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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 IOM reported the aim of future of nursing is to create improvement in the health of Americans through nursing profession, also to meet need of the different environmental health settings in which they will practice. It is important nurses get advanced education and training. IOM recommended “80 per cent of nurses to get BSN in nursing by the year 2020” (Institute of medicine, 2010). Doing this will enable those nurses to use their critical thinking skills and research to enhance quality of nursing care. The understanding is that nurses need to achieve advanced
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.
As a future nurse, this author will continue to utilize critical thinking skills to be able to clearly and rationally think to avoid harm, keep patients safe at all costs, and deliver patient-centered care. All which can be accomplished by applying the knowledge gained from the program’s content and clinical experience. Lastly, this author will be sure to make sound and safe judgments by critically thinking through challenging
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.
Critical thinking and knowledge are the foundation of nursing practice, and the most essential elements in providing quality nursing care. Nu...
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.
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
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.
Sorensen, H. J., & Yankech, L. (2008). Precepting in the Fast Lane: Improving Critical Thinking in New Graduate Nurses. Journal Of Continuing Education In Nursing, 39(5), 208.
Yildirim, B. & Ozkahraman, S. (2011). Critical Thinking in Nursing and Learning Styles. 1. Retrieved from http://www.ijhssnet.com/journals/Vol_1_No_18_Special_Issue/15.pdf
Stage 2 of Kolb’s 1984 four-stage Experiential Learning Model, involves reflective observation of an experience. The cycle treats reflection as an imperative part of learning. Upon reflection of the patient counselling scenario, I have realised that actually experiencing an event, rather than simply observing, has proven effective in my learning. This is supported by Bonwell and Eison (1991) who discuss how active learning is important in aiding student education.
One of the most essential aspects of doing a job well, no matter what job it is, is the ability to think critically about a situation. Finn (2011) defines critical thinking as “the ability and willingness to assess claims and make objective judgments on the basis of well-supported reasons and evidence rather than emotion or anecdote”. The difference between assessing a certain situation critically and assessing it without any evidence to corroborate your claims is that when you look at something critically, you are using your ability to “come up with the alternative explanations for events, think of research findings and apply new knowledge to social and personal problems” (Finn, 2011). When you can come up with other explanations using evidence, you can also create an alternative way of enhancing the situation. Critical thinking skills are especially important to nurses in a fast-paced setting. Nursing is a very demanding and rewarding field to enter into; it becomes enjoyable when you are good at it. In order to be good at their jobs, nurses need to learn the skills required to think critically and also, relate those skills to their everyday routines. This is known as evidence-based practice. Evidence-based practice is defined as “using the best scientific evidence available to guide clinical decisions and interventions with the goals of fostering self-management skills and improving health outcomes” (Miller, 2011). This paper examines the skills required for critical thinking, how to learn these skills, and how to apply them in clinical settings. (Miller, 2011; Finn, 2011; Noonan, 2011; Lunney, 2010; Wangensteen, Johansson, Bjorkstrom & Nordstrom, 2010; Chitty & Black, 2011).
Continuous professional development is very much part of the process of lifelong learning as it is a range of activities related to learning through which health care professionals maintain their ability to practice safely and effectively within legal boundaries. (Health and Care Professions Council, 2014 p.6).The key consideration regarding the concept of lifelong learning is that there are a multitude of definitions of lifelong learning however the concept of lifelong learning has universal connotations of learning and evolving which are essential in nursing because of the constant changes occurring in health care
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.