Abstract
Objectives
Accelerated Second Degree BSN (ABSN) students have limited time to gain expertise. Reaching competency in skills takes weeks, delaying the application and mastery of skills in clinical practice. Our objective is to describe how our ABSN program fundamentals of nursing course enhances learning effectiveness and prepares students for successful entry into nursing.
Methods
Using the Socratic Method and flipping the classroom and skills lab, with deliberate practice techniques, ABSN students quickly gain competence in core aspects of nursing. Rapid acquisition of competence early in the program allows for a meaningful clinical experience.
Results
NCLEX pass rates for our ABSN graduates averaged 93.84% over the past 4 years, and students report high levels of satisfaction with the program.
Conclusions
Using the Socratic Method in a flipped classroom and skills lab provides an environment that engages students, fosters NCLEX success, and supports development of clinical judgment critical for positive patient outcomes.
Acknowledgments
The authors would like to acknowledge Rebekah Miller, Department of Health Sciences Library System, University of Pittsburgh, Pittsburgh, PA, USA.
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Research funding: None declared.
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Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.
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Competing interests: Authors state no conflict of interest.
References
Barton, G., Bruce, A., & Schreiber, R. (2018). Teaching nurses teamwork: Integrative review of competency-based team training in nursing education. Nurse Education in Practice, 32, 129–137. https://doi.org/10.1016/j.nepr.2017.11.019.Search in Google Scholar PubMed
Betihavas, V., Bridgman, H., Kornhaber, R., & Cross, M. (2016). The evidence for ‘flipping out’: A systematic review of the flipped classroom in nursing education. Nurse Education Today, 38, 15–21. https://doi.org/10.1016/j.nedt.2015.12.010.Search in Google Scholar PubMed
Carey, M. C., Kent, B., & Latour, J. M. (2016). The role of peer-assisted learning in enhancing the learning of undergraduate nursing students in clinical practice: A qualitative systematic review protocol. Johanna Briggs Institute of Systematic Reviews and Implementation Protocols, 14(7), 117–123. https://doi.org/10.11124/JBISRIR-2016-002994.Search in Google Scholar PubMed
Carey, M. C., Kent, B., & Latour, J. M. (2018). Experiences of undergraduate nursing students in peer assisted learning in clinical practice: A qualitative systematic review. Joanna Briggs Institute Database of Systematic Reviews and Implementation Reports, 16(5), 1190–1219. https://doi.org/10.11124/JBISRIR-2016-003295.Search in Google Scholar PubMed
Carlson, E. R. (2017). Medical pimping versus the Socratic Method of teaching. Journal of Oral and Maxillofacial Surgery, 75(1), 3–5. https://doi.org/10.1016/j.joms.2016.09.019.Search in Google Scholar PubMed
Chen, F., Lui, A. M., & Martinelli, S. M. (2017). A systematic review of the effectiveness of flipped classrooms in medical education. Medical Education, 51, 585–597. https://doi.org/10.1111/medu.13272.Search in Google Scholar PubMed
Choi, J. A., Kim, O., Lim, H., & Kim, J. H. (2021). The effectiveness of peer learning in undergraduate nursing students: A meta-analysis. Clinical Simulation in Nursing, 50, 92–101. https://doi.org/10.1016/j.ecns.2020.09.002.Search in Google Scholar
Chong, E. J. M., Lim, J. S. W., Liu, Y., & Lau, Y. Y. L. (2016). Improvement of learning domains of nursing students with the use of authentic assessment pedagogy in clinical practice. Nursing Education in Practice, 20, 125–130. https://doi.org/10.1016/j.nepr.2016.08.002.Search in Google Scholar PubMed
Culha, I. (2009). Active learning methods used in nursing education. Journal of Pedagogical Research, 3(2), 74–86. https://doi.org/10.33902/JPR.2019254174.Search in Google Scholar
Daroszeswki, E. B., Kinser, A. G., & Lloyd, S. L. (2004). Socratic method and the Internet: Using tiered discussion to facilitate understanding in a graduate nursing theory course. Nurse Educator, 29(5), 189–191.10.1097/00006223-200409000-00008Search in Google Scholar PubMed
