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Nurturing Leadership: 4 Key Strategies for Reflective Practice in Nursing

5 min read • February, 21 2024

Nursing leaders play a pivotal role in guiding change to enhance patient care and improve professional practice environments. Reflective practice stands out as a cornerstone for effective leadership, allowing nursing professionals to evaluate their experiences critically and foster continuous improvement. This article delves into four key reflective practices that can empower nursing leaders to drive meaningful change.

The Power of Reflection in Nursing Change

Reflective practice is more than a method; it's a mindset that enables nursing leaders to learn from their actions, make informed decisions, and engage their teams in the journey towards excellence. By incorporating reflective practices into their leadership approach , nurses can better navigate the complexities of healthcare, adapt to challenges, and implement strategies that align with their goals and values.

Understanding Your Change Goals

Q: What did you say you were going to do? A: Begin by revisiting your initial objectives. Clear articulation of your goals lays the foundation for accountability and sets the stage for impactful change. Reflect on the scope of the changes you envisioned and the outcomes you aimed to achieve. This honest appraisal is your first step towards meaningful progress.

Assessing Your Actions

Q: What did you actually do? A: Reality often diverges from our plans. Assessing your actions with candor enables you to identify discrepancies between your intentions and your actual practices. Acknowledge both your achievements and the areas where you fell short. This recognition is crucial for realistic self-assessment and sets the groundwork for authentic growth.

This image shows a diverse group of healthcare professionals, including nurses and doctors, huddled around a clipboard. The focus is on a nurse leader, standing out in blue scrubs, actively engaging with the team. He, along with his colleagues in white coats, appears to be discussing patient care or medical procedures. The group's concentrated demeanor and the clinical environment underscore the collaborative nature of nursing leadership.

Learning from Experience

Q: What did you learn? A: Every step in the change process offers valuable lessons. Reflect on the insights gained from your experiences and how they can inform future strategies. These lessons are the silver lining, providing clarity and direction for your next moves.

Planning Your Next Steps

Q: What do you need to do next? A: Armed with new knowledge, plan your forward strategy. Consider who needs to be involved, the resources required, and the timeline for implementation. This step is about translating insights into actionable plans that drive further change.

Incorporating Reflective Practice into Your Routine

Integrating reflective practice into your leadership routine doesn't have to be daunting. Start small with regular reflection sessions, encourage team discussions that foster collective learning, and set aside time for personal and professional development. Embracing reflection as a habit can transform your leadership approach and significantly impact your team's performance and well-being.

Reflective practice is an invaluable tool for nursing leaders seeking to navigate the complexities of healthcare and drive positive change. By focusing on these four essential aspects of reflection, you can enhance your leadership effectiveness, improve patient care , and foster a culture of continuous learning and improvement . Start today by taking a moment to reflect on your practice and empower yourself and your team for the challenges and opportunities ahead.

Images sourced from Getty Images

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writing a reflection in nursing

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Reflective practice in health care and how to reflect effectively

Kiron koshy.

a Brighton and Sussex University Hospital

Christopher Limb

b Western Sussex University Hospitals, Worthing

Buket Gundogan

c UCL Medical School, University College London, London

Katharine Whitehurst

d Royal Devon and Exeter Hospital, UK

Daniyal J. Jafree

Reflective practice is a paper requirement of your career progression in health care. However, if done properly, it can greatly improve your skills as a health care provider. This article provides some structure to reflective practice to allow a health care provider to engage more with reflective practice and get more out of the experience.

Introduction

Reflective practice is something most people first formally encounter at university. This may be reflecting on a patient case, or an elective, or other experience. However, what you may not have considered is that you have been subconsciously reflecting your whole life: thinking about and learning from past experiences to avoid things that did not work and to repeat things that did. For example after tasting a food you do not like, you remember that experience, think about it, and when you next see that same food you know to avoid it. In medicine it is one of the best approaches to convert theoretical knowledge into practice.

As you progress through medical school and into foundation years as a doctor it becomes even more common. It is now expected to provide evidence of your reflections through your training on the ePortfolio and then throughout the rest of your professional life in revalidation. Hence, it is a good idea to get it right from the beginning.

First and foremost the biggest mistake you can make when reflecting is to treat it as a tick box exercise and a waste of time. With a bit of thought reflections can be a very useful tool in learning. Would you remember a generic case from a book? Would hanging all of those facts on a patient you have met make it more memorable? It allows you to recognize your own strengths and weakness, and use this to guide on-going learning. By reflection you will develop your skills in self-directed learning, improve motivation, and improve the quality of care you are able to provide.

What to reflect on

This can be anything.

Most reflections are on things that go wrong. These situations stay in one’s head and force us to begin to think about whether they could have done anything differently. For example:

  • Postoperative complications
  • Missed diagnosis
  • A dissatisfied patient
  • Failed procedure

However, reflecting on things that went well can often be more rewarding and be just as useful. It can build confidence and help you to repeat it again on another occasion. For example:

  • A well-managed cardiac arrest
  • An interesting seminar or conference
  • A patient thank you letter
  • A difficult but well performed procedure

Stages of reflecting

There are numerous models for reflections, but it is important to understand why you are asking each question and how that will help you to reflect 1 . This an integration of many concepts but the broad process is similar in all models: what happened, why does this matter and what are the next steps? 2

What, where, and who—the situation

Think about the situation in detail: What happened exactly and in what order, where were you at the time and who else was involved? What part did you have to play? What was the final outcome?

How did it make you feel—your emotional state

What was running through your head and how did you feel about it? Be honest with yourself: were you afraid, confused, angry or scared? If you can understand how you were feeling at the time it will help you put together why things happened as they did, and help you to recognize similar situations in the future.

Why did it happen—making sense of the situation

Now you have thought about the situation in greater detail, and probably recognized things that would have otherwise gone unnoticed, think about why things happened as they did. How did the situation, yourself, and others interact at the time. Did the situation go well or was there room for improvement?

Could you have done anything differently—critical review and development of insight

With the help of hindsight how would you have managed the situation differently? Think about what factors you could have influenced: is there anything you could have tried that may have improved the situation, or is there anything you did that was particularly important in the situation? It is easy to remember the things that you did not do and it is often the things that you did well that are forgotten.

What will you do differently in the future—how will this change your practice

This is arguably the most important stage in reflecting. You need to pull together everything you have thought of before to learn, change your own practice, and improve 3 . Do not only think about what you would do differently in that specific situation, but think whether you have thought of any transferable knowledge or skills you can utilize elsewhere. For example: if you reflect on a postprocedural complication do not only think of how you would manage this again but also how you would prevent it happening if you performed the procedure yourself! If you are a part of a well-led cardiac arrest do not think only of what you would do next to help, but also how you would lead an arrest in the future, or even how you would lead a team in any other situation!

Re-enforcement—what happens when you put this into practice

Test your reflections: When comparable situations happen again, do things change as you would expect them to? This is a chance to repeat the reflective cycle to refine and develop your understanding.

How to make the best use of reflective practice

As mentioned previously most people see reflective practice as a tick box exercise, but it does not have to be.

Over the next day take note of any interesting situations that arise. Later in the day try mentally reflecting, following this framework, and if you think any will be particularly useful to you write them down. If you try this for a week you will begin to see similar situations arising and how your reflective practice is positively affecting you.

Remember: you do not always have to learn only from your own experience; learn from others’ mistakes as well. Reflect on situations that you have witnessed to work out why things happened as they did, and how this can influence you.

It can be useful to take these reflections for peer or senior review: others may be able to draw light on things you have not noticed. This can allow you to recognize points for improvement and work on them. This can also be a useful learning opportunity for the other involved!

An example to put this into practice

I was involved in a patient confrontation; the patient was unhappy with her hospital stay and wanted to be discharged home. Unfortunately she required a package of care and so could not be discharged. I explained this and she returned to her bed. I was happy I had explained everything to her and continued with my other jobs.

Who, what, and why

I was involved in a patient confrontation; an elderly patient was unhappy with hospital stay and wanted to be discharged home. She was under our general surgical team for a head injury and observation after a normal CT head. She had been seen on our ward round and told that she was medically fit for discharge but still awaiting social services: her house had been reviewed and deemed unsafe so she was waiting for banisters to be installed. The issue was raised with me by chance as I was doing other things on the ward. I explained this to her and although she remained annoyed I was able to make her understand what the delay was and she returned to her bedside. She did not seek further clarification that day.

How did it make you feel

At the time I felt rushed and frustrated. I had a lot of other work to be done and this was distracting from that. She had already been told she was waiting for social services in the morning. I understood why this was difficult for her but did not think I would be able to do anything to help.

Why did it happen

The morning ward round was quite rushed and so our explanation was limited to telling her we were waiting for social services. I can understand from her point of view this may have meant very little, and so my explanation of what exactly we were doing may have relieved some frustration. Having been waiting up to this point, it is no surprise she continued to be angry but may have been accepting of this plan.

Could you have done anything differently

I think my explanation was very good, and the patient seemed happy with this, although I did not give a rough idea of how long this would take. It may have been useful to have spoken to the sister in charge to ask for what progress had been made to feed back to the patient. Also I did not ask her whether she was happy with this explanation: I may have been able to satisfy her frustration further by answering a few more questions or even recognize any other issues at home that may need addressing before discharge. Although the information given in the ward round was correct, it was not understandable to the patient. If this had all been quickly clarified in the morning, the patient would have been happy throughout the day and not caused a problem later on.

What will you do differently in the future

I think that the route problem in this situation was our explanation on the morning ward round. Furthermore, I am not sure how long such issues take to be addressed. To avoid a similar situation in the future I will speak to the other health care professionals on the ward to get a round idea of how long occupational interventions such as this and other community interventions take to start. This means when future patients are medically fit I can spend a moment in the morning informing them of what needs to be done and how long it may take. Hopefully this will allow me to address patient concerns early to avoid them becoming an issue when it is too late.

Re-enforcement

I will reflect on how future situations similar to this develop, looking for an improvement in the quality of my patient care.

Following a structure helps to focus a reflection: I am sure you will agree the learning points are much clearer from a good reflection!

Conclusions

To summarize, the benefits of reflecting are clear: it may be difficult to do initially, but through practice you will develop your own skills and become a better learner. Many structures are available so choose one what works for you. Reflective practice is an important part of your career progression on paper, but if done well, can greatly improve your skills as a health care provider.

Conflict of interest statement

The authors declare that they have no financial conflict of interest with regard to the content of this report.

Sponsorships or competing interests that may be relevant to content are disclosed at the end of this article.

Published online 15 June 2017

writing a reflection in nursing

How to Write a Nursing Reflective Essay (Guide for Nurse Students)

writing a reflection in nursing

If you are a nursing or medicine student, you are aware that you will come across or have already come across assignments requiring you to write a nursing reflection essay. At first, such a task always appears challenging, but given the understanding of the steps, things flat out, and you can write reflective essays and get better grades.

Reflective practice is highly encouraged in nursing. Reflection entails making sense of situations, events, actions, and phenomena in the workplace.

As a nursing student, you will be asked to write a reflective essay on your clinical placement, practicum, shadowing experience, shadow health DCE activities, personal nursing philosophy, why you want to become a nurse, nursing program, ethical dilemma, knowledge, skills, and abilities, systems, and processes.

The easiest way to complete the reflective essay assignment is by first determining what reflective writing entails, its significance, its steps, and some of the best tips that form the core of this ultimate guide.

