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Updated: Jun 21, 2026

Using Learning Outcome Measures to assess Doctoral Nursing Education
Published on: June 21, 2010
[Planning nursing teaching: educational purposes and clinical competence]
Magda Cristina Queiroz Dell'Acqua1, Ana Maria Kazue Miyadahira, Cilene Aparecida Costardi Ide
1Departamento de Enfermagem, Faculdade de Medicina de Botucatu, Botucatu, SP, Brasil. mqueiroz@fmb.unesp.br
This study examined nursing education curricula, finding that subject-centered organization hinders the development of critical judgment and clinical reasoning. Constructivism influences the proposal of essential care competencies in nursing programs.
Area of Science:
- Nursing Education
- Pedagogy
- Healthcare Professional Development
Context:
- Nursing undergraduate programs often exhibit a curriculum structure centered on individual subjects.
- Existing pedagogical frameworks in nursing education integrate constructivism and competency-based learning.
- Documentary analysis of nine undergraduate care subject syllabi was conducted.
Purpose:
- To longitudinally characterize the development of care competencies within nursing undergraduate curricula.
- To analyze the pedagogical approaches influencing competency construction in nursing education.
- To identify links between prior knowledge and the enhancement of critical judgment and clinical reasoning.
Summary:
- The study revealed a curriculum organization resistant to summative approaches, with limited connections between prior knowledge and the development of critical judgment and clinical reasoning.
- Documentary analysis of syllabi indicated that constructivist principles are influencing the proposal of clinical competencies.
- The research identified challenges in fostering substantial links for critical thinking development within the current curriculum structure.
Impact:
- Provides insights into reconsiderations for the nursing teaching-learning process.
- Highlights the influence of constructivism on the development of clinical competencies in nursing education.
- Informs curriculum design to better integrate theoretical frameworks and foster essential clinical reasoning skills.
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