The aim of this article is to help nurses to move beyond reflection on practice, to exploring a clinical problem that they have encountered and identifying one or more possible solutions. The article describes the types of practice knowledge that will need to be reviewed or updated, the steps that should be taken to analyse a problem, and how, within a group of like minded healthcare professionals, relevant solutions might be arrived at. To gain the most from this article, readers need to select a relevant problem, work through the Time Outs which describe stages within a problem analysis, and consult closely with colleagues at work. Problem-based learning is a group-based, inquisitive process, which draws upon the knowledge of others as well as textbooks (Barrows 1996, Barrows and Tamblyn 1980). While it helps to develop reflective skills, it also addresses the need to develop the competencies associated with working in a multidiscipli-nary team (Bradshaw 1998).