​​​ • Structural analysis/Reflective activity. In this activity you will explore your practice through a reflective process. If you have any concerns and need further clarification please contact me. The reflection will take a little time but keep in mind you have already submitted stories that enhance or constrain practice in your first discussion board. You have also addressed these stories in your assignments to some extent.Each submission will be different so it is not one size fits all. This is a time where you can let your creative side do what it needs to do. THE PROCESS • Step 1: Read the document 'Narrative reflection' in the learning materials in module 3, weeks 11-12, then return to this page. • Step 2: Open the document 'Story template' in module four and work through it. At the end of this template is an example of two stories to help guide you. They don't have to be this long as the ones in the examples. • Step 1: 1.Narrative reflection: Changing Practice Through Story As health or social work professionals you use stories every day to talk about what you do, and how you do it. These stories help build trusting relationships with client's, patients, families and colleagues. You carry stories of health, social situations and people's lives in particular ways because of the circumstances and situations which bring people to you, health or community services. Stories about health, illness and social distress change personal/professional perspectives and 'imagined' positions of others. These perspectives can provide a basis for developing empathy and change professional practice. This narrative reflection has been adapted from the work of Greenhalgh and Collard (2003, pp. 65–66). It uses Bourdieu's concepts of field, doxa, habitus and capital to help you construct a story of practice to demonstrate how they work in practice. While the language and concepts may seem new and unfamiliar to you, you enact Bourdieu's concepts in your everyday practice. His ideas are presented here to assist you in understanding why things are the way they are in your area. But, before you begin, consider what a story is. For the purposes of this activity, a story: focuses on a particular practice situation is told from the perspective of the storyteller and includes what is relevant to you, the storyteller. has a plot. The story begins, things happen and something emerges in terms of action. identifies possible causes about why things happened or why things are the way they are. is an attempt by the teller to find meaning in what happened. has tension, complicating action or unresolved feeling, thought or actions. includes a description of the feelings and emotions of the patient/client, health professional or other people, such as what they said or did that indicated an attitude, feeling or thought. is shared as a story, and so requires a listener or a reader. (Discussion board). provides a space for the teller to reflect on the story and construct an alternative ending (perhaps your journal) provides a basis for sharing the learning points for professional practice with colleagues. provides an opportunity for changing practice to deliver i health care a person might experience as safe and secure. 2. A template to guide you through the process of constructing your story. Narrative reflection: Changing practice through story This activity requires online interaction within your group in Forum 3. When you have completed the tasks submit your story and analysis to discussion forum 3. The story template and an example is in the next item - see below before starting the activity. Task: Part 1 1. Choose a practice situation that means something to you in relation to the unit learning materials. For example, you might recall a situation where care or the service, demeaned, diminished or devalued the identity or wellbeing of a patient, client, family, colleague or youself. It might be a situation where professional values and subsequent care was compromised. It could involve the power of the health professional or patient/client challenging the service or the institution, creating tension or conflict (Welch, 2005). 2. When you have decided on your story, work through the following template systematically. You might want to write it as a free-flowing story rather than use the headings the questions suggest. You might want to tell the story to another person first. 3. Tell the story as a story , see above, either written or spoken, with a beginning, middle and end. 4. If you have told the story to someone make sure you write it down. 5. This is your story about what happened. Task: Part 2- Telling the same story from your 'imagined' perspective of the person or one person in your story. 1. Now tell the same story in the first person from your imagined perspective of the person's experience. This is the story of one of the people identified above. Start with I am ..... A patient, client, resident,family member etc. 'This is my story about what happened … It is about how it affected me at the time and how it is continuing to affect me...' At the end of your story, from the imagined position, identify three things that the health professional/s involved did to help you) maintain a sense of wellbeing and hopefulness (see example). 2. Make sure you write it down. Note: This is your interpretation of how another person might have experienced the same situation. You tell it as if you were the other person. It is important to note that it is not knowing how the other person thinks or feels. Every day we are imagining how another person might be and we respond accordingly. It is called empathy, responsiveness, compassion, understanding and relationship. Task: Part 3 Reflect on the following questions and make notes to capture the thoughts and feelings. 1. What questions or issues does this story raise in relation to your practice? 2. What have you learned from constructing these stories? 3. Submit both of your stories (from Part 1 and Part 2) to one other person in your group. Choose one person only. But have a look at other postings if you choose to. 4. Have a discussion with the person to whom you have sent your stories. Post your full stories to the Discussion Forum titled: Structural analysis/ Reflective activity. Access the Forum through the left hand green menu 'Discussion Forum and Groups' You can either post in the discussion board or attach a word document. Please make sure you not disclose any identifying information of person or place. Step :2 Story template This template will guide you through the structure of recording and reflecting on the story. 1. What is the story about? For example, is it a story about hope, despair, morality, power, racism, resistance, strength, resilience, struggle, dignity or …?) 2. Who is the story about? (Patient, client, resident, customer, family member, colleague) 3. What kind of setting did it place in? 4. Why have you chosen this story? (What is the first thing that comes to mind when you see this question). Is it something unresolved, or was it a good experience demonstrating best practice? 5. What happened in the story? Tell the story. To get you in the story telling mood you could start with 'Once upon a time…..' 6. Who are the key people, objects or structures in the story (A key person may not be the most obvious person. A key person may have a minor role in the overall story. Note also that objects may play a part in the telling of the story. For example, the interview room, the assessment processes etc.) 7. How did you or some of the other people in the story react to what was happening? 8. What was the outcome? 9. What constrained best practice? What enabled best practice? 10. Do you think anything could have been done differently? If so, who could have done what, and why would it have been better? 1. What questions or issues do the stories raise in relation to your practice? 2. What have you learned? 3. What can you do differently? 4. What do you need to make a change- resources, relationships, things/objects/structures