Reflective practice and its relationship to mindfulness, situation/movement awareness and person-centredness during mobility care in nursing homes: a discussion paper

This paper highlights the relationship between reflective practice and staff mindfulness, situation and movement awareness, and person-centredness during mobility care in nursing homes. An overview of relevant decision-making theory is followed by discussion of the place of reflective practice in optimizing mobility care. Two contrasting case scenarios, derived from observations of mobility care during a previous qualitative study, are used to illustrate and contrast how mindfulness, situation awareness and reflection-in-action may enable person-centredness. Implications for training designed to improve person-centredness during mobility care are considered. Training in situation and movement awareness, combined with observations and collaborative reflective practice, may provide a format for coaches and peer leaders to develop mindfulness and person-centredness of care staff during mobility care.