4. Models and Methods: ‘What? So What? Now What?’
Sometimes the best thing to do is to use a short, sharp, direct approach. This can be what you need when reflecting with a team, in discussion, at the end of a task or a project. Alternatively, you might want to draw some very quick conclusions from something you have finished, get them written down, and move on to the next task with some simple conclusions clear in your mind.
The ’What? So What? Now What?’ approach has been developed for different professions over the years, with extra questions in each section depending on the experiences of the audience at the time. Terry Borton, a schoolteacher and educational theorist, laid it out first in Reach, Touch, and Teach (1970), intending it at for group facilitation audience, from classrooms to professional training environments. John Driscoll developed this for use in clinical practice, especially for nurses in training (1994, 2007). Rolfe, Freshwater and Jasper (2001, 2011) also wrote about in relation to nursing before addressing its wider use as part of a critical reflection culture for the care sector. Melanie Jasper also described an analogous model she called ERA (2013) which uses ‘Experience, Reflection, Action’ as the names for the three stages.
They all presented this as a cyclical process, to begin again at the conclusion amidst the continuous practice of a clinical environment. The three contributions explored different guide questions at each stage, but the process works in more or less the same way with each. Here I have produced a composite version of these guide questions.
What?
What happened?
- What did I observe or experience?
- What did I do?
- What did other people do?
- What was my reaction to it?
- What was the outcome?
So what?
So, what does this matter to me?
- What knowledge or skills did I need to deal with this?
- What knowledge or skills did I have and use?
- What else could I have done?
- What impact did my actions have on events or outcome?
- What emotional responses did I feel?
- What emotional responses did I observe in other people?
- What impression do I think my involvement made on others?
Now what?
What have I learned from this for the next time?
- What did I/we do well that I can do again?
- What would I do differently?
- What advice, knowledge, or training do I need for next time?
- Which area of improvement should be tackled first?
- What implications are there for my practice or behaviour?
- Do I need to follow this up with anyone involved?