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Preface | |
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Goals of Clinical Nursing Education | |
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Applying Theoretical Learning to Patient Care Situations | |
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Developing Communication Skills | |
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Demonstrating Skill in the Use of Therapeutic Nursing Interventions | |
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Evidencing Caring Behaviors in Nursing Actions | |
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Considering the Ethical Implications of Clinical Decisions and Nursing Actions | |
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Gaining a Perspective on the Contextual Environment | |
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Experiencing the Variety of Nursing Roles | |
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Summary | |
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References | |
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Entering the Instructional Role | |
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The Academic Environment | |
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Becoming a Member of the Nursing Department Faculty | |
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Expectations of the Clinical Instructor | |
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Developing Collegial Relationships within the Nursing Department | |
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The Clinical Setting | |
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Demands of Clinical Teaching | |
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Expectations of Clinical Staff | |
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Expectations of Students | |
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Orientation to the Clinical Setting | |
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Summary | |
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References | |
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Theoretical Approaches to Teaching and Learning in Clinical Nursing Education | |
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How Learners Learn | |
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Psychological Theories | |
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Developmental Theories | |
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Social Theories | |
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Behavioral Domains and Hierarchies of Learning | |
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Cognitive Domain | |
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Psychomotor Domain | |
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Affective Domain | |
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Nature of the Adult Learner | |
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Assumptions of Andragogy | |
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Conditions for Learning | |
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Benner's Framework for the Development of Clinical Expertise | |
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Summary | |
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References | |
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Getting Started | |
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Program Faculty | |
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Clinical Staff | |
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The Clinical Group | |
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Before the Clinical Experience Begins | |
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The First clinical Day | |
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Orientation | |
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Establishing Ground Rules | |
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Setting Expectations | |
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Teaching and Learning Strategies for the College Laboratory Setting | |
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The Laboratory Setting | |
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Uses of the College Laboratory | |
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Instructional Materials | |
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Structuring the Laboratory Experience | |
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The Process of Learning a Psychomotor Skill | |
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Integrating the Cognitive Basis for Psychomotor Skills | |
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Summary | |
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References | |
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Organizing and Managing Instruction in the Clinical Practice Setting | |
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Expectations, Hopes, and Fears | |
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Causing No Harm to the Patient | |
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Helping Patients | |
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Integrating Theory into Clinical Practice | |
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Learning Clinical Practice Skills | |
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Looking Good as a Nurse and as a Student | |
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Selecting Clinical Learning Experiences | |
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Curricular Goals | |
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Learning Environment | |
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Instructor Expertise | |
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Learner Characteristics | |
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Other Considerations | |
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Alternative Approaches | |
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Techniques to Help Students Prepare for Clinical Learning Experiences | |
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Teacher-Created Data Collection Forms | |
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Daily Nursing Care Plans | |
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The "Verbal Connection" | |
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Clinical Focus Guidelines | |
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Clinical Concept Mapping | |
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The Clinical Preconference | |
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Guiding Student Learning in the Clinical Setting | |
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Teaching-Learning Principles Underlying Instruction | |
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Modeling the Professional Nursing Role | |
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Managing Off-Unit Experiences | |
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Taking Advantage of Serendipitous Opportunities | |
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The Clinical Postconference | |
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Summary | |
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References | |
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Teaching and Learning Strategies for the Clinical Practice Setting | |
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Instructional Techniques for the Clinical Setting | |
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Demonstration | |
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War Stories | |
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Questioning | |
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Listening | |
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Supervision of Student Performance of Technical Skills | |
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Process of Skill Mastery | |
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How to Let Go | |
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When to Jump In | |
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Ensuring That Patient Needs Are Met | |
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Promoting the Integration of Theory and Practice | |
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Case Studies | |
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Seminars | |
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Nursing Rounds | |
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Written Assignments | |
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Developing Critical Thinking Skills and Reflective Practice | |
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What Is Critical Thinking? | |
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The Role of Reflective Practice | |
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Strategies for Promoting Critical Thinking and Reflective Practice | |
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The Affective Domain: Fostering Caring in Clinical Practice | |
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Summary | |
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References | |