Basics of Reflective Writing in Nursing

Reflective writing is an analytical writing practice where the writer describes a real or imaginary event, scene, phenomenon, occurrence, or memory, including their takeaway. It entails the critical analysis of an experience, including recording how it has impacted you and what you intend to do with the new knowledge or how to act when such an occurrence recurs.

As you document the encounter, you can use first-person pronouns and write subjectively and objectively. This means that you can decide to either use personal experiences alone or support these experiences using citations from scholarly sources.

When writing a reflective essay in nursing, you must recount the events and give critical detail of how the events shaped your knowledge acquisition. Reflection helps nursing students develop skills in self-directed learning, which is directly associated with high motivation and improved quality of care .

In most cases, reflection occurs on what went well and what went wrong. It could be a successful operation, a thank you note from a patient, a patient who regained their health faster, or a new nursing care plan that worked. However, it can also be about adverse events such as death, postoperative complications, death of an infant at birth, dissatisfied patient, medical error, or a failed procedure.

As a nursing student, when you learn to reflect on situations, you grow to become a professional nurse who diligently does their noble duty.

When writing a reflective essay, you begin by setting the scene (explaining what, where, how, and who-the situation), detailing how you felt (emotional state), why it happened (making sense of the situation), critical review and development of insights, a note on what was learned, and strategies to address future recurrence.

Your professor may ask you to write a nursing reflective paper about various topics in your course or your experience working in a group, how you solved a problem, a healthcare issue, or clinical practice. Consider the following example of a reflective statement in nursing; in my clinical practices, I realized I focused more on the technical aspects but failed to explain what it was doing to improve their health. I would like to understand more about listening to patience and their concerns to better care for them.

As you will notice later, these reflective stages are structured into different reflective models and frameworks that we will explore in-depth. So, with the understanding of what comprises reflective writing and its importance in nursing, let's now get solid on the structure.

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Structure of a Reflective Essay in Nursing

A reflective essay is an analytical writing piece describing and evaluating encounters or experiences. When asked to write one, you should know that an excellent reflective essay consists of different parts, just like a typical academic essay. It comprises the cover or title page, introduction, body paragraphs, conclusions, and a references page.

The title page contains information about the assignment. If you are writing the reflective essay in APA, include these on the title page:

  • Title of the reflective essay
  • Course code and name
  • Instructors name
  • Name of your institution
  • Date of submission

When writing in Harvard format, the title or the cover page will consist of the following:

  • Title of the essay in title case and the page number (upper right margin),
  • Title of the essay in CAPS,
  • Name of class or course,
  • Name of the instructor,
  • Name of your school,
  • City and state where your school is located and,
  • The date of submission.

Introduction

The introduction begins with an attention grabber or a hook sentence to attract readers' attention. It should then explain the essay's purpose and signpost the ideas that will come later in the essay. The introduction also has a thesis statement at the end of the paragraph- the last sentence. The thesis is concise, clear, and relatable and should reflect your position.

Body Paragraphs

The body paragraphs of a reflective essay can be three or more, depending on the length of the essay. Essentially, the body comprises 80% of the total word count.

The first paragraph is where you describe the situation, including the events, why they occurred, how they occurred, and those involved.

The second paragraph entails your personal feelings or reaction to the situation and how it made you feel.

The third paragraph can include making sense of the situation. You have to think about why things happened the way they did. You should also critically review and develop insights based on the situation. Finally, think of the factors that could have influenced the situation.

The next paragraph should explain how the event or situation will change your practice, approach, decisions, perspective, or perception. This is where you evaluate the experience by detailing the knowledge and skills you took from the experience.

The last body paragraph should entail a critical reflection on the learning opportunities. First, describe the situation and what it made you learn. Next, elaborate on how you intend to make yourself better poised to address such situations.

Mostly, you should structure the body of your essay as per the preferred nursing reflective model.

After everything else falls into place, you need to summarize the information you presented in the essay. Then, finally, restate your thesis and have a call to action to bring a sense of closure to your readers.

Steps for Writing a Nursing Reflection Essay � The Guide

When assigned to write a reflective essay for your nursing class, here are the surefire steps to get you to success.

Read the instructions

The first step after receiving an assignment is to begin reading the instructions. as you read, note what your instructor or professor expects in the paper you will submit for marking.

Reading instructions helps you to get informed on the scope of the paper, word count, number of references and pages, and the formatting style to use.

Besides, you also get to plan your paper with the deadline highlighted in the instructions.

You need to get a conducive environment where you can start writing.

The first step of writing is to brainstorm about situations during your clinical hours when you were shadowing a Nurse Practitioner or one you have read about.

Assess whether the situation or scenario you have thought, encountered, or chosen can help you write a reflective essay that meets the requirements.

Research and Plan

After choosing a scenario, the next step is researching the best reflective model.

You can use your class text, the instructions, the college library, course readings, and online nursing journals to get articles and resources with information about specific reflective models.

Select the best reflective model and take notes on the steps it entails.

As you research, write down notes on how to address your paper based on your selected framework or model of reflection . Additionally, research nursing journal articles with information you can use when critically analyzing a situation.

Plan how you will handle the paper as well. For instance, as you research, develop a thesis statement that grounds your entire paper, then draft an outline on how to develop the thesis.

Write an Outline

Outlining is a crucial aspect of writing. It helps you envision how you will meet the objective of writing a reflective essay. As an essential part of the essay writing process, outlining helps create a good flow of ideas and can come in handy in helping you overcome writer's block. Your outline should comprise the following:

  • The hook or attention grabber
  • Thesis statement
  • Main points of each body paragraph (topic sentence, evidence, examples, illustrations, etc.)
  • Conclusion (restated thesis and call-to-action)

With the outline done, you should take a break and resume writing your first draft of the nursing reflection essay. Writing with an outline helps avoid mistakes and also helps you write faster.

Describe the Experience

Once you have identified the relevant experience, begin describing it chronologically.

Describe the experience that prompted you to consider nursing your ideal career goal. Think of this experience's key elements, such as the setting, patient demographics, and significant events that impacted you.

Show how these events changed your perspective on life. Ensure you are as descriptive as possible to paint a clear picture for readers.

Consider the following questions to come up with a good description:

  • What happened?
  • Was there someone involved? If yes, what part did they play?
  • Where did the event take place?
  • What actions did you take?

Set the context of this experience by giving relevant background information. Ensure you are objective and pay attention to the facts.

Provide a Reflection

Talk about your feelings and thoughts concerning the particular experience you went through. You have to be honest and open up about your initial expectations and challenges you faced at each stage of the experience. The following questions can help you come up with a good reflection:

  • What was I trying to achieve?
  • What prompted me to act the way I did?
  • Are there any consequences for my actions? If yes, what are they?
  • How did I feel about this event as it was happening?
  • How did those around me react to it?
  • How do I know how those around me felt about it?

Analyze the Experience

Description of an experience is essential, but so is analysis. You have to move beyond the surface and give a critical analysis of your experience.

State your actions, and your overall experience will give insights into your experience. Think of how the experience has impacted your actions, feelings, and thoughts.

Give an Evaluation

Evaluate the skills and knowledge you got from the experience. Show how you can apply these skills and knowledge in your nursing practice. Also, state the actions and interventions you took during the nursing experience.

State whether you achieved the desired outcome and if there are any specific areas that you need to improve on.

Talk about how you built or improved skills like communication, teamwork, and critical thinking.

As you evaluate the experience, identify what you believe to be your strengths and weaknesses in the nursing experience. What have you learned from the experience? State the areas where you excelled and what abilities contributed to your success.

Talk about how those you were with during the clinical experience complimented you. Similarly, acknowledge your weaknesses.

What kind of mistakes did you make, and how did you improve them? Talk about the tasks that drain you most during the experience.

Illustrate Learning

Demonstrate elements of deeper thought and reflection levels. This is a great point to include nursing theories in your reflection essay to support analysis of your experience.

Relate your experiences to the theoretical frameworks you were taught in class. This is effective learning and will demonstrate your ability to apply knowledge to real-life nursing situations.

Doing this will also show that you can effectively deduce different things from observations made during the reflection process.

Ensure you also demonstrate a change in perspective, as this will prove that you learned something from the experience.

Write Your Conclusion

Conclude by summarizing your points and highlighting the lessons learned.

The lessons you reached as part of your reflection should support your overall conclusion.

Also, restate your thesis statement.

Come Up with an Action Plan

Now that you have learned from your reflection develop an action plan for future nursing practice.

This part should contain all the details you have learned and actions needed to improve when faced with a similar situation. Consider the following questions:

  • What would I change if faced with a similar situation?
  • How can I develop the necessary skills needed to face this situation?
  • How can I act differently in a similar situation?  

Ensure you identify areas to improve and set realistic goals to enhance your nursing skills. Discuss how you intend to seek additional education, training, or mentorship to address your shortcomings.

Finally, end the essay with a happy note so readers know you learned something from the experiences.

Proofread, Edit, and Polish

After doing your first draft, take a break to relax and get out of the writing mood - it helps you to become objective.

You can then resume reading out loud to yourself, make necessary tweaks, and ensure that every part you include meets the rubric requirements.

Edit for grammar, punctuation, tenses, voice, spelling, and use of language. You should also proofread the essay to adhere to the style, organization, and presentation requirements.

Ensure that all the in-text citations are accounted for in the reference list and are up-to-date. You are good to go when you have an essay that meets all the instructions.

Finally, you can submit the paper for grading.

Writing is not everyone's cup of tea. For that reason, you can hire a nursing reflection essay writer from our website to assist you in crafting a top-grade paper. In addition, we have nursing writers whose forte is writing various nursing papers.

Choosing the suitable Reflective Model or Framework

As you can see above, many reflective models are used for your reflective essay. We have not exhaustively listed and expounded on all of them. Other reflective models and frameworks you can also consider when writing a reflective essay in nursing include:

  • Bouds Reflective Model
  • Brookfield Reflective Model
  • Pender's Health Promotion Model
  • Roper Logan and Tierney Model
  • Driscoll Reflective Model
  • The Johari window model

Note that most nursing instructors will often suggest the models they prefer for you to use in your essay.

For example, in most nursing reflective essays. Whichever the case, readily available information expands on each model to make it easier to write a reflection essay on a specific aspect of nursing education or practice.

Read the assignment rubric and instructions to understand the specific model. If it is unclear, ask for clarification from your instructor early enough.

Tips for Writing a Good Nursing Reflective Essay

As you try to figure out how to write a nursing reflective essay, keep the following tips in mind.

Choose the Right Topic

If the instructions from your professors involve choosing a topic for the reflective essay, you must select one that is meaningful to you.

This will ensure you can easily write and easily develop relevant elements about the topic. Therefore, take time to pick a topic that you find interesting.

As you write, ensure you stay on topic, whether sharing a one-off event or a recurrent story.

Use the Right Tone

A reflective essay is more personal, unlike other types of academic essays. This means you don't need a strict or formal tone.

Since this is about your experiences, use personal pronouns such as I and Me.

Be Vulnerable

You must be extremely vulnerable to learn how to write a reflective essay in nursing.

Be open about your thoughts, feelings, and beliefs about something you went through that sparked an interest in nursing.

It's okay to share mistakes or things you did wrong that eventually led you to this career path.

Choose the Right Focus

A reflection essay is all about narrating your experience during the nursing experience.

While including other people in your experience is okay, please let them not be the center of your reflection.

This is your essay, so you should be the focus of attention.

