Educating Nurses A Call for Radical Transformation 1st Edition by Patricia Benner, Molly Sutphen, Victoria Leonard, Lisa Day 0470457961 9780470457962

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ISBN 10: 0470457961

ISBN 13: 9780470457962

Author: Patricia Benner, Molly Sutphen, Victoria Leonard, Lisa Day

“This book represents a call to arms, a call for nursing educators and programs to step up in our preparation of nurses. This book will incite controversy, wonderful debate, and dialogue among nurses and others. It is a mustread for every nurse educator and for every nurse that yearns for nursing to acknowledge and reach for the real difference that nursing can make in safety and quality in health care.” ―Beverly Malone, chief executive officer, National League for Nursing “This book describes specific steps that will enable a new system to improve both nursing formation and patient care. It provides a timely and essential element to health care reform.” ―David C. Leach, former executive director, Accreditation Council for Graduate Medical Education “The ideas about caregiving developed here make a profoundly philosophical and intellectually innovative contribution to medicine as well as all healing professions, and to anyone concerned with ethics. This groundbreaking work is both paradigmshifting and delightful to read.” ―Jodi Halpern, author, From Detached Concern to Empathy: Humanizing Medical Practice “This book is a landmark work in professional education! It is a mustread for all practicing and aspiring nurse educators, administrators, policy makers, and, , nursing students.” ―Christine A. Tanner, senior editor, Journal of Nursing Education “This work has profound implications for nurse executives and frontline managers.” ―Eloise Balasco Cathcart, coordinator, Graduate Program in Nursing Administration, New York University

Educating Nurses A Call for Radical Transformation 1st Table of contents:

1 A Profession Transformed

A Health Care System Transformed

New Responsibilities

New Challenges

New Opportunities

Integrating Nursing Science and Caring Practices

Acquiring and Using Knowledge and Science

Using Clinical Reasoning and Skilled Know-How

Ethical Comportment and Formation

Integration of Knowledge, Skilled Know-How, and Ethical Comportment

A System Inadequate to the Task

Multiple Pathways

Historical Origins

The Rise of Community College Programs

Meeting the Demand for Nursing Education

Raising a Bar Too Low for Entry Standards

Nursing Prerequisites

The BSN and Beyond

Licensure

Addressing the Practice-Education Gap

2 Teaching And Learning In Clinical Situations

High-Stakes Learning

Learning in Context

Planning and Feedback

Supporting Learning Through Questions

Developing Clinical Reasoning and Judgment

Pedagogies of Contextualization

Setting Priorities

A Missed Opportunity

Developing a Rationale

Learning How to Act in the Situation

Clinical Reasoning-in-Transition

Learning to Respond to Changes in the Patient’s Condition

Detective Work

Challenges to Clinical Teaching

3 Teaching And Learning In The Classroom And Skills Lab

Teaching and Learning—Removed from Practice

Standardization of Lectures

Team Teaching in the Classroom

Teaching and Learning in the Classroom and Skills Laboratories

Games and Entertainment in the Classroom

Skills Laboratories

Fragmentation

Toward a Goal of Integration

4 A New Approach To Nursing Education

Four Essential Shifts for Integration

Paradigm Cases of Excellence in Nursing Education

Part Two Teaching for A Sense of Salience

Teaching for A Sense of Salience

5 Paradigm Case: Diane Pestolesi, Practitioner and Teacher

Drawing From Practice

Cases, Vignettes, and Stories

Knowing her Students

Coaching

Teaching from her Stance in Practice

6 Strategies for Teaching for A Sense of Salience

Creating Continuity and Coherence in Learning

Missed Opportunities for Learning

Using Questions

Guiding Students Toward a Sense of Salience

Modeling a Lifelong Pursuit of Knowledge

Rehearsing for Practice

Preclinical Assignments: Preparing for Practice

What-If Rehearsing and Knowledge for Practice

Using Context

Reflecting on Learning

Postclinical Conferences: Sharing Lessons Learned

Using Narratives to Reflect on Practice

Part Three Integrative Teaching for Clinical Imagination

Integrative Teaching for Clinical Imagination

7 Paradigm Case: Lisa Day, Classroom and Clinical Instructor

Mrs. G.

Multiple Teaching Strategies

Lecture and Slides

Dialogue and Questioning

Staging

Mining Student Experience

Using Knowledge

Developing a Complex Response

8 Developing A Clinical Imagination

Learning to Stay Open

The Power of Context

Learning to Make a Case

Putting the Pieces Together: Integrative Teaching and Learning

Rehearsing for Practice

Learning a Common Language

What Uncertainty Reveals

9 Connecting Classroom and Clinical Through Integrative Teaching and Learning

Integrative Teaching, Integrative Learning

Locus of Responsibility

Pedagogies of Integration

Problem-Based Learning

Simulation

Part Four Teaching for Moral Imagination

Teaching for Moral Imagination

10 Paradigm Case: Sarah Shannon, Nurse Ethicist

The Case

Modeling Ethical Comportment

11 Being a Nurse

Doing, Knowing, Being

Re-Forming the Senses

Re-Forming Social Sensibilities

Re-Forming Skills of Personal Involvement

Strategies for Teaching Skills of Perception and Involvement

Coaching

Taking Responsibility

Focal Practices of Nursing

Meeting the Patient as a Person

Preserving Personhood

Patient Advocacy

Pedagogies for Patient Advocacy

12 Formation from a Critical Stance

Nursing’s Social Contract: Civic Professionalism

Part Five A Call for Radical Transformation

A Call for Radical Transformation

13 Improving Nursing Education at the Program Level

Entry and Pathways

Student Population

The Student Experience

Teaching

Entry to Practice

National Oversight

Back Matter

Appendix Methods for the Carnegie National Nursing Education Study

Description of the Nine Site Visits

Design of the Site Visit Interview Instruments

Data Sources and Collection

Interpretation of the Data

Indexing the Data: Developing Codes

Design of the Surveys

Data Sources and Collection

Table 1.1 Number of Surveys Returned

Interpretation of the Data

Indexing the Data: Developing Codes

Identifying Paradigm Cases

Writing Up the Findings

Table 1.2 Index of Research Site Visit Protocols

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