1. National Leading Improvement for Health and Well-being Programme 2011/2012 Learning Event 3 27 th and 28 th September 2011

2. Reflection “ A generic term for those intellectual and affective activities in which individuals engage to explore their experiences in order to lead to a new understanding and appreciation" Boud, D. Keogh, R. Walker, D. (1985) Reflection: Turning experience into learning. London: Kogan Pagea A reflective practitioner is one that learns from their experiences by critically reviewing their actions, considering the impact of those actions and planning what they would do in similar situations in the future.

3. Kolb 1984

4. The Learning Cycle and Learning Styles Actual Experience (Activist) Testing Reflection Out Observation (Pragmatist) (Reflector) Conclusion (Theorist)

5. What are we trying to accomplish? How will we know that a change is an improvement? What change can we make that will result in improvement? Model for Improvement ActPlan StudyDo Understanding the problem. Knowing what you’re trying to do - clear and desirable aims and objectives Measuring processes and outcomes What have others done? What hunches do we have? What can we learn as we go along? Langley G, Moen R, Nolan K, Nolan T, Norman C, Provost L, (2009), The improvement guide: a practical approach to enhancing organisational performance 2 nd ed, Jossey Bass Publishers, San Francisco

6. Boud, Keogh and Walker (1985) address emotions: For them reflection is an activity in which people 'recapture their experience, think about it, mull it over and evaluate it' (ibid: 19). Returning to experience - that is to say recalling or detailing salient events. Attending to (or connecting with) feelings - this has two aspects: using helpful feelings and removing or containing obstructive ones. Evaluating experience - this involves re-examining experience in the light of one's intent and existing knowledge etc. It also involves integrating this new knowledge into one's conceptual framework. (ibid: 26-31)

7. First Order Change More of, or less of…….the same thing

8. Second Order Change Stand back… Reframe… See big picture… Change a fundamental assumption or mental model

10. Resilience: A Definition Resilience is the capacity for an individual to deal effectively with stressors, pressures and challenges and perform to the best of their abilities irrespective of the circumstances in which they find themselves. It is referred to by some as the ability to ‘bounce back’.