Keep it Brief

A good nursing reflection essay should be between 300 and 800 consciously written words. Because of this length, you must only write relevant information about your reflection. Refrain from lengthy reflections, as they make it difficult to pass your points across.

Convey Your Information Wisely

Even though a nursing reflection essay is about your personal experiences, it doesn't mean you should reveal everything about yourself. Ask yourself whether something is appropriate before including it in your paper.

Mistakes to Avoid When Writing a Reflection Essay in Nursing

A good reflection essay involves reflecting on your nursing studies and practices throughout school and career to demonstrate your competence. For this reason, there are certain mistakes you should be aware of when writing an essay.

Not including a Personal Story

Like food tastes bland without salt, so does a reflection essay without a personal story. At the center of a reflection essay is You. This means the essay should focus on your personal story that led you to want a nursing career. A lot of times, students miss out on this instead of talking about their story. You need more than just the personal qualities you think will be a great fit for the nursing program; you must also share a story that shows how well you contributed to nursing care.

Failing to Share Your Experience

You will lose points when you fail to include nursing-related experiences in your reflection essay. Mentioning that you want to be a nurse is great, but failing to show specific events that led to the desire will cost you a great point.

Plagiarizing Your Essay

Plagiarism is a serious academic offense because it is considered taking other people's ideas and using them as your own without crediting the author. So, provide relevant citations and references for any ideas that aren't your own. Also, an AI will not write your essay as a human writer would. 

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Sample of a Nursing Reflective Essay 

The following is a sample of a nursing Reflective essay using Gibb's Model of Reflection. Use this sample to guide you when writing your own.

Introduction  Communication is an important element in healthcare practice as it determines patient satisfaction and treatment outcomes. This essay will focus on reflecting on an experience I went through with a 40-year-old diabetic patient who also had a foot infected with an ulcer. When I approached the patient to sign the consent form, I noticed that he wasn't happy because of the news given to him about his health. I concluded that there must be a communication dilemma. I will reflect on the experience using Gibb's Model of Reflection. Using this model, I will identify and discuss the actions taken to resolve the issue. Description  This incident happened a few months ago when I was working as a wound nurse in a Methodist hospital in my hometown. I was part of a care team handling the case of a 40-year-old male patient with diabetes and an infected diabetic foot ulcer. After careful examination, a team comprising various specialists concluded that his leg needed amputation below the knee. After making this decision, the team left, and I was asked to give the patient a consent form to sign. When I came back from retrieving the form, I noticed the patient looked sorrowful because of the news given to him. Feelings  As soon as I saw the patient, I knew what he was going through. He perceived the situation to be irreparable, but I wasn't sure whether to console the patient or not. I was powerless and couldn't imagine what he was going through. At the same time, I was startled that the team left without showing any compassion. They could have handled the situation more delicately. I, on the other hand, could have relayed the information better. I wasn't sure whether my approach would be acceptable or appropriate. Evaluation  I always go back to that particular situation and wonder whether I could have acted better. The situation helped me better understand the importance of good communication in patient care, particularly in therapeutic care. Before the incident, I didn't acknowledge the role of nurses play in caring for patient's emotional needs. I realized nurses must show compassion and console patients in their low moments.  Analysis  Most healthcare professionals do not know how to deliver bad news to patients. They find the process extremely challenging and always feel psychologically unprepared. This has a negative impact on patients and could lead to bad health outcomes. Furthermore, how information is relayed could impact a patient's adherence to treatment. Because of these effects, multiple protocols and approaches were developed to help with communicating bad news to patients. One of the approaches that was proposed is emotion-centered. This proposes that a healthcare provider acknowledges how sad the patient is and builds a professional relationship based on empathy and sympathy. Action Plan I now understand the essence of communicating bad news with compassion. The experience allowed me to look closely at different aspects of my professional development that needed more improvement. Thus, I plan to be more empathetic and speak up in support of patient's emotional and psychological well-being, especially when presented with traumatic news about their health. Additionally, I now understand I am not powerless when dealing with a sorrowful patient. I believe I have learned from my experience, and I'm not able to communicate well with patients any more. Conclusion  The experience allowed me to value good communication in nursing and the need to incorporate it into daily nurse-patient interaction. Nurses must learn how to deliver bad news and manage patient's sorrow. This has been and will continue to be my biggest priority in patient care. References Street Jr, R. L., Makoul, G., Arora, N. K., & Epstein, R. M. (2009). How does communication heal? Pathways linking clinician–patient communication to health outcomes. Patient education and counselling, 74(3), 295-301. Buckman, R. (1992). Breaking bad news: why is it still so difficult? BMJ: British Medical Journal, 304(6842), 886. Ptacek, J. T., & Eberhardt, T. L. (1996). Breaking bad news: a review of the literature. The Journal of the American Medical Association, 276(6), 496-502.

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How to Write a Nursing Reflective Essay as a BSN Nursing Student

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  • November 29, 2023

Welcome to NursingWriters.net, your go-to resource for expert information and guidance on writing nursing essays. In this article, we will provide you, as a BSN nursing student , with a comprehensive guide on how to write a compelling nursing reflective essay. Reflective essays are a personal reflection on your experiences in the nursing profession, and we are here to help you navigate this writing challenge.

As a busy nursing student, we understand that you may have limited time to spare. That’s where NursingWriters.net comes in, empowering you to excel in your BSN program by providing expert guidance on different writing and comprehension challenges you may face. Let’s dive into the world of nursing reflective essays and discover how you can effectively express your thoughts and insights.

Key Takeaways:

  • Reflective essays allow nursing students to reflect on their experiences and personal growth in the profession.
  • A nursing reflective essay is different from a personal statement, focusing on self-reflection rather than academic achievements.
  • Key elements to include in a nursing reflective essay are the inciting incident, personal reflections, vivid details, and actions taken.
  • The introduction should grab the reader’s attention and provide a clear thesis statement.
  • The body paragraphs should delve into the writer’s reflections and emotions with specific examples and anecdotes.

What Is a Reflective Essay in Nursing?

A reflective essay in nursing is a powerful tool that allows nursing students to analyze their experiences, emotions, and actions related to their nursing practice. It provides an opportunity for self-reflection, critical thinking, and personal growth. Reflective writing can help nurses develop a deeper understanding of their own practice, improve patient care, and enhance their professional development.

Reflective essays in nursing differ from personal statements in that they focus on specific experiences and their impact on the writer’s growth and development. These essays require the writer to critically reflect on their actions, emotions, and thoughts, and identify ways to improve their practice. By examining their experiences and applying reflective frameworks, nursing students can gain valuable insights into their strengths, weaknesses, and areas for growth.

When writing a reflective essay in nursing , it is important to follow a structured approach. This includes describing the incident or experience, analyzing personal thoughts and feelings, exploring the actions taken, and reflecting on the outcomes and implications. By structuring the essay effectively, nursing students can communicate their reflections in a clear and organized manner.

Key Takeaways:
– Reflective essays in nursing allow nursing students to analyze their experiences and emotions in relation to their practice.
– These essays focus on specific incidents or experiences and their impact on the writer’s growth and development.
– When writing a , it is important to follow a structured approach to effectively communicate reflections.

Key Elements to Include in a Nursing Reflective Essay

When writing a nursing reflective essay, it is important to include key elements that will make your essay comprehensive and impactful. These elements will help you convey your thoughts and experiences clearly, allowing the reader to gain a deeper understanding of your reflections on nursing practice.

Inciting Incident or Event

The first key element to include in your nursing reflective essay is the inciting incident or event. This is the moment or experience that triggered your reflection and made a significant impact on your practice. It could be a challenging patient encounter, an ethical dilemma, or a personal realization. By describing this event in detail, you set the stage for your reflective journey.

Personal Reflections

Your nursing reflective essay should also include personal reflections on the experience. This is where you delve into your thoughts, feelings, and emotions related to the inciting incident. Reflect on how the event made you feel, what you learned from it, and how it has influenced your growth as a nursing professional. Be honest and vulnerable in your reflections, as this will allow the reader to connect with your experience on a deeper level.

Vivid Setting and Descriptive Details

To create a vivid and engaging narrative, include specific details that paint a picture of the setting and the people involved. Describe the physical environment, the interactions between healthcare professionals and patients, and any other relevant details that contribute to the overall context of the experience. This will help the reader visualize the situation and understand the complexities of the event.

Actions Taken

Finally, it is important to describe the actions you took in response to the inciting incident. Discuss how you applied your nursing knowledge and skills to address the challenges or opportunities presented by the event. Reflect on the effectiveness of your actions and whether there were any areas for improvement. This demonstrates your ability to critically analyze your own practice and make informed decisions.

By including these key elements in your nursing reflective essay, you can create a comprehensive and impactful piece of writing that showcases your growth and development as a nursing professional.

How to Write the Introduction of a Nursing Reflective Essay

The introduction of a nursing reflective essay plays a crucial role in capturing the reader’s attention and setting the tone for the entire essay. It should provide a concise overview of the main points that will be discussed and create a sense of curiosity and engagement. Here are some tips to help you write an effective introduction for your nursing reflective essay:

  • Start with an intriguing opening line: Begin your introduction with a captivating statement or anecdote that relates to the topic of your essay. This will grab the reader’s attention and make them eager to continue reading.
  • Provide context and background information: Give a brief overview of the event or experience that you will be reflecting on in your essay. This will help the reader understand the context and significance of your reflections.
  • Present a clear thesis statement: Your thesis statement should clearly state the main purpose of your essay and the specific points or themes that you will be exploring. This will give the reader a preview of what to expect in the body of the essay.

By following these tips, you can craft an introduction that captivates the reader and sets the stage for a compelling nursing reflective essay.

“As I walked into the busy hospital ward on my first day of clinical rotation, I couldn’t help but feel a mix of excitement and nervousness. Little did I know that this experience would become a pivotal moment in my nursing journey, shaping my understanding of empathy, communication, and patient-centered care. In this reflective essay, I will delve into the details of this encounter and explore the personal and professional growth that resulted from it.”

With an attention-grabbing opening, providing context, and presenting a clear thesis statement, your introduction will set the stage for a compelling nursing reflective essay that captures the reader’s attention and lays the foundation for your reflections.

Nursing Reflection Essay Tips and Examples

Writing a nursing reflective essay requires careful consideration and thoughtful analysis. Here are some tips to help you craft an impactful and meaningful reflection essay as a BSN nursing student . Additionally, we will provide examples to illustrate how these tips can be applied.

Tips for Writing a Nursing Reflection Essay:

  • Start by choosing a specific experience or event that had a significant impact on your nursing practice. This could be a challenging patient encounter, a critical incident, or a personal realization that transformed your perspective.
  • Reflect on the experience and consider how it affected your emotions, thoughts, and actions. What did you learn from the experience? How has it shaped your growth as a nursing professional?
  • Focus on the key aspects of the experience that were particularly impactful or meaningful to you. Avoid including unnecessary details or deviating from the main message of your reflection.
  • Use specific examples, anecdotes, or patient scenarios to support your reflections. This will make your essay more engaging and relatable to the reader.
  • Consider the ethical implications of the experience and reflect on how it has influenced your approach to patient care and decision-making.
  • End your essay with a reflection on the implications of your learning for future nursing practice. How will you apply the lessons learned to provide better care and improve patient outcomes?

