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. Author manuscript; available in PMC: 2013 Jun 3.
Published in final edited form as: West J Nurs Res. 2010 Dec 20;33(6):825–845. doi: 10.1177/0193945910391681

Table 1.

Kolb Learning Modes in the RCP

Kolb Learning Modes Examples of Content
Legitimacy of Self-report Use of Opioids Effects of Unrelieved Pain
Concrete Experience (CE) Photo: boy playing videogame
Vignette text depicts: 13 year old (yo) boy, post abdominal surgery, vital signs, pain level report, available analgesics
Photo: boy in the playroom
Vignette text depicts: 13 yo boy, femur fracture, vital signs, pain level report, available analgesics
Photo: boy playing videogame, father at bedside
Vignette text depicts: 13 yo boy, post-abdominal surgery, vital signs, pain level report, available analgesics
Reflective Observation (RO) Series of questions about photo & text in CE (e.g., How would you rate Billy's pain?
Upon what information did you base your assessment of Billy's pain?)
Series of questions about photo & text in CE (e.g., How would you rate Matt's pain?
What interventions would you implement to relieve Matt's pain?)
Series of questions about photo & text in CE (e.g., What do you think are the possible causes of the pain that Billy is experiencing?)
Abstract Conceptualization (AC) Best evidence about the legitimacy of self-report to guide pain management practices provided Best evidence about effective administration of opioid analgesics provided Best evidence about deleterious effects of unrelieved pain & pain physiology provided
Active Experimentation (AE) 1. Video: nurses during shift report; nurse caring for Tyler reports that although he reported a pain level of 8 (0-10 scale) she did not administer give because he fell asleep
2.Series of questions (e.g., How would you respond to Tyler?)
3.Feedback about choice with rationale provided
1. Photo & Vignette (Same as CE)
2.Series of questions (e.g., How much analgesic did Matt receive compared to what was prescribed?)
3.Feedback about choice with rationale provided
1.Photo: little girl sitting quietly in bed Vignette text depicts: Sammy, a 10 yo after a skin graft, lying motionless & calm, reporting pain level of 7; available analgesics listed
2.Series of questions (e.g., What are the potential consequences of this level of pain?) 3.Feedback about choice with rationale provided