Abstract
Background
Nursing students learn psychomotor skills in the nursing lab, removed from the context of real patient care. As a result, students experience challenges linking client conditions with pertinent assessments and the performance of skills in the clinical setting. To address this gap, we created an unfolding case study for the nursing lab that provides context and supports students to use assessment and theory to guide skill performance in practice.
Method
Faculty and student focus groups were conducted to elicit feedback on the use of an unfolding case in the nursing lab with novice nursing students as they transition to clinical practice.
Results
Impacts that emerged from the faculty and student focus groups included knowledge synthesis, transferability to practice, and increased clinical competence.
Conclusions
The unfolding case study successfully supported students’ transition to acute care practice. Both faculty and student participants expressed a desire for use of this dynamic method in all nursing lab courses.
References
Aldridge, M. D. (2017). Nursing students’ perceptions of learning psychomotor skills: A literature review. Teaching and Learning in Nursing, 12(1), 21–27. doi:10.1016/j.teln.2016.09.002Search in Google Scholar
Azzarello, J., & Wood, E. (2006). Assessing dynamic mental models: Unfolding case studies. Nurse Educator, 31(1), 10–14.10.1097/00006223-200601000-00004Search in Google Scholar PubMed
Curtis, E. A., & Redmond, R. (2007). Focus groups in nursing research. Nurse Researcher, 14(2), 25–37. http://doi.org/10.7748/nr2007.01.14.2.25.c6019Search in Google Scholar
Day, L. (2011). Using unfolding case studies in a subject-centered classroom. Journal of Nursing Education, 50(8), 447–452. https://doi.org/10.3928/01484834-20110517-03Search in Google Scholar
Gonzol, K., & Newby, C. (2013). Facilitating clinical reasoning in the skills laboratory: Reasoning model versus nursing process-based skills checklist. Nursing Education Perspectives, 34(4), 265–267.10.1097/00024776-201307000-00011Search in Google Scholar
Himes, D. O., & Ravert, P. K. (2012). Situated peer coaching and unfolding cases in the fundamental skills laboratory. International Journal of Nursing Education Scholarship, 9 (1), 18. https://doi.org/10.1515/1548-923X.2335Search in Google Scholar
Huber, M. T., Brown, C., Hutchings, P., Gale, R., Miller, R. & Breen, M. (2007a). Public report of the Integrative Learning Project sponsored by the Association of American Colleges and Universities and The Carnegie Foundation for the Advancement of Teaching Retrieved from http://gallery.carnegiefoundation.org/ilp/.Search in Google Scholar
Huber, M. T., Hutchings, P., Gale, R., Miler, R. & Breen, M. (2007b). Leading initiatives for integrative learning. Liberal Education, 93(2), 46–51.Search in Google Scholar
Kantar, L. (2014). Incorporation of constructivist assumptions into problem-based instruction: A literature review. Nurse Education in Practice, 14(3), 233–241. https://doi.org/10.1016/j.nepr.2013.08.010Search in Google Scholar
Kaylor, S. K., & Strickland, H. P. (2015). Unfolding case studies as a formative teaching methodology for novice nursing students. Journal of Nursing Education, 54(2), 106–110. https://doi.org/10.3928/01484834-20150120-06Search in Google Scholar
Knibbs, K., Underwood, J., MacDonald, M., Schoenfeld, B., Lavoie-Tremblay, M., Crea-Arsenio, M., … Ehrlich,. (2010). Appreciative inquiry: A strength-based research approach to building Canadian public health nursing capacity. Journal of Research in Nursing, 17(5), 484–494. DOI: 10.1177/1744987110387472Search in Google Scholar
Lisko, S. A., & O’Dell, V. (2010). Integration of theory and practice: Experiential learning theory and nursing education. Teaching with Technology, 32(2), 106–108.Search in Google Scholar
Mills, J., West, C., Langtree, T., Usher, K., Henry, R., Chamberlain-Salaun, J., & Mason, M. (2014). ‘Putting it together’: Unfolding case studies and high-fidelity simulation in the first-year undergraduate nursing curriculum. Nurse Education in Practice, 14(1), 12–17. doi:10.1016/j.nepr.2013.06.003Search in Google Scholar PubMed
Page, J., Kowlowitz, V., & Alden, K. (2010). Development of a scripted unfolding case study focusing on delirium in older adults. The Journal of Continuing Education in Nursing, 41(5), 225–230. https://doi.org/10.3928/00220124-20100423-05Search in Google Scholar
