ABSTRACT

Despite recognition of the importance of critical reflection for professional development in social and health care – particularly regarding professional competency and self-awareness – the use of reflective practice in professional training has received less examination. This paper evaluates the use of critical reflection as a pedagogical approach in training allied health professionals – in this instance, training Pharmacy Assistants (PAs) and Pharmacy Dispensary Technicians (PDTs) towards increasing critical reflection of their service delivery to Medication Assisted Treatment of Opioid Dependence (MATOD) consumers. Specifically, this paper examines a) the embedding of a critical reflection model within training materials; and b) the experiences of participants who undertook this training, including their experiences of applying their learnings to professional practice. Findings present a mixed picture. Despite the training facilitating the unearthing and deconstructing of problematic values and assumptions in the service delivery of MATOD treatments in pharmacy settings, some participants found the recognition of their own biases and prejudices overwhelming. Hence, although Fook and Gardner’s (2007) critical reflection model has enormous potential to tackle stigma and discriminatory attitudes towards opioid dependence and MATOD and improve professional practice, greater attention to scaffolding, designing and implementing the process of critical reflection is needed.

摘要

尽管人们认识到批判性反思对于社会和医疗保健专业发展的重要性——尤其是在专业能力和自我意识方面——但在专业培训中使用反思性实践却很少受到检验。本文评估了使用批判性反思作为培训专职医疗人员的教学方法——在这种情况下，培训药房助理 (PAs) 和药房药房技术员 (PDTs) 以增加他们对药物辅助治疗阿片类药物依赖的服务交付的批判性反思(MATOD) 消费者。具体而言，本文考察了 a) 在培训材料中嵌入批判性反思模型；b) 参加本次培训的参与者的经验，包括他们将所学知识应用于专业实践的经验。调查结果呈现出喜忧参半的情况。尽管培训促进了在药房环境中 MATOD 治疗服务交付中发现和解构有问题的价值观和假设，但一些参与者发现他们对自己的偏见和成见的认识压倒一切。因此，尽管 Fook 和 Gardner（2007 年）的批判性反思模型在解决对阿片类药物依赖和 MATOD 的耻辱和歧视态度以及改善专业实践方面具有巨大潜力，但仍需要更多地关注脚手架、设计和实施批判性反思过程。尽管培训促进了在药房环境中 MATOD 治疗服务交付中发现和解构有问题的价值观和假设，但一些参与者发现他们对自己的偏见和成见的认识压倒一切。因此，尽管 Fook 和 Gardner（2007 年）的批判性反思模型在解决对阿片类药物依赖和 MATOD 的耻辱和歧视态度以及改善专业实践方面具有巨大潜力，但仍需要更多地关注脚手架、设计和实施批判性反思过程。尽管培训促进了在药房环境中 MATOD 治疗服务交付中发现和解构有问题的价值观和假设，但一些参与者发现他们对自己的偏见和成见的认识压倒一切。因此，尽管 Fook 和 Gardner（2007 年）的批判性反思模型在解决对阿片类药物依赖和 MATOD 的耻辱和歧视态度以及改善专业实践方面具有巨大潜力，但仍需要更多地关注脚手架、设计和实施批判性反思过程。