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Developing and monitoring effective practice is essential in health care organisations. Reflective practice offers practitioners and organisations a means to understand and learn through experience in complex care situations and develop expertise. This paper describes standard-setting in a hospice to construct a standard for managing patients who exhibit aggressive behaviour as part of their terminal illness.

Reflective practice is grounded in the practitioner's everyday experiences. This is why this second part of an examination of reflective models of nursing considers the experiences of two nurses who used the Burford reflective model to inform and refine the care they offer. One reflects on a routine series of community visits, the other focuses on the drama and distress surrounding a terminal illness.

Reflective practice is grounded in the practitioner's everyday experiences. This is why this second part of an examination of reflective models of nursing considers the experiences of two nurses who used the Burford reflective model to inform and refine the care they offer. One reflects on a routine series of community visits, the other focuses on the drama and distress surrounding a terminal illness.

The concept of reflective practice is proving popular among practising nurses. This paper describes a way of using reflection in practice. It also describes how reflective principles were used to underpin the development of a model to guide nurses' work. The difference between this approach and the traditional use of theoretical models is outlined and its value for guiding practice is discussed. A second article next month will look at the model in practice in more detail.