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Coaching Model + Clinical Playbook = Transformative Learning.

Katherine A Fletcher1, Mary Meyer2

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Summary
This summary is machine-generated.

This study introduces a new nursing education model using focused learning assignments (FLAs) to enhance clinical reasoning and patient-centered care skills. The FLA system promotes transformative learning and professionalism, preparing nurses for complex healthcare environments.

Keywords:
Clinical affiliate facultyClinical competenciesCoachingTransformative learning

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Area of Science:

  • Nursing Education
  • Healthcare Workforce Development
  • Clinical Competency

Background:

  • Healthcare employers require advanced clinical reasoning and teamwork skills from nurses.
  • Traditional nursing education needs transformation to meet evolving healthcare system demands.
  • The American Association of Colleges of Nursing recommends a baccalaureate generalist nurse model.

Purpose of the Study:

  • To transform nursing clinical education by moving beyond direct patient care.
  • To integrate concepts of care coordination, professionalism, and systems-based practice.
  • To implement a structured system of focused learning assignments (FLAs) for competency development.

Main Methods:

  • Utilized focused learning assignments (FLAs) designed to provide transformative learning opportunities.
  • Scaffolded FLAs within a "Playbook" to build competencies progressively.
  • Centered FLAs on the 6 Quality and Safety Education for Nurses (QSEN) competencies, plus professionalism and systems-based practice.
  • Developed detailed lesson plans for each FLA, including reflection guides and grading rubrics.

Main Results:

  • Consistent implementation of structured learning experiences through a coaching model.
  • Systematic progression of learning activities, building upon foundational skills.
  • Increased faculty-student interaction time and guaranteed capture of transformative learning experiences.
  • Enhanced student reflection and timely feedback mechanisms.

Conclusions:

  • The FLA model provides a structured, competency-based approach to nursing education.
  • This model fosters transformative learning, critical thinking, and professionalism in nursing students.
  • The system effectively prepares nurses for complex roles in modern healthcare settings.