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Reflective practice is encouraged in the healthcare sector as a medium of learning which is based on self-evaluation. Further, Reflective practice suggests that an individual’s lived experience can be taken as the initial learning point from where knowledge could be developed. Further action could be taken to stimulate growth. As such, a reflective practice would comprise of three elements. 

First, the subject would need to have certain experiences. Secondly, the subject would have to undertake a reflective process whereby they scrutinize their own experiences. Thirdly, there would be resulting actions informed by the knowledge earned during the reflective process. Additionally, when reflection is considered as a part of reflective practice, it becomes a skill which must be nurtured and developed over time. 

To help professionals with reflective practice, several reflective models have been suggested. The popular ones being Driscoll’s Reflective Cycle, Gibbs’ Model of Reflection, Kolb’s Reflective Cycle & John’s Model of Reflection.

Driscoll’s Reflective Cycle was developed by John Driscoll in 1994; it inspires reflective thinking by asking three simple questions, which were first suggested in the context of reflective practice by Terry Borton in the 1970s. 

Three Questions of Driscolls Reflective Cycle

  • What?
  • So What?
  • Now What?

Driscoll’s Reflective Cycle begins with the first question and ends with the third one. All three of them have to be asked in a chronological manner with no scope for alteration. An individual indulging in reflective practice should first consider the situation or experience they are trying to learn something from. 

This comprises of the ‘What?’ segment where one should ask themselves questions like, ‘What exactly happened?’ Followed by ‘What did I see?’ Then, ‘What did I do?’ Next, ‘What was my reaction?’ Followed by ‘How did other people react to the situation?’ And finally, ‘What were the key elements of this situation?’ For clarity in the reflective process, it would be ideal if the individual noted down answers to these questions.


Once the answers to the ‘What?’ segment have been noted, it is time to move on to the second step of the cycle, where one is supposed to consider the question ‘So what?’ This is the step that focuses mostly on the learning experience. It begins with an analysis of the situation described in the previous segment. 

Some relevant questions that the subject must ask themselves and note down here are: ‘How was I feeling during the incident?’ ‘How am I feeling right now?’ ‘Is there any difference in my feelings then and now, and if so, why is there a difference?’ ‘What was the consequence of my reaction?’ ‘Did anything positive or negative emerge out of the situation, and if so, what was it?’ ‘What were my reactions in comparison to other people?’ ‘What was the impact of this difference in reaction?’ 

In this context, answering all these questions would not only allow the subject to analyse the situation but also to gauge their own feelings and reactions, thereby enabling them to objectively study how they respond to certain situations. Further, this introspective venture can help them to make changes for the better with respect to future scenarios.

Leveraging Driscolls Reflective Cycle

As a result, implementing changes in the subject’s response or action would form the third part of Driscoll’s Reflective Cycle which begs the question ‘Now what?’ Here, the subject should consider questions like: ‘What steps should be taken to change the situation for the better?’ Followed by ‘What do I plan to do in such situations in future?’ Then, ‘What would be the impact if nothing were changed?’ Next, ‘What addition information, knowledge, or skill is required to better address the situation?’ And finally, 'What are the ideal ways to gain relevant knowledge and skill to face the situation in future?’  As can be seen, this step would not end with answering these questions, but corresponding actions would have to be taken to make the reflective cycle a success.

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    Healthcare interns and medical students are often asked to write reflective reports based on their experiences. Here, they might be asked to follow the Driscoll’s Reflective Cycle. While writing such a report, they should first elaborately explain the situation that took place. This can be done by answering the questions demarcated for the ‘What?’ phase. But the answers should be framed in a coherent manner with a consistent flow in narrative. This first step is crucial because by describing the situation or experience, they would paint a clear picture of the experience that is being dealt with. An example of such a situation could be the administering a wrong medicine to a patient. Keep in mind though, the situation does not necessarily have to be a negative one.

    In the second stage, one has to analyse the situation and their own response. And then describe both in detail in their report. Here, it is important to mention the new things the they have learned from their experience. In the third stage, they should mention in the report what possible initiatives can improve their response and help them to better manage such situations in future. Here, it is significant to note that upon reflection, the subject might realise that their responses and actions were quite accurate, and no further changes need to be made. Such an inference would also be valid.



    Driscoll’s Reflective Cycle provides a structured approach to be followed with a specific beginning point, which helps people to know how to conduct reflective thinking in a systematic manner. It attempts to assess all levels of the situation which results in a complete analysis of the situation and the individual’s response. 

    In addition, it is a fast process which yields results quickly. When the subject needs a prompt assessment of a situation, the simple ‘What? So What? Now What?’ approach can be immensely helpful because it is easy to remember and follow with unambiguous directions about the starting and ending points.

    While Driscoll’s Reflective Cycle is quick, structured, easy to remember and follow, it has been argued that it does not facilitate a deep analysis of the situation. It is more of a quick fix, but if someone wishes to study an experience in greater detail to radically modify their response to such an experience, they should consider other detailed models of reflection like the Gibbs’ model.


    While details about Driscoll’s model has already been discussed above, a brief study of alternative model of reflections could highlight how they differ from Driscoll’s model, and which of them have advantages over the other.


    This model was proposed by Graham Gibbs in 1988 and it follows six stages, namely:

    • Descriptions
    • Feelings
    • Evaluation
    • Analysis
    • Conclusion
    • Action Plan

    Like other reflective models, it begins with a description of the situation or experience. Later, it eventually concentrates on the feelings of the subject rather than on the situation itself. In the evaluation stage, one is supposed to demarcate positive or negative aspects of the situation, which can be analysed in detail in the following stage. 

    Therefore, this analysis would lead to a conclusion about possible steps which could have been taken to improve the situation, and the model would end with a detailed action plan that would outline the things that ought to be done for better outcomes when the situation occurs again. 

    Difference between Gibbs' Model and Driscoll's model

    The Gibbs’ Model is different from the Driscoll’s model. Given that,  it is an elaborate and time consuming one. But Driscoll’s model is a quick and short one. Besides, Gibbs model is considered to be among the most complicated models while Driscoll’s is immensely simple. Further, Gibbs model is focused on the subject’s feelings or response. But Driscoll’s pays more attention to an analysis of the situation.


    David Kolb proposed this model in 1984; it follows four crucial stages which are:

    • Concrete Experience
    • Reflective Observation
    • Abstract Conceptualization
    • Active Experimentation

    As can be noted, this model is evolved based on theories of how people learn, and it attempts to develop understanding through lived experiences. This too begins with a description of the experience but encourages the subjects to note things that they have never encountered before. Finally, this leads to the development of new ideas based on this new experience. 

    Kolb's Model

    For this reason, subjects are encouraged to apply these newly gained ideas to future experiences. This model is similar to the ones used by children when they are learning new concepts like hot or cold. They might touch something hot (a new experience), and burn their finger, and use this knowledge to avoid touching hot objects in future. 

    Kolb’s Experiential Learning Cycle is considered to be a good model for beginners in reflective thinking, but when it is compared to other feasible models like Driscoll’s Reflective Cycle, it seems to lack critical thinking and analysis, thereby appearing superficial. While both of these models can be applied promptly, Driscoll’s model contains more probing queries and is simpler and easier to remember and follow, making it a better alternative for beginners.


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