Integrative Journal of Nursing and Health
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ISSN: 2641-3248 Research Article Integrative Journal of Nursing and Health Restructuring a Course using Kolb’s Learning Theory Cornelius ST* Blair College of Health, Queens University of Charlotte, USA * Correspondence: Sheryl Thompson Cornelius, Blair College of Health, Queens University of Charlotte, 1900 Selwyn Ave, USA, Tel: 704-437-0745; E-mail: scornelius123@gmail.com Received: February 21, 2019; Accepted: April 02, 2019; Published: April 08, 2019 Abstract The purpose of this article is to chronicle the restructuring of an online graduate level course using Kolb’s Experiential Learning Theory. The goal was to increase student satisfaction in the approach to the course, create an engaging environment, structure the assignments to meet the outcomes of the course and have the students retain the information longer after course finish. Through student evaluations and faculty commentary the restructuring was a success with positive feedback. The results for student satisfactions were overwhelmingly positive for the changes to the course. The students felt the assignments kept in the course were effective in meeting the outcomes of the course. Of the 50 respondents answering the question: “Were the assignments in the course an effective modality to meet the course outcomes?” 49% strongly agreed, 45% agreed, 2% were neutral, and 4% disagreed. The change increased faculty and student engagement and allowed the student to feel more connected to the topic. Future studies that follow this will be to determine if the material is retained over a longer period of time based on the structure of the course utilizing the Kolb’s Experiential Learning Theory. Keywords: Kolb’s experiential learning theory, Online, Graduate, Restructure, Student satisfaction Introduction current issues. Though the content was being taught and the objectives were being met, the course did not appear Most educators have a dream that their students will to have any cohesiveness and each assignment could leave their course with a satisfaction of their approach stand alone. There was more of a pedagogical approach and maybe even a new found passion for the content, but modeling Piaget. Students queried about the content all educators want their students to retain the content. several semesters later could not deliver any specifics of Kolb’s Experiential Learning theory has proven beneficial the course content nor the assignments they produced. in allowing them to learn the material at a deeper level There wasn’t any scaffolding of material or connection and to retain the material regardless of their opinion on between the first few weeks and the last few weeks of the topic [1]. This article will chronicle the process used to the course. A decision was made to revise the course to restructure a course to include the four stages of Kolb’s create a progression of content so the student may learn Experiential Learning theory in an online Masters of from previous units and complete a loop of learning of Science in nursing program. the content. When this course was created and later revised to fit an online format the traditional assignments were all there; the reflection paper, the asynchronous discussion forums, and the content involving the experts of the Int J Nur Health, 2(1): 77-81 (2019) 77
Literature Review on action helps the student to build meaning from the process of reflection by allowing a time frame of change Kolb’s experiential learning theory in the thinking on what has been included in the initial “Learning is the process whereby knowledge is created stage [6]. Some learning strategies for this stage are through the transformation of experience” [1]. brainstorming, discussions, logs, journaling, or other reflective writing [7]. According to Kolb’s experiential learning theory, knowledge is constructed in four main stages. These Kolb’s third stage is abstract conceptualization- thinking. stages include concrete learning, reflective observation, Abstract conceptualization involves interpreting what has abstract conceptualization, and active experimentation. been viewed and reflected upon. In this stage the student These stages are often shortened to reflect Feeling, interprets the events and begins to understand the Watching, Thinking, and Doing respectively. Kolb’s theory relationships within the content. For this stage, educators requires that the student identify, distinguish, and often utilize projects, model building, model critiquing, or recognize an aspect of knowledge and then put it to paper writing. The learner is making that step to the next construction by completing the learning process with his level of understanding by making comparisons to what cycle of four stages. Working through all four of these they have done and what they have reflected upon [8]. stages allows the student to transform the knowledge into a mental model by experiencing the stages [2]. The Finally, Kolb’s fourth stage is active experimentation student’s experience with the content in the various -doing. The student needs to be able to take what they stages in turn embeds the knowledge and increases the have learned and utilize it in a new way. Educators retention of the material. Students who feel a satisfaction should encourage independent discovery in this stage by in the knowledge have connected it to a relevant aspect allowing them to take what they have learned and link it of their education and subsequently can recall the to a passion or view they have that is pertinent. Students information for a longer period of time [3]. need creative