{"id":33437,"date":"2026-07-06T14:16:40","date_gmt":"2026-07-06T14:16:40","guid":{"rendered":"https:\/\/healthcareethicscourses.com\/au\/?page_id=33437"},"modified":"2026-07-12T17:52:43","modified_gmt":"2026-07-12T17:52:43","slug":"reflective-practice-insight-for-nurses","status":"publish","type":"page","link":"https:\/\/healthcareethicscourses.com\/au\/reflective-practice-insight-for-nurses\/","title":{"rendered":"Reflective Practice &#038; Insight for Nurses"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"33437\" class=\"elementor elementor-33437\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3fca53d e-con-full e-flex e-con e-parent\" data-id=\"3fca53d\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3bc5454 elementor-widget elementor-widget-html\" data-id=\"3bc5454\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<!-- Healthcare Ethics Courses \u2014 Nursing & Midwifery Board article \u2014 paste into an Elementor Custom HTML block. 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aria-hidden=\"true\">&rsaquo;<\/li>\r\n      <li><a href=\"\/au\/knowledge-support\/\">Nursing &amp; Midwifery Board<\/a><\/li>\r\n      <li class=\"sep\" aria-hidden=\"true\">&rsaquo;<\/li>\r\n      <li aria-current=\"page\">Reflective Practice and Insight for Nurses and Midwives<\/li>\r\n    <\/ol>\r\n  <\/nav>\r\n\r\n  <header class=\"head wrap\">\r\n    <h1>Reflective Practice and Insight for Nurses and Midwives<\/h1>\r\n    <div class=\"meta\">\r\n      <span>8 min read<\/span>\r\n      <span class=\"dot\" aria-hidden=\"true\">&bull;<\/span>\r\n      <span>Last updated June 2026<\/span>\r\n    <\/div>\r\n    <p class=\"lead\">Reflection is sometimes dismissed as a box-ticking exercise \u2014 yet genuine reflective practice is central to good nursing and midwifery, to your CPD, and to how a regulator views a practitioner who has faced a concern. This guide explains what reflection and insight really mean, how they fit your CPD requirements, and how to do them well.<\/p>\r\n  <\/header>\r\n\r\n  <div class=\"takeaways wrap\">\r\n    <h2>Key takeaways<\/h2>\r\n    <ul>\r\n      <li>Reflective practice means honestly reviewing your decisions and experiences to learn and improve; insight is showing that you understand what happened and why it mattered.<\/li>\r\n      <li>Reflection is built into CPD: nurses and midwives must complete at least <strong>20 hours a year<\/strong>, and the NMBA standard explicitly requires reflecting on the outcomes of your learning.<\/li>\r\n      <li>Dual registrants need 20 hours for each registration; nurse practitioners and endorsed practitioners complete an additional 10.<\/li>\r\n      <li>After a concern, demonstrated insight and remediation are often the most influential part of a response.<\/li>\r\n      <li>Reflective writing should be genuine and specific, not formulaic.<\/li>\r\n    <\/ul>\r\n  <\/div>\r\n\r\n  <div class=\"wrap\">\r\n    <h2>What do \u201creflection\u201d and \u201cinsight\u201d actually mean?<\/h2>\r\n    <p><strong>Reflection<\/strong> is deliberately reviewing what you did, why you did it, what happened, and what you would change \u2014 turning everyday practice into learning. <strong>Insight<\/strong> is the understanding that reflection produces: recognising honestly what went well or badly, understanding the effect on the people in your care and on public trust, and taking appropriate responsibility. Reflection is the process; insight is the result.<\/p>\r\n\r\n    <h2>Reflection and your CPD<\/h2>\r\n    <p>For nurses and midwives, reflection is not an optional extra \u2014 it is written into the CPD you must complete. The NMBA\u2019s registration standard requires enrolled nurses, registered nurses and midwives to complete a minimum of <strong>20 hours of CPD each year<\/strong> (the registration period runs 1 June to 31 May), relevant to your context of practice. The standard expects your CPD cycle to:<\/p>\r\n    <ul>\r\n      <li>identify your learning needs from an honest self-reflection and evaluation of your practice against the relevant standards;<\/li>\r\n      <li>set a plan to meet those needs;<\/li>\r\n      <li>record your participation in the learning; and<\/li>\r\n      <li><strong>reflect on the outcome<\/strong> \u2014 what you gained and how it will change your practice.<\/li>\r\n    <\/ul>\r\n    <p>If you hold <strong>dual registration<\/strong> as a nurse and a midwife, you need 20 hours relevant to each (a single activity can count for both if it is relevant to both). Nurse practitioners and those with a scheduled-medicines or endorsed role must complete an additional 10 hours. Keep your records for five years, as the NMBA can request them at audit or as part of a notification.<\/p>\r\n    <aside class=\"note\"><p>Reflection is not separate from clinical work. It is how a busy practitioner turns everyday cases, complaints and near-misses into safer future care.