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Reflective practice describes the cyclical interaction of learning and experience. Although the concept has been enhanced during the 20th century, the Chinese philosopher and educator Confucius indicated that wisdom is gained by reflection. Nurses can enhance their practice and gain professional satisfaction by developing the skills needed for reflective practice. Reflection can occur in the moment as well as after an event. To develop the skills needed for reflective practice, the nurse must first make a commitment to reflection. Reflection can lead to increased confidence, which allows nurses to use their voice to question authority.

Participating in the seventh U.S.-Russian Nursing Conference Cruise was a unique opportunity for American nurses to interact with nurses from Russia, South Africa, and Australia. In addition to the conference sessions, visiting a hospital and a hospice provided insight into health care in Russia.