outlets to be able to accomplish this stage. Concrete learning is the first stage of Kolb’s theory- Although there is research to show that students have feeling. This involves learning a new experience or an affinity to one stage or another depending on their learning a new way of viewing an experience. Adult learning style, Kolb’s theory posits that optimal learning learners are exposed to knowledge in many different takes place when learners have a balance of abilities in all ways and some students falsely bring what they think four of these stages [2]. The model is illustrated in figure about the topic to the table. Regardless of whether the 1. student believes they have prior knowledge or not, the content has not been presented to the students in this manner; so upfront work must be completed to ensure the base of knowledge is available for the student to build upon. Students need to learn the initial content the way the professor wishes to present it to dispel any poor impressions early on. A foundation can be built with lecture, readings, films, simulations, or problem sets. A student cannot be asked to reflect upon or abstract a concept they have not been exposed to so this concrete learning stage is imperative [4]. The second stage is reflective observation- watching. Figure 1: Kolb’s Four Stages of Learning. Once the student has a foundation they should be able to observe the content at work and begin to reflect on how Methodology it will affect the bigger picture. Meaningful learning is an iterative process requiring reflection [5]. Students must In this restructuring, a literature review was performed have time to reflect on the material being presented in to consider the pedagogical approaches available for this order to build connections to previous experiences and type of content and the way students learn in an online construct meaning in what they have learned. Reflection environment. Student evaluations were reviewed for the Int J Nur Health, 2(1): 77-81 (2019) 78
courses past several semesters. In addition, faculties globally. They begin to realize there is not always a right teaching other courses in the program were gathered or wrong to an issue. Doody and Condon [10] stated in to discuss pros and cons of different teaching styles and their study that the most important rationale for utilizing to submit anecdotally any suggestions from their own debate as a teaching-learning tool is that “debates help to courses or students. Kolb’s Experiential Learning was stimulate critical thinking by shaking students free from chosen to meet the needs of the course and to assist established opinions and helping them to appreciate the in retention of the material for a longer period of time. complexities involved in practice”. After the course was revised it was evaluated by student participants and received positive evaluations. The The third stage is abstract conceptualization. New restructured course increased student engagement and ideas are formed. The student is asked to reflect on faculty satisfaction with the course. the experience of searching a legislative site and what they have learned on a personal basis. In this course How we structured the new course the student was asked to write a reflective paper about the experience showcasing at least three examples of The first stage of Kolb’s theory is concrete learning a change in thinking on the topic. They were asked to which is a new experience or a new way of viewing an identify stakeholders, evaluate the policy, and make experience. In the masters’ level health policy course, recommendations based on healthcare implications. the content is new for most participants. Though all Utilizing the actual policies being created at the time of students are in healthcare, they are often in the clinical the course added to the student’s knowledge of current setting where patient care is their primary focus. They are legislation and how to navigate the system stating often not exposed to the topic of health policy outside government policies that impacted healthcare providers of their current facility policy and procedure and have in their area [11]. no knowledge of how they can impact health policy on a local, regional, or national level. This introduction to the Finally, the fourth stage is active experimentation. In content is brought out by having them exposed to the this stage the student will apply the new ideas to their laws and regulations first through readings from the text, surroundings to see if any modifications are needed in lecture and similar content, then through their exposure their views. Students were asked to write a policy brief to the local government through specific internet sites. that identified advantages of a multistate regulation for The websites are posted in the course for reading. This advanced practice nurses to be fictitiously presented background knowledge allows them the foundation for to a local senator. The pedagogical rationale for the the course and a basis for the next stage. assignment was to prepare students for professional communication and to be able to summarize materials The second stage is reflective observation. One of their into concise key points. This assignment fed into Kolb’s first assignments is to delve into the state legislature learning cycle stage four active experimentation because and find an issue they are passionate about. For some, they were able to take what they have learned and the simple knowledge of knowing where they can look reflected upon and create a product that was solely their to find a current bill and have access to the process is own. They were able to “actively