<\/p><\/aside>\r\n\r\n    <h2>How to write a meaningful reflection<\/h2>\r\n    <ol>\r\n      <li>Describe the event briefly and factually.<\/li>\r\n      <li>Explain your thinking and reasoning at the time.<\/li>\r\n      <li>Identify honestly what went well and what did not.<\/li>\r\n      <li>Consider the impact on the person in your care and on others.<\/li>\r\n      <li>Set out what you have learned and what you will change.<\/li>\r\n      <li>Note how you will embed that change and review whether it worked.<\/li>\r\n    <\/ol>\r\n    <p>Keep it specific and honest, and avoid generic statements. A short, candid reflection is worth far more than a long, defensive one.<\/p>\r\n\r\n    <h2>Insight when a concern arises<\/h2>\r\n    <p>If you face a notification, the NMBA looks hard for genuine insight and remediation: do you understand what happened and why it mattered, and what have you changed to prevent it happening again? Demonstrated insight \u2014 supported by concrete remediation such as targeted CPD, supervision, audit or changes to your systems \u2014 is often the single most influential part of a response. Our guides to <a href=\"\/au\/knowledge-support\/nursing-midwifery-board\/nmba-complaints-investigations-explained\/\">NMBA complaints and investigations<\/a> and to <a href=\"\/au\/knowledge-support\/ahpra\/how-to-respond-to-an-ahpra-notification\/\">responding to an AHPRA notification<\/a> explain how to put this into a written response.<\/p>\r\n    <aside class=\"note\"><p>Insight cannot be manufactured at the last minute. Reflecting honestly and regularly \u2014 ideally well before you ever need to \u2014 builds both the habit and the evidence.<\/p><\/aside>\r\n\r\n    <h2>Common pitfalls<\/h2>\r\n    <ul>\r\n      <li>Treating reflection as a tick-box exercise.<\/li>\r\n      <li>Being defensive, or blaming patients or colleagues.<\/li>\r\n      <li>Writing vaguely instead of about a specific event.<\/li>\r\n      <li>Only reflecting when you are required to.<\/li>\r\n      <li>Failing to close the loop \u2014 reflecting but never actually changing anything.<\/li>\r\n    <\/ul>\r\n  <\/div>\r\n\r\n  <section class=\"courses wrap\">\r\n      <h2>Related CPD courses<\/h2>\r\n      <p class=\"intro\">Build the reflective skills this article describes with CPD designed for Australian practitioners:<\/p>\r\n        <a class=\"course\" href=\"https:\/\/healthcareethicscourses.com\/au\/courses\/reflection-for-fitness-to-practise\/\"><span class=\"course-tag\">CPD course<\/span><span class=\"course-name\">Reflection for Fitness to Practise<\/span><span class=\"course-arr\"><svg viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\"><path d=\"M9 6l6 6-6 6\"\/><\/svg><\/span><\/a>\r\n        <a class=\"course\" href=\"https:\/\/healthcareethicscourses.com\/au\/courses\/insight-for-fitness-to-practise\/\"><span class=\"course-tag\">CPD course<\/span><span class=\"course-name\">Insight for Fitness to Practise<\/span><span class=\"course-arr\"><svg viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\"><path d=\"M9 6l6 6-6 6\"\/><\/svg><\/span><\/a>\r\n        <a class=\"course\" href=\"https:\/\/healthcareethicscourses.com\/au\/courses\/remediation-for-fitness-to-practise\/\"><span class=\"course-tag\">CPD course<\/span><span class=\"course-name\">Remediation for Fitness to Practise<\/span><span class=\"course-arr\"><svg viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\"><path d=\"M9 6l6 6-6 6\"\/><\/svg><\/span><\/a>\r\n        <a class=\"course\" href=\"https:\/\/healthcareethicscourses.com\/au\/courses\/ensuring-no-repeat-of-misconduct-or-mistake-in-future-practice\/\"><span class=\"course-tag\">CPD course<\/span><span class=\"course-name\">Ensuring No Repeat of Misconduct or Mistake in Future Practice<\/span><span class=\"course-arr\"><svg viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\"><path d=\"M9 6l6 6-6 6\"\/><\/svg><\/span><\/a>\r\n  <\/section>\r\n\r\n  <section class=\"siblings wrap\">\r\n    <h2>Continue the Nursing &amp; Midwifery Board series<\/h2>\r\n        <a class=\"sib\" href=\"https:\/\/healthcareethicscourses.com\/au\/nmba-complaints-investigations-explained\/\">Complaints and Investigations Explained<svg viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\"><path d=\"M9 6l6 6-6 6\"\/><\/svg><\/a>\r\n        <a class=\"sib\" href=\"https:\/\/healthcareethicscourses.com\/au\/professional-boundaries-for-nurses-midwives\/\">Professional Boundaries for Nurses and Midwives<svg viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\"><path d=\"M9 6l6 6-6 6\"\/><\/svg><\/a>\r\n  <\/section>\r\n\r\n  <section class=\"faq wrap\">\r\n    <h2>Frequently asked questions<\/h2>\r\n      <div class=\"faq-item\"><h3>Is reflective practice mandatory for nurses and midwives?