| Time |
'Having to sit aside and taking time to think and then write … with my kid and family I find it difficult.' (S297) |
'The time it takes … I think I’m a perfectionist, so it can take me a whole week to write one reflection.' (IA) |
| Mandatory or forced |
'The fact that there is a stipulated number of reflection entries in each training period means sometimes the trainee makes entries just to meet up with the required number.' (S386) |
'It’s just being forced … that restricts you and makes you tailor stuff … it should be more open … we should be able to reflect how we feel a reflection should be.' (IC) |
| Difficult and unfamiliar process |
'As we do not have previous reflections, it was very difficult to know what they mean by reflect and how to do this. And when I did that, I am not sure is it the right way or not.' (S299) |
'When I started ST1 I was always anxious if I‘m saying and writing the right things, if I’m reflecting properly because as I say it’s not something we do.' (II) |
| Fear of consequences |
'Difficult to reflect on mistake because of fear of GMC scrutiny or providing evidence for our own weaknesses.' (S115) |
'I find myself saying’"Okay, delete that, you don’t want that on record". Because some smart lawyer somewhere can twist your words out of context and put you in trouble.' (IH) |
| Boring or repetitive |
'Sitting down, recalling the events of a particular case or event, putting on a writer’s hat can be tedious.' (S5) |
'Sometimes when you’ve had an uneventful week you just think "Okay what do I reflect on?"… everything that we’ve seen, I’ve reflected on it already.' (ID) |
| Distressing |
'Sometimes looking back at things and realising things you could have done and you did not makes you feel low, and sometimes that can be overwhelming.' (S366) | |
| Documenting |
'We all reflect on the events always, some of us do that in the mind, some do it in writing form. I find it hard to reflect in writing form but does that make me a bad clinician? I don’t think so.' (S143) |
'We are doing the reflection, but the writing down bit and realising what you have done is the tricky bit for IMGs.' (IE) |
| Negative |
'Waste of time.' (S25) | |
| Vague |
'Writing too much.' (S331) | |