation models, and in some cases, the intention to evaluate RACT is outlined.

The curricula of Colleges and Schools of Nursing in the Andean region explicitly contemplate reflective and critical thinking in their mission, vision, objectives, graduation profile and didactic strategies, and implicitly as integral formation. However, there is a tension between what is proposed by the HEI and HEIN and what is implemented and evaluated in the subjects. The presence of RACT in the proposed didactic strategies is much more evident, but it is not sufficiently objective or explicit in the evaluation processes.

Despite the great diversity of pedagogical models, there is a clear intention to facilitate the development of RACT. In addition, although a constructivist model is proposed centered on the student, dialogical, active, reflexive, innovative and critical, this model is more centered on the teacher than on the student; on knowledge over a relationship between equals; more on results than on the learning process. Likewise, knowledge is considered as something finished, fixed and the ultimate truth.

In order to be able to teach the RACT to the nursing student it is necessary to include it in the nursing curriculum, teachers who are professionals in the areas of Education and Nursing and with RACT in their training. Teachers should create spaces for the development of RACT, know and implement the different and complementary didactic strategies that facilitate its learning and that analyze the students in relation to the level of RACT achieved.

The authors of this article suggest that the projects currently developed with teachers and students in Ibero-America should be finalized and retaken with the implementation and evaluation of strategies that value the development of RACT.

RACT is considered an indispensable element in personal and professional development, in order to have autonomy, confidence, the ability to make decisions, reach clinical judgment and, the most important, provide individualized, comprehensive and human nursing care. In summary, graduates should be able to work as members of the health team with sufficient clarity of the role and identity they should have, because they have to integrate and experience the four paradigms of the Nursing.

The limitations of the study are

The complexity of the project due to the number of participating countries and the different research groups;

The large number of public and private nursing schools and colleges in the Andean region;

The limitation in accessibility to the complete information of the curricula of each institution;

The minimal presence of information on the official web pages of each institution, school or nursing college;

No response and lack of interest from different schools and nursing colleges, public and private, to participate of this project;

Limited access of current and recent updates of the curricula of nursing colleges to develop this project.

The research group made efforts to reduce these limitations and devised multiple options that were proposed to the institutions, in order to facilitate the provision of information and its complementation when necessary.

Applications for practice

The innovation and contributions expected with this research are based fundamentally on documenting and analyzing of the diverse existing evidences about if RACT is contemplated in the nursing curricula or not, the strategies used by teachers to create and promote it in nursing students and the evaluation processes employed. It provides insights about how RACT’s competence in nursing is addressed in the context of the Andean region and other regions of Ibero-America, its weaknesses and strengths, as well as the improvements that can be made. The final intention of the research is to offer, as a network and collegial body, proposals for teaching, learning and evaluation that will enable the empowerment of new generations of nurses, using RACT as a center of innovation and development.

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4 Models of reflection – core concepts for reflective thinking

The theories behind reflective thinking and reflective practice are complex. Most are beyond the scope of this course, and there are many different models. However, an awareness of the similarities and differences between some of these should help you to become familiar with the core concepts, allow you to explore deeper level reflective questions, and provide a way to better structure your learning.

Boud’s triangular representation (Figure 2) can be viewed as perhaps the simplest model. This cyclic model represents the core notion that reflection leads to further learning. Although it captures the essentials (that experience and reflection lead to learning), the model does not guide us as to what reflection might consist of, or how the learning might translate back into experience. Aligning key reflective questions to this model would help (Figure 3).

This figure contains three boxes, with arrows linking each box. In the boxes are the words ‘Experience’, ‘Learning’ and ‘Reflection’.

This figure contains three triangles, with arrows linking each one. In the top triangle is the text ‘Experience - what? (Description of events)’. In the bottom-left triangle is the text ‘Learning - now what? (What has been learned? What is the impact of the learning?’. In the bottom-right triangle is the text ‘Reflection - so what? (Unpicking the events)’.

Gibbs’ reflective cycle (Figure 4) breaks this down into further stages. Gibbs’ model acknowledges that your personal feelings influence the situation and how you have begun to reflect on it. It builds on Boud’s model by breaking down reflection into evaluation of the events and analysis and there is a clear link between the learning that has happened from the experience and future practice. However, despite the further break down, it can be argued that this model could still result in fairly superficial reflection as it doesn’t refer to critical thinking or analysis. It doesn’t take into consideration assumptions that you may hold about the experience, the need to look objectively at different perspectives, and there doesn’t seem to be an explicit suggestion that the learning will result in a change of assumptions, perspectives or practice. You could legitimately respond to the question ‘what would you do or decide next time?’ by answering that you would do the same, but does that constitute deep level reflection?

