Mixed Methods developmental study using patient and staff experiences to enhance reflection: The Patient Experience And Reflective Learning (PEARL) Project

Research output: Contribution to journalArticle


  • Olivia Brookes
  • Celia Brown
  • Carolyn Tarrant
  • Julian Archer
  • Duncan Buckley
  • Lisa Marie Buckley
  • Ian Clement
  • Felicity Evison
  • Chris Gibbins
  • Emma-Jo Hayton
  • Jennifer Jones
  • Randeep Mullhi
  • Greg Packer
  • Gavin Perkins
  • Jonathan Shelton
  • Catherine Snelson
  • Paul Sullivan
  • Ivo Vlaev
  • Daniel Wolstenholme
  • Stephen Wright

External organisations

  • Newcastle Upon Tyne Hosp NHS Trust
  • Warwick Medical School, University of Warwick
  • Department of Health Informatics, University Hospital Birmingham NHS Foundation Trust, Birmingham, UK.


While most healthcare is of high quality, many patients and members of staff can recall
episodes of lack of empathy, respect, or effective communication by healthcare staff. In extreme
form this contributes to high-profile organisational failures. Reflective learning is a universally
promoted technique for stimulating insight, constructive self-appraisal and empathy, but its efficacy
tends to be assumed rather than proven. The Patient Experience And Reflective Learning (PEARL)
project has used patient and staff experience to co-design a novel reflective learning framework
based on theories of behaviour and learning.


Original languageEnglish
JournalNIHR Journals Library
Publication statusAccepted/In press - 30 Apr 2020