Abstract
This article shares nurses’ experiences of ‘walk, talk, think, feel’ reflective practice sessions in an adult congenital heart disease service. The sessions, facilitated by the team’s psychologist using an adapted version of the Heads and Hearts model of reflective practice, were held outdoors while walking to draw on the many well-documented health benefits of nature. Self-reported feedback highlighted improvements in team relationships, self-awareness, service delivery and wellbeing, with walking outdoors reported as enhancing the experience. These findings support the value of outdoor, walking reflective practice sessions, provide insight into their delivery and indicate the need for further research in this area.
Citation: McCulloch A, Senior F (2025) Walk, talk, think, feel: reflective practice sessions outdoors. Nursing Times [online]; 121: 11.
Authors: Anna McCulloch is consultant clinical psychologist, South Wales Adult Congenital Heart Disease Service, University Hospital of Wales; Fiona Senior is consultant clinical psychologist, Welsh Spinal Cord Injury Rehabilitation Centre, University Hospital Llandough.