This figure shows a number of boxes containing text, with arrows linking the boxes. From the top left (and going clockwise) the boxes display the following text: ‘Experience. What happened?’; ‘Feeling. What were you feeling?’; ‘Evaluation. What was good or bad about the situation?’; ‘Analysis. To make sense of the situation’; ‘Conclusion. What else could you have done?’; ‘Action plan. What would you do next time?’.

Atkins and Murphy (1993) address many of these criticisms with their own cyclical model (Figure 5). Their model can be seen to support a deeper level of reflection, which is not to say that the other models are not useful, but that it is important to remain alert to the need to avoid superficial responses, by explicitly identifying challenges and assumptions, imagining and exploring alternatives, and evaluating the relevance and impact, as well as identifying learning that has occurred as a result of the process.

This figure shows a number of boxes containing text, with arrows linking the boxes. From the top (and going clockwise) the boxes display the following text: ‘Awareness. Of discomfort, or action/experience’; ‘Describe the situation. Include saliant feelings, thoughts, events or features’; ‘Analyse feeling and knowledge. Identify and challenge assumptions - imagine and explore alternatives’; ‘Evaluate the relevance of knowledge. Does it help to explain/resolve the problem? How was your use of knowledge?’; ‘Identify any learning. Which has occurred?’

You will explore how these models can be applied to professional practice in Session 7.

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How to develop critical reflection in your practice

Advice from a community care inform guide on applying critical reflection to support effective learning from experience in social work.

How would you improve the social work assessed and supported year in employment (ASYE)? [Multiple answers]

• Caseload set at less than the current 90% level
• Tailored support for black and ethnic minority social workers
• Assigning complex cases only when additional support is in place
• Greater flexibility in support so the ASYE can be tailored to the needs of each practitioner
• Increased frequency of reflective supervision
• Dedicated groups in each local authority for black and ethnic minority social workers

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This article presents a few key pieces of advice from Community Care Inform Children’s guide to critical reflection . The full guide explores what critical reflection entails and outlines three models of critical reflection that practitioners can apply to their practice. The full guide also provides an example critical reflection based on a fictionalised child and family assessment and aims to increase practitioners’ confidence in using critical reflection. Community Care Inform Children subscribers can access the full guide here.

The guide was written by David Wilkins, a reader and programme director for the MA social work programme at Cardiff University.

What is critical reflection?

Critical reflection is a key way that social workers continue to learn and develop throughout their careers. Reflection means reviewing our experiences and thinking about how we could make changes in the future. Critical reflection involves a more in-depth process of thinking about the conditions that shape our actions and how we feel about our actions.

In other words, it means reflecting on our reflections. To help explore how this works, it is worth first considering two key issues: frames of reference and the influence of emotions.

Frames of reference

We all have ‘frames of reference’ that we practise within, and which inform, and constrain, how we think about our practise (and our thinking about our thinking about our practice).

A frame of reference consists of all our internalised “cultural codes, social norms, ideologies and language games” (Mezirow, 1998, page 70). It includes our assumptions and expectations about the social world, about the people we work with and about ourselves.

A key aspect of critical reflection is to identify our own taken-for-granted frames of reference and think about the “sources, nature, and consequences of this received wisdom” (Mezirow, 1998, page 70). By so doing, we can understand, scrutinise and challenge how these beliefs affect our actions.

The influence of emotions

Especially in social work settings, our ability to be critically reflective can be inhibited by our emotional reactions. We all prefer to feel comfortable rather than uncomfortable, and reflecting on difficult and traumatic experiences often means reliving the emotions involved.

Questioning our assumptions and those of others is also liable to trigger an emotional response.

For these reasons, meaningful critical reflection via supervision and/or peer support from colleagues, or through self-guided reflective writing, is vital.

Habits of mind for critical reflection

There are two distinct outcomes from any process of learning. The more obvious is that we increase our knowledge or level of understanding. For example, children learning multiplication will start to remember the answer to questions such as 9 x 8 and 5 x 7.

However, there is a more fundamental component to learning than this – referred to as ‘habits of mind’. This means how you develop as a learner, rather than how you increase your knowledge and understanding of the world.

For example, when children are presented with a difficult mathematical problem, they are not learning the answer to the specific problem. Rather, they are learning habits of mind, such as perseverance, focus and confidence in their ability (Murray, 2016).

