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Fluency in Nursing Education and Simulation: A Concept Analysis
1About the Author Audra Lewis, PhD(c), RN, CHSE, is a doctoral candidate at Texas Woman's University, Denton, Texas and assistant professor of nursing, L.I.V.E. Simulation Hospital, Tarrant County College, Fort Worth, Texas. For more information, contact her at audralewisrn@gmail.com.
Simulation in nursing education enhances expertise by developing representational fluency, enabling nurses to translate knowledge into action. This approach helps novices think and act like experts.
Area of Science:
- Nursing Education
- Healthcare Simulation
- Professional Development
Background:
- Nursing expertise involves translating complex phenomena and constructing meaning through experience.
- Simulation offers crucial experiences for developing fluency in thought and action.
Purpose of the Study:
- To reframe the perception of simulation in nursing education.
- To highlight simulation's role in fostering knowledge-action fluency for practice expertise.
Main Methods:
- Concept analysis using established procedures (Hupcey & Penrod, 2005; Walker & Avant, 2011).
- Identification of uses, attributes, assumptions, contexts, and values of simulation.
Main Results:
- Simulation promotes representational fluency, leading to deep conceptual understanding and skillfulness.
- This fluency prepares learners for fluid and expert performance.
Conclusions:
- Linking representational fluency with simulation offers a new perspective for nurse educators.
- It guides understanding of novice-to-expert thinking and acting development.
- Further research is recommended.
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