Now, let’s take a look at two examples of nursing reflective essays to further illustrate these tips:

“During my clinical rotation in the Intensive Care Unit (ICU), I encountered a complex patient case that challenged my critical thinking skills and decision-making abilities. The patient was a middle-aged woman who had undergone a complicated surgery and experienced numerous post-operative complications. This experience taught me the importance of collaboration within the healthcare team and the significance of advocating for the patient’s best interests…”
“One of the most significant experiences during my nursing education was my time spent in the pediatric oncology unit. Witnessing the resilience and bravery of children facing life-threatening illnesses had a profound impact on my perspective as a nurse. It taught me the importance of providing holistic care, not only addressing physical needs but also supporting emotional well-being and promoting a positive environment for healing…”

These examples demonstrate how personal reflections, specific details, and professional insights can be incorporated to create a compelling nursing reflective essay. Remember to structure your essay in a clear and organized manner, ensuring that your reflections flow logically and coherently.

Key Elements Example 1 Example 2
Inciting Incident Complex patient case in the ICU Experience in pediatric oncology unit
Reflections Importance of collaboration and advocacy Focusing on holistic care and emotional well-being
Specific Details Complications post-surgery Resilience of children facing life-threatening illnesses
Professional Insights Importance of critical thinking and decision-making Promoting positive healing environment

By following these tips and utilizing examples, you can create a compelling nursing reflective essay that showcases your growth and development as a nursing professional.

How to Conclude a Nursing Reflective Essay

The conclusion of a nursing reflective essay serves as the final reflection on the writer’s growth and learning from the experience. It is an essential part of the essay that summarizes the main points discussed and leaves a lasting impression on the reader. The reflective essay conclusion should bring closure to the essay by restating the thesis statement and highlighting the key takeaways from the essay.

To write a strong and impactful conclusion, start by restating the thesis statement in a clear and concise manner. This reminds the reader of the main focus of the essay and reinforces its significance. Next, summarize the key points discussed in the body paragraphs, highlighting the most important insights and reflections. This helps to reinforce the main ideas and ensures that they are not overlooked in the final reflection.

In addition to summarizing the main points, a thought-provoking statement or future outlook can be included to provide a sense of closure and leave the reader with something to ponder. This can be a reflection on how the experience has influenced the writer’s future practice or a call to action for continued personal and professional growth. By ending the essay on a strong and meaningful note, the conclusion enhances the overall impact of the nursing reflective essay.

A well-crafted conclusion is essential for a nursing reflective essay as it reinforces the main ideas, leaves a lasting impression on the reader, and provides a sense of closure. By following these tips, nursing students can create a powerful and impactful conclusion that enhances the overall effectiveness of their reflective essays.

Tips for Writing a Nursing Reflective Essay

Writing a nursing reflective essay can be a challenging task, but with the right approach, it can also be a rewarding experience. Here are some helpful tips and strategies to guide nursing students in their essay writing process:

  • Start early: Give yourself plenty of time to brainstorm ideas, reflect on your experiences, and write and revise your essay. Starting early will help you avoid last-minute stress and allow for a more thoughtful and polished essay.
  • Conduct thorough self-reflection: Before you begin writing, take the time to reflect on your experiences and emotions related to your nursing practice. Consider how these experiences have shaped your growth and development as a nurse, and what lessons you have learned along the way.
  • Organize your thoughts and ideas: Create an outline or a rough structure for your essay to ensure a logical flow of ideas. Group similar thoughts and reflections together to create cohesive paragraphs, and use headings or subheadings to further organize your essay.
  • Seek feedback: Share your essay with trusted peers or instructors and ask for their feedback. They can offer valuable insights, provide constructive criticism, and help you refine your essay to make it stronger and more impactful.

Additionally, it is important to pay attention to the technical aspects of your essay:

  • Grammar and spelling: Proofread your essay carefully to ensure it is free of any grammatical or spelling errors. Use grammar and spell-check tools, and consider asking someone else to review your essay for a fresh perspective.
  • Coherent writing style: Use clear and concise language to convey your thoughts and reflections. Avoid excessive jargon or technical terms, and focus on communicating your ideas effectively.
  • Formatting guidelines: Follow any formatting guidelines provided by your instructor or institution. Pay attention to font style, size, spacing, and citation style if required.

By following these tips and strategies, nursing students can approach their reflective essay writing with confidence and produce compelling and insightful essays that showcase their growth and development in the nursing profession.

Reflective Tools and Models for Nursing Reflective Essays

Reflective tools and models can provide structure and guidance for nursing students when writing reflective essays. These tools help organize thoughts and experiences, allowing for a more comprehensive and meaningful reflection. By utilizing reflection models , nursing students can enhance their reflective writing skills and deepen their understanding of their own growth and development as healthcare professionals.

Gibbs’ Reflective Model

“Reflective practice is both an art and a science that requires ongoing commitment and practice.” – Gibbs

Gibbs’ Reflective Model is a widely used reflection framework in nursing. It consists of six stages: description, feelings, evaluation, analysis, conclusion, and action plan. This model encourages a structured approach to reflection, allowing the writer to systematically explore their thoughts and emotions, analyze the situation, and identify areas for improvement or further development.

Dewey’s Reflective Thinking Model

“We do not learn from experience, we learn from reflecting on experience.” – Dewey

Dewey’s Reflective Thinking Model focuses on the importance of reflection as a tool for learning and growth. It emphasizes the need to actively engage with experiences, thoughts, and emotions, and to critically evaluate them in order to gain deeper insights and understanding. This model encourages nursing students to think analytically and develop a continuous learning mindset.

Kolb Reflective Model

“Knowledge results from the combination of grasping experience and transforming it.” – Kolb

The Kolb Reflective Model is based on the concept of experiential learning. It consists of four stages: concrete experience, reflective observation, abstract conceptualization, and active experimentation. This model encourages nursing students to engage in a cyclical process of learning, where they actively participate in experiences, reflect on them, conceptualize their insights, and apply their learning in real-life situations.

Schön Reflective Model

“Reflection-in-action is the heart of the learning process.” – Schön

Schön Reflective Model emphasizes the importance of reflection in the midst of action. It focuses on the ability to think and adapt in real-time, making decisions based on professional knowledge and experiences. This model encourages nursing students to develop a reflective mindset that allows them to learn and grow while actively engaging in their practice.

Name Key Concepts Stages
Gibbs’ Reflective Model Structured reflection, comprehensive analysis Description, Feelings, Evaluation, Analysis, Conclusion, Action Plan
Dewey’s Reflective Thinking Model Active engagement, critical evaluation Experience, Reflection, Interpretation, Evaluation
Kolb Reflective Model Experiential learning, application of knowledge Concrete Experience, Reflective Observation, Abstract Conceptualization, Active Experimentation
Schön Reflective Model Reflection-in-action, adaptability Reflection-in-Action, Reflection-on-Action

Benefits of Reflective Writing in Nursing

Reflective writing plays a crucial role in nursing practice, offering numerous benefits for nursing students and professionals alike. By engaging in reflective writing, nurses can enhance their self-awareness, develop their critical thinking skills, and gain a deeper understanding of patient experiences. This section will explore the advantages of reflective writing in nursing and its significance in healthcare.

Enhanced Self-Awareness

Reflective writing fosters self-reflection, allowing nurses to examine their thoughts, emotions, and actions in various clinical situations. Through this process, they gain a deeper understanding of their strengths, weaknesses, and areas for improvement. This heightened self-awareness enables nurses to provide more effective and compassionate patient care, fostering a patient-centered approach.

Improved Critical Thinking

Reflective writing encourages nurses to think critically about their experiences and the impact of their actions. It requires them to analyze and evaluate the effectiveness of their decision-making and problem-solving skills. By reflecting on past experiences, nurses can identify areas where they can enhance their clinical practice and make informed decisions based on evidence and best practices.

Increased Empathy and Understanding

Through reflective writing, nurses develop a deeper empathy and understanding of patient experiences. By reflecting on their interactions with patients, nurses can recognize the emotions, fears, and challenges faced by individuals in their care. This increased empathy enables nurses to provide more holistic and patient-centered care, improving the overall healthcare experience for patients.

Continuous Professional Development

Reflective writing is an essential tool for nurses’ continuous professional development. It allows them to document their growth, learning, and achievements throughout their nursing career. By regularly engaging in reflective writing, nurses can identify areas for further development, set goals for improvement, and ensure they are providing the best possible care to their patients.

Overall, reflective writing in nursing is a powerful tool that empowers nurses to enhance their self-awareness, critical thinking skills, and empathy. By engaging in this practice, nurses can continuously improve their clinical practice, provide high-quality patient care, and contribute to the ongoing development of the nursing profession.

Nursing Reflective Essay Examples

Looking for inspiration for your nursing reflective essay? Here are some examples that showcase different experiences, reflections, and growth in the nursing profession.

Topic Key Reflections
Providing End-of-Life Care The writer reflects on their emotions, challenges, and personal growth while caring for terminally ill patients. They explore the importance of empathy, communication, and self-care in delivering compassionate end-of-life care.
Topic Key Reflections
Leadership in Nursing The writer reflects on their experiences as a nurse leader, discussing effective leadership strategies, challenges faced, and the impact of their leadership style on the nursing team and patient outcomes.
Topic Key Reflections
Dealing with Ethical Dilemmas The writer reflects on a challenging ethical dilemma encountered in their nursing practice. They explore the ethical principles involved, their decision-making process, and the lessons learned from navigating complex ethical situations.

These examples demonstrate how nursing reflective essays can provide valuable insights into personal experiences, reflections, and professional growth. They serve as excellent references to help nursing students develop their own reflective writing skills and gain a deeper understanding of the nursing profession.

Writing a Nursing Reflective Essay for Nursing School Application

A nursing reflective essay can be a powerful tool for nursing school applications. It allows applicants to showcase their self-awareness, critical thinking skills, and passion for the nursing profession. When writing a nursing reflective essay for a nursing school application, there are a few key tips to keep in mind.

Reflect on your passion for nursing

Start by reflecting on what drew you to the nursing profession and why you are passionate about it. Consider your personal experiences, such as volunteering or shadowing healthcare professionals, and how they have shaped your desire to become a nurse. Highlight your commitment to providing compassionate and quality patient care.

Share personal experiences in healthcare settings

Provide specific examples of your experiences in healthcare settings, such as clinical rotations or internships. Reflect on the challenges you faced, the lessons you learned, and how those experiences have impacted your growth and development as a future nurse. Discuss any significant interactions with patients, healthcare teams, or mentors that have shaped your understanding of the nursing profession.

Align with the nursing school’s values and mission

Research the nursing school’s values, mission, and educational philosophy. Ensure that your reflective essay aligns with these principles and demonstrates your commitment to the school’s mission. Use the nursing school’s prompts or essay questions as a guide to structure your essay and address the specific criteria they are looking for in applicants.

By following these tips, you can write a compelling nursing reflective essay that effectively conveys your passion for nursing, showcases your experiences, and aligns with the nursing school’s values. Remember to proofread your essay carefully for grammar and spelling errors and seek feedback from mentors or trusted individuals in the nursing profession to ensure your essay is clear, concise, and impactful.

Nursing Reflective Essay for Nursing School Application Tips
Reflect on your passion for nursing
Share personal experiences in healthcare settings
Align with the nursing school’s values and mission

(Table) Tips for Writing a Nursing Reflective Essay for Nursing School Application

Writing a nursing reflective essay can be a transformative experience for BSN nursing students. It allows them to gain valuable insight into their own growth and development as future healthcare professionals. Throughout this comprehensive guide, we have provided expert information and guidance on how to write a compelling nursing reflective essay.