Dickison, P., Haerlin, K. A., & Lasater, K. (2019). Integrating the National Council of State Boards of Nursing Clinical Judgement Model into nursing education frameworks. Journal of Nursing Education, 58(2), 72–78. https://doi.org/10.3928/01484834-20190122-03.Search in Google Scholar PubMed
Dinkins, C. S., & Cangelosi, P. R. (2018). Putting Socrates back in Socratic method: Theory-based debriefing in the nursing classroom. Nursing Philosophy, 20(2), 1–7. https://doi.org/10.1111/nup.12240.Search in Google Scholar PubMed
Goodstone, L., Goodstone, M. S., Cino, K., Glaser, C. A., Kupferman, K., & Dembe-Neal, T. (2013). Effect of simulation on the development of critical thinking in associate degree nursing students. Nursing Education Perspectives, 34(3), 159–162. https://doi.org/10.5480/1536-5026-34.3.159.Search in Google Scholar PubMed
Hanshaw, S. L., & Dickerson, S. S. (2020). High fidelity simulation evaluation studies in nursing education: A review of the literature. Nurse Education in Practice, 46, 1–9.10.1016/j.nepr.2020.102818Search in Google Scholar PubMed
Hu, R., Gao, H., Ye, Y., Ni, Z., Jiang, N., & Jiang, X. (2018). Effectiveness of flipped classrooms in Chinese baccalaureate nursing education: A meta-analysis of randomized controlled trials. International Journal of Nursing Studies, 79, 94–103. https://doi.org/10.1016/j.ijnurstu.2017.11.012.Search in Google Scholar PubMed
Keegan, R. D., Oliver, C., Stanfill, T. J., Stevens, K. V., Brown, G. R., Ebinger, M., & Gay, J. M. (2016). Use of mobile device simulation as a pre-class active learning exercise. Journal of Nursing Education, 55(1), 56–59. https://doi.org/10.3928/01484834-20151214-14.Search in Google Scholar PubMed
Labrague, L. J., McEnroe-Petitte, D. M., Bowling, A. M., Nwafor, C. E., & Tsaras, K. (2018). High-fidelity simulation and nursing students’ anxiety and self-confidence: A systematic review. Nursing Forum, 54(3), 358–368.10.1111/nuf.12337Search in Google Scholar PubMed
Morales, K. A. (2017). Active learning strategies to enhance nursing students’ knowledge of pharmacology. Nursing Education Perspectives, 38(2), 100–102. https://doi.org/10.1097/01.NEP.0000000000000085.Search in Google Scholar PubMed
National Council of State Boards of Nursing. (2021). The world leader in nursing regulatory knowledge. Retrieved from https://www.ncsbn.org/index.htm.Search in Google Scholar
Nelwati, Addullah, K. L., & Chan, C. M. (2019). A systematic review of qualitative studies exploring peer learning experiences of undergraduate nursing students. Nurse Education Today, 71, 185–192. https://doi.org/10.1016/j.nedt.2018.09.018.Search in Google Scholar PubMed
Park, E. O., & Park, J. H. (2018). Quai-experimental study on the effectiveness of a flipped classroom for teaching adult health nursing. Japan Journal of Nursing Science, 15(2), 125–134. https://doi.org/10.1111/jjns.12176.Search in Google Scholar PubMed
Presti, C. R. (2016). The flipped learning approach in nursing education: A literature review. Journal of Nursing Education, 55(5), 252–256. https://doi.org/10.3928/01484834-20160414-03.Search in Google Scholar PubMed
Pullen-Sansfacon, A. (2012). Socratic dialogue and self-directed group work: Strengthening ethical practice in social work. Social Work Groups, 35(3), 253–266.10.1080/01609513.2011.624377Search in Google Scholar
Ramm, D., Thomson, A., & Jackson, A. (2015). Learning clinical skills in the simulation suite: The lived experiences of student nurses involved in peer teaching and peer assessment. Nurse Education Today, 35, 823–827. https://doi.org/10.1016/j.nedt.2015.01.023.Search in Google Scholar PubMed
Rixse, R. (2019). The impact of relationship building. The Dental Assistant. https://multibriefs.com/briefs/adaa/june.pdf [Accessed 10 Mar 2021].Search in Google Scholar
Rogge, M. M. (2001). Transforming pathophysiology instruction through narrative pedagogy and Socratic questioning. Nurse Educator, 26(2), 66–69.10.1097/00006223-200103000-00010Search in Google Scholar PubMed
Sawyer, T., Eppich, W., Brett-Fleegler, M., Grant, V., & Cheng, A. (2019). More than one way to debrief: A critical review of healthcare simulation debriefing methods. Society for Simulation in Healthcare, 11(3), 209–217.10.1097/SIH.0000000000000148Search in Google Scholar PubMed
Shatto, B., L’Ecuyer, K., & Quin, J. (2017). Retention of content utilizing a flipped classroom approach. Nursing Education Perspectives, 38(4), 206–208. https://doi.org/10.1097/01.NEP.0000000000000138.Search in Google Scholar PubMed
