Andreina Bruno

Reflective Practice for Psychology Students: The Use of Reflective Journal Feedback in Higher Education:

Reflective journals have emerged as an effective means of monitoring and developing reflective practice in higher education, as part of a wider metacognitive strategy to transform traditional learning approaches. In addition, assessment procedures of reflective journals appear to be an important factor in enhancing commitment to learning and reflection. This paper explores the effects of the use of journal writing and formative feedback on the quality of reflective practice, by presenting a case study of reflective learning in a master’s degree program in the North of Italy, in 2014/2015. The article contributes to the current debate about the effectiveness of one-to-one writing tuition by analyzing student writing through qualitative analysis and quantitative trend assessment. In particular, it provides evidence on formative feedback efficacy in developing the quality of reflective practice. Unlike much of the research into writing support, this study seeks to evaluate the impact of feedback use not only by measuring student perceptions of effectiveness or level of satisfaction, but also by assessing the development of reflective practices.

‘What shall I pack in my suitcase?’: the role of work-integrated learning in sustaining social work students’ professional identity

Abstract Interest in the reflective practitioner as a model of a ‘good professional’ has increased in several professional fields and is also valued within social work education as a key aspiration to address the uncertainties and challenges encountered in contemporary working environments. Reflecting on their own professional identity, as well as theories, values, and devices used in professional practice, can help practitioners deal with complex work demands and help students be better equipped to transition from university to work. Work-integrated learning (WIL) provides students with an opportunity to integrate academic learning with ‘real-world’ experiences to develop both valuable self-monitoring and professional self-constructive ability. This paper presents a case study in social work higher education in which WIL class-based teaching was combined with the use of reflective journals to explore the role of WIL in developing reflective practices for professional identity formation. 21 reflective journals by social work students are analysed. The findings suggest that teaching practices based on WIL enable professional identity formation by developing reflective practices, and that different learning conditions sustain specific dimensions of professional identity, i.e. professional expertise, membership to a professional community and sense of professional self.

Reflective practicum in higher education: the influence of the learning environment on the quality of learning

Abstract Sustaining students in becoming reflective practitioners is considered as a valued outcome of higher education. The paper aims to evaluate the impact of the learning environment conditions inspired by Schön’s theory of reflective practicum, by discussing a case study of a master’s degree class. The learning environment was designed to sustain reflective practice and meaningful engagement through professional practice simulation, problem-based learning and reflective writing. Unlike much of the research into reflective learning, the quality of learning was evaluated by assessing the use of reflective practice in students’ weekly journaling, rather than measuring students’ satisfaction or perceptions of effectiveness. Two hundred and six journal entries of 23 students were assessed and used in a quantitative analysis based on a linear mixed-effects model. Findings indicated that the reflective practicum has an incremental effect on students’ reflective practices and that reflective practice is dynamic and sensitive to specific learning environment conditions. In conclusion, students’ co-responsibility of the learning environment allowed by the professional practice simulation appears to foster meaningful and reflective learning. Conversely, conditions that stimulate only cognitive engagement have little impact or even inhibit reflective practices. Practical implications of the use of reflective journal are discussed.

Customer Orientation and Leadership in the Health Service Sector: The Role of Workplace Social Support

Health care is a critical context due to unpredictable situations, demanding clients, workload, and intrinsic organizational complexity. One key to improve the quality of health services is connected to the shift in organization perspective of viewing patients as active consumers rather than passive users. Therefore, higher levels of customer orientation (CO) are expected to improve organizational service effectiveness. According to a cultural perspective to CO, the aim of the study was to explore how different leaders’ behaviors (task-oriented and relationship-oriented) interact with CO of health organizations. Specifically, the aim of the paper was to contribute to this topic, by considering the leaders’ point of view. Since leader’s experience of CO is influenced by social processes in the work environment, workplace social support (WSS) was inserted as moderator in the relationship between leader behavior and CO. A survey study was conducted among 57 Health Department directors belonging to the National Health Service in the North of Italy in 2016. Findings showed that WSS moderated the influence of leadership concern for relationship on CO. Practical implications of the study are discussed.

