The impact of reflective practice on nursing students: a scoping review

Article

Bowers, Madeleine, Terry, Daniel and Irwin, Pauletta. 2025. "The impact of reflective practice on nursing students: a scoping review." Nurse Education in Practice. 87. https://doi.org/10.1016/j.nepr.2025.104468
Article Title

The impact of reflective practice on nursing students: a scoping review

ERA Journal ID14139
Article CategoryArticle
AuthorsBowers, Madeleine, Terry, Daniel and Irwin, Pauletta
Journal TitleNurse Education in Practice
Journal Citation87
Article Number104468
Number of Pages8
Year2025
PublisherElsevier
Place of PublicationUnited Kingdom
ISSN1471-5953
1873-5223
Digital Object Identifier (DOI)https://doi.org/10.1016/j.nepr.2025.104468
Web Address (URL)https://www.sciencedirect.com/science/article/pii/S1471595325002240
Abstract

Aim: To explore the strengths and weaknesses of clinical reflection and its impact on clinical practice among
nursing students.
Background: Nursing students experience emotional burdens when transitioning from a student to a practicing
clinician, with many struggling to apply theoretical knowledge to clinical competency. Reflective practices serve
to bridge the gap between theoretical and practical knowledge, while encouraging professional development
through self-discovery and self-awareness among nursing students.
Methods: A scoping review was conducted in August 2024 across four databases, including PubMed, Scopus,
CINAHL and Web of Science. Eligible studies between 2014 and 2024 were included and focused on nursing
students undertaking Baccalaureate studies in higher education, who engaged in reflective practice in their
program, which included clinical settings such as hospitals, community centres, or simulated learning environments.
Data were extracted, grouped into themes and presented through narrative synthesis. The review
followed the PRISMA-ScR checklist.
Results: Among the 13 identified articles, reflective practice was found to be beneficial for supporting clinical
competency through professional development. Furthermore, self-discovery and self-awareness were enhanced
in nursing students when reflective practice was incorporated into clinical situations. Reflection had a positive
impact on the emotional well-being of nursing students when confronted with the environmental effects of
healthcare and supported their clinical reasoning and decision making in clinical situations.
Conclusion: Reflective practice has a positive impact on clinical practice and provides emotional support during
the transition from student to practicing nurse. Integrating reflective practice in nursing curricula may be
beneficial to support and inform nursing students how to reflect and its associated benefits to practice.

