Learning Objective 1: The learner will be able to identify the concept of immersion in practice - from clinical and policy in relation to impact on attitude.
Learning Objective 2: The learner will be able to see the value of creating space in the world of work for learning through relational reflection .
Methods: This study is ethnographic and utilized individual semi-structured interviews with 15 nurses. Four nurses agreed to be interviewed again to more fully explore their experiences of working with older people. The interviews were transcribed verbatim and thematically analysed. Analysis continued until saturation when no further themes were emerging from the data.
Results: Three themes emerged from the analysis: Role-modelling, Dependence and Relationality. These themes are consistent with the existing literature and have been used to inform a professional development program for nurses.
Conclusion: Immersion in clinical practice and socially constructed reflection impact nurses' attitudes to working with older people in acute care.The themes have informed the design of a professional development program that utilises a reflective practice paradigm. I have called the program Achieving Relational Reflection: improving care of older people. This program will be implemented in 2012.