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Special Techniques for Special Settings | |
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The Maternity Setting: Managing Instruction to Capture the Cyclical Nature of the Maternity Experience | |
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The Pediatric Setting: The Problem of a Disappearing Clientele | |
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The Mental Health Setting: It's Communication, But Is It Therapeutic? | |
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Community Health Settings: Independent Practice in Unstructured Settings | |
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Reference | |
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Theoretical Approaches to the Evaluation of Learning in the Laboratory and Clinical Practice Settings | |
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Philosophies of Evaluation | |
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Purposes of Evaluation | |
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The Evaluation Process | |
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Goals of Evaluation | |
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Standards for Evaluation | |
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Evaluation Methods | |
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Analyzing Results | |
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Reporting Results and Making Decisions | |
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Using Results | |
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Evaluating the Evaluation Process | |
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Summary | |
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References | |
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Evaluation Strategies for the Laboratory and Clinical Practice Settings | |
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Identifying the Goals of Evaluation | |
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Clarifying the Standards for Evaluation | |
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Selecting and Applying Evaluation Methods | |
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Observations | |
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Written Work | |
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Oral Presentations | |
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Simulations | |
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Self-Evaluations | |
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Testimonials | |
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Analyzing Results | |
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Reporting Results | |
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Due Process Issues | |
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Confidentiality Issues | |
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Making Decisions | |
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Using Results | |
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Evaluating the Evaluation Process | |
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References | |
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Interpersonal Issues in Clinical Nursing Education | |
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The Instructional Role | |
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The Clinical Instructor as Teacher | |
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The Clinical Instructor as Supervisor | |
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The Clinical Instructor as Evaluator | |
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The Clinical Instructor as Nurse | |
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Communicating Caring | |
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Conveying Enthusiasm | |
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Communication Strategies | |
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Setting Goals | |
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Communicating Values | |
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Motivating Performance | |
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Praising | |
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Providing Corrective Feedback | |
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Preventing Unsafe Practice | |
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Describing Performance Deficits | |
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Disciplining a Student | |
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Failing a Student | |
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Removing a Student from the Clinical Area | |
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Responding to Student Stress | |
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Helping Students to Cope with... | |
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...Death and Dying | |
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...Disfigurement, Deformities, Wounds, and Other Alterations in Body Integrity | |
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...A Patient's Sexuality | |
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...Racist or Sexist Remarks by Patients | |
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...Staff or Physician Harassment | |
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Strategies for Working with the... | |
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...Reluctant Learner | |
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...Reticent Learner | |
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...Monopolizer | |
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...Distractor | |
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...Student Who Lies | |
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...Student Who Plagiarizes | |
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...Student Who Exhibits Inappropriate Behavior | |
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...Student Who Has Attention Deficit Hyperactivity Disorder | |
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...Student Who Is Impaired Due to Substance Abuse | |
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...Student Who Is Defiant | |
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...Student Who Is Uncivil | |
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...Student Who Is Poorly Groomed | |
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...Student Who Is a Family Member or Friend | |
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...Older Student | |
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...Male Student | |
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...Student Who Is Repeating the Course | |
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...Student Who Is Licensed as an LPN or RN | |
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...Student from Another Culture | |
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...Student for Whom English Is a Second Language | |
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Maintaining Relationships with Staff | |
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Controlling Emotions | |
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Summary | |
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References | |
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Ethical and Legal Issues in Nursing Education | |
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Ethical Issues in Nursing Education | |
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Ethical Systems and Analytical Tools | |
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Approaches to Guiding Students through Ethical Dilemmas in Practice | |
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Ethical Issues Related to the Instructional Role | |
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Legal Issues in Nursing Education | |
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Licensure Issues | |
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Due Process Issues | |
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Student with a Disability | |
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Contractual Issues | |
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Summary | |
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References | |
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Appendices | |
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Sample Program, Level, and Related Course Objectives for a Baccalaureate Nursing Program | |
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Sample Course Outline for a Nursing Course with a Clinical Component | |
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Sample Clinical Evaluation Form | |
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Sample Anecdotal Notes | |
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Sample Agency Affiliation Agreement | |
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Sample Clinical Preparation Forms | |
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Sample Guidelines for Off-Unit Experiences | |
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Index | |