Use of reflective practice in introducing change on the management of pain in a paediatric setting

J Nurs Manag. 1999 Mar;7(2):113-8. doi: 10.1046/j.1365-2834.1999.00102.x.


Aim: The paper describes the application of a reflective model devised by the author, in the management of paediatric pain within a district hospital.

Background: The issue of bridging the theory-practice gap in nursing has encapsulated the workings of both nurse practitioners and theorists for many years, not least in the management of paediatric pain.

Methods: The reflective model, divided into seven stages, demonstrates the way in which reflective practice and management of change can be integrated.

Findings: Applying this model highlighted nurses' concern themselves with a theory-practice gap, but was also evident of a theory (practice knowledge)-theory (official scientific knowledge) gap that needs to be acknowledged.

Conclusion: It is predicted that the integration of reflective practice with management of change will be useful to nurse practitioners and theorists alike who have sought to address the issue of a theory-practice gap in nursing by embracing the concept of reflective practice.

MeSH terms

  • Child
  • Communication
  • Health Knowledge, Attitudes, Practice
  • Hospitals, District
  • Humans
  • Interprofessional Relations
  • Models, Nursing*
  • Needs Assessment / organization & administration
  • Nursing Methodology Research
  • Nursing Process*
  • Nursing Staff, Hospital / organization & administration*
  • Nursing Staff, Hospital / psychology*
  • Organizational Innovation
  • Pain / nursing*
  • Patient Care Team / organization & administration
  • Pediatric Nursing / organization & administration*
  • Thinking*