KeywordsCritical Thinking; Clinical Competency; Reflective Practice Self-Discovery; Nursing Education
Contains Sensitive ContentDoes not contain sensitive content
ANZSRC Field of Research 2020420505. Nursing workforce
Byline AffiliationsCharles Sturt University
Centre for Health Research
Federation University
School of Nursing and Midwifery
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Terry, Daniel, Peck, Blake, Baker, Ed and Schmitz, David. 2021. "The Rural Nursing Workforce Hierarchy of Needs: Decision-Making concerning Future Rural Healthcare Employment." Health Care: the journal of delivery science and innovation. 9 (9). https://doi.org/10.3390/healthcare9091232
The Kids Are Alright: Outcome of a Safety Programme for Addressing Childhood Injury in Australia
Peck, Blake and Terry, Daniel. 2021. "The Kids Are Alright: Outcome of a Safety Programme for Addressing Childhood Injury in Australia." European Journal of Investigation in Health Psychology and Education. 11 (2), pp. 546-556. https://doi.org/10.3390/ejihpe11020039
Self-Regulation for and of Learning: Student Insights for Online Success in a Bachelor of Nursing Program in Regional Australia
Peck, B., smith, a., Terry, Daniel and Porter, J.. 2021. "Self-Regulation for and of Learning: Student Insights for Online Success in a Bachelor of Nursing Program in Regional Australia ." Nursing Reports. 11 (2), pp. 364-372. https://doi.org/10.3390/nursrep11020035
Nurses’ Experience of Caring for Patients with Delirium: Systematic Review and Qualitative Evidence Synthesis
Thomas, Nissy, Coleman, Mardhie and Terry, Daniel. 2021. "Nurses’ Experience of Caring for Patients with Delirium: Systematic Review and Qualitative Evidence Synthesis ." Nursing Reports. 11 (1), pp. 164-174. https://doi.org/10.3390/nursrep11010016
Academic and clinical performance among nursing students: What's grit go to do with it?
Terry, Daniel and Peck, Blake. 2020. "Academic and clinical performance among nursing students: What's grit go to do with it?" Nurse Education Today. 88, pp. 1-6. https://doi.org/10.1016/j.nedt.2020.104371
Factors That Impact Measures of Grit among Nursing Students: A Journey Emblematic of the Koi Fish
Terry, Daniel and Peck, Blacke. "Factors That Impact Measures of Grit among Nursing Students: A Journey Emblematic of the Koi Fish." European Journal of Investigation in Health Psychology and Education. 10 (2), pp. 564-574. https://doi.org/10.3390/ejihpe10020041
Television as a Career Motivator and Education Tool: A Final-Year Nursing Student Cohort Study
Terry, Daniel and Peck, Blake. 2020. "Television as a Career Motivator and Education Tool: A Final-Year Nursing Student Cohort Study." European Journal of Investigation in Health Psychology and Education. 10 (1), pp. 346-357. https://doi.org/10.3390/ejihpe10010026
Supervision in Healthcare: A Critical Review of the Role, Function and Capacity for Training
Terry, Daniel, Nguyen, Hoang, Perkins, Alicia J and Peck, Blake. 2020. "Supervision in Healthcare: A Critical Review of the Role, Function and Capacity for Training." Universal Journal of Public Health. 8 (1), pp. 1-14. https://doi.org/10.13189/ujph.2020.080101
Public perception of medical errors: Experiences and risks shared in Australia
Kim, Jeong-ah, Terry, Daniel, Jang, Sunny, Nguyen, Hoang, Gilbert, Julia and Cruickshank, Mary. 2020. "Public perception of medical errors: Experiences and risks shared in Australia." Universal Journal of Public Health. 8 (1), pp. 35-41. https://doi.org/10.13189/ujph.2020.080104
Communities of Practice: A systematic review and meta-synthesis of what it means and how it really works among nursing students and novices
Terry, Daniel R., Nguyen, Hoang, Peck, Blake, Smith, Andrew and Phan, Hoang. 2020. "Communities of Practice: A systematic review and meta-synthesis of what it means and how it really works among nursing students and novices." Journal of Clinical Nursing. 29 (3-4), pp. 370-380. https://doi.org/10.1111/jocn.15100
A critical appraisal of what organisational approaches are pivotal to improve patient safety.
Kim, Jeong-ah, Terry, Daniel, Jang, Sunny, Gilbert, Julia and Cruickshank, Mary. 2020. "A critical appraisal of what organisational approaches are pivotal to improve patient safety. " Journal of Hospital Administration. 9 (1), pp. 26-34. https://doi.org/10.5430/jha.v9n1p26
The data deficit for asthma emergency presentations might surprise you: How RAHDaR addresses the data chasm.
Terry, Daniel R T, Peck, Blake and Kloot, Kate. 2020. "The data deficit for asthma emergency presentations might surprise you: How RAHDaR addresses the data chasm. " Rural and Remote Health. 20 (2). https://doi.org/10.22605/RRH5776
What Australian Nursing Students Value as Important in Undertaking Rural Practice