Promoting Safety through Well-Being: An Experience in Healthcare

Practitioners’ well-being and clinical risk management are two interrelated concepts in healthcare. Patient safety, workers’ safety and practitioners well-being have often been managed and measured with different methods, even though they are tightly linked. In this paper we propose a method that is suitable to increase organizational health. The action-research project aims to increase the commitment of healthcare managers and practitioners toward the development of an organizational culture which is oriented to patient and practitioner safety and well-being. These are crucial organizational resource for an effective process management. The project lasted 18 months and involved 60 nurses and physicians working in the operating room of six hospitals in the North of Italy. The project aimed to develop an inter-organizational methodology for noticing and monitoring critical threats to safety and well-being. The tool consisted of a report form in which practitioners could describe possible threats, solutions and personal contributions to the solutions. The participants designed it according to their practice and it was considered suitable and usable in their current work activities. Its added value is to overcome the habitual bottleneck between anomalies investigation and action planning, by identifying a specific role in the learning process to take care of the transition from data gathering to data use. The tool aims to enable individuals and teams to monitor and share ideas about critical aspects that affect their safety and well-being, collect contributions to solve them, sustain dissemination of good practices and frame health promotion as a crucial organizational resource.

Different and similar at the same time. cultural competence through the leans of healthcare providers

Cultural competence (CC) for professionals and organizations has been recognized as a key strategy to reduce health care inequalities for migrants and to promote responsiveness to diversity. For decades its main aim has been matching health services to the cultural needs of migrant users. Otherwise literature highlighted the need to find a pragmatic middle way between the ‘static’ and the ‘dynamic’ views of culture that are recognizable in CC approaches. A pragmatic middle way to CC will be proposed as the way to respect diversity, even responding to cultural issues, without stereotyping or discriminating. To understand conditions that favor this pragmatic middle way this study aims to explore: (1) perceptions of healthcare providers in managing diversity; (2) strategies used to meet health needs at a professional and organizational level. A qualitative case study was conducted in a healthcare service renowned for its engagement in migrant sensitive care. Four different professional figures involved in CC strategies at different levels, both managerial and non-managerial, were interviewed. Data were analyzed using thematic analysis. Findings indicated that dealing with diversity poses challenges for healthcare providers, by confronting them with multilevel barriers to quality of care. A pragmatic middle way to CC seems to rely on complex understanding of the interaction between patients social conditions and the capacity of the institutional system to promote equity. Professional and organizational strategies, such as inter-professional and intersectional collaboration, cultural food adaptation and professional training can enhance quality of care, patient compliance responding to social and cultural needs.

Reconstructing the internship program as a critical reflexive practice: the role of tutorship

ABSTRACT Critical reflexivity has been acknowledged as fundamental in higher education. For facing complex situations in turbulent environments, students nowadays need not only to be taught technical knowledge, but also to be helped develop “relevant” learning for their future professional practice. In recent years, scholars have concentrated on what makes the internship experience a successful opportunity for the parties involved, and have also discussed the crucial role of a mentor/tutor in sustaining relevant and effective learning. However, the specific conditions that make tutorship successful in promoting critical reflexivity in such a boundary crossing experience need to be further explored. Aim of this paper is therefore to analyze what tutorship conditions sustain the development of critical reflexivity in internship. For this purpose, we will present the case study of an internship program run by one of the largest universities in northern Italy.

Servizi sanitari culturalmente competenti: prospettive emergenti nel contesto italiano. Uno studio esplorativo

L’Italia vanta una delle normative piu inclusive in Europa per la tutela del diritto alla salute dei migranti. Tuttavia, lo sviluppo dei servizi sanitari per rispondere ai bisogni di una popolazione sempre piu diversificata, nonostante la presenza di eccellenze, resta generalmente frammentato. Per contrastare le disuguaglianze sanitarie per migranti e minoranze etniche, la competenza culturale (CC) di professionisti e organizzazioni si e diffusa a livello internazionale come sinonimo di buone prassi. La sua definizione e attualmente dibattuta, risentendo l’influenza degli specifici contesti storico-geografici in cui e utilizzata. Lo studio ha l’obiettivo di esplorare nel contesto italiano: 1) le criticita nello sviluppo di servizi culturalmente competenti; 2) la percezione delle buone prassi in comparazione con gli orientamenti europei; 3) l’utilizzo e la comprensione del costrutto di CC. Data la natura esplorativa della ricerca in un campo ad alta frammentazione di pratiche, sono stati intervistati 8 testimoni privilegiati del contesto italiano, con differenti background e noti per la loro esperienza professionale nel campo della promozione della salute dei migranti. L’analisi dei risultati consente di comparare le linee di tendenza specifiche nazionali nel panorama europeo e di approfondire le disomogeneita interne. L’uso del termine CC non appare ampiamente diffuso ed e interpretato secondo diverse prospettive, con approcci che spingono per un superamento della visione categoriale di cultura. Nell’insieme i dati suggeriscono l’importanza di un servizio fondato sulla complessita di risposte a livello professionale, organizzativo e politico per contrastare pratiche discriminatorie e favorire equita e la contestualizzazione delle strategie ai bisogni locali.