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Updated: May 9, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
Intraprofessional collaboration through an unfolding case and the just culture model
Edie West1, Janice Holmes, Cindy Zidek
1Indiana University of Pennsylvania, Indiana, PA, USA. edie.west@iup.edu
Abstract:
The National League for Nursing (NLN) developed four unfolding cases. A demonstration project was created by junior- and senior-level faculty with the simulation specialist by modifying an NLN unfolding case to include advanced practice nurses. Educators desire their students to think critically but often do not realize that students must pass through five stages of development in critical thinking. The critical thinking stage theory was used by faculty to guide students through the unfolding case and to provide a framework for improvement of their critical thinking skills. Faculty also used the just culture model as a framework for the debriefing process. The student evaluation findings for all three simulations were positive. Faculty and students supported the use of intraprofessional teams, critical thinking theory, and the just culture debriefing model as effective teaching-learning strategies.
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