Sundin, C. A., & Rigg, K. L. (2019). Building relationships through simulation. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 48(Suppl. 3S), S79.10.1016/j.jogn.2019.04.135Search in Google Scholar
Torabizadeh, C., Homayuni, L., & Moattari, M. (2018). Impacts of Socratic questioning on moral reasoning of nursing students. Nursing Ethics, 25(2), 174–185. https://doi.org/10.1177/0969733016667775.Search in Google Scholar PubMed
© 2021 Walter de Gruyter GmbH, Berlin/Boston
Articles in the same Issue
- Editorial
- Global inequity in nursing education: a call to action
- Research Articles
- Nursing students’ experiences and perceptions of an innovative graduate level healthcare grand challenge course: a qualitative study
- Quality of life and academic resilience of Filipino nursing students during the COVID-19 pandemic: a cross-sectional study
- Nursing students’ adverse childhood experience scores: a national survey
- Depression, anxiety and stress among Australian nursing and midwifery undergraduate students during the COVID-19 pandemic: a cross-sectional study
- Development and psychometric evaluation of the motivation for nursing student scale (MNSS): a cross sectional validation study
- The assessment and exploration of forensic nursing concepts in undergraduate nursing curricula: a mixed-methods study
- New nurse graduates and rapidly changing clinical situations: the role of expert critical care nurse mentors
- Nursing students’ experiences of virtual simulation when using a video conferencing system – a mixed methods study
- A mixed-methods assessment of the transition to a dedicated educational unit: nursing students’ perceptions and achievements
- Nursing student and faculty attitudes about a potential genomics-informed undergraduate curriculum
- Factors that influence the preceptor role: a comparative study of Saudi and expatriate nurses
- Testing and e-learning activity designed to enhance student nurses understanding of continence and mobility
- Incivility among Arabic-speaking nursing faculty: testing the psychometric properties of the Arabic version of incivility in nursing education-revised
- Understanding clinical leadership behaviors in practice to inform baccalaureate nursing curriculum: a comparative study between the United States and Australia novice nurses
- A deep learning approach to student registered nurse anesthetist (SRNA) education
- Developing teamwork skills in baccalaureate nursing students: impact of TeamSTEPPS® training and simulation
- Preparing ABSN students for early entry and success in the clinical setting: flipping both class and skills lab with the Socratic Method
- Virtual clinical simulation in nursing education: a concept analysis
- COVID-19 pandemic and remote teaching: transition and transformation in nursing education
- Development and validation of the nursing clinical assessment tool (NCAT): a psychometric research study
- Becoming scholars in an online cohort of a PhD in nursing program
- Senior BSN students’ confidence, comfort, and perception of readiness for clinical practice: the impacts of COVID-19
- Relational and caring partnerships: (re)creating equity, genuineness, and growth in mentoring faculty relationships
- Comparison of simulation observer tools on engagement and maximising learning: a pilot study
- Gamification in nursing literature: an integrative review
- A conceptual framework of student professionalization for health professional education and research
- Writing a compelling integrated discussion: a guide for integrated discussions in article-based theses and dissertations
- Teaching evidence-based practice piece by PEACE
- Educational Process, Issue, Trend
- Increasing student involvement in research: a collaborative approach between faculty and students
- Capacity building in nurse educators in a Global Leadership Mentoring Community
- Psychiatric mental health nurse practitioner student perceptions of integrated collaborative care
- Igniting the leadership spark in nursing students: leading the way
- Quilting emergent advanced practice nursing educator identity: an arts-informed approach
- The expanding role of telehealth in nursing: considerations for nursing education