Popil, I. (2011). Promotion of critical thinking by using case studies as a teaching method. Nurse Education Today, 31(2), 204–207. doi:10.1016/j.nedt.2010.06.002Search in Google Scholar PubMed
Reese, C. (2011). Unfolding case studies. Journal of Continuing Education in Nursing, 42(8), 344–345. https://doi.org/10.3928/00220124-20110722-04Search in Google Scholar
Rolloff, M. (2010). A constructivist model for teaching evidence-based practice. Nursing Education Perspectives, 31(5), 290–293.Search in Google Scholar
Tanner, C. A. (2009). The case for cases: A pedagogy for developing habits of thought. Journal of Nursing Education, 48(6), 299–300. https://doi.org/10.3928/01484834-20090515-01Search in Google Scholar
Trajkovski, S., Schmied, V., Vickers, M., & Jackson, D. (2013). Using appreciative inquiry to transform health care. Contemporary Nurse, 45(1), 95–100.10.5172/conu.2013.45.1.95Search in Google Scholar PubMed
Van Wyk, S. (2015). Change management: Making use of appreciative inquiry. Professional Nursing Today, 19(4), 20–23.Search in Google Scholar
Waldner, M. G., & Olson, J. K. (2007). Taking the patient to the classroom: Applying theoretical frameworks to simulation in nursing education. International Journal of Nursing Scholarship, 4(1), 1–15. https://doi.org/10.2202/1548-923X.1317Search in Google Scholar
Wellard, S. J., & Heggen, K. M. (2010). Are laboratories useful fiction? A comparison of Norwegian and Australian undergraduate nursing skills laboratories. Nursing and Health Sciences, 12(1), 39–44. doi:10.1111/j.1442-2018.2009.00481.xSearch in Google Scholar PubMed
West, C., Usher, K., & Delaney, L. J. (2012). Unfolding case studies in pre-registration nursing education: Lessons learned. Nurse Education Today, 32(5), 576–580. doi:10.1016/j.nedt.2011.07.002Search in Google Scholar PubMed
© 2019 Walter de Gruyter GmbH, Berlin/Boston
Articles in the same Issue
- Validity and Reliability of the Arabic Version of the Incivility in Nursing Education-Revised Scale
- A, B, or C? A Quasi-experimental Multi-site Study Investigating Three Option Multiple Choice Questions
- Impact of Socio-Emotional Skills On The Performance of Clinical Nursing Practices
- Exploring Faculty Perceptions about Simulation Training: Influence on Career, Confidence, Knowledge and Skill Acquisition and Competence
- Adverse Event Disclosure Training for Nursing Students: Peer Role-Play and Simulated Patients
- International Nursing Program Accreditation
- Succession Planning in Nursing Academia: A Scoping Review
- Practicing Leadership Skills through Peer Mentoring and Teaching: the Lived Experience of BSN Students
- Pediatric Practicums Conducted in School Settings: An Integrative Review
- Analysis of Medication Errors and near Misses Made by Nursing Students
- Using “Knowing That” and “Knowing How” to Inform Learning of Peripheral Vein Cannulation in Nursing Education
- Self-Directed and Lifelong Learning: A Framework for Improving Nursing Students’ Learning Skills in the Clinical Context
- Jordanian Nursing Student and Instructor Perceptions of the Clinical Learning Environment
- Academic Partnerships: Social Determinants of Health Addressed though Service Learning
- Student Perception of the Flipped Classroom in Nursing Education
- A Cognitive Load Theory Simulation Design to Assess and Manage Deteriorating Patients
- Student Nurses’ Perceptions About Older People
- Nursing Students’ Perceived Self-Efficacy and the Generation of Medication Errors with the Use of an Electronic Medication Administration Record (eMAR) in Clinical Simulation
- Reflecting on Leadership Development through Community Based Participatory Action Research
- Holistic Nursing Values in Nurse Practitioner Education
- Developing Reflective Thinking through Poetry Writing: Views from Students and Educators
- Exploring an Innovative Course Delivery Method for Accelerated BSN Students
- Becoming a Transformative Nurse Educator: Finding Safety and Authenticity
- Identifying Indicators of National Council Licensure Examination for Registered Nurses (NCLEX-RN) Success in Nursing Graduates in Newfoundland & Labrador
- Evaluation of Bachelor’s Degree Nursing Program Assessment by Nurses Working at A University Hospital: A Cross-Sectional Study from Turkey
- Providing Personal Care to Patients: the Role of Nursing Students’ Emotional Labor
- Focused on the Objective: Experience of Male Combat Veterans in BSN Programs
- The Work of Preparing Canadian Nurses for A Licensure Exam Originating from the USA: A Nurse Educator’s Journey into the Institutional Organization of the NCLEX-RN
