This paper focuses on an innovation and development of a guided reflective approach currently offered at a university in Ireland. Significant collaborative structures and processes were created and implemented in providing guided protected reflective time for fourth year pre-registration BSc Nursing and Midwifery students. This initiative is explored within a case study approach. Undergraduate preregistration programmes aim to develop practitioners towards becoming fit for purpose, compassionate and competent in meeting global health care needs. In the current educational literature, there is much about reflection from a theoretical learning stance. Minimum attention has been given to the practicalities surrounding the structures and processes providing learning spaces where reflection can flourish. Reflective practice offers learning opportunities to guide the development of self and practice critical for future learning. Guided reflection is described as an appropriate learning strategy influential in sense making for practice for final year pre-registration BSc undergraduate students.