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Learning nursing through experience
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Using Kolb’s Experiential Learning Theory in Nursing Education
Introduction
In the 21st century, growing health care needs, development in medical technology, patient safety issues and emerging new diseases are currently areas of concern among healthcare systems worldwide. Taking into consideration these, along with the shortages of nursing personnel, have led to significant shifts into more complex nursing role. As a consequence, nurses are constantly required, by means of academic education, to equip themselves with critical thinking skills in order to deliver high-quality nursing care and achieve better patient outcomes (Scheckel, 2009). Therefore, nursing educational institutions are challenged to prepare and produce high educated nurses to meet those demands. Moreover, nursing students are expected to be able and ready to apply the lesson learned from their education into practice in various clinical settings after graduating.
The Learning Process in Nursing Education
The learning process is closely associated with experience and often referred as experiential learning. This approach has been widely accepted and developed in various fields of study. Among the models developed in this regard, the one proposed by Kolb in 1984, has been used extensively in nursing education. This is also known as Kolb’s experiential
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He explains this process with two dimensions. Firstly, the experience is interpreted using two approaches, namely comprehension and apprehension. The former is used for understanding concepts and symbols, whereas the latter is for discerning the actual experience. Secondly, experience is transformed by generating internal reflection which called ‘intention’ and by controlling external environment or ‘extension’. These interpretation and transformation processes are constant and illustrated with a cycle which comprises four
The College of Nurses of Ontario (CNO) is the governing body of all registered nurses in Ontario and is regulated. The CNO provides expectations and guidelines to follow, which need to be met by each Registered Practical Nurse (RPN) individually. As a nursing student, I am taught about the CNO and the importance of referring back to the guidelines while caring for patients. While gaining experiencing in the nursing field through my clinical settings, I have realized as a nursing student there are areas I need further development in. In this paper, I will address two of my learning needs and my goal for each. I will also discuss the plan I created in order to successfully meet my learning needs prior to becoming an RPN, and
A critical analysis of the four fundamental patterns of knowing in nursing is essential for nurses to be able to grasp the complicated nature of the nursing practice. Barbara Carper (1978) lists the four patterns of knowing as: empirics, esthetics, personal knowledge, and ethics or moral knowledge (p.14). The science of nursing is called empirics and the connection of art to nursing is referred to as esthetics (Carper, 1978, p.14). These patterns are four very complex areas of nursing that every nurse must consider in order to be as successful as possible in providing care. In this evaluation the author will discuss how these concepts affect present learning and practice.
Critical thinking and knowledge are the foundation of nursing practice, and the most essential elements in providing quality nursing care. Nu...
Rubenfeld, M. G., & Scheffer, K. B. (2015). Critical thinking tactics for nurses: Achieving the IOM competencies (3rd ed.). [VitalSource Bookshelf Version]. http://dx.doi.org/9781284059571
It is important that students have the ability of being competent in a clinical setting. To be deemed competent in skills according to nursing regulations and requirements. This is a challenging factor for many students, as they enter transition period. This is due to students feel they do not have the desired clinical competency that promotes the skills and authorities of a registered nurse (Harsin, Soroor & Soodabeh, 2012). Clinical research studies have found that students do have the required expected levels of knowledge, attitude and behaviour’s. However, the range of practical skills aren’t sufficient for the range of practice settings (Evans, 2008). This research has also found that other evidenced based studies found that competency in nursing skills is still lacking (Evans, 2008). These skills are lacked by students and newly graduated nursing how are in the first or second year of
Relate personal learning style to preparation for the NCLEX-RN: Critical thinking and being able to work together with the healthcare team is a key to be a successful nurse and providing the best care to the patients. A nurse should understand the disease process to fully understand how to care and organize a plan to care for assigned patient. This concept will also help me learn and understand better and eventually apply this knowledge toward NCLEX as well. My goal is to exhibit the use of my critical thinking skills throughout assessing, diagnosing, planning, implementing and evaluating nursing care (ADPIE). Much of the nursing school courses specially medical- Surgery centered around evidenced based which now I can see how to relate them into capstone course and eventually helping me to pass NCLEX.
Heller, B. R. , Oros, M. T., & Durney-Crowley, J. (2000). The future of nursing education: 10 trends to watch. Nursing and Health Care Perspectives, 21(1), 9-13.