- Literature Reviews
- What do novice faculty need to transition successfully to the nurse faculty role? An integrative review
- Reflective writing pedagogies in action: a qualitative systematic review
- Appraisal of disability attitudes and curriculum of nursing students: a literature review
Articles in the same Issue
- Editorial
- Global inequity in nursing education: a call to action
- Research Articles
- Nursing students’ experiences and perceptions of an innovative graduate level healthcare grand challenge course: a qualitative study
- Quality of life and academic resilience of Filipino nursing students during the COVID-19 pandemic: a cross-sectional study
- Nursing students’ adverse childhood experience scores: a national survey
- Depression, anxiety and stress among Australian nursing and midwifery undergraduate students during the COVID-19 pandemic: a cross-sectional study
- Development and psychometric evaluation of the motivation for nursing student scale (MNSS): a cross sectional validation study
- The assessment and exploration of forensic nursing concepts in undergraduate nursing curricula: a mixed-methods study
- New nurse graduates and rapidly changing clinical situations: the role of expert critical care nurse mentors
- Nursing students’ experiences of virtual simulation when using a video conferencing system – a mixed methods study
- A mixed-methods assessment of the transition to a dedicated educational unit: nursing students’ perceptions and achievements
- Nursing student and faculty attitudes about a potential genomics-informed undergraduate curriculum
- Factors that influence the preceptor role: a comparative study of Saudi and expatriate nurses
- Testing and e-learning activity designed to enhance student nurses understanding of continence and mobility
- Incivility among Arabic-speaking nursing faculty: testing the psychometric properties of the Arabic version of incivility in nursing education-revised
- Understanding clinical leadership behaviors in practice to inform baccalaureate nursing curriculum: a comparative study between the United States and Australia novice nurses
- A deep learning approach to student registered nurse anesthetist (SRNA) education
- Developing teamwork skills in baccalaureate nursing students: impact of TeamSTEPPS® training and simulation
- Preparing ABSN students for early entry and success in the clinical setting: flipping both class and skills lab with the Socratic Method
- Virtual clinical simulation in nursing education: a concept analysis
- COVID-19 pandemic and remote teaching: transition and transformation in nursing education
- Development and validation of the nursing clinical assessment tool (NCAT): a psychometric research study
- Becoming scholars in an online cohort of a PhD in nursing program
- Senior BSN students’ confidence, comfort, and perception of readiness for clinical practice: the impacts of COVID-19
- Relational and caring partnerships: (re)creating equity, genuineness, and growth in mentoring faculty relationships
- Comparison of simulation observer tools on engagement and maximising learning: a pilot study
- Gamification in nursing literature: an integrative review
- A conceptual framework of student professionalization for health professional education and research
- Writing a compelling integrated discussion: a guide for integrated discussions in article-based theses and dissertations
- Teaching evidence-based practice piece by PEACE
- Educational Process, Issue, Trend
- Increasing student involvement in research: a collaborative approach between faculty and students
- Capacity building in nurse educators in a Global Leadership Mentoring Community
- Psychiatric mental health nurse practitioner student perceptions of integrated collaborative care
- Igniting the leadership spark in nursing students: leading the way
- Quilting emergent advanced practice nursing educator identity: an arts-informed approach
- The expanding role of telehealth in nursing: considerations for nursing education
- Literature Reviews
- What do novice faculty need to transition successfully to the nurse faculty role? An integrative review
- Reflective writing pedagogies in action: a qualitative systematic review
- Appraisal of disability attitudes and curriculum of nursing students: a literature review