Background: Working in respiratory intensive care unit (RICU) is multidimensional that requires nurses with special attributes to involve with the accountability of the critically ill patients.Objectives: The aim of this study was to explore the appropriate Nursing care strategy in the RICU in order to unify and coordinate the Nursing care in special atmosphere of the RICU.Materials and Methods: This conventional content analysis study was conducted on 23 health care providers working in the RICU of Sina and Shariati hospitals affiliated to Tehran university of medical sciences and the RICU of Baqiyatallah university of medical sciences from August 2012 to the end of July 2013. In addition to in-depth semistructured interviews, uninterrupted observations, field notes, logs, patient’s reports and documents were used. Information saturation was determined as an interview termination criterion.Results: Intelligence care emerged as a main theme, has a broad spectrum of categories and subcategories with bridges and barriers, including equality of bridges and barriers (contingency care, forced oriented task); bridges are more than barriers (human-center care, innovative care, cultural care, participatory care, feedback of Nursing services, therapeutic-professional communication, specialized and independent care, and independent nurse practice), and barriers are higher than bridges (personalized care, neglecting to provide proper care, ineffectiveness of supportive caring wards, futility care, nurse burnout, and nonethical-nonprofessional communications).Conclusions: Intelligence care is a comprehensive strategy that in addition to recognizing barriers and bridges of Nursing care, with predisposing and precipitating forces it can convert barriers to bridges.

Introduction: Reflective practice is a generic term for intellectual and affective activities that create new understanding and appreciation of experiences. Various studies have emphasized on the benefits of reflection in Nursing. This article reviewed benefits and barriers of reflective practice in Nursing.Methods: In this review article, library references, some scientific databases (Elsevier, pub med and sid) was search using following keywords reflective learning, reflective practice and Nursing care. Related articles published during 1995-2010 were retrieved.Results: There has been an increasing interest in reflective practice in Nursing. Nursing literature mentioned its importance specifically to reduce theory-practice gap. Although, everyone can be reflective, educators must not assume students know how to reflect. Students require guidance about how to be reflective.Conclusion: However, reflecting is an intentional and skilled activity that requires analyzing actions and making judgments about its effectiveness. Nurses could be empowered through reflective practice that provides them better understanding, and motivation for changes and quality improvement.