The foundational habits of mind for critical reflection include:

• Embracing not-knowing : Certainty is the opposite of critical reflection; if you know already, then you do not need to be curious. Sit with uncertainty and seek out doubt.
• Asking ‘how’ and ‘why’ questions about your beliefs: If – or especially when – we feel certain in our beliefs, critical reflection invites us to ask ‘how’ and ‘why’ questions, for example, ‘how do I know and why do I feel certain?’.
• Avoiding premature problem-solving: The aim of critical reflection is not to solve a specific problem; the aim is to think (and rethink) more broadly about practice. While there is a place for action planning, this happens at the end – or after – the process of critical reflection.
• Being prepared to try new things: Not all critical reflections need to result in changes to practice, as the overall aim is to learn and develop. This means being open to new ideas and ways of doing things, and it means testing existing ways of thinking and doing – and being open-minded enough to accept when they do not work as intended or expected.
• Considering point-of-view primacy: Everyone has a point of view, but some are taken more seriously than others. Critical reflection challenges us to think about whose point of view is being taken seriously and whose point of view is being overlooked, and why this is.
• Imagining alternatives: When reflecting on any experience, it is always possible to say you could have done things differently. Critical reflection involves imagining plausible alternatives, not simply in the sense of asking what you could have done differently, but also probing why and how you could have done things differently, and with what possible consequences.

You will probably have several of these ‘habits of mind’ already, if not all of them. The point is that they can be practised and developed – and that one of the key outcomes of critical reflection is to hone exactly these ways of thinking and learning.

MacLean’s Weather Model

The weather model was developed by Maclean (2016), in collaboration with social work students. It uses a series of weather metaphors to invite and structure reflection. These include:

• Sunshine – What went well about the event or experience? What was successful?
• Rain – What did not go well? What was challenging?
• Lightening – What surprised you?
• Fog – What did you not understand? What are you not feeling sure of?
• Wind – Did anything happen to throw you off course during the event or experience?
• Storm – Was there any conflict during the event or experience? If so, what caused it and how did you respond?
• Thunder – How did other people’s views impact on your practice?

Practice point

The weather model offers a helpful starting point. As a quick exercise, think of a recent experience you had at work – something you found particularly satisfying (perhaps because of a good outcome for someone you were working with). Use the elements of the weather model to reflect on it.

The full guide explores two other models of critical reflection: Driscoll’s ‘so what?’ model and Kolb’s experiential learning cycle and offers guidance on writing critical reflections. The guide also provides an example of an assessment and a critical reflection. If you have a Community Care Inform Children licence, log on to read the full guide.

What to read next

• Reflection: a guide for practice educators
• Analysis, judgment and decision-making
• Core skills knowledge and practice hub

Maclean, S (2016) A new model for social work reflection: whatever the weather

Mezirow, J (1998) Transformative learning and social action: A response to Inglis

Murray, J (2016) Skills development, habits of mind, and the spiral curriculum: A dialectical approach to undergraduate general education curriculum mapping

Community Care Inform , critical reflection in social work , practice guidance

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6 Responses to How to develop critical reflection in your practice

The problem is that we are so pre-occupied with completing forms and feeding an ever greedy electronic recording system that we are not allowed time for reflective practice

Reflective practice is more myth than reality? No?

This was the view of Schon in 1986 and the forms of words used or ‘thought-forms’ (Laske) to describe what’s written more accurately are missing in the references cited; is the desire to fill the emptiness or void a proof that social work has a formulation of what reflection, is, and that such-a-thing-in-itself exists, and can be actually taught is wrong, right?

We all know more than we can ever tell, (Polyani) and in reality use rule of thumb generalities to get by.

I mean what does transformative learning and social action actually mean without consideration of a requirement of submission to a higher authority? What ever happened to Seddon’s challenge to Command and Control in Public Services?

Similarly, the rehashing of Ashbridge’s works on Beliefs, Attitudes and Behaviour approaches are hardly going to push the evolution of the ideas. Is this merely product placement and shelf positioning, perhaps it is?

I wonder too about how Grave’s notion of ‘Spiral Dynamics’ is compatible with dialectics; argumentation and dialogics, maybe, but dialectical hermeneutics or synthesis between opposites ~ really?

And, what has curriculum mapping and the weather got to do with anything, precisely? The dependency on such idea’s covered in Beyond Metaphor and Model in International Relations by Bosanquet ~ and let’s face it the critical incidents in Leeds as elsewhere have a Post Brexit and international trade aspect.

I deliberately provoke because all of the above, beit reflective learning, mapping and spiralling and habits of mind are hardly critical in their very essence and impact; neo-liberal functionalism and the utilitarianism of health and welfare economics has outpaced us, no?

Social Work is in the shadows of itself ~ may reflective mirror exercises would work better ? Afterall, the current systemic narcissism is inherently and structurally determined, right?

