REFLECTIVE PRACTICE SHEET
Your Name
Date of Activity
Time Taken for Activity
Title of Activity
Description – What happened? What did you do? What tasks were involved? What did others do? What objective
were you trying to achieve? What are the key points you need to address?
Feelings – What were you thinking and feeling during the activity?
Evaluation – What were the results? What was good and bad about the experience? Did you achieve this objective?
What challenges did you face? How did you overcome these challenges?
Analysis – What is the importance of the activity?
Conclusion – What have you learned? How did it change your thinking or practice? How does the learning relate
to your work? What else could you have done? What are the alternative actions that were identified and cane be
incorporated into the clinical practice?
Action plan – What actions will you take to do things differently/better? What would be the best thing to do?
What changes will you make in the way you work? What will I do differently next time? What further learning
needs did you identify? How and when will you address these? What will I maintain, improve or stop?