This reflection is going to focus on the nursing skills that I have developed while on practice placement, I will be using (Gibbs 1988, cited in Jasper 2003, p73). Using this model, I was able to reflect in structured and effective way. The theme of this reflection will summerise the development and application of care, showing empathy, communication and interpersonal skills to create and maintain therapeutic relationship. It will outline the fundamental aspects of clinical nursing skills that I have begun to acquire. This will further introduce the learning processes which took place and how it helped me to enhance my knowledge, and ethical values to deliver quality and safe care. Using sources of literature, I will use a reflective model to discuss how I have achieved the necessary level of learning outcome.