By understanding the purpose of a reflective essay and the key elements to include, nursing students can effectively showcase their personal experiences and reflections. Incorporating reflection models such as Gibbs’ Reflective Model or Kolb Reflective Model can also provide structure and depth to their essays.

At NursingWriters.net, we are dedicated to empowering busy nurses and providing them with the tools they need to excel in their BSN programs. Whether it’s writing a reflective essay or any other writing challenge, we are here to support and guide nursing students towards success.

What is a nursing reflective essay?

A nursing reflective essay is a personal essay where the writer reflects on their own experiences and how those experiences have shaped their growth and development in the nursing profession.

How is a reflective essay in nursing different from a personal statement?

While a reflective essay in nursing focuses on the writer’s personal experiences and reflections, a personal statement is more of a formal document that highlights the writer’s qualifications, achievements, and future goals in the nursing profession.

What are the key elements to include in a nursing reflective essay?

The key elements to include in a nursing reflective essay are the inciting incident or event, personal reflections on the experience, specific details to create a vivid setting, and a description of the actions taken by the writer. It is important to avoid including academic details and excessive focus on emotions.

How should I write the introduction of a nursing reflective essay?

To write an engaging and informative introduction for a nursing reflective essay, you can grab the reader’s attention with an intriguing opening line, provide context and background information, and present a clear thesis statement. Focus on the specific event or experience that will be the main focus of the essay.

How should I structure the body paragraphs of a nursing reflective essay?

The body paragraphs of a nursing reflective essay should have a clear structure. Use the first paragraph to present the thesis statement and provide background information on the event. Use subsequent paragraphs to explore your reflections, emotions, and actions taken. Use specific examples and anecdotes to make the essay more engaging.

How should I conclude a nursing reflective essay?

To write a strong conclusion for a nursing reflective essay, you can summarize the main points discussed in the essay, provide a final reflection on your growth and learning from the experience, restate the thesis statement, and leave the reader with a thought-provoking statement or future outlook.

What are some tips for writing a nursing reflective essay?

Some tips for writing a nursing reflective essay include starting early, conducting thorough self-reflection, organizing your thoughts and ideas, and seeking feedback from peers or instructors. Pay attention to proper grammar and spelling, coherent writing style, and adhere to any formatting guidelines provided.

How can reflective tools and models help with nursing reflective essays?

Reflective tools and models provide structure and guidance for nursing students when writing reflective essays. Models such as Gibbs’ Reflective Model, Dewey’s Reflective Thinking Model, Kolb Reflective Model, and Schön Reflective Model can be used as frameworks for organizing thoughts and experiences in a nursing reflective essay.

What are the benefits of reflective writing in nursing?

Reflective writing in nursing offers benefits such as enhanced self-awareness, improved critical thinking skills, increased empathy and understanding of patient experiences, and continuous professional development. It promotes lifelong learning and helps improve patient care.

Where can I find nursing reflective essay examples?

You can find nursing reflective essay examples that showcase different experiences, reflections, and growth. These examples incorporate personal reflections, specific details, and professional insights into nursing practice. They demonstrate the diversity of topics and experiences that can be explored in nursing reflective essays.

How can I write a nursing reflective essay for nursing school applications?

To write a nursing reflective essay for nursing school applications, reflect on your passion for nursing, personal experiences in healthcare settings, and future goals in the nursing profession. Address specific prompts and align the content with the nursing school’s values and mission.

How can writing a nursing reflective essay benefit BSN nursing students?

Writing a nursing reflective essay allows BSN nursing students to gain insight into their own growth and development as future healthcare professionals. It helps improve critical thinking skills, self-awareness, and understanding of patient experiences. It also promotes continuous professional development.

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writing a reflection in nursing

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Chapter 4: Types of Writing

Reflective Writing

What it is.

Have you ever been asked to reflect on a text or an experience?

Reflective writing is used by different healthcare professions in various ways, but all reflective writing requires that you think deeply and critically about an experience or a text. At the centre of reflective writing is the “self” – including a deep analysis of you in relation to the topic. Reflective writing is a process that involves recalling an experience or an event, thinking and deliberating about it, and then writing about it.

You may be asked to engage in reflective writing related to an array of topics: the reading you are doing for a course, your experience working in a group, how you solved a problem, how you prepared for class or for an exam, a healthcare issue or a new theory. You will be expected to reflect on your clinical practice often throughout your nursing studies and for the rest of your nursing career to grow, learn, and demonstrate your continuing competence.

In nursing, reflective writing is part of what is called “ reflective practice . ” Early in your nursing program, you will become familiar with the College of Nurses of Ontario requirements for nurses to engage in reflective practice: this legislated professional expectation involves an intentional process of reflecting to explore and analyze a clinical experience so that you can “identify your strengths and areas for improvement” with the aim of strengthening your practice (College of Nurses of Ontario, 2019).

Figure 4.3: Reflective writing

How to do it?

There are many approaches and frameworks to guide reflective writing as related to reflective practice in nursing. These approaches guide you to reflect on an experience, what happened, how you felt, what actions you took, what you learned, and how you might do things differently in the future (Mahon & O’Neill, 2020). One common framework called LEARN was developed by the College of Nurses of Ontario (1996). See Figure 4.4 .

Figure 4.4: Writing reflectively

Variations of this acronym have been taken up, but it essentially stands for:

Look back. Recall a situation that was meaningful to you in your practice.

Elaborate. Describe the situation from both an objective and subjective perspective (e.g., what did you see, hear? Who was involved and what interactions were observed? What did you think and feel?)

Analyze. Examine how and why the situation happened the way it did. Think about it in the context of your nursing courses and the literature.

Revise. Consider how and why your practice should remain the same and how it should be changed.

New trial/perspective. Think and move forward. What will you do differently when a similar situation arises?

More recently, reflective writing has been described in the context of narrative writing in which you engage in personal and professional storytelling. A narrative approach to reflective writing asks you to think about storied elements (e.g., characters, events, setting) of an experience: What happened? How did the situation begin? Who was involved? Where did it take place? What emotions were people feeling? How did the situation end? As you can see, these types of questions can easily be integrated into the LEARN framework too.

What to keep in mind?

You will be expected to engage in reflective writing throughout your nursing program. Sometimes you will be asked to use the LEARN framework or another approach. Here are some tips on good reflective writing:

  • If possible, choose a topic or situation that is meaningful to you.
  • Be vulnerable in your writing and share your thoughts and feelings (you don’t need to write about a sanitized version of yourself – it’s okay to ponder mistakes or areas for improvement).
  • Description is important, but so is analysis so that you can gain new insights.
  • Think critically about your experience and be open to new perspectives.

Student Tip

The growth of reflection

Graduates or senior-level students will tell you that reflective writing changes over the course of your program. As you advance, your forms of reflective writing will evolve from descriptive to more analytical. You will be expected to refer to the literature to explain your analysis and support your claims. You should also always engage in reflection in the context of the courses that you are taking. Some courses focus on the personal self; others focus on the professional self, as well as nursing in the community or on a broader societal level.

Activity: Check Your Understanding

Think about a healthcare event that you encountered or a health and illness experience of a friend or relative that is meaningful to you. In reflecting on this experience, how could you apply the LEARN format?

College of Nurses of Ontario (2019). Self-Assessment. Retrieved from: http://www.cno.org/en/myqa/self-assessment/

College of Nurses of Ontario (1996). Professional profile: A reflective portfolio for continuous learning. Toronto: CNO.

Mahon, P., & O’Neill, M. (2020). Through the looking glass: The rabbit hole of reflective practice. British Journal of Nursing , 29 (13), 777-783. https://doi.org/10.12968/bjon.2020.29.13.777

Thinking deeply and critically about an experience.

Exploring and analyzing a clinical experience.

The Scholarship of Writing in Nursing Education: 1st Canadian Edition Copyright © 2019 by Jennifer Lapum; Oona St-Amant; Michelle Hughes; Andy Tan; Arina Bogdan; Frances Dimaranan; Rachel Frantzke; and Nada Savicevic is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License , except where otherwise noted.

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Understanding reflective practice, jacqueline sian nicol lecturer, edinburgh napier university, edinburgh, scotland., isabel dosser lecturer, edinburgh napier university, edinburgh, scotland..

The Nursing and Midwifery Council (NMC) requires that nurses and midwives use feedback as an opportunity for reflection and learning, to improve practice. The NMC revalidation process stipulates that practitioners provide examples of how they have achieved this. To reflect in a meaningful way, it is important to understand what is meant by reflection, the skills required, and how reflection can be undertaken successfully. Traditionally, reflection occurs after an event encountered in practice. The authors challenge this perception, suggesting that reflection should be undertaken before, during and after an event. This article provides practical guidance to help practitioners use reflective models to write reflective accounts. It also outlines how the reflective process can be used as a valuable learning tool in preparation for revalidation.

Nursing Standard . 30, 36, 34-42. doi: 10.7748/ns.30.36.34.s44

[email protected]

All articles are subject to external double-blind peer review and checked for plagiarism using automated software.

Received: 28 September 2015

Accepted: 09 January 2016

critical thinking - portfolio - professional development - reflection - reflection models - reflective account - reflective practice - revalidation - self-awareness

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writing a reflection in nursing

04 May 2016 / Vol 30 issue 36

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  • DOI: 10.7748/ns.2024.e12365
  • Corpus ID: 270699904

How to reflect on clinical practice.

  • Brian Lucas
  • Published in Nursing Standard 24 June 2024
  • Medicine, Education

28 References

Nurses' moral courage and related factors: a systematic review., using reflection in nursing practice to enhance patient care., effectiveness of a critical reflection competency program for clinical nurse educators: a pilot study, exploring the role of reflection in nurse education and practice., practising cultural humility to promote person and family-centred care., enablers and barriers to effective clinical supervision in the workplace: a rapid evidence review, health professionals and students’ experiences of reflective writing in learning: a qualitative meta-synthesis, realist evaluation of schwartz rounds® for enhancing the delivery of compassionate healthcare: understanding how they work, for whom, and in what contexts, moral courage in nursing - an integrative literature review., reflecting on nursing practice during the covid-19 pandemic., related papers.

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How to reflect on your practice for revalidation

How to reflect on your practice for revalidation

  • Team meetings.
  • Reading a journal or article about a topic and then applying the learning to your practice.
  • Discussion with other clinical staff about critical incidents or near misses including lessons learned and good practice.
  • Compliments and complaints from patients, which may involve changing practice or policies and procedures.
  • GP case conferences where complex patients are discussed.
  • CPD sessions that relate to your role.
  • What went well?
  • What did not go so well?
  • What would you do differently next time?
  • An instance of your CPD
  • A piece of practice-related feedback you have received
  • An event or experience in your own professional practice and how this relates to the code
  • Practice-related feedback

You see Patient A for their regular asthma check. They ask you about a new treatment they have read about on the internet and wonder if it is something they could have prescribed by the NHS. You advise them that you are not aware of this new treatment and that they should continue with their current medication.

This was an experience from my practice where I had a consultation with a patient.

I felt I gave the patient the correct advice. It is in the patient’s best interests to keep taking the medication prescribed for them rather than searching for new treatments on the internet that may not be available
to them.

However, I felt I dismissed the patient’s query quite quickly. I could have taken more time to listen to the patient and perhaps ask some probing questions as to why they were seeking alternative treatments. Maybe they were experiencing symptoms or side-effects with their current treatment and finding them difficult to deal with.

When patient A returns for their follow-up appointment I will check if they have any concerns about their current treatment regime and explore the perceived benefits of the treatment the patient has found on the internet. I also know the local hospital often have clinical trials patients can participate in so I am going to find out more and whether my patient might be eligible.