<\/h3><p>Reflection is embedded in CPD. The NMBA standard requires you to identify learning needs through self-reflection and to reflect on the outcomes of your learning as part of your annual CPD.<\/p><\/div>\r\n      <div class=\"faq-item\"><h3>How many CPD hours do nurses and midwives need?<\/h3><p>At least 20 hours per year, relevant to your context of practice, across the 1 June to 31 May registration period.<\/p><\/div>\r\n      <div class=\"faq-item\"><h3>What if I\u2019m registered as both a nurse and a midwife?<\/h3><p>You need 20 hours relevant to each registration. A single activity can count towards both where it is relevant to both roles.<\/p><\/div>\r\n      <div class=\"faq-item\"><h3>Can my reflective notes be used against me?<\/h3><p>Reflective documents are primarily for learning. If you are facing a concern, take advice from your indemnity insurer or professional association before submitting written material; honest reflection that shows insight generally helps.<\/p><\/div>\r\n      <div class=\"faq-item\"><h3>How do I show insight after a complaint?<\/h3><p>By honestly acknowledging what happened, understanding its impact, and evidencing concrete remediation \u2014 not by minimising or deflecting.<\/p><\/div>\r\n  <\/section>\r\n\r\n  <div class=\"wrap\">\r\n    <p class=\"disclaimer\">This article is general information for education and CPD purposes. It is not legal advice and does not create a practitioner\u2013adviser relationship. If you have received a notification, seek advice from your professional indemnity insurer, your union or professional association, or an independent lawyer experienced in health practitioner regulation. Healthcare Ethics Courses is an independent education provider and is not affiliated with, endorsed by, or acting on behalf of Ahpra or the NMBA; regulator names are used for reference only.<\/p>\r\n  <\/div>\r\n\r\n  <script type=\"application\/ld+json\">\r\n{\r\n  \"@context\": \"https:\/\/schema.org\",\r\n  \"@graph\": [\r\n    {\r\n      \"@type\": \"Article\",\r\n      \"@id\": \"https:\/\/healthcareethicscourses.com\/au\/knowledge-support\/nursing-midwifery-board\/reflective-practice-insight-nurses-midwives\/#article\",\r\n      \"headline\": \"Reflective Practice and Insight for Nurses and Midwives\",\r\n      \"description\": \"What reflective practice and insight mean for nurses and midwives in Australia - how they relate to the NMBA's 20-hour CPD requirement, and why they matter so much when responding to a concern.\",\r\n      \"inLanguage\": \"en-AU\",\r\n      \"datePublished\": \"2026-07-03\",\r\n      \"dateModified\": \"2026-07-03\",\r\n      \"author\": {\r\n        \"@type\": \"Person\",\r\n        \"name\": \"Dr Shehzad Iqbal\",\r\n        \"jobTitle\": \"Founder, Healthcare Ethics Courses\",\r\n        \"description\": \"MRCS, MRCGP, PG Cert Healthcare Law & Ethics (University of Dundee)\"\r\n      },\r\n      \"publisher\": {\r\n        \"@type\": \"Organization\",\r\n        \"name\": \"Healthcare Ethics Courses\",\r\n        \"url\": \"https:\/\/healthcareethicscourses.com\/\"\r\n      },\r\n      \"mainEntityOfPage\": \"https:\/\/healthcareethicscourses.com\/au\/knowledge-support\/nursing-midwifery-board\/reflective-practice-insight-nurses-midwives\/\",\r\n      \"about\": [\r\n        {\r\n          \"@type\": \"Thing\",\r\n          \"name\": \"Nursing and Midwifery Board of Australia\"\r\n        },\r\n        {\r\n          \"@type\": \"Thing\",\r\n          \"name\": \"Nursing and midwifery regulation in Australia\"\r\n        }\r\n      ]\r\n    },\r\n    {\r\n      \"@type\": \"BreadcrumbList\",\r\n      \"itemListElement\": [\r\n        {\r\n          \"@type\": \"ListItem\",\r\n          \"position\": 1,\r\n          \"name\": \"Home\",\r\n          \"item\": \"https:\/\/healthcareethicscourses.com\/au\/\"\r\n        },\r\n        {\r\n          \"@type\": \"ListItem\",\r\n          \"position\": 2,\r\n          \"name\": \"Knowledge & Support\",\r\n          \"item\": \"https:\/\/healthcareethicscourses.com\/au\/knowledge-support\/\"\r\n        },\r\n        {\r\n          \"@type\": \"ListItem\",\r\n          \"position\": 3,\r\n          \"name\": \"Nursing & Midwifery Board\",\r\n          \"item\": \"https:\/\/healthcareethicscourses.com\/au\/knowledge-support\/\"\r\n        },\r\n        {\r\n          \"@type\": \"ListItem\",\r\n          \"position\": 4,\r\n          \"name\": \"Reflective Practice and Insight for Nurses and Midwives\"\r\n        }\r\n      ]\r\n    },\r\n    {\r\n      \"@type\": \"FAQPage\",\r\n      \"mainEntity\": [\r\n        {\r\n          \"@type\": \"Question\",\r\n          \"name\": \"Is reflective practice mandatory for nurses and midwives?\",\r\n          \"acceptedAnswer\": {\r\n            \"@type\": \"Answer\",\r\n            \"text\": \"Reflection is embedded in CPD. 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