Related Experiment Video
Updated: Nov 5, 2025

Using Learning Outcome Measures to assess Doctoral Nursing Education
Published on: June 21, 2010
Troublesome knowledge for entry-level PhD nursing students: Threshold concepts essential for the research-focused
Deborah E Tyndall1, Kerri B Flinchbaugh2, Nicole I Caswell3
1East Carolina University College of Nursing, Greenville, NC, United States of America.
Background:
Evidence supports that PhD doctoral students experience conceptually difficult knowledge, or troublesome knowledge, during their studies. These areas of troublesome knowledge are often associated with threshold concepts, those ideas specific to a discipline that must be understood to advance ways of thinking and making knowledge in the discipline.
Purpose:
To examine troublesome knowledge identified by a group of PhD nursing students during an introductory course and to consider threshold concepts related to that knowledge.
Method:
Design: Case study research methodology.
Sample:
18 entry-level PhD nursing students recruited with convenience sampling.
Data Collection:
Content analysis was used to analyze data collected from student reflective learning journals. Journal data was triangulated with formative and summative faculty assessments of student learning.
Results:
Three essential threshold concepts for entry-level PhD nursing students were identified: developing new ways of knowing, constructing researcher and writer identity, and positioning within the nursing research community. Analysis indicates that entry-level students found the threshold concept of constructing researcher and writer identity most troublesome.
Conclusion:
A PhD introductory nursing course which includes metacognitive activities, scaffolding of assignments, and early positioning within the research community can assist students with mastery of threshold concepts for the research-focused doctorate.
Related Concept Videos
Theoretical Foundations of Nursing Practice
Theories provide a perspective to assess patients' conditions and organize data and methods. They also assist in analyzing and interpreting information. They represent a...
Fundamentals of Nursing Process I
Fundamentals of Nursing Process II
The Professional Nurse
Communication skills: These are critical characteristics, especially speaking and listening.
Current Trends in Nursing I
Critical Thinking II

