By Tony Ghaye

Healthcare companies need to deal with switch so one can evolve and enhance care. This booklet explores using reflective perform as a pragmatic device to envision progress and alter and to advance an efficient future health care business enterprise.

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Action step 3 Journeying along action pathways-to-scale Here I describe six action pathways that enable us to progress towards a reflective organisation. These pathways are called values, conversation, user, leadership, team and network. Action step 4 A force for change With this final step, I put forward the case that RAISE is one particular force for change that is supportive of r-learning. RAISE contains five forces. What is an action pathway? I have taken the notion of an action pathway from the work of Redwood et al.

How far could the metaphor of ‘crossroads’ help you reflect upon some of the most important decisions you have had to make in your personal or professional life, decisions that have given your life the direction it has thus far? How far does the metaphor of ‘mountain climbing’ help you reflect on and describe your professional life? How far do the metaphors of ‘juggling’ or ‘nurturing’ help you reflect upon the work that you do? In his book Educating the Reflective Practitioner, Schön (1987) uses the metaphor of the swamp and the high ground: On the high ground, manageable problems lend themselves to solution through the application of research-based theory and technique.

So let us pull this together and get back to the central question of how to scale up reflective learning so that it becomes an organisation-wide frame of mind and work habit. In order to address this question, the 18 Introduction book is organised into four fundamental action steps. Appreciating one step provides us with the reasons, capability and courage to take the next step. The action steps are: Action step 1 Developing an appreciation of reflective learning As mentioned earlier, reflection is a subject of much debate.

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