Effective reflective listening in nursing involves several key steps: 1. Pay Attention: Focus completely on the patient, eliminating any distractions. 2. Show Engagement: Use non-verbal cues like nodding and maintaining eye contact to show you are listening. 3. Reflect Content: Paraphrase what the patient has said to confirm understanding. 4. Reflect Emotions: Acknowledge the patient's feelings by reflecting the emotions behind their words.