If I am faced with this situation again I will make sure I take more time to understand why my patient was searching for alternative treatments on the internet and ensure I offer more tailored support and advice.

This is relevant to:

2 Listen to people and respond to their preferences and concerns.

To achieve this, you must:

2.1 Work in partnership with people to make sure you deliver care effectively.

6 Always practise in line with the best available evidence.

To achieve this, you must:

6.1 Make sure that any information or advice given is evidence based, including information relating to using any health and care products or services.

  • Make time to reflect.
  • Value the benefits it may bring to your practice.
  • Use a structure only if you feel comfortable doing so.
  • Write notes – even if these are short, bullet points and in informal language, that is fine

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A guide to nursing students' written reflections for students and educators

Affiliations.

  • 1 Murray State University, United States. Electronic address: [email protected].
  • 2 Murray State University, United States. Electronic address: [email protected].
  • PMID: 28437690
  • DOI: 10.1016/j.nepr.2017.04.004

Experiences from the clinical setting are ideal for building critical thinking skills if reflection is used as a teaching tool. Reflective writing is the purposeful and recurring inspection of thoughts, feelings, and occurrences that coordinate with experiences during practice. Reflecting on clinical experiences develops critical thinking ability, fosters self-understanding, facilitates coping, and leads to improvement in clinical practice (Kennison, 2006). Reflective writing allows students to combine clinical experiences and takeaways with didactic material to better understand both practice and instruction. Reflective writing is defined as an assignment that is focused on students' experiences, like textbook readings, clinical experiences, or group activities, that highlights what the student has taken from the activity (McGuire et al., 2009). This study will explore reflective writing from the perspective of the nursing student and the nurse educator. The following questions will be answered: What are the benefits of reflective writing? Why would nurse educators want to use reflective writing in their nursing courses, both clinical and didactic? What are the barriers to using reflective writing for students and educators? What is the role of the nurse educator in student reflection?

Keywords: Clinical education; Critical thinking; Reflective writing.

Copyright © 2017 Elsevier Ltd. All rights reserved.

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writing a reflection in nursing

Learn How to Write Your Reflective Journals in Nursing Studies

A trustworthy reflective journal nursing example.

Many academic sectors, including healthcare, use reflective journals to conduct examples of research that are both theoretical and practical. A reflective journal nursing example allows students to assess the learning process and the subject matter being studied. Students can improve their learning experience by considering their practice-based experiences and expressing their observations.

All nursing student reflective journal samples include:

  • Connecting theory and practice – reflection enables you to perceive the links between theory and practice more clearly.
  • Giving examples of what you know and do not know – is an excellent approach to identifying your weak points and strong aspects.
  • Deeper thought is encouraged – a reflective journal requires you to consider what you did, how you did it, and why you did it.
  • Reflective questions – for example, “Did I do it correctly?” and “How could I do it better?”

When teachers examine reflective journals in nursing, they analyze how you process your experiences and apply them to your practice. If you struggle to write, one way to enhance your process is to look up sample journals online.

nursing reflective journals samples

Following a Clinical Reflective Journal Nursing Example Pays Off

Nursing students must complete various writing assignments and must learn to conduct reflective journals as they go through school. Unfortunately, not every nursing student understands what reflective journaling is.

A reflective journal uses documentation of your nursing practice, such as talking with patients and providing care to them. Similar to a nursing case study , you must document your ideas and experiences, so a direct scenario of care is essential. You may always rely on a clinical reflective journal nursing example when creating your scenarios if needed.

Professional Reflective Journaling for Nursing Students Offers the Best Results

Reflective journals in nursing demand a personal touch; they can’t be completed by simply copying off the internet. That’s why students turn to writing services like ours, where expert nursing writers customize each journal based on individual experiences and goals.

If you make an order on our website, we will do the following:

  • Concentrate on the topic, problem, and opinions.
  • Review all the relevant scientific sources.
  • Use the proper structure of a reflective journal about your nursing.
  • Ensure the description, assessment, analysis, conclusion, and action plan.

Our experts are proficient at gathering examples of information for reflective journaling for nursing students in a timely and efficient manner. When we have everything we need from you, a professional writer will compose your journal entries and send them for your approval. You have two weeks of free revisions if there is something to fix.

Using Nursing Student Reflective Journal Samples

Ensure your nursing reflective journal samples are genuinely captivating – pay attention to the writing style, academic tone, and content for an impressive result. Also, ensure that the content you are sampling is relevant to your current subject.

Writing your reflection journal on time and checking that the reflective journal example you use for your nursing paper is original are great habits to get into. After writing, make sure to run a plagiarism check and carefully do proofreading so there won’t be any errors or mistakes!

Reflective journaling is invaluable for any nursing student as it can provide valuable insight into one’s strengths and weaknesses. It assists in paving the way to success in their educational and career journeys. The reflective journals nursing students write will improve analytical thinking, assess their experience, and evaluate prior mistakes that could have been made.

Here’s What Nursing Reflective Journals Samples Teaches to Write

The reflective journaling nursing students work on assists in comprehending a deep understanding of patient care. You need to follow specific examples of guidelines while creating a reflective journal as a nursing student.

For nursing student reflective journals, think about your first week of clinical experience. Discuss one of your patient’s medical diagnoses and interactions with the patient. What was your overall reaction to the experience, and is there anything you would do differently now?

Take a Methodical Approach to the Reflective Journals Nursing Task

Students can study samples of quality journals in the nursing area from the same subject to understand the format and content. Luckily, finding a good example of reflective journal will be easy through our extensive collection.

Here are a few reflective journal nursing tips:

  • Describe what occurred without drawing any conclusions.
  • Convey your feelings. How did you respond to the incident, and how did you feel about it?
  • Consider what was good and bad about the encounter. Make examples of value judgments.
  • What knowledge do you have that can assist you in figuring out what happened?
  • What conclusions can you draw from your experiences?

Keeping a diary might help you enhance your career while writing your reflective journals for nursing. It is preferable to write quickly following a significant event while in clinicals so the details are fresh in your mind. Many students do not have enough time to complete a reflective journal though. Others may not be exceptional writers and struggle to put their words on paper.

Which Components Reflective Journals for Nursing Include

If you find it challenging to put your views and opinions on paper, we provide top-notch examples that guarantee impeccable writing, featuring real stories and experiences. Our comprehensive research is checked for duplications and follows a logical structure. The sample reflective journal nursing students follow assists in completing the assignment efficiently.

The reflective journal nursing students write about in clinicals is only one aspect of what it takes to become a good nurse. Following top nursing examples can help students submit quality work and meet high standards.

Key Ingredient of Reflective Journal Nursing Clinical Success

Nurses in clinicals or precepting as new nurses are frequently preoccupied with examples of actual practice rather than introspective journaling. The lack of time to dedicate to writing reflective journals in nursing can lead to nurses looking up samples online. Example texts are helpful for checking the reflective journal style, nursing content arrangement, and formatting.

Copying reflective nursing journals, on the other hand, renders your diary unoriginal. Each example of practical experience is unique. Borrowed examples may just be irrelevant to your personal growth as a nurse. Professors may be pretty familiar with their students, and during reflective journal writing nursing students may realize if it is unoriginal.

Nurses devote a lot of energy to helping others, making it hard to find time to write in a reflective journal, let alone their own self-care. Since writing a reflective journal in nursing can be time-consuming, examples can aid you in the process.

Every reflection is an opportunity to gain experience and grow. Using examples is a powerful tool for inspiration when writing your reflective journal.

See more samples

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Eight ways to improve your reflection

Written reflections are a requirement of revalidation. Follow our tips on how to best prepare yours.

In order to revalidate, you are required to record a minimum of five written reflections. These reflections can be based on your continuing professional development (CPD) and / or a practice-related event or feedback.

Whichever combination you choose, you must reflect on something that happened in the three years prior to your revalidation date.

Any reflective account should explain what you learnt; how you changed or improved your practise as a result; and how this is relevant to the NMC Code.

1. Get into the habit of reflecting on your work

  • The sooner you reflect on your activity, the more truthful to the event your recollection will be, so make it part of your regular routine.
  • If you don’t have time to write notes, try recording your reflections on your phone while it’s still fresh in your mind, and transcribe them later.

2. Think about when you avoid reflection

  • You may be reluctant to write down your feelings or struggle to articulate your experiences at work. Find a way that works for you.
  • If you like verbalising - record your reflections on your phone. If you prefer talking to someone – seek their permission and record the conversation.
  • If you like drawing – use word clouds or illustrations, and if you need structure - use one of these frameworks on the RCN website .

3. Identify what you are good at

Remember, reflection is about making changes to enhance your practice, so identify a combination of events: some that were positive and some that challenged you. This will help you to make improvements in the future.

4. Structure your learning across three years

  • You must reflect on an event, CPD or feedback you received in the three years prior to your revalidation date. Avoid leaving it to the last minute and instead try to plan your learning across this period.
  • Regularly review your learning opportunities, perhaps during your annual appraisal – this will help you to identify any additional support you might need.  Look out for opportunities to get feedback and events that happen in your practise that would be useful to reflect on.

5. Make the most of learning events

  • CPD events take place across the UK throughout the year, and many of these are free.
  • For RCN members worried about the cost of completing this requirement, the RCN hosts numerous free and discounted courses , and there are opportunities to learn online too. 

6. Keep your portfolio up-to-date

  • You may already have a portfolio which records your reflections or information about the training you have completed. If not, start collecting and storing your evidence now and make sure it’s saved in a safe place. This could be paper-based or in a folder on your PC, laptop or tablet (if saved electronically, remember to save a backup copy). 
  • Find regular time, at least once a month, to organise your portfolio. Set up a reminder in your phone, calendar, or include it as a regular topic in team meetings.
  • The RCN has information to help you store evidence, see: Building and keeping a revalidation portfolio.

7. Familiarise yourself with the Code

  •  You will be reflecting against the Code , so it’s important you are familiar with its contents. Why not keep a copy in your portfolio, on your desk or in your work bag?

8. Show what you have learnt

  • Use this template provided by the NMC to think about the event, what you learnt, how this has impacted on your practice, and how it links to the NMC Code.

Not all change happens overnight – some of the areas of development you identify might need further work – this is fine. What matters is that you are able to demonstrate evidence of recognising the impact of the Code.

Further information

  • The RCN has  information and advice to support members through revalidation, including case studies and guidance on how to revalidate with the NMC.
  • The NMC’s revalidation website has further information , including case studies, films, templates and guidance on how to revalidate with the NMC.

Revalidation video: How to reflect

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Nursing Reflective Essay: Examples + Useful Writing Tips [2024]

Nursing Reflective Essay: Examples + Useful Writing Tips [2024]

Do you need to write a reflective nursing essay? Whether you are a nursing student or already working, we know that you may be too busy writing papers. We’ve prepared information for you about reflection models and nursing reflective essay examples, writing instructions, and templates for the outline. This article will teach everything you need to make writing your essay easier.

So, how do you write an academic reflective essay?

What Is a Reflective Essay?

15 best reflective essay topics: nursing, nursing reflective essay examples, reflective tools and models, reflective essay writing tips, reflective essay body paragraphs, how to conclude a reflective essay.

In a reflective essay, you express your thoughts based on your knowledge, beliefs, reflections, and experiences. A reflective essay is best described as an exceptional and personal essay: you will have a lot to think about, comprehend, and explain. You have to demonstrate the feelings that you have experienced before. It should be honest. If you have any opposing thoughts and feelings about the topic, you should write them.