- An Evaluation of Simulation Debriefings on Student Nurses’ Perceptions of Clinical Reasoning and Learning Transfer: A Mixed Methods Study
- Nursing Education Challenges from Saudi Nurse Educators’ and Leaders’ Perspectives: A Qualitative Descriptive Study
- An Exploration of the Clinical Accommodation Process for Nursing Students with Physical Disabilities Using Grounded Theory
- The Relation of Satisfaction, Self-Confidence and Emotion in a Simulated Environment
- Structure and Content of a New Entrance Exam to Select Undergraduate Nursing Students
- An Unfolding Case Study: Supporting Contextual Psychomotor Skill Development in Novice Nursing Students
- Challenges in Implementing an E-Learning Education Program for Syringe Pump Use
- Teaching Basic Nursing Care: Nurse Preceptors’ Perceptions about Changing the Teaching Context from the Clinical Setting to a School Simulation Lab
Articles in the same Issue
- Validity and Reliability of the Arabic Version of the Incivility in Nursing Education-Revised Scale
- A, B, or C? A Quasi-experimental Multi-site Study Investigating Three Option Multiple Choice Questions
- Impact of Socio-Emotional Skills On The Performance of Clinical Nursing Practices
- Exploring Faculty Perceptions about Simulation Training: Influence on Career, Confidence, Knowledge and Skill Acquisition and Competence
- Adverse Event Disclosure Training for Nursing Students: Peer Role-Play and Simulated Patients
- International Nursing Program Accreditation
- Succession Planning in Nursing Academia: A Scoping Review
- Practicing Leadership Skills through Peer Mentoring and Teaching: the Lived Experience of BSN Students
- Pediatric Practicums Conducted in School Settings: An Integrative Review
- Analysis of Medication Errors and near Misses Made by Nursing Students
- Using “Knowing That” and “Knowing How” to Inform Learning of Peripheral Vein Cannulation in Nursing Education
- Self-Directed and Lifelong Learning: A Framework for Improving Nursing Students’ Learning Skills in the Clinical Context
- Jordanian Nursing Student and Instructor Perceptions of the Clinical Learning Environment
- Academic Partnerships: Social Determinants of Health Addressed though Service Learning
- Student Perception of the Flipped Classroom in Nursing Education
- A Cognitive Load Theory Simulation Design to Assess and Manage Deteriorating Patients
- Student Nurses’ Perceptions About Older People
- Nursing Students’ Perceived Self-Efficacy and the Generation of Medication Errors with the Use of an Electronic Medication Administration Record (eMAR) in Clinical Simulation
- Reflecting on Leadership Development through Community Based Participatory Action Research
- Holistic Nursing Values in Nurse Practitioner Education
- Developing Reflective Thinking through Poetry Writing: Views from Students and Educators
- Exploring an Innovative Course Delivery Method for Accelerated BSN Students
- Becoming a Transformative Nurse Educator: Finding Safety and Authenticity
- Identifying Indicators of National Council Licensure Examination for Registered Nurses (NCLEX-RN) Success in Nursing Graduates in Newfoundland & Labrador
- Evaluation of Bachelor’s Degree Nursing Program Assessment by Nurses Working at A University Hospital: A Cross-Sectional Study from Turkey
- Providing Personal Care to Patients: the Role of Nursing Students’ Emotional Labor
- Focused on the Objective: Experience of Male Combat Veterans in BSN Programs
- The Work of Preparing Canadian Nurses for A Licensure Exam Originating from the USA: A Nurse Educator’s Journey into the Institutional Organization of the NCLEX-RN
- An Evaluation of Simulation Debriefings on Student Nurses’ Perceptions of Clinical Reasoning and Learning Transfer: A Mixed Methods Study
- Nursing Education Challenges from Saudi Nurse Educators’ and Leaders’ Perspectives: A Qualitative Descriptive Study
- An Exploration of the Clinical Accommodation Process for Nursing Students with Physical Disabilities Using Grounded Theory
- The Relation of Satisfaction, Self-Confidence and Emotion in a Simulated Environment
- Structure and Content of a New Entrance Exam to Select Undergraduate Nursing Students
- An Unfolding Case Study: Supporting Contextual Psychomotor Skill Development in Novice Nursing Students
- Challenges in Implementing an E-Learning Education Program for Syringe Pump Use
- Teaching Basic Nursing Care: Nurse Preceptors’ Perceptions about Changing the Teaching Context from the Clinical Setting to a School Simulation Lab