experiment” with the a new concept. Allowing them the choice of topic adds material without the pressure of it being high stakes as to the motivation to learn more. Adult learners need to in an employment situation. DeNisco & Barker discussed feel what they are learning is pragmatic and problem the role of the advanced professional in becoming a centered so by allowing them the choice they feel more change agent in health policy, providing support for the passionate about the topic [9]. Through discussion of their value of this assignment [12]. findings with their peers and observing the bill’s process in legislation they are exposed to a new level of health Having those in the field working with the patients is the policy that they may not have had knowledge of prior to most beneficial for the success of the policy; therefore, a the course. They see the process and begin to observe graduate prepared healthcare provider will be expected how a bill is pushed through or held up in session. to increase awareness of and provide analysis of policy briefs on multi state legislation. The theory is cyclic so with To further the development of this stage they are asked the completion of the active experimentation the student to read a transcript of a debate on a current healthcare should be looking for more areas of concrete learning issue. By seeing both sides of the issue through the eyes to begin the cycle again. By completing the entire cycle of experts; the student reflects upon the issue more Int J Nur Health, 1(1): 35-41 (2018) 79
within this course it is more likely the student will retain assignments in the course led to satisfaction with meeting the material longer and at a deeper level. the outcomes of the course and positive evaluations from students. Sample population Limitations to the study Institutional Review Board approval was obtained prior to the beginning of the study. Student contacts Although the study spanned five cohorts of the course were identified for the five semesters of online graduate the sample was small at 50 participants and was based students who had completed the health policy course. on only one course in an online masters of science in Each student was sent an emailed invitation to participate nursing program. Future studies will include multiple in the survey on satisfaction of methods utilized in the courses to identify a wider range of data. A larger number course to achieve outcomes. Fifty students voluntarily over multiple colleges would identify significance across responded out of 88 invitations after a second email and disciplines. two-week period of returns. The data collection process was achieved by using the online survey system- Survey Implications for the program Monkey. Utilizing this method appears to be more in line with students learning styles in the profession of nursing. Results Nurses are by nature more “hands on” and learn primarily The results for student satisfaction were at the application level and above in reference to Bloom’s overwhelmingly positive for the changes to the course. taxonomy. By scaffolding the assignments in the course The students felt the assignments kept in the course in the measure of Kolb’s Experiential Learning Theory the were effective in meeting the outcomes of the course. Of students were allowed to experience the work instead the 50 respondents answering the question: “Were the of just hearing the content or watching a video. Faculty assignments in the course an effective modality to meet also reported being able to clearly see the growth in the the course outcomes?” student throughout the course. The comments from participants included (Table 1): Recommendations for future studies For future research it was identified that taking this Table 1: Student evaluations post course. process a step further and surveying the students on the *I really liked everything about this course, all of the content later in the program would ensure the retention material and assignments facilitated learning and has portion of the theory is indeed accurate with the content provided a means for continued involvement. that is laid out in this manner. *I enjoyed learning via different kinds of assignments that had me “hands on”. Conclusion *My classmates and I were excited to share our experiences and thoughts during the course. Based on the satisfaction surveys and the student *The format made it easier for us to tackle an evaluations, the course changes were deemed a success. “intricate and complex” course. The faculty found that for future episodes of course *The variety of assignments were good to broaden creation/revision this purposeful connection to Kolb’s thoughts and experiences. Theory would be beneficial. It is expected to be utilized * I found the mini policy analysis assignment easier in other courses for congruence across the curriculum. to complete because the prior assignment that broke down and identified the policy sections. With multi-generational classrooms and a largely *I really liked the variety of hands on assignments. millennial workforce this “hands on” approach is obviously I was not just reading but DOING something. beneficial to the students. The positive evaluations from students have also included an increase in engagement Discussion in the course which is always beneficial in an online environment. The results were consistent with the literature review of the like studies and supported the theory. Allowing the student to work through the steps of Kolb’s Experiential Learning Theory in an intentional creation of stepped Int J Nur Health, 2(1): 77-81 (2019) 80
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