Criteria Reflective essay Analytical essay
Subject Reflection on previous experiences Analysis of a controversial topic
Writing style Free and relaxed Formal
Object Personal experience Depends on subject
Thesis statement Focus on the narrative Focus on the paper’s topic

The peculiarity of a reflective essay, unlike an analytical one, is in the expression of thoughts based on personal experience.

How long does a reflective essay last? It’s simple. It depends on your topic and how you express your thoughts. But you have to remember that this is a highly brief type of essay, and you can do it with a few pages.

You can check out the 100% free essay samples to see it all.

What Is a Reflection in Nursing Essay?

What Is a Reflection in Nursing Essay?

Nursing involves many aspects of work, and reflection is one of the critical tools for developing professional competence and personal skills. In nursing, reflection is important because it provides all the prerequisites for further personal growth. It is a reflection that will allow you to take a broader look at your strengths and weaknesses and assess your prospects.

Think of your nursing reflective essay as a chance to reflect on your career, skills, and personality, which will lead to further improvement.

  • Empathy and support in nursing.
  • Communication with patients is one of a nurse’s most important tasks.
  • Nursing is the art of caring for the patient during illness.
  • The key is not to cause harm but to help afterward.
  • Time management in nursing.
  • The Patient’s Interests Come First.
  • Why did I become a nurse?
  • Doctor- patient confidentiality in nursing.
  • The importance of enhancing soft skills for the nurse.
  • Nursing knowledge should not be limited to narrowly professional information.
  • Reflective essay on the internship .
  • Nursing culture and ethics .
  • Deontology of nursing and its synthesis with my personal experience.
  • Nursing clinical reflection essay.
  • Nursing issues for the elderly.

To better understand what reflexivity is, let’s look at examples based on these articles:

The author considered the best competencies that fit her current and future goals. She discusses the skills acquired and draws conclusions.
The author takes a reflection on the DNP course. Conclusions about specific skills support it.
The author reflects on DNP Essentials, which is the author’s course. Reflection occurs in terms of its contribution to the author’s professional development.
An example of the subject of leadership. The author took a course on reflective practice in nursing and discovered many new things.
In this essay, the author reflects on her experiences and skills in the context of Capstone’s professional practice. The reflection occurs about oneself and concerning others involved in the practice.
The author discusses the skills he learned while creating and launching his course for nurses.
The author reflects on the experiences nurses have had due to taking his course and what is vital in nursing.
The author reflects on her personal experience with the patient. Great for students who already have experience in the specialty.
The author discusses the challenges nurses face and the ways to solve them.
In this paper, the author discusses the goals, strategies, and other aspects of implementing artificial intelligence in nursing.
This essay examines nursing philosophy and its relationship with individual values.
In this essay, the author breaks down the benefits and disadvantages of introducing case management into nursing.
The author explains how the Civil War in America changed the role of women in nursing.
The author discusses the issue of bullying and violence in nursing and provides suggestions and reasons.
This paper examines the functions such as hospital premises and toilet cleaning, which initially are not the responsibility of nurses, and other staff is to fulfill them.
This evidence-based project presents data that aims to evaluate the efficiency of team-based anti-stress therapy sessions and compares it with standard self-care practices in a hospital setting.
The author discusses the ways to reduce the pressure on nurses and reflects on personal experience.
This paper breaks down the responsibilities of RNID.
The author explains three strategies to create a well-developed portfolio for nurses.
This short paper aims to discuss specific challenges and risks that nurses experience in work environments.

Scientists from different fields of science invented many models to simplify the process of reflection. Below are reflection models you can use in your essay nursing writing practice.

Gibbs’ Reflective Model.

Gibbs’ Reflective Model

In 1998, Graham Gibbs introduced his reflexive model to the world. Gibbs’ model is a cycle and, therefore, excellent for analyzing repetitive experience.

It covers 6 stages:

  • Description. What happened? Don’t judge or try to conclude yet; just describe.
  • Feelings. What were your reactions and emotions? Again, don’t begin to analyze them yet.
  • Evaluation. What was good or bad about the experience? Make value judgments.
  • Analysis. Were different people’s experiences similar or different in importance?
  • Conclusions. What conclusions can you draw in a general sense from this experience and your analysis? What conclusions can you draw about your particular, unique personal situation or way of working?
  • Personal action plans. What steps are you going to take based on what you have learned? What are you going to do differently in this situation next time?

Dewey’s Reflective Thinking Model

John Dewey believed that reflective thinking is the active, persistent, and careful evaluation of a belief or assumed form of knowledge, the grounds for that knowledge, and the additional conclusions to which knowledge leads.

John Dewey’s Reflective Model was one of the first and has been the foundation for many other models. He identified five steps of reflective thinking:

  • Step 1: Identify the problem.
  • Step 2: Investigate the issue.
  • Step 3: Generate several possible solutions.
  • Step 4: Evaluate the options and select the best answer from the combination of solutions.
  • Step 5: Test and implement the solution.

Kolb Reflective Model

The Kolb Reflective Model or “Kolb cycle” focuses on transforming information into knowledge. The basic four steps of the Kolb model are as follows:

  • Concrete experience. Anyone should already have experience in the field or area they want to learn.
  • Observation and reflection . This stage implies analyzing the person’s experience and knowledge .
  • Forming abstract concepts . A model describing the information and expertise is built at this stage . Ideas are generated, interrelations are made, and new information is added concerning how everything works and is arranged.
  • Testing in new situations . The last stage implies experimentation and testing the model’s applicability and concept . The result of this stage is a direct unique experience. Then the circle closes.

Schön Reflective Model

Donald Schön’s reflexive model was described in the book ‘ The Reflexive Practitioner .’ He explained how professionals solve problems with a kind of improvisation that is perfected through practice.

Schön’s reflective model , like his writings, is based in many ways on the Dewey we already know

  • Action reflection involves reflecting on an experience you have already had or an action you have already taken. It involves considering what could have been done differently and the positive aspects of that interaction.
  • Reflection in action involves reflecting on your efforts as you make them and considering issues such as best practices throughout the process.

Bouds Reflective Model

David Bouds paired with Schön to explore the limits of reflective practice. This model is based on learning by doing. By analyzing his own experience, the practitioner begins to understand better how to improve certain things.

Bouds suggests that by reflecting, a person may be unconsciously learning. In reassessing the events of his life, he systematizes and classifies emotions, ideas, and results, as well as results, and compares past goals with results.

Past experiences, experiences, and ideas require constant analysis attention to feelings. This leads to new perspectives, commitment to action overall positive changes in behavior.

Driscoll reflective model.

Driscoll Reflective Model

John Driskoll proposed a simple model of reflection at the beginning of the 21st century. It involves reflection through extended answers to questions we are already familiar with. The scholar linked the three basic questions to the stages of the experiential learning cycle and then added trigger questions that must be answered to complete the process of reflection.

Step 1: What? Sets out to recall what happened as objectively as possible, without criticizing anything that happened

  • What exactly happened?
  • What exactly did you do?
  • Was anyone else involved?
  • Was it a good experience? Or a bad experience? Or both? And why?

Step 2: So what? It requires you to slow down and start looking for patterns or meaningful moments. The key here is to bring in concepts that help shed light on what is going on.

  • How did you feel at that particular moment?
  • How did you react?
  • Why did you react that way?
  • Did you feel the same way about the situation then as you do now?
  • Did you experience conflict with your values?
  • Do you think past cases influenced your experiences in this situation?
  • Who else was involved in the situation? How did they feel? And how did they react? And why did they react that way?

Step 3: Now what? Encourages beginning to transfer new knowledge into future situations and other contexts.

  • What did you learn from reflecting on this situation/experience/incident?
  • Could you have prevented the negative consequences?
  • And how might you have done so?
  • What would you have done differently if a similar situation arose in the future?
  • What could you have done to better prepare for it?
  • Where did things go wrong last time, and what would you focus on now?

5R Framework

The 5R Framework was developed in 2002 by a group of scientists as a universal system of reflection, later modified.

It focuses on five basic steps, each addressing one aspect of reflection. Thinking through the five stages, an individual will engage all of the major reflection components, allowing you to create a critically meaningful review based on your experience.

  • Report. What do you see and hear? Write it all down.
  • React. What do you think is happening? What works well and what doesn’t? How do you feel about the situation you are reflecting on? What is it about this situation that makes you feel this way?
  • Relate. How do my perceptions of this situation relate to my personal and professional experiences? How do they relate to my knowledge and skills? Through what “lens” do you view this situation? From the perspective of classroom management or collaborative learning? Do you need professional development in terms of content knowledge?
  • Reason. Do you relate your point of view to someone else’s and how it affects the situation? Does sound practice support your strategies, or do you use different approaches? How does your point of view affect how you understand the problem? Could another point of view be helpful?
  • Reconstruct. What did you learn from this observation, and how will it affect your practice?

CARL framework

The CARL framework of reflection involves going through four stages: context, action, results, and learning. The vastness of this model gives a lot of information, and even at the first stage, you can already get a lot of valuable data. But this is also its main disadvantage because it makes the model more complex.

The framework has four steps:

  • Context : Description of the context of the experience.
  • Action : Explanation of the action taken.
  • Results : Explanation of what your actions led to.
  • Learning : Identification of the experience and knowledge gained.

Now that we’ve covered the basic concepts let’s write a reflective nursing essay.

Reflective Essay Outline

How to make a reflective essay? First, write an outline.

Any reflective essay is a statement of thoughts about something, and the outline acts as a sketch in which you write them down. Creating it is the first step to creating high quality and vivid essay.

What would make a good outline structure for a reflection essay? Structure all your knowledge. Write what you want to see in the introduction, body, and conclusion.

Here is the reflective essay outline template:

  • Hook: Use a catchy statement to set the tone and introduce the article.
  • Mention the main points.
  • Thesis statement: Include all the important points and ideas in one statement.
  • Topic sentence: Carefully explain the first idea in one sentence.
  • Proof of topic or idea: Use authoritative sources to support the idea.
  • Idea analysis: Apply logic and rational thought to the idea and information from the source.
  • Topic sentence: Carefully explain the second idea in one sentence.
  • Topic sentence: Carefully explain the third idea in one sentence.
  • Repeat the statement of the thesis.
  • Review the main ideas
  • Final, concluding sentence

Reflective Essay Thesis

A thesis statement is a condensed version of the paper in which you must briefly explain your position. The point is for your audience to read it and understand your work.

To make a good thesis statement for a reflective essay, you need to formulate your thought on paper. To begin with, think well about the problem, and develop your attitude toward it. That’s why the thesis statement should be created after writing the outline. It is unnecessary to give everything out in advance to the reader because later, you will unfold this thought more broadly.

After successfully developing the thesis statement, you can proceed to the actual writing.

And so, below, you can see examples of the reflective essay introduction and conclusion. Learn what its body of it is.

How to Start a Reflective Essay? Examples

You need to start any paper in the right way. How to write a reflective essay introduction? Check these examples:

  • Practice and theory do not always agree. Not all of the medical reference books that I have been able to study are fully applicable in practice. John Kimble’s case is a testament that it is often necessary to rely on them and consider the specific situation. He complained of dizziness, and the doctors advised him to get a blood iron test. The test showed that there was nothing wrong. But as it turned out later, this was an erroneous result because Kimble had eaten redfish rich in iron the day before, which temporarily raised the iron in his blood.
  • I had always dreamed of becoming a nurse, but my fear of blood robbed me of all desire to study. But still, my passion and ambition made me pull my will into a fist. I had to change and forget what fear of blood was. I lived my dream, which helped me overcome one of my fears.
  • A few years ago, I went through a severe emotional crisis. I had always dreamed of going to the University of California, as it is one of the most prestigious medical universities in the United States. But unfortunately, I failed my entrance exams, so I had to study at the university in my hometown. My failure seemed like a disaster, but now I realize it was a real blessing.

