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Accelerating the Development of Higher-Level Clinical Thinking in Novice Nurses
Sonya A Flanders1, Sharon Gunn, Megan Wheeler
1Sonya A. Flanders, MSN, RN, ACNS-BC, CCRN-K, is Director of Patient and Family Learning, Baylor Scott & White Health, Dallas, Texas. Sharon Gunn, DNP, MA, RN, ACNS-BC, CCRN-K, is Clinical Nurse Specialist for Learning Innovation, Baylor Scott & White Health, Dallas, Texas. Megan Wheeler, MSN, RN, ACNS-BC, is Clinical Nurse Specialist, Center for Clinical and Patient Learning, Baylor Scott & White Health, Dallas, Texas. Emily Newsome, BS, is a Research Assistant, MacroCognition LLC and ShadowBox LLC, Dayton, Ohio. Helen Altman Klein, PhD, is Senior Scientist, MacroCognition LLC, and Professor Emeritus of Psychology, Wright State University, Dayton, Ohio.
Abstract:
Enhancing clinical expertise of novice nurses is a challenge for nursing professional development practitioners. Time and availability of expert preceptors are limited. This article describes a process evaluation project using a specific method of cognitive skills training to expose inexperienced nurses to expert thinking and help them develop more advanced cognitive skills. Development of scenarios, decision points, and expert rationale is described along with project outcomes and lessons learned. Nursing professional development practitioners and inexperienced nurses may benefit from using this method.
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