According to Bandman & Bandman (1995), critical thinking is defined as the rational examination of ideas, inferences, assumptions, principles, arguments, conclusions, issues, statements, beliefs and actions. In this subject ‘Critical Thinking in Nursing’ has emphasized critical thinking as an essential nursing skill and its definition of critical thinking have evolved over the years. In short, the general definition of critical thinking is self-directed, self-disciplined, self-monitored and self-corrective thinking. Every nurses must cultivate rigorous standards for critical thinking, however they cannot avoid completely the situatedness and structures of the clinical traditions and practices. They must make decisions and act quickly according to
With technology moving so quickly within the medical and nursing fields it is vital to embrace new and innovative ways to learn how to care for a patient. A nurse or nursing student is faced with the ever growing challenge of keeping up with new technologies. A fairly new way to gain education and build upon skills is with the use of simulated based learning. With the use a simulated nursing environment a student will be able to increase their level of understanding of new skills and technologies; this great resource has three major forms of real-life reproduction, can be used in many different areas of nursing, provides a means to evaluate a student’s understanding and demonstration of a skill, and eliminates the potential for harming a patient. With all education, the ultimate goal of mastering a specific trade or skill is the wanted end result. Simulated based education is a method that can be used within the field of nursing to accomplish this goal.
David Kolb published his learning styles theory, in 1984, after many years of development. His theory stated that people learn in two different steps, inputting information and processing information. How people do this is also different. Think of inputting information on a vertical line, one person may prefer concrete examples at the top and abstract concepts at the bottom. Processing information is on a horizontal line with active experimentation on the left and reflective observation on the right.
In this essay I will be discussing the importance of understanding learning styles for student nurses. I will also be focusing on the learning cycle and learning style using the Honey and Mumford 80 questionnaire. I look into the details of how learning style helps students to understand the importance of recognising one’s learning style preference. I will also provide an understanding of learning and learning theories and discuss my own dominant learning style and how I aim to deal with my weaknesses to progress well in the nursing programme.
Around the 1960s, nursing educational leaders wanted to formulate a nursing theory that contained knowledge and basic principles to guide future nurses’ in their practice (Thorne, 2010, p.64). Thus, Jacqueline Fawcett introduced the metaparadigm of nursing. Metaparadigm “identifies the concepts central to the discipline without relating them to the assumptions of a particular world view” (MacIntyre & Mcdonald, 2014). Fawcett’s metaparadigm of nursing included concepts of person, environment, health, and nursing that were interrelated. The metaparadigm ultimately contributed to conceptual framework to guide nurses to perform critical thinking and the nursing process in everyday experiences in clinical settings.
Nurses have always been an undervalued asset to the health care industry; however, there is always a great need for them. With more uninsured Americans requiring safe, affordable medical care, the pressing issue of nursing education is not a priority (Aiken, 2011). Recently, there have been modifications taken place toward the current nursing shortage, the decrease of nursing graduates, a workforce that is becoming older, and other factors that influence nurse educator shortage (Baker, Fitzpatrick, & Griffin, 2011). Nurse educators are required to advise students, complete research, and perform committee work all while teaching (Baker, Fitzpatrick, & Griffin, 2011). They also have multiple jobs outside of practicing nursing and teaching. Nurse educators have stressful roles that hold many expectations, yet there is no independence in making their own decisions concerning things. Aiken (2011) suggests that the best way to begin combatting this shortage should include increasing the number of nurses who hold a bachelor’s degree in nursing from 50% to 80% by 2020 (p. 196). Forty-eight percent of nurse instructors are expected to be aged 55 and older and are predicted to retire by this time. (Baker, Fitzpatrick, & Griffin, 2011).
I remember there was a time on my first few weak of orientation I felt like I didn’t belong the healthcare field. I was about to quit the nursing profession, but one of the experienced nurses who was working with me told me that you couldn't run away from yourself just hang in there you will figure it out you are not the alone. I could say there was a significant gap between theory and practice. In real life practice, I learned so many things through everyday training and experiences from working difference patients with the different case. In school, we learned the importance of evidence-based practice but to incorporate that knowledge in real life practice is a different problem. In nursing practices, we come across patients with various health issues that require a solution right then. From this vantage point, the student begins to learn the value of looking at what is perceived as pure clinical problems in a more significant context. (Ferrara, 2010). Not only has this brought the theory we have learned in school and what a nurse has experienced in clinical setting closing this
Issues and trends in the nursing profession are constantly changing due to discoveries in technology and research, changes in reimbursement and legislation, and the changing needs of our population; in fact the only constant in healthcare is change. This course has provided me with a foundation and better understanding of the need for higher education to empower nurses to become leaders and help shape the future of the nursing profession. Nurses are the “backbone” of healthcare and this is becoming more evident with the changes we are currently seeing in the healthcare industry.