“reflection-on-action” (para.

6) to evaluate effectiveness and facilitate their clinical

judgment during and after a clinical procedure. During the intervention, the nurse uses clinical

reasoning to analyze the situation and make changes if necessary. After the intervention, they

reflect on what they did well and what they need to improve for the next session. Utilizing both

types of reflection in the intervention allows for the development of the best treatment plan for

the client. To this end, two types of reflection on specific events ensure the most appropriate care

for patients. Moreover, reflective practice benefits the healthcare mechanism to refine its policies

and procedures. For example, Nurses interact with patients from diverse environments. Their

reflection in practice can be the first-hand materials to refine the guidelines from the holistic

view, including culture, religion, beliefs, and values, and then effectively eliminate racism,

discrimination, prejudice, or stereotype. Take the case of Brian Lloyd Sinclair which I mentioned

above, there are certainly flaws in a policy or protocol that led to nurses' neglect. To conclude,

reflective practice helps nurses and administrators to improve their clinical and management

skills and then meet clients' needs.

The barriers to reflective practice for practitioners include lack of time, a supportive

environment, and training.

To begin with, since nurses are in short supply and pandemics are a growing concern, the

time nurses can use to reflect on their practice is becoming increasingly scarce. Scheffler &

Arnold (2018) stated that nursing shortages could reach 117,600 by 2030 (p.283). Consequently,

providing health care services for the client is their priority, which means they lack time to

reflect on their practice and use their critical thinking skills effectively. In addition, having a

reflective practice in nursing needs guidance and motivation. However, not every administrator
or leader values reflective practice in nursing and views it as work to fill out a form (Koshy et

al., 2017). In such cases, they may direct superficial reflective practice in response to the

regulation of CNO. Moreover, even though training can improve nurses' clinical competency and

assist them to view an event from a holistic perspective, there is a significant “lack of in-service

training” for nurses (Zaman et al., 2021, para.12). As a result, reflection based on experience and

skills may not get much deeper into the substance of the problem. In brief, multiple barriers are

needed to overcome in order to provide the most appropriate service to clients.