The essay’s body carries arguments, explanations of the topic, and the main body of information.

Each paragraph should begin with short introductory sentences, and the body of the sections should be divided into several parts. This will help you better structure what you have written and help the reader navigate through the text.

It is worth remembering about argumentation. There should be several things that you rely on in your position. Describe each of them in detail in a separate paragraph. Observe the semantic sequence. A mistake, in this case, will be to repeat twice the same argument in different words. It will give the reader the impression that there is nothing to say.

You should also remember about transitions in a reflective essay. Move smoothly from one aspect to another and take your time.

How to end a reflective essay? In conclusion, you should focus on pulling together all of the material, summarizing all of the points made and what you have learned. Try to include a few moments about why and how your attitudes and behaviors changed. Here are some examples:

  • Was the practice of volunteer nursing helpful to me? Absolutely! I was grateful for these weeks because I learned a lot. But most of all, I have learned my Soft skills, which will help me get used to my professional activities.
  • At that moment, I thought about who would be the priority in that situation, and I still believe it was the patient. If the same problem were to arise again, I think I would do nothing but speak up and justify my decisions. I recognize and know that time management and prioritization are essential skills in nursing, and I hope that my skills will improve with practice.
  • I reflected on how personal values can affect professional practice from the incident. Still, it is crucial to consider that the organization has its own set of values to follow, regardless of personal values. Finally, in reflecting on the incident, I was able to discuss the importance of quality assurance monitoring and health care evaluation both in general and during the incident, which allowed me to consider what conclusions were drawn from the incident and how to prevent similar situations occurring again.

So, now you have examples and an idea for writing a reflective nursing essay. Writing your paper will become many times easier and faster.

If this article was helpful, share it with your friends and colleagues!

❓ What Is the Purpose of Writing a Reflective Essay?

A reflective essay aims to express one’s thoughts about a previous experience, including how one changed in the process and what one learned. It is often described in a diary entry; they are intended to demonstrate how the author’s thoughts have changed over time.

❓ What Makes a Good Reflective Essay?

A reflective essay is a combination of both objective and subjective elements. We mix scholarly analysis with personal experiences. This type of paper should explain to readers how our experience influences our behavior and what lessons we learned.

❓ What Are the 3 Basic Parts of Reflection Paper?

An essay should have a clear structure and must contain three parts. It should have a clear introduction reflecting the problem, then the central part with an analysis of the causes, and the conclusion with possible solutions to the problem or how it affected the author.

❓ What Is the Best Reflective Model to Use in Nursing?

One of the best options for nurses is the Gibbs model. The model is accessible and extremely simple. Therefore it can be operated without any problems in any situation.

  • Reflection toolkit: The University of Edinburgh
  • Essay Conclusions: University of Maryland
  • Thesis Statements: UNC Writing Center
  • A short guide to reflective writing: University of Birmingham
  • Outlining: Harvard College Writing Center
  • Reflective Practice in Nursing: ZU
  • Critical self-reflection for nurse education: NCBI
  • Essay Structure: Harvard College Writing Center
  • Essay Structure: UAGC Writing Center
  • General tips for academic reflections: The University Of Edinburgh
  • Reflective essays – ANU
  • Writing An Essay Title – Illinois Valley Community College
  • Nursing Essay Help: Medical Essay Writing Service in UK
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  1. How to Write a Nursing Reflective Journal: Best Guide

    Identify your Feelings about the Experience. This stage calls for self-reflection in your nursing reflective journal. Discuss your feelings during the experience and acknowledge any frustration, joy, anger, empathy, or other emotions you felt during the event. Take a moment to think back to the event.

  2. 4 Key Strategies for Reflective Practice in Nursing

    Reflective practice is an invaluable tool for nursing leaders seeking to navigate the complexities of healthcare and drive positive change. By focusing on these four essential aspects of reflection, you can enhance your leadership effectiveness, improve patient care , and foster a culture of continuous learning and improvement .

  3. Reflective practice in health care and how to reflect effectively

    Introduction. Reflective practice is something most people first formally encounter at university. This may be reflecting on a patient case, or an elective, or other experience. However, what you may not have considered is that you have been subconsciously reflecting your whole life: thinking about and learning from past experiences to avoid ...

  4. PDF Supporting information for reflection in nursing and midwifery practice

    6.89.2 reflection on learning that informs professional development and practice In the Standards of proficiency for nursing associates (2018) reflection is linked to being an accountable practitioner (platform 1) and the need for ongoing continuous development. It is also included in working in teams (platform 4) with the need to act as

  5. Nursing Reflection Essays: A Guide, Outline, Models, and Tips

    The hook or attention grabber. Thesis statement. Main points of each body paragraph (topic sentence, evidence, examples, illustrations, etc.) Conclusion (restated thesis and call-to-action) With the outline done, you should take a break and resume writing your first draft of the nursing reflection essay.

  6. A guide to nursing students' written reflections for students and

    In nursing, using reflective writing helps students to cultivate a deeper sense of meaning of clinical encounters, process experiences, and improve introspection (Kerr, 2010). Reflective journaling helps students to develop over time their ability to think critically, self-reflect, and maintain cultural humility (Schuessler et al., 2012 ...

  7. PDF Reflective writing example: Nursing

    Sample Reflective journal The following are extracts from a Reflective journal written for the course, Reflective Nursing Practice 1 by a first year student, Chrissy Poulos: CHRISSY POULOS - REFLECTIVE JOURNAL Excerpt from Week I Defining nursing is a tough one. I am not sure about the ins and outs of it yet. But I will write what I think of ...

  8. How To Write A Nursing Reflective Essay As A BSN Nursing Student

    Some tips for writing a nursing reflective essay include starting early, conducting thorough self-reflection, organizing your thoughts and ideas, and seeking feedback from peers or instructors. Pay attention to proper grammar and spelling, coherent writing style, and adhere to any formatting guidelines provided.

  9. Written reflective accounts

    You must use the reflective accounts form to record your written reflective accounts. These accounts don't need to be lengthy or academic-style pieces of writing. You can simply note down what you learnt, how it improved your practice, and how it relates to the Code. You may choose to store the completed form either electronically or in paper ...

  10. Reflective journal writing

    Discover the benefits of writing down your thoughts and how to get started. Reflective journal writing is a way of documenting what you're thinking and feeling in the moment, and can be a useful tool to help manage stress and anxiety. Dr Christopher Westoby, author of The Fear Talking: The True Story of a Young Man and Anxiety, is a strong ...

  11. Reflective Writing

    Reflective writing is used by different healthcare professions in various ways, but all reflective writing requires that you think deeply and critically about an experience or a text. At the centre of reflective writing is the "self" - including a deep analysis of you in relation to the topic. Reflective writing is a process that involves ...

  12. PDF Reflective Practice in Nursing

    Starting a writing journey means writing in formative and unfinished ways, first captur-ing our deepest thoughts and feelings as they start to surface. Consider the following examples of reflective writing from the perspectives of student nurse (Joe) and practice supervisor (Ross), then answer the questions in Activity 9.2.

  13. Understanding reflective practice

    This article provides practical guidance to help practitioners use reflective models to write reflective accounts. It also outlines how the reflective process can be used as a valuable learning tool in preparation for revalidation. Nursing Standard . 30, 36, 34-42. doi: 10.7748/ns.30.36.34.s44. [email protected].

  14. Using reflection in nursing practice to enhance patient care

    Abstract. The ability to reflect on, and learn from, practice experiences is essential for nurses when seeking to provide effective person-centred care. This article outlines the various types of reflection that nurses can use, such as reflection-in-action and reflection-on-action. It also details some of the main models of reflection and ...

  15. How to reflect on clinical practice.

    RATIONALE AND KEY POINTS This 'How to' article explains how to reflect on clinical practice using reflection-on-action and a reflective model to help ensure the nurse gains comprehensive learning from an experience or incident to enhance their professional development and patient care. • Reflection is a vital element of nursing practice and has a wide-ranging purpose including, for example ...

  16. PDF A short guide to reflective writing

    4 A short guide to reflective writing Models of reflection There are frameworks that you can use to aid your reflective process. Alternatively, you may want to create your own. It needs to be a set of questions that you can ask yourself about an experience, plus a process by which you apply and learn from your reflection. Here are

  17. How to reflect on your practice for revalidation

    Reflection is the process of making sense of an experience in order to learn and improve as a practitioner. 1 Often, we reflect as part of our everyday practice without being aware that we are doing it - for example, on the way home from work. Using reflection within health and social care has benefits for patients and the profession.

  18. A guide to nursing students' written reflections for students and

    Reflective writing is defined as an assignment that is focused on students' experiences, like textbook readings, clinical experiences, or group activities, that highlights what the student has taken from the activity (McGuire et al., 2009). This study will explore reflective writing from the perspective of the nursing student and the nurse ...

  19. PDF GUIDANCE SHEET REFLECTIVE PRACTICE

    You can use the reflective discussion in lots of different ways, for example: • to share ideas, information and experiences. • to debrief after an incident. son's perspective on a situation• to think about p. ofessional development objectives.The discussion partner can offer a different perspectiv.

  20. PDF Using Gibbs: Example of reflective writing in a healthcare assignment

    Action Plan. In future, I will aim to develop my assertive skills when working with colleagues, in order to ensure that the well-being of clients is maintained. In my next placement, I will make this a goal for my learning, and will discuss this with my mentor to work out strategies for how I can achieve this. *******************.

  21. Write a reflective account

    Write your reflective account using the template outlined in the official NMC form, available via the website here. The form consists of four reflective questions relating to a CPD activity you have undertaken. Aim to write around 800 words in total, focusing on what you learned from the CPD article and how you changed or improved your practice ...

  22. Learn How to Write Your Reflective Journals in Nursing Studies

    The lack of time to dedicate to writing reflective journals in nursing can lead to nurses looking up samples online. Example texts are helpful for checking the reflective journal style, nursing content arrangement, and formatting. Copying reflective nursing journals, on the other hand, renders your diary unoriginal. Each example of practical ...

  23. Eight ways to improve your reflection

    1. Get into the habit of reflecting on your work. The sooner you reflect on your activity, the more truthful to the event your recollection will be, so make it part of your regular routine. If you don't have time to write notes, try recording your reflections on your phone while it's still fresh in your mind, and transcribe them later.

  24. Strengthening Reflective Activities Through Self-Leadership

    Faculty reflective practice: Building a thriving academic environment. Journal of Nursing Education, 62(7), 379-380. 10.3928/01484834-20230614-02 PMID: 37413669 > Link Google Scholar; Grech J. (2021). Critical self-reflection for nurse educators: Now more than ever! Teaching and Learning in Nursing, 16(1), 89-91.

  25. Nursing Reflective Essay: Examples + Useful Writing Tips [2024]

    15 Best Reflective Essay Topics: Nursing. Empathy and support in nursing. Communication with patients is one of a nurse's most important tasks. Nursing is the art of caring for the patient during illness. The key is not to cause harm but to help afterward. Time management in nursing.