Terry, Daniel R., Peck, Blake, Smith, Andrew, Stevenson, Tyrin, Nguyen, Hoang and Baker, Ed. 2020. "What Australian Nursing Students Value as Important in Undertaking Rural Practice ." Online Journal of Rural Nursing and Health Care. 20 (1), pp. 32-56. https://doi.org/10.14574/ojrnhc.v20i1.589
Understanding childhood injuries in rural areas: Using Rural Acute Hospital Data Register to address previous data deficiencies
Peck, Blake, Terry, Daniel R and Kloot, Kate. 2020. "Understanding childhood injuries in rural areas: Using Rural Acute Hospital Data Register to address previous data deficiencies." Emergency Medicine Australasia. 32 (4), pp. 646-649. https://doi.org/10.1111/1742-6723.13565
A Narrative Synthesis of Childhood Injury Prevention Programs for Pre-School Children
Peck, Blake, Terry, Daniel and Ervin, Kaye. 2020. "A Narrative Synthesis of Childhood Injury Prevention Programs for Pre-School Children." Universal Journal of Public Health. 8 (6), pp. 193-197. https://doi.org/10.13189/ujph.2020.080602
Workplace Based Assessment Program for International Medical Graduates: An Evaluation of an Australian Trial Site
Terry, Daniel, Peck, Blake and Gazula, Swapnali. 2020. "Workplace Based Assessment Program for International Medical Graduates: An Evaluation of an Australian Trial Site." Universal Journal of Public Health. 8 (6), pp. 198-206. https://doi.org/10.13189/ujph.2020.080603
Occupational Self-Efficacy and Psychological Capital Amongst Nursing Students: A Cross Sectional Study Understanding the Malleable Attributes for Success
Terry, Daniel, Peck, Blake, Smith, Andrew and Nguyen, Hoang. 2020. "Occupational Self-Efficacy and Psychological Capital Amongst Nursing Students: A Cross Sectional Study Understanding the Malleable Attributes for Success." European Journal of Investigation in Health Psychology and Education. 10 (1), pp. 159-172. https://doi.org/10.3390/ejihpe10010014
Traversing the Funambulist’s Fine Line between Nursing and Male Identity: A Systematic Review of the Factors that Influence Men as They Seek to Navigate the Nursing Profession
Terry, Daniel, Peck, Blake, Carden, Clarissa, Perkins, Alicia J. and Smith, Andrew. 2020. "Traversing the Funambulist’s Fine Line between Nursing and Male Identity: A Systematic Review of the Factors that Influence Men as They Seek to Navigate the Nursing Profession ." European Journal of Investigation in Health Psychology and Education. 10 (3), pp. 691-703. https://doi.org/10.3390/ejihpe10030051
Chronic ill health in a regional Victoria setting: A 13-year comparison
Glenister, Kristen, Bourke, Lisa, Terry, Daniel and Simmons, David. 2019. "Chronic ill health in a regional Victoria setting: A 13-year comparison." Australian Journal of Rural Health. 27 (6), pp. 527-534. https://doi.org/10.1111/ajr.12565
Communication training and its effects on carer and care-receiver outcomes in dementia settings: A systematic review
Nguyen, Hoang, Terry, Daniel, Phan, Hoang, Vickers, James and McInerney, Fran. 2019. "Communication training and its effects on carer and care-receiver outcomes in dementia settings: A systematic review ." Journal of Clinical Nursing. 28 (7-8), pp. 1050-1069. https://doi.org/10.1111/jocn.14697
Acute circulatory complications in people with diabetes mellitus type 2: How admission varies between urban and rural Victoria
Gardiner, Gardiner, Robins, Shalley and Terry, Daniel. 2019. "Acute circulatory complications in people with diabetes mellitus type 2: How admission varies between urban and rural Victoria." Australian Journal of Rural Health. 27 (1), pp. 49-56. https://doi.org/10.1111/ajr.12459
Health professional students' rural placement satisfaction and rural practice intentions: A national cross-sectional survey
Smith, Tony, Sutton, Keith, Sabrina, Pit, Muyambi, Kuda, Terry, Daniel, Farthing, Annie, Courtney, Claire and Cross, Merylin. 2018. "Health professional students' rural placement satisfaction and rural practice intentions: A national cross-sectional survey." Australian Journal of Rural Health. 26 (1), pp. 26-32. https://doi.org/10.1111/ajr.12375
Competing food consumption discourses and proper gendered behaviour among over 50s: are you really what you eat?
Malatzky, Christina, Terry, Daniel, Bourke, Lisa, Glenister, Kristen and Ervin, Kaye. 2018. "Competing food consumption discourses and proper gendered behaviour among over 50s: are you really what you eat?" Journal of Research for Consumers. 32, pp. 1-31.
Asthma hospitalisation trends from 2010 to 2015: variation among rural and metropolitan Australians
Terry, Daniel, Robins, Shalley, Gardiner, Samantha, Ruby, Wyett and Islam, Md Rafiqul. 2017. "Asthma hospitalisation trends from 2010 to 2015: variation among rural and metropolitan Australians." BMC Public Health. 17. https://doi.org/10.1186/s12889-017-4704-y