Novice To Expert: Constructivism in Nursing

Novice to Expert

Working under stress requires the ability to prioritise, multi-task, advocate, maintain effective time management and is part of a suite of learning skills considered ‘novice to expert’ in nursing (Benner, 1982). This ability to transfer thoughts and process information, which are relevant to the particular situation, time and place, is of utmost importance for effective decision-making. Moreover, Jean Piaget’s theory of cognitive development states that thoughts, memory, past experience, problem solving, and processing information all influence the learner.

Piaget’s concept of schema theory involves the organized structure of memories, past experience and the knowledge we possess and develop over time. Constant interpretation is considered the process of adaptation and assimilation to the environment. Cognitive processes of types of knowledge, using the taxonomy of Krathwohl (2002) are utilized in the work environment by educators to engage and develop the learner in high-level engagement. Assimilation is using new experiences to already existing schema, knowledge and experiences. This constant building of experience on experience is the scaffolding of learning in nursing. It can take years to build experience on top of knowledge to scaffold performance on the novice to expert pathway.

Clinical shifts regularly provide feedback opportunities through clinical supervision, along with performance management plans. This feedback practice must align with the nursing students learning objectives. For nurse mentors or peer support, the development of constructive feedback methods is essential as part of clinical supervision. Reflection is a major component of development and learning, and applying frameworks, such as Gibbs (1988) and Johns (2009), for reflective processes in nursing can help make sense of experiences and summarize events.

Frameworks

Using Benner (1984) “novice to expert” or Bondy (1983) “dependent to independent” frameworks to create the learning environment can help align content to nursing experience or skills expected to be learnt and assessed (see Intended Learning Outcomes).

References

Benner, P. (2004) Using the Dreyfus Model of Skill Acquisition to Describe and Interpret Skill Acquisition and Clinical Judgment in Nursing Practice and Education. Bulletin of Science, Technology & Society June 2004 24: 188-199.

Benner, P. (1984). From novice to expert. Menlo Park.

Bondy, K, N. (1983). Criterion-referenced definitions for rating scales in clinical evaluation. Journal of Nursing Education. Vol. 22, no. 9, pp. 376-382.

Krathwohl, D. R. (2002). A revision of Bloom’s taxonomy: An overviewTheory into practice, 41(4), 212-218.

Iowa State University (2016) Revised Blooms Taxonomy. Center for Excellence Learning & Teaching.

Learning Goals in Textbooks

I came across this sticker inside my daughter’s reading book and was intrigued with the learner profiles, value and attitudes. All this for 5 year old’s – very impressive indeed. It is amazing the amount of thought around the learning goals of children’s literature and how it shapes their future. Even the language used to break down stereotypes such as gender bias. In healthcare we still have far to go in changing the male:doctor and female:nurse stereotypes within the literature.

The International Baccalaureate aims to “prepare students for the intellectual challenges of further education and their future careers, focusing on the development of the whole child as an inquirer, both in the classroom and in the world outside.”

Future ready, global citizen, problem based learning all skills aimed for the developing child, these are similar aspirations from the higher education setting (take a look at any University prospectus). Just need to add the work ready aspect and these children will be ready for future workplace where innovation, creativity, self employment will be key. The aims of the learner profiles, attitudes, and values are a very similar approach to the taxonomy and intended learning outcomes that you will set for education sessions and courses in workplace and higher education settings.

References

International Baccalaureate (2017). What is the PYP?

Nursing Education Network (2016). Bloom’s Taxonomy & Constructivism.

Nursing Education Network (2016). Intended Learning Outcomes.