Journal of Nursing & Care

A Longitudinal, Comparative Evaluation of Reflective Practice Groups for Nurses Working in Intensive Care and Oncology

Abstract

Chris Dawber and Tom O’Brien

This paper presents a longitudinal evaluation of Reflective Practice Groups (RPG) for nurses from Intensive Care and Oncology settings at Nambour Hospital, Queensland. The literature review examines previous evaluations of RPG, establishing the contribution of the current study as its longitudinal, quantitative comparison of RPG from two distinct nursing contexts. The two year evaluation utilised a validated tool, the Clinical Supervision Evaluation Questionnaire (CSEQ), designed specifically for facilitative group supervision. The results support the positive findings of a pilot study by the author, with a majority of nurses from both groups rating their experience of RPG as ‘definitely positive’ throughout the evaluation period. Subtle differences in data from CSEQ subscales of purpose, process and impact indicate that aspects of, and benefits from, RPG were experienced differently in each group. Whilst both groups reported positive perceptions of process, the ICU group showed a notable positive shift in fields relating to trust, respect and safety whereas data from the Oncology group indicated an upwards trend in ratings of impact fields such as self awareness, clinical insight and quality of care. These results are discussed in relation to group characteristics and workplace contexts. Despite limitations, the data is felt to reinforce the value this RPG model places on facilitation techniques and management of group process as means of enhancing critical reflection, promoting a focus on the interpersonal aspects of care giving and encouraging supportive interaction. The study establishes a sound basis for ongoing research into this RPG model.