The Effects of Using Reflective Journals on Reflective Practice Behaviors in the Nursing Administration Practicum among Fourth-Year Nursing Students
Keywords:
Reflective Journal, Reflective Practice Behaviors, Nursing Students, Self-managementAbstract
This study employed an explanatory sequential mixed-methods design, consisting of a quantitative quasi-experimental one-group posttest-only approach and qualitative research. The objective was to examine the effects of using reflective journals on reflective practice behaviors in the nursing administration practicum. The quantitative sample comprised 43 fourth-year nursing students, while the qualitative sample included 7 students. Research instruments consisted of reflective journals, a reflective behavior assessment form, and a focus group interview guide. Quantitative data were analyzed using descriptive statistics, and qualitative data were analyzed using content analysis. The results showed as follows.
1. After using reflective journals, students demonstrated reflective practice behaviors above the 75% criterion with statistical significance (p-value < .001).
2. Effective self-management during the nursing administration practicum was enhanced by the use of reflective journals, which supported students in preparation, leadership development, and professional nursing practice.
In conclusion, as students’ reflective practice behaviors exceeded the specified benchmark, nursing faculties should consider incorporating reflective practice into nursing education. This approach has the potential to foster positive professional attitudes, critical thinking, and leadership skills among nursing students.
References
Ahmadpour, N., Shariati, A., & Moghadam, M. P. (2025). Effect of narrative writing based on Gibbs' reflective model on the empathy and communication skills of nursing students. BMC medical education, 25(1), 10. doi.org/10.1186/s12909-024-06593-7
Banditsatsak, K. (2018). Reflective Thinking of Suranaree University of Technology’s Cooperative Education Students. Master’s thesis, Suranaree University of Technology. (In Thai)
Bijani, M., Mohammadi, F., Haghani, F., Yamani, N., & Karimi, S. (2021). Development and psychometric evaluation of a reflection on clinical practice questionnaire for nursing students. BMC Nursing, 20(1), 185. doi: 10.1186/s12912-021-00705-0
Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3, 77-101. doi: 10.1191/1478088706qp063oa
Chaisa, P., & Janwijit, S. (2020). The Effects of reflective thinking skill promoting based learning and instruction on reflective thinking behaviors among nursing students. Journal of Education Studies, 48(1), 224-238. (in Thai)
Chonsawat, C., Kaewchantr, M., Kraiwong, P., & Kengkoom, W. (2022). The effect of learning a management through reflective thinking process on reflective thinking behavior among nursing students. The Journal of Faculty of Nursing Burapha University, 30(1), 28-38. (in Thai)
Coggon, D. (2003). Statistics in Clinical Practice. (2nd ed.). BMJ Books. Cohen, J. (1992). A power primer. Psychological Bulletin, 112(1), 155–159.
Edelen, G. B., & Bell, A. A. (2011). Role of an analogy guide learning experiences in enhancing student’s clinical decision making skill. Journal of Nursing Education, 50(8), 453-460.
Faul, F., Erdfelder, E., Lang, A.-G., & Buchner, A. (2007). G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39(2), 175–191.
Gibbs, G. (1988). Learning by doing: A guide to teaching learning methods. Oxford Brookes University. Kaewprom, C. (2013). Development of nursing students’ reflective thinking skills through learning journals in the teaching and health counseling course. Journal of Phrapokklao Nursing College, Chanthaburi, 2(24), 12–20. (in Thai)
Morgan, J. (2014). Preliminary Quantitative Input Design. In R. Smith (Ed.), Advances in Input Design for System Modeling (pp. 45–68). Springer.
Mueannadon, R., Tirapaiwong, Y., Srichairattanakull, J., & Yutthayong, S. (2019). Learning development through reflection. Journal of Health and Nursing Research, 35(2), 13-25. (in Thai)
Nawsuwan. K., Wisalaporn. S., & Sattayarak., W. D. (2015). Strategies to develop the nursing students’ Identity in nursing colleges, ministry of public health. Hatyai Journal, 13(2), 117-132. (in Thai)
Reime, M. H., Bell, K., Albrigtsen, B., & Beisland, E. G. (2022). Baccalaureate nursing students’ reflections on professional development within the nursing leadership role when participating in student-run teams: A qualitative content analysis of student's reflection notes. SAGE Open Nursing, 8, 23779608221130604. doi: 10.1177/23779608221130604
Samkaew, W. (2004). Statistics in Medical Practice. P.A. Living, p. 45. (in Thai) Shin, S., Lee, I., Kim, J., Oh, E., & Hong, E. (2023). Effectiveness of a critical reflection competency program for clinical nurse educators: A pilot study. BMC Nursing, 22(1), 69. doi: 10.1186/s12912-023-01236-6
Sinthuchai, S., Dechphithaksirikul, S., & Yoksuriya, P. (2018). Reflective practice in nursing education. Journal of The Royal Thai Army Nurses, 19(2),15-23. (in Thai)
Srichairattanakool, J., Tirapairwong, Y., Mueannadon, R., & Yutthayong, S. (2019). Development of learning through reflective thinking. Journal of Health and Nursing Research, 35(2). (in Thai)
Suthayakorn, N., Buatee, S., Khamkon, A., & Lerluk, T. (2023). Active learning management in a lecture course and nursing competency in new normal era. Thai Journal of Nursing, 72(4), 61–70. (in Thai)
Taiwo, A., & Esther, M. (2022). Reflection and reflective practice in general practice: A systematic review exploring and evaluating key variables influencing reflective practice. Journal of Advances in Medicine and Medical Research, 34(3), 34-44. doi: 10.9734/jammr/2022/v34i331271.
Tantalanukul, S., & Wongsawat, P. (2017). Stress and stress management in nursing students. Boromarajonani College of Nursing, Uttaradit Journal, 9(1), 81-92. (in Thai)
Wanchai, A., Saengpak, C., & Leaungsomnapa, Y. (2017). Learning and teaching methods by using reflective thinking technique in nursing education. Journal of Health Science, 11(2), 105-115. (in Thai)
Wiangperm, S., Sangsai, W., Baramee, S., & Soasuep, P. (2020). Learning through reflection after nursing practice training for people with mental health problems. Journal of Health Science, 29(6), 1095-1102. (in Thai)
Wongrattana, C. (2010). Techniques of Using Statistics for Research. (12th ed.). Nonthaburi: Thai Naremitkit Interprogress. (in Thai)
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