Faculty of Education - Theses
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ItemDeveloping better practice: towards a reconceptualization of clinical nursing education( 2007)On the commencement of professional practice, most nursing graduates experience difficulties in making the transition from student to beginning practitioner. New graduates, as well as their more experienced colleagues, consider the inadequate clinical practice component of undergraduate nursing education preparation as a major factor contributing to poor graduate performance on entering the workforce. In the education of nurses over the past forty years, emphasis has been placed on the development of theoretical knowledge. During this time contemporary learning theories from general education have been employed to support nursing education. These learning theories, developed specifically for classroom learning, have extended beyond the classroom to support clinical learning as well. The underlying assumption is that knowledge learnt in the classroom will transfer to the clinical area when required. This thesis is a critical examination of past and present approaches to clinical practice in nursing education. Specifically, it is argued that contemporary learning theory supporting nursing education is insufficient for clinical practice, and that learning does not transfer in the manner assumed by current nursing educational practices. While situated learning theories, developed specifically in practice, are more suited to clinical practice, they remain limited because they do not account for how humans actually learn. Recent advances in the neurosciences can give an inclusive scientific account for learning, and are therefore more suitable to support both the theory and practice of nursing education. It is argued that viewing clinical nursing as vector coding, processing, and neural weight development, frees nursing practice from the conception that it is a subsidiary of the theoretical knowledge developed as part of the theoretical component of nursing knowledge. In order to develop better nursing practice, nursing education requires a new theoretical framework that properly reflects our current best knowledge of human learning and information processing.