Thoughts….

Alec, I have read your comments.In my opinion reflective practice plays an integral and critical part of social work pratice.(H Ferguson 2018 )describes it has a core concept in social work.Reflective practice should not only take place during a serious case review,is this then not to late to start indept reflecting ?

Worryingly this pratice in my opinion,based on experince and observations is eroded along with many other social work skills .Does it take place in supervision no,does it take place in team meeting no, does it take place on a one to one bases no,can you approach your team manager/advanced practitioner to have any meaning discussions no.Even during Stratgey discussions which are meant to gather, share information and reflect on the information. The police can ignore the social workers opinions even though it may be relevant.

A social worker may throughout the day experince both physical and emotional abuse from service users, negative communications from follow colleagues/professionals then expected to make decisions which will be life changing, for service users and children this can bring with it assumptions ( the stereotype bias),decisions which only focus on the negative,( the confirmation bias) (the halo bias) (the supporting evidence bias) all of which impacts our decision making and how we treat service users and colleagues.

For social workers the role brings with it under lying trauma. A social worker may attend work to hear that a serious incident has taken place on thier case load and or to a parent.The social worker is expected to continue to work inorder to be avaliable for questioning and in most cases continue to manage thier cases.

Social work is crisis lead now there appears no room for reflective practice until it is to late,decisions are made on knee jerk reactions to prevent criticism and blame.Social workers are not given the support to fully reflect and analyse decisions.Reflection and analysis makes for clearer decision making.If a social worker is able to demonstrate why, having taken into account the above and how a decision was made, does this pratice not support the social worker and manager better when in court.

Why are the majority of social workers blamed for a system which does little to support them and deliver a professional service? ,it is not all down to the social workers.A motor car can not function if it does not have the necessary engine.

“We expect you to hit the ground running” is often used.To me this is unhelpful and implies we do not have the time to provide adequate support by way of adequate admin assistance,IT support,legal support, supervision,consultation working long hours and more.

To request support does not mean you can not do the job.Is it not senior management who should ensure social workers are equipped.Pretending all is well and social workers are to blame does not address the issues faced by social workers who have to deal with much more than the public and senior managers care to admit.

All my comments I can further explain and demonstrate why i have come to the conclusion I have, however will not do so.

Ask why recruitment is difficult.Ask why experienced and skilled social workers are leaving the profession.Ask whether those who have experienced fitness to pratice have been fairly referred or is it due to a lack of resources,support to enable safe and professional services.

The profession is in need,for some it mask bad pratice.

So many questions none of which have been given answer’s by those who have the power to make changes.

Having been (interesting that I say ‘been’ and not worked) a social worker since 1988, for 35 years, I have had experiences of changing methodologies and ‘branding’ of interventions repeatedly. I see new social work celebrities re-brand existing theories and ideas, market them as the next best thing … and watched as they fizzle out to the next ‘best’ practice model. The best social workers I have encountered and trained, are those that know that they themselves are the best resource they have. They know they get ‘caught’ up in case work and organically reflect on their personal thinking ….. and, hopefully, with good supervision, work it out, and provide the best service for the children and families they work with. Interestingly, I still do auditing for local authorities, and nothing seems to have changed. I see repeat referrals for neglect, domestic abuse and parental mental health (drugs and alcohol). Children and young people on repeated CP plans – and in the last ten years an increase in child criminal exploitation who are mainly the children we have ‘let down’ along the way. We don’t need more interpretations of methods, models and theories. We need to support social workers and their managers by reducing the onerous paperwork. stop using blame cultures and provide quality supervision.

In effect, Social Workers are not supported by managers in reflecting on their practice because of high caseloads and consequent paperwork demands

All I know is I think about my work and the day ahead as I commute into my increasingly sparsely attended team space, juggle my ‘tasks’, try to ignore the ever desperate inane “motivating” e-mails from managers I’ve never met, try to actually think of my “cases” as people, acknowledge my insecurities, try to celebrate my strengths, commit to doing something that means something to someone whose life I’ve entered, check my anger at some of the fatuousness of the ‘innovations’ foisted on social workers, laugh at the grand gestures from Leaders and self elected representatives but always never lose what it means to be a social worker. It’s never forms, it’s never data, it’s never self-interest, it’s never “departmental policies”, it’s never trundling along in isolation, it’s never succumbing to cynicism because of lack of autonomy. It’s solidarity, it’s thoughtfulness, it’s never accepting injustice, never careerism. It’s love, it’s acceptance, it’s being judgemental when witnessing abuse of vulnerability, it’s knowing that what some see as boundaries is often assertion of power, status